Knowledge levels and evidence-based approaches of undergraduate nursing students on suctioning practices: A cross-sectional study.

BACKGROUND: Suctioning is one of the nursing interventions frequently applied in clinical and intensive care units. In order to perform suctioning correctly and effectively, it is important for nursing students to acquire and develop this skill during their undergraduate theoretical and practical education. OBJECTIVES: The study aims to reveal the knowledge levels and evidence-based approaches of nursing students about suctioning practices. DESIGN: The study is a descriptive and cross-sectional study. SETTINGS: It was carried out in the Faculty of Nursing of two state universities in Konya between March and June 2022. PARTICIPANTS: A total of 506 undergraduate students participated in the study. METHODS: Data were collected using the Personal Information Form, the Knowledge of Suctioning Questionnaire, and the Attitude towards Evidence-Based Nursing Questionnaire. Data were analyzed by calculating number, percentage, mean, and standard deviation, and using the multiple linear regression analysis. RESULTS: The mean Attitude towards Evidence-Based Nursing Questionnaire score of the students was found to be 63.04 ± 7.91, and their mean Knowledge of Suctioning Questionnaire score was 33.46 ± 14.63. 83.8 % of the students obtained a low score from the questionnaire. Senior students had high scores on the Attitude towards Evidence-Based Nursing Questionnaire, which are significant predictive variables affecting the level of knowledge about suctioning (p < 0.05). CONCLUSIONS: It was found that the high scores of the students on the Attitude towards Evidence-Based Nursing Questionnaire had an effect on their level of suctioning knowledge. The study also revealed that being a fourth-year student and receiving training on suctioning affected the level of suctioning knowledge.

Determination of risk factors associated with unintentional injury in children: Case-control study.

OBJECTIVE: This study aimed to determine the risk factors associated with unintentional injury in children aged 0-6 years. DESIGN: This is a case-control study. SAMPLE: A total of 150 participants (n: 75 case group, n: 75 control group) were included in the study. The case group consisted of mothers of children who had unintentional injuries and the control group was composed of the mothers of children who did not have unintentional injuries. MEASUREMENTS: Data were collected using the Participant Information Form and the Identification of Safety Precautions of Mothers with 0-6 year-old Children for the Prevention of Unintentional Injuries Scale. RESULTS: The mean attitude score of the mothers in the case group toward preventing unintentional injury (177.72 ± 15.53) was found to be higher than the mean score of the mothers in the control group (171.64 ± 17.93). An increase in mothers' scores on preventing unintentional injury reduces the risk of children having unintentional injuries 0.98 times. CONCLUSION: The findings of the study revealed that mothers' attitudes toward preventing injury, the birth order of the child, and the child having a disability increase risk for unintentional injury.

Effect of resilience on social appearance anxiety in Turkish early adolescents.

PROBLEM: Preventive and supportive nursing care interventions of school nurses are very important in the early adolescence period, in which the significant physical and sexual changes occur. One ramification of these changes may be social appearance anxiety. This study was carried out to investigate the effects of resilience on social appearance anxiety among early adolescents. METHODS: The study was a cross-sectional design. The study data were collected between February and June 2018. Study sample consists of 495 early adolescents studying at a state secondary school in Turkey. The data were gathered using personal information form, Social Appearance Anxiety Scale (SAAS), and Child and Young Resilience Measure (CYRM-12). The data were analyzed using the independent-sample t test, one-way analysis of variance, and multiple linear regression methods. FINDINGS: In the present study, the mean age of early adolescents was found to be 11.90 (1.07) years. The mean scores of students in SAAS and CYRM-12 were 31.79 (13.30) and 52.96 (5.86), respectively. Social appearance anxiety scores of early adolescents were found to have a negative effect on the resilience levels (ß = -0.294). CONCLUSIONS: It can be suggested to teach adolescents, the interventions about the use of active coping skills aiming to decrease social appearance anxiety and to increase the resilience.

Effect of SINC Feeding Protocol on Weight Gain, Transition to Oral Feeding, and the Length of Hospitalization in Preterm Infants: A Randomized Controlled Trial.

BACKGROUND: The present study aims to test the effect of the Safe Individualized Nipple-Feeding Competence (SINC) protocol on the preterm infants' weight gain, transition to oral feeding, and duration of hospitalization. METHODS: The procedure was designed as a single-blind, parallel-group randomized controlled trial. The trial was conducted in a neonatal intensive care unit (NICU) in Konya, Turkey. Data were collected from 80 preterm infants between February 2018 and March 2019. Infants (gestational weeks 28-33) were randomly assigned to the intervention (n = 39) and control groups (n = 41). The intervention group received the SINC feeding protocol, whereas the control group received the standard feeding. Data were collected using the Family Information Form, the Preterm Infant Follow-Up Form, and the SINC Protocol Evaluation Checklist. Infants were followed from hospitalization to discharge. The outcomes were weight gain, transition to oral feeding, and the length of hospitalization from birth to discharge. Pearson χ2 test, Fisher exact test, independent t-test, Mann-Whitney U test, and general linear model test were used in analyzing the data. RESULTS: The main effects of groups on weight measurements were found to be statistically significant (P < .001). There were no significant differences in terms of the transition from gavage to full oral feeding and the length of hospitalization (P > .05). CONCLUSIONS: SINC protocol positively influences weight gain in preterm infants. It is important to evaluate different evidence-based feeding methods both as they apply to the NICU stay and how they may affect long-term outcomes of preterm infant.

The Family-Centered Care Assessment Scale: Development and Psychometric Evaluation in a Turkish Sample.

PURPOSE: The purpose of this study was to develop a family-centered care assessment scale for the parents of hospitalized children and to evaluate the psychometric characteristics of the new scale. METHOD: This is a methodological study carried out in three phases. The study was conducted between on September 2017 and February 2018 with the parents of 360 children treated at the pediatric clinics of two medical faculty hospitals in Konya. DESIGN/METHODS: The study was conducted with parents (n = 360). The data was collected via the Socio-demographic Information Form, the Family-Centered Care Scale (parallel form) and the draft scale developed by the researcher. Data was analyzed by construct validity index, exploratory and confirmatory factor analyses. End of the exploratory factor analysis FCCAS consisted of 21 items and three sub-dimensions. The content validity index was 0.92. The internal consistency coefficient (Cronbach's Alpha) was 0.94 for the total scale. The strong correlations was found between test and re-test (r = 0.90, p < .001). Confirmatory factor analysis has confirmed the three-factor structure. CONCLUSION: In this study developed family-centered care assessment scale (FCCAS) is a valid and reliable measurement tool. PRACTICE IMPLICATIONS: This scale can be used to evaluate family-centered care in pediatric clinics (excluding neonatal care units). It can be used as a measurement tool in descriptive and intervention studies examining family centered care.