Self-efficacy, depression and self-care activities of people with type 2 diabetes in Turkey.

Background: Self-efficacy related to self-care behaviors in people with type 2 diabetes has been well reported. However no work has been reported in Turkey that uses reliable instruments to examine the relationships among self-care activities, depression and self-efficacy. Aim: This study aims to investigate self-care activities, depression and self-efficacy among people with type 2 diabetes in Turkey. Methods: The sample included 200 patients with type 2 diabetes from an endocrinology outpatient clinic at a university hospital. Self-care activities, self-efficacy, and symptoms of depression were measured using established instruments: The Summary for Diabetes Self-Care Activities, the Self-Efficacy Scale, and the Beck Depression Inventory. Descriptive and correlational statistics were used in data analysis. Findings: One in three (37.5%) of participants had depression symptoms. Beck Depression Inventory scores were higher in women and in those with a lower education level, had diabetic complications and difficulty in meeting health care costs. The mean self-efficacy score was 66.5 ±â€…14.0; those who lived alone, were unemployed and knew their HbA1c level had significantly higher scores (p < .05). Demographic and diabetes characteristics including age, education, social support, diabetes complications, HbA1c level, and having diabetes education were found to be significantly associated with all self-care activities except smoking. Conclusion: The association between self-efficacy and self-care activities was positive. Interventions to improve patients' self-efficacy and self-care are needed in order to maximize diabetes self-management.

Development and Implementation of the Clinical Decision Support System for Patients With Cancer and Nurses' Experiences Regarding the System.

PURPOSE: The purpose of this study was to develop and implement the clinical decision support system (CDSS) for oncology nurses in the care of patients with cancer and to explore the nurses' experiences about the system. METHODS: The study was conducted using a mixed-methods research design with 14 nurses working at a gynecological oncology clinic at a university hospital in Turkey. FINDINGS: The nurses stated that they did not experience any problems during the implementation of the CDSS, and its usage facilitated the assessment of patients' needs and care management. CONCLUSIONS: The results indicated that the CDSS supported the nurses' decision-making process about patients' needs and preparation of individual care plans. PRACTICE IMPLICATIONS: The CDSS should be developed and implemented by the nurses working with patients with cancer. AMAÇ: Amaç kanser hastalarinin bakimina yönelik klinik karar destek sistemi olusturmak, uygulamak (KKDS) ve sistemi kullanan hemsirelerin deneyimlerini incelemektir. YÖNTEM: Çalisma kalitatif ve kantitatif arastirma yöntemleri kullanilarak Türkiyede'ki bir üniversite hastanesinin jinekolojik onkoloji servisinde çalisan 14 hemsire ile yürütülmüstür. BULGULAR: Hemsireler KKDS'ni kullanirken herhangi bir sorun yasamadiklarini ve sistemin hasta gereksinimlerini degerlendirmeyi ve bakim yönetimini kolaylastirdigini belirtmislerdir. SONUÇ: Bulgular hastanin gereksinimlerine karar verme sürecinde ve bireysel bakim planlari hazirlamada KKDS'nin hemsireleri destekledigini göstermektedir. HEMSIRELIK UYGULAMALARI IÇIN ÖNERILER: Kanserli hastalarin bakimina yönelik KKDS gelistirilebilir ve hemsireler tarafindan klinikte kullanilabilir.

The effect of a career activity on the students' perception of the nursing profession and their career plan: A single-group experimental study.

BACKGROUND: Students' conceptualizations of nursing and their reasons for choosing the profession motivate them and affect their education, work performance and career plans. Nursing educators should support them to plan their careers consciously during their education. OBJECTIVES: The study aimed to investigate the effect of career-planning event for nursing students on their conceptualizations of the nursing profession and their career plans. DESIGN: The study was as single-group experimental study using a pre-test and post-test. SETTINGS: The career-planning event was held in the conference hall of the university involved in the current study, and was open to the all students of the nursing school. PARTICIPANTS: The sample of the study consisted of 105 students who participated in the "Nursing Career Symposium" held on 27 March 2015. Methods At the event, the importance of career planning and the opportunities of the nursing profession was presented. The data were collected using a questionnaire consisted of two sections including descriptive characteristics and the opinions of the students regarding their career plans and Perception of Nursing Profession Scale. The students completed the first section of the questionnaire before the career event began and the second section of the questionnaire and scale both before and after the event. RESULTS: The participants had positive conceptualizations of the profession. Following a career event, the participants' opinions of professional qualities and professional status as measured through the Perception of Nursing Profession Scale showed a significant increase, and that the event had made an important contribution to their career plans. CONCLUSIONS: In the light of these results, it is possible to suggest that such events have an important place during education in that they introduce the nursing profession, and they develop the students' positive thoughts regarding the profession in terms of both course content and teaching methodology.