Missed nursing care: A cross-sectional and multi-centric study from Turkey.

AIM: The aim of this study is to explore the extent of missed nursing care in Turkey and identify its predictors. DESIGN: This was a descriptive, cross-sectional, multicentre study. METHODS: A total of 477 nurses working in seven public hospitals participated in this study from March to July 2019. The survey included two components: a personal and professional characteristics data form and the MISSCARE survey. RESULTS: The study revealed that emotional support, patient bathing and ambulation were the most frequently missed nursing care activities. An inadequate number of assistive personnel and staff, along with an unexpected increase in patient volume, were identified as the primary reasons for missed nursing care. Of the 21 missed nursing care activities, nine predictive models showed statistical significance (p < 0.05). Factors such as the type of unit, years of work experience, working hours, number of patients cared for in a shift and intention to leave the unit were found to be significant predictors of seven missed nursing care activities (p < 0.05). CONCLUSION: This study found that numerous variables influence each care activity, which suggests the need to devise more targeted and specific strategies to minimize missed nursing care. Thorough investigation into the impact of these strategies on each care activity is essential.

The relationships between novice nurses' emotions management skills and happiness levels: A cross-sectional study.

PURPOSE: To determine the relationships between the novice nurses' emotional management skills and their happiness levels. DESIGN AND METHODS: This cross-sectional study was conducted on 398 novice nurses in Istanbul using a Nurse Fact Sheet, Emotions Management Skills Scale (EMSS), and the Oxford Happiness Scale Short Form. FINDINGS: It was determined that the "Verbal expression of emotions," "Control of negative body response," and "Coping" subdimensions of the EMSS accounted for 21% of the variance in the total variable of the happiness scale (p < 0.001). PRACTICE IMPLICATIONS: Novice nurses should be supported with training to improve their emotional management skills throughout their working lives, starting from the hospitalization phase. Factors that negatively affect nurses' happiness levels should be controlled.

Determination of patients' family members' needs and related factors in the intensive care unit with visiting restrictions during the COVID-19 pandemic.

OBJECTIVES: To determine the needs of family members of patients and related factors in the intensive care unit during the COVID-19 pandemic. RESEARCH METHODOLOGY: This descriptive, cross-sectional, and correlational type study was conducted with a total of 301 family members. Data were collected by using two validated inquiry forms, the "Introductory Information Form" and the "Critical Care Family Needs Inventory" through an online survey. Descriptive statistical methods, as well as the Mann-Whitney U test, Kruskal-Wallis test, Dunn-Bonferroni test, and Backward Linear Regression Analysis, were used for the analysis of data. RESULTS: The average scores of information, assurance, proximity, support, and comfort needs of family members were 3.54 ± 0.61 (Min = 1.11-Max = 4), 3.72 ± 0.60 (Min = 1-Max = 4), 3.50 ± 0.62 (Min = 1-Max = 4), 3.27 ± 0.77 (Min = 1.07-Max = 4), and 3.32 ± 0.73 (Min = 1-Max = 4), respectively. A very weak positive correlation was found between the ages of family members and information, assurance, and proximity needs (p < 0.05). Some variables such as sex, income level, and degree of affinity had significant effects on the needs of family members (p < 0.05). CONCLUSION: Family members of critically ill patients had needs at most in the assurance sub-dimension during the COVID-19 pandemic. As the length of time of family members spent in the hospital increased, their support and comfort sub-dimension needs also increased. Institutional policies should be developed to assure family members in intensive care units.

The attitudes of healthcare professionals in Turkey toward the coronavirus vaccine.

