Retrospective analyses of reasons why children with newly diagnosed type 1 diabetes visit the emergency department.

OBJECTIVES: This retrospective study evaluates the clinical and laboratory values of children with type 1 diabetes at the time of first admission to the emergency service. Methods : It is a retrospective study to examine the clinical & laboratory findings of children visiting the emergency service between 2009 & 2012. The sample of the study included 111 children with newly diagnosed type 1 diabetes. Student t test and chi-square test were used in the analysis. RESULTS: HbA1c and blood glucose levels and ketoacidosis frequency was found significantly changed (p<0.05). It was detected that the frequency of ketoacidosis at the time of diagnosis was 60% in the children with type 1 diabetes while it was 45% in the second group and 34% in the third group. This difference at the time of admisison was found to be statistically significant (p<0.05). CONCLUSION: It became possible to diagnose children with type 1 diabetes much earlier over the course of time, and the number of patients that could be treated before severe diabetic ketoacidosis developed increased. This results is of great importance as it will provide a guide for all medical professionals including nurses.

Teaching psychiatric nursing with films during the COVID-19 pandemic: A qualitative study.

WHAT IS KNOWN ON THE SUBJECT: Interactive learning environments are known to be among the most effective methods used in education. Some of the interactive methods used in psychiatric nursing education are simulations, group discussions, case studies and video and film presentations. In psychiatric nursing education, cinematic films are among the online methods used. It is known that films used in psychiatric nursing education are useful for understanding mental disorders, the nurse-patient relationship, the roles of the nurse and the therapeutic environment. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE: The COVID-19 pandemic deeply affected nursing education, and the difficulties faced gave rise to many new perspectives. After this period, it is of prime importance to update the nursing curriculum and develop new strategies in clinical practice. Teaching with films can help students to understand people's feelings, make sense of them and empathize. This method can have an emotional impact on student nurses and take learning to a deeper level beyond simple theoretical understanding. WHAT ARE THE IMPLICATIONS FOR PRACTICE: The findings of the study suggest that teaching through film is an effective method that can be used practically in psychiatric nursing education. Standardizing these practices may be an effective strategy for developing students' professional identity as nurses. This study is focused on undergraduate students, but has implications for nurses in continuing education and professional development of nurses in developing a positive perspective towards psychiatric patients, increasing self-awareness and reducing prejudices. ABSTRACT: INTRODUCTION: The COVID-19 pandemic affected many areas of life and had a negative effect on education. AIM/QUESTION: This study investigated the impacts of using film as a method of education in students who were taking Psychiatric Nursing class during the COVID-19 pandemic, examining how this method contributed to theoretical and clinical practices of the students, their personal development and their viewpoint on psychiatric patients. METHOD: This study adopted a qualitative research design. The study data were collected from 15 nursing students in June 2022. Interviews were conducted, audiotaped and transcribed verbatim. RESULTS: The method of education via film made contributions such as better theoretical understanding of the subjects taught, acquisition of analytical thinking skills and greater awareness of professional nursing skills and care practices. The students developed their professional perspectives, and their motivation increased. DISCUSSION: Using film is effective and practical when used in psychiatric nursing education. Standardizing these practices may be an effective strategy for developing students' sense of their identity as professional nurses. IMPLICATION FOR PRACTICE: This study relates directly to undergraduate students and also has implications for nurses undergoing continuing education and professional development.

The efficacy and acceptability of the Triple P: Positive Parenting Program with Turkish parents.

AIM: To evaluate the effectiveness of Group Teen Triple P with parents who have behaviorally disturbed adolescents. METHODS: The research was conducted in an experimental manner. The sample was 76 parents who were grouped as 38 cases and 38 controls with a block randomization method. Data were collected using the Family Background Questionnaire, General Health Questionnaire (GHQ-12), Strengths and Difficulties Questionnaire (SDQ), Conflict Behavior Questionnaire (CBQ), and Parent Satisfaction Questionnaire. Group Teen Triple P Program was implemented with the case group for 8 weeks. Data were collected immediately after the program and again after 3 months. Data were evaluated using variance analysis, t test, χ2 test, multivariate analysis of covariance, and analysis of covariance test. RESULTS: It was found that participation in Group Teen Triple P resulted in the improvement of parental mental health, decreased problematic behavior of the adolescents, and fewer problems between adolescents and their parents. CONCLUSION: Group Teen Triple P should be made available to more parents of adolescents in Turkey.

