The effect of online and face-to-face active learning methods on learning attitudes.

AIM: This study aims to compare the effects of online and face-to-face education models using active learning methods on students' learning attitudes. METHODS: This retrospective and quasi-experimental study included total 203 third-grade nursing students who took the Obstetrics and Gynecological Health Nursing course face-to-face and online in the fall semester of the 2019-2020 and 2020-2021. Active Learning Methods Questionnaire and the Scale Attitude Towards Learning (SATL) were used. RESULTS: The mean score of active learning methods of the students receiving online education (77.35 ± 18.63) was higher than the face-to-face education group (67.00 ± 20.67). Although there was no difference between the face-to-face and online education groups in terms of the effort to learn and caring for learning, online students had a lower attitude towards learning avoidance (t: 6.540, p: 0.000). There was a negative and low-level significant correlation between the evaluation of active learning methods and the total score of SATL in the online education group (r = -0.200; p = .043), no correlation in face-to-face group (r: 0.004; p: 0.963). CONCLUSION: Online education, which uses active learning methods, affected positively students' attitudes towards learning and decreased their avoidance of learning more than face-to-face education. This study has shown that active learning methods allow online students to question theoretical knowledge, convey it to patient care, contribute to clinical knowledge, and facilitate their learning and analytical thinking based on the more positively evaluation by online students.

Effects of Relaxation-Focused Nursing Program in Women with Ovarian Cancer: A Randomized Controlled Trial.

BACKGROUND: Surgical treatment is a major cause of hospitalization in ovarian cancer. In this process, physical problems, such as pain and changes in respiratory functions, and psychological problems, such as anxiety and stress, may develop. AIM: This study aims to investigate the effects of the Relaxation-Focused Nursing Program on pain, anxiety, lung volume, level of knowledge, and nursing care satisfaction in ovarian cancer surgery. METHOD: A randomized controlled trial in which participants were randomly assigned to either the experimental (preoperative relaxation exercises and education; n = 24) or control (usual nursing care; n =22) groups. The intervention consisted of practicing four sessions of relaxation exercises and education in the hospital for two days before surgery. Data were collected using the Trait and State Anxiety Inventory, Surgical Information Form, and Perioperative Assessment Form. The results were analyzed using the Friedman and Wilcoxon tests. RESULTS: The findings showed significant reductions in pain (p = .045) and anxiety scores (p < .001). The level of knowledge means scores were higher in the experimental group, but there was no significant difference between mean scores of spirometer volume and care satisfaction. CONCLUSIONS: The program was more effective than usual nursing care in preoperative anxiety, pain, and level of knowledge. Although there was no difference between the care satisfaction scores of the patients, the reasons for care satisfaction were different in the program. Developing and implementing care that combines stress reduction interventions and preoperative education can improve the preoperative outcomes of patients.

Feelings, thoughts and experiences of women diagnosed with adnexal mass: A qualitative study.

Adnexal masses have a risk of malignancy, especially in postmenopausal women, thus affecting the physical, psychological, and social lives of women with such masses. In addition, patients require a long duration of hospitalization during treatment. In earlier studies, researchers have focused on the experiences of newly diagnosed women or the side effects of treatment. However, women's experiences during the hospitalization period have been ignored. In this study we explored the feelings, thoughts, experiences, and nursing care needs of women hospitalized with adnexal mass diagnosis. In this qualitative study, interviews were conducted with 11 women hospitalized for an adnexal mass or ovarian cancer diagnosis. The feelings, thoughts, and experiences of the women were negatively affected. They were more likely to rely on internal motivation and had lesser expectations of professional support. Thus, nurses should provide women with this diagnosis social support and facilitate their adaptation to the hospital. The diagnosis and treatment of adnexal masses is a complex process that requires teamwork. Therefore, navigator nurses can be of great help to women during their illness.

An investigation of vitamin and mineral supplement recommendation among first-trimester pregnancies.

Background Healthy and balanced nutrition in pregnancy can affect the mother's and the fetus' health. Therefore, health professionals should provide information about this issue to pregnant women. The aim of the study was to examine the rate of vitamin and mineral supplement recommendation among first-trimester pregnant women. Methods The study sample consisted of 697 first-trimester pregnant women between 18 and 40 years of age. The pregnant women who registered to an obstetric outpatient clinic between January and June 2018 were retrospectively reviewed, and data were collected from patient medical records using a questionnaire. Results Physician's laboratory test orders from the women included the following: ferritin was 18.4%, mean corpuscular hemoglobin (MCH) was 99.7%, folic acid was 10.2%, vitamin D was 6.3%, vitamin B12 was 17.2% and calcium was 20.4%. All of the women's hemoglobin levels had been examined. A total of 58.8% of the women were recommended to take folic acid, 32.7% iron, 25.7% iodine, 18.8% calcium, 17.2% vitamin A, 21.1% vitamin B12, 17.4% vitamin C, 31.6% vitamin D and 17.5% vitamin E supplements. Conclusion It was determined that ferritin, vitamins B12 and D, calcium, folic acid, iron and iodine levels were not examined routinely in this study. Folic acid and iron supplementation were the most commonly suggested nutrient supplements in the first trimester.

Effects of some characteristics of gynecological cancer diagnosis and treatment on women's sexual life quality.

BACKGROUND: Gynecological cancers can cause changes in women's sexual life. AIM: The aim of this study was to evaluate the factors affecting sexual quality of life (SQoL) of women with gynecological cancer. MATERIALS AND METHODS: A descriptive, cross-sectional study design was used. The study was conducted on 276 women with gynecological cancers in Turkey. Information form and SQoL scale was used in the study. The data were evaluated using Mann-Whitney U-test and Kruskal-Wallis test. RESULTS: The SQoL mean score was 68.83 ± 21.17. There was no significant difference in the SQoL mean score according to the individual/sociodemographic characteristics or gynecological cancer-related characteristics. However, it was found that the difference was due to higher SQoL score in the group with a diagnosis time of 25 months and above (KW (Χ2) = 6.356, P = 0.046). CONCLUSION: The reason for significant difference in the SQoL mean score according to diagnosis over time might be that women adapted to cancer diagnosis. For this reason, the SQoL of women with a diagnosis time of < 25 months should be assessed and these women should be supported.