The effectiveness of a training program on perceptions of caring culture among Turkish nurses: A quasi-experimental trial.

AIM: To assess the effectiveness of a training program on perceptions of caring culture among Turkish nurses and investigate the relationships among caring culture, job satisfaction, and intention to leave. BACKGROUND: Every organisation has its on culture with its vairous components including values, symbols, practices and policies. Healthcare organizations need a favorable caring culture to support nurses and other professional working in the organisation. METHODS: This was a quasi-experimental trial of an educational intervention conducted between October and December 2020 at a university hospital in Turkey. The sample of the study consisted of 86 nurses. A four-week training program based on caring culture was provided for the training group. The data were collected using a Personal Information Form, the Turkish version of the Caring Culture Survey, and the Job Satisfaction Scale. Intention to leave was measured with a single question. FINDINGS: The mean total caring culture and personal caring scores of the training group were significantly higher after the training than before (p < 0.05). There were significant positive correlations between the mean caring culture total and subscale scores of the participants and their total job satisfaction scores. Besides, there were significant negative correlations between the caring culture total and subscale scores of the participants and their intentions to leave, but these relationships were weak or moderate (p < 0.05). CONCLUSION: This training program based on caring culture can contribute to improving the caring culture perceptions of nurses. Caring culture is positively related to job satisfaction and negatively related to intentions to leave. IMPLICATIONS FOR NURSING AND HEALTH POLICY: Healthcare organizations should prioritize creating a caring culture and designing initiatives that focus on caring culture. The perceptions of nurses about caring culture should be measured and identified regularly.

Adaptation and validation of the Turkish version of the Caring Culture Survey.

AIM: To assess the validity and reliability of the Caring Culture Survey in a sample of Turkish nurses. BACKGROUND: Health care institutions have increased their focus on the caring culture to improve the satisfaction of both employees and patients. However, there is a lack of valid and reliable tools in Turkish that measure nurses' perceptions of caring culture. METHOD: This two-phase psychometric study was conducted by recruiting 240 nurses from one university hospital between August and October 2019. In phase 1, the scale's adaptation was implemented. In phase 2, construct validity was determined by confirmatory factor analysis. Reliability was tested by internal consistency and item-total correlation coefficients. RESULTS: Adaptation results showed that the Turkish version of the scale is adequate for linguistic and content validation. Confirmatory factor analysis indicated a significantly good fit for a three-factor model. Cronbach's alpha coefficient was 0.84 for the overall scale. CONCLUSION: The Turkish version of the Caring Culture Survey showed consistently acceptable psychometric properties of reliability and validity. IMPLICATIONS FOR NURSING MANAGEMENT: The Turkish version of the Caring Culture Survey can be used as an instrument to assess nurses' perceptions of caring culture by health care and nurse managers.

The relationship between emotional labour and job satisfaction in nursing.

AIM: To investigate the relationship between emotional labour strategies and job satisfaction among nurses in Turkey. BACKGROUND: Nursing is one of the professions in which emotional labour is heavily used. The relationship between emotional labour strategies and job satisfaction has many different consequences in nursing. INTRODUCTION: Although studies have focused on the relationship between emotional labour and job satisfaction among nurses abroad, no studies on the subject have been found in Turkey. METHODS: A cross-sectional descriptive design was employed. The study was conducted with 281 nurses working in a university hospital and three public hospitals in Manisa, Turkey. Research data were collected using the Personal Information Form, Emotional Labour Scale and Minnesota Satisfaction Questionnaire. Descriptive statistics and Pearson correlation analysis were used in data evaluation. RESULTS: Analyses showed that the type of emotional labour strategy most frequently exhibited by nurses was surface acting. In surface acting, behaviours do not reflect employees' true feelings. Job satisfaction of nurses was higher than the medium level. A negative correlation was found between deep acting and job satisfaction. In deep acting, employees try to feel the emotions appropriate to the behaviour expected of them. DISCUSSION: Nurses' emotional labour may cause some undesirable consequences. CONCLUSION: Nurses' emotional labour strategies are related to their job satisfaction levels. IMPLICATIONS FOR NURSING POLICY: Managers should be aware of the emotional labour of nurses and its possible negative consequences. Management strategies that target the negative consequences of emotional labour are important not only for the well-being of nurses but also for the quality of patient care.

The role of anti-Müllerian hormone in predicting clomiphene citrate resistance in women with polycystic ovarian syndrome.

Clomiphene citrate (CC) is the agent of first choice in polycystic ovarian syndrome; however, anovulation problem does not resolve in a quarter of them. Thus, we investigated the value of anti-Müllerian hormone (AMH) in the prediction of ovarian response to CC in women with the polycystic ovarian syndrome (PCOS). This prospective cohort study included 90 anovulatory women with PCOS who were given 50 mg/d CC. The patients who ovulated occupied the group of responders and the patients who did not ovulate in three cycles included in the CC-resistant group. AMH levels of both groups were compared. p < .05 was considered statistically significant. Patients who ovulated had significantly lower serum AMH concentrations compared with the resistant group (p = .001). After analyzing the ROC curve, serum AMH concentration was found to be a useful predictor of CC resistance with the sensitivity of 66% and the specificity of 89%, when the threshold AMH concentration was >12.38 ng/ml in PCOS patients. In the present study, we revealed that the higher the AMH level the poorer the CC response would be in PCOS patients, therefore we recommend measuring the AMH levels of all PCOS patients before planning any ovulation induction treatment to achieve the desired success.

A case of endocervical adenocarcinoma detected 16 months after vaginal delivery.

The "rapid-onset" cervical carcinoma is described as the diagnosis of invasive cervical carcinoma within 3 years of a "normal" Pap smear and it is a rare entity. In our case, we aimed to draw attention toward rapid progression of these endocervical adenocarcinomas to macroscopic sizes.

A Rare Cause of Placental Abruption: Uterine Torsion.

Uterine torsion is defined as a rotation on its long axis and it is a dangerous, unexpected obstetric emergency. We report a case of uterine torsion at 32 weeks of gestation in a singleton pregnancy. A 37-year-old woman with multiple prior cesarean deliveries referred to emergency unit of our hospital at 32 weeks of gestation with severe abdominal pain and mild vaginal bleeding. Ultrasonography showed a single fetus in vertex position, with a normal amniotic fluid. Fetal biometer was appropriate for 32 weeks of gestation. Placental location was anterior with a subchorionic hypoechogenic small area which was suspected to be a sign of placental abruption. An emergency cesarean section was performed under general anesthesia. The 180° uterine torsion was diagnosed and it was not possible to perform detorsion of the gravid uterus by exteriorization by pfannenstiel incision. Posterior hysterotomy was performed and a male baby of 1830 grams weight was delivered. The newborn was transported to Neonatal Intensive Care Unit (NICU) of another hospital and discharged within two weeks. Patient recovered well and was discharged on second postoperation day. Uterine torsion is a very rare and life threatening situation. In unexpected cases posterior low transuerse hysterotomy is generally performed and it is suggested as a safe choice when detorsion was not accomplished. It is not easy to keep in mind the possibility of uterine torsion in cases of abdominal pain during pregnancy. Because it generally causes abruption, management of abruption is vitally important to prevent fetal mortality.

The biomechanical assessment of fixation methods in periprosthetic femur fractures.

OBJECTIVE: The aim of our study was to compare the biomechanical properties of different fixation methods used in periprosthetic femur fractures. METHODS: We created sawbone models with Mallory Type 2 periprosthetic femur fractures. The periprosthetic fractures were fixed with cables, cables and strut graft, or cables and plates. The biomechanical properties of these three different fixation methods were compared with the intact femur, the intact femur with prosthesis and the femur with periprosthetic fracture without fixation. RESULTS: The periprosthetic fracture without fixation had a significantly lower yield point value than the periprosthetic fractures with fixation (p<0.05). There was no significant difference between the three different fixation methods of the periprosthetic fractures. The intact femur with a prosthesis showed statistically higher values than all three fixation methods of perioprosthetic fractures. CONCLUSION: Mallory Type 2 periprosthetic fractures should be fixed. There is no difference among the fixation methods used in the study and none of them provide a stability equivalent to that of an intact femur with prosthesis.