Examination of the effect of education about electroconvulsive therapy on nursing practice and patient satisfaction.

INTRODUCTION: Electroconvulsive therapy (ECT) procedures require the work of a multidisciplinary team that includes an anesthesiologist, a psychiatrist, and a treatment nurse. Electroconvulsive therapy is treated like a minor surgical procedure that requires preoperative preparation and postoperative care. AIM: This research was conducted as a quasi-experimental study for the purpose of evaluating the effect of education about ECT given to nurses who work on a psychiatric ward. SAMPLE: The research pretest sample was composed of 52 ECT procedures in which nurses participated in managing that were conducted between April and October 2006 on the psychiatric ward of Dokuz Eylül University Hospital. The posttest sample was composed of 52 ECT procedures in which nurses participated in managing that were conducted between January and March 2007 on the same psychiatric ward. DATA COLLECTION TOOL: The observation form for the determination of nursing care in ECT and satisfaction form, which were developed by the researcher from expert opinion, were used for data collection. Data obtained were analyzed using the test for significance between 2 means. RESULTS: The nurses included in the research received a total score of 4 for nursing care in ECT procedure before education and X = 11.5 after education. The difference in the mean scores for nursing care in ECT procedure before and after education was found to be statistically significant (P < 0.05). The mean score for patient satisfaction with nursing care in ECT procedure before education was X = 2.5 and that after education was X = 4.1. The difference between the 2 means was found to be statistically significant. CONCLUSIONS: Education given to nurses about ECT improved nursing practice and increased patient satisfaction. For this reason, it is recommended that nursing care in ECT continuing education be planned and given at regular intervals.

Undergraduate nursing students' experience related to their clinical learning environment and factors affecting to their clinical learning process.

Clinical education is an essential part of nursing education. The purpose of this study was to explore nurse students' experiences related to cinical learning environments, factors effecting to clinical learning process. Descriptive qualitative design was used in this study, and data were collected from 2nd class nursing student (n = 14). The study took the form of in-depth interviews between August-October 2015. The qualitative interviews were analyzed by using simple content analysis. Data were analyzed manually. Experiences nurse students are described five themes. The themes of the study are (1) effecting persons to clinical learning, (2) educational atmosphere, (3) students' personal charactering, (4) the impact of education in school, and (5) students' perceptions related to clinical learning. Participants stated that they experienced many difficulties during clinical learning process. All students importantly stated that nurse teacher is very effecting to clinical learning. This study contributes to the literature by providing data on beginner nursing student' experiences about clinical learning process. The data of this present study show to Turkish nursing student is affecting mostly from persons in clinical learning. The data of this present study will guide nurse teacher when they plan to interventions to be performed to support student during clinical learning process.

Evaluation of students' knowledge about paediatric dosage calculations.

Medication errors are common and may jeopardize the patient safety. As paediatric dosages are calculated based on the child's age and weight, risk of error in dosage calculations is increasing. In paediatric patients, overdose drug prescribed regardless of the child's weight, age and clinical picture may lead to excessive toxicity and mortalities while low doses may delay the treatment. This study was carried out to evaluate the knowledge of nursing students about paediatric dosage calculations. This research, which is of retrospective type, covers a population consisting of all the 3rd grade students at the bachelor's degree in May, 2015 (148 students). Drug dose calculation questions in exam papers including 3 open ended questions on dosage calculation problems, addressing 5 variables were distributed to the students and their responses were evaluated by the researchers. In the evaluation of the data, figures and percentage distribution were calculated and Spearman correlation analysis was applied. Exam question on the dosage calculation based on child's age, which is the most common method in paediatrics, and which ensures right dosages and drug dilution was answered correctly by 87.1% of the students while 9.5% answered it wrong and 3.4% left it blank. 69.6% of the students was successful in finding the safe dose range, and 79.1% in finding the right ratio/proportion. 65.5% of the answers with regard to Ml/dzy calculation were correct. Moreover, student's four operation skills were assessed and 68.2% of the students were determined to have found the correct answer. When the relation among the questions on medication was examined, a significant relation (correlation) was determined between them. It is seen that in dosage calculations, the students failed mostly in calculating ml/dzy (decimal). This result means that as dosage calculations are based on decimal values, calculations may be ten times erroneous when the decimal point is placed wrongly. Moreover, it is also seen that students lack maths knowledge in respect of four operations and calculating safe dose range. Relations among the medications suggest that a student wrongly calculating a dosage may also make other errors. Additional courses, exercises or utilisation of different teaching techniques may be suggested to eliminate the deficiencies in terms of basic maths knowledge, problem solving skills and correct dosage calculation of the students.

Topics of Addiction in Turkish Nursing Programs: A Summary.

Addiction is a serious health issue. The measured rates of substance abuse in Turkey are lower than those in Western countries; however, recent studies show a significant increase in the prevalence of substance abuse and that the age of onset of substance abuse has decreased. There is a lack of literature about the topic of addiction in the undergraduate nursing programs in Turkey. Therefore, the aim of this current study was to examine the presence of addiction content in nursing education in Turkey among state and foundation universities.A descriptive, survey research design was used in this study. One hundred twelve state universities and 64 foundation universities that provide undergraduate education in Turkey were screened using the database of the Council of Higher Education. Researchers found that 89.09% of the state universities and all the foundation universities included the topic of addiction and/or substance addiction somewhere in their undergraduate nursing programs. The courses were primarily elective courses, and availability of the coursework varied. Given the impact of substance and process addictions, the authors conclude with a recommendation that the topic of addiction be offered as a discrete, mandatory course in the undergraduate nursing curricula of all universities offering nursing programs.

Individual and Group Education in Diabetes and Outcomes / Educación individual y grupal sobre la diabetes y sus resultados / Educação individual e grupal sobre a diabete e os resultados

Aim: The purpose of the present study in this context was to review the effect two different types of diabetes education being implemented in an actual setting had on the outcome of care (levels of knowledge, self-care agency, A1c, BMI). Methods: Research was carried out as a correlational and descriptive study. The sample was comprised of 391 persons. The data were collected through diabetic assesment forms, diabetes knowledge assessment forms, the Self-care Agency Scale and A1c and BMI assessment forms. Results: The results indicated the type of educational technique was able to affect levels of knowledge by 77%, self-care agency by 76%, A1c levels by 78% and the BMI by 75%. Conclusions: The delivery of individual and group diabetes education, together, is perceived to be a better method of ensuring an individual's effective self-management.

Objetivo: el propósito del presente estudio fue examinar los efectos de las dos técnicas de educación diabética que se estaban implementando en un entorno real sobre los resultados de la atención (los niveles de conocimiento, el manejo del auto - cuidado, A1c , BMI). Métodos: la investigación se llevó a cabo como un estudio correlacional y descriptivo. El muestreo fue compuesto por 391 personas. Los datos se seleccionaron mediante formularios de evaluación diabética, formularios de evaluación de los conocimientos diabéticos, la Escala de Agencia de Autocuidado y formularios de evaluación de Alc y BMI. Resultados: los resultados indicaron que la modalidad de la técnica educativa fue capaz de afectar a los niveles de conocimiento en un 77%, a la agencia de autocuidado en un 76% , a los niveles de A1lc en un 78% y al índice de masa corporal en un 75%. Conclusion: se ve que una combinación de educación diabética individual y grupal es un mejor método para asegurar la autogestión eficaz de un individuo.

Objetivo: o propósito do presente estudo foi examinar os efeitos das duas técnicas de educação diabética que estavam sendo implementadas em um ambiente real sobre os resultados do atendimento (os níveis de conhecimento, o manejo do autocuidado, A1c, BMI). Métodos: a pesquisa foi realizada como um estudo correlacional e descritivo. A amostra foi composta por 391 pessoas. Os dados foram selecionados mediante formulários de avaliação diabética, formulários de avaliação dos conhecimentos diabéticos, a Escala de Agência de Autocuidado e formulários de avaliação de A1c e BMI. Resultados: os resultados indicaram que a modalidade da técnica educativa foi capaz de afetar os níveis de conhecimento em 77%, a agência de autocuidado em 76%, os níveis de A1c em 78% e o índice de massa corporal em 75%. Conclusão: vê-se que uma combinação de educação diabética individual e grupal é o melhor método para garantir a autogestão eficaz de um indivíduo.