AIM: To identify healthcare professionals' attitudes toward the coronavirus vaccine. BACKGROUND: Controlling the coronavirus pandemic depends on achieving a high level of herd immunity. Accordingly, it is very important that healthcare professionals become role models by displaying positive attitudes toward vaccination. METHODS: This cross-sectional study was conducted between March and April 2021 with a total of 309 healthcare professionals. Data were collected via an online surveys using an "Introductory Information Form" and "Attitudes Towards the COVID-19 Vaccine Scale." One-way variance analysis and Bonferroni correction were used for the comparison of nonnormally distributed quantitative variables between more than two groups. The Kruskal-Wallis test and Dunn-Bonferroni test were used to compare non-normally distributed quantitative variables between more than two groups. Pearson correlation analysis was performed to evaluate the relationships between the quantitative variables. RESULTS: Regarding the healthcare professionals' attitudes towards the COVID-19 vaccine, the average score of positive attitudes was 3.52 ± 0.87, and the average score of negative attitudes was 3.39 ± 0.68. A statistically significant weak relationship was found between the ages of the participants and the average score of their positive attitudes towards the COVID-19 vaccine. The negative attitude score of the individuals who wanted to get the coronavirus vaccine was significantly higher than those who were undecided or did not want to get the vaccine. CONCLUSIONS: Healthcare professionals completely agreed with the opinion "I would persuade everyone around me to get the coronavirus vaccine," and completely disagreed with the opinion "I believe that they will inject microchips to people with the coronavirus vaccine." Healthcare professionals have positive attitudes toward the COVID-19 vaccine. COVID-19-vaccinated participants' positive and negative attitude scores were found higher than those who were not vaccinated. IMPLICATIONS FOR NURSING AND HEALTH POLICY: Supportive social activities should be organized in the public sense so that healthcare professionals act as a role model by displaying positive attitudes toward vaccination.

Development of an intensive care oral care frequency assessment scale.

BACKGROUND: Oral care and frequency of oral care is important for intensive care patients in order to prevent the risk of ventilator-associated pneumonia. However, there are no scales to assess the frequency of oral care specific to intensive care units (ICUs). AIMS AND OBJECTIVES: This study aimed to develop a valid and reliable tool, "Intensive Care Oral Care Frequency Assessment Scale (ICOCFAS)", for assessing the frequency of nurses' oral care in critical ill patients. DESIGN: This was an instrument development study. METHODS: The validity and reliability of the ICOCFAS, which consists of nine items, were tested using content validity (five expert opinions), construct validity (factor analysis), item analysis, and internal consistency analysis methods. The population of the research consisted of inpatients at the ICU of a hospital in Sakarya, Turkey. The research was conducted with 73 patients in the ICU. RESULTS: Expert opinions on the content validity indicated that the scale was admissible. The Kaiser-Meyer-Olkin (KMO) coefficient was calculated at 0.800, and the Chi-square value of the Bartlett test was considerably significant (χ2  = 270.539; P < .001). Using a path diagram in confirmatory factor analysis, Chi-square/df ratio values were calculated as 1.49, standardized root mean square residual as 0.077, comparative fit index as 0.97, and root mean square error of approximation as 0.082. Cronbach's alpha was 0.851. The correlations between the items and total scores were 0.455 to 0.835 and were statistically significant (P < .001). CONCLUSIONS: The ICOCFAS is an efficient tool with high validity and reliability for assessing oral care frequency in the ICU. RELEVANCE TO CLINICAL PRACTICE: The ICOCFAS is a valid and reliable tool for Turkish society for assessing the frequency of oral care of patients in the ICU. It is recommended for various national and international studies with different patients in ICUs.

Factors affecting attitudes of nursing students towards distance education during the COVID-19 pandemic: A web-based cross-sectional survey.

PURPOSE: To identify the factors affecting nursing students' attitudes towards distance education. DESIGN AND METHODS: This research was conducted as a cross-sectional, descriptive, and correlational study with a total of 318 nursing students (N = 380) a university in the west of Turkey. FINDINGS: The total average scores of the students from the attitude towards distance education scale was 101.62 ± 24.83 (min = 43, max = 175). PRACTICE IMPLICATIONS: Nursing, which is an applied discipline, can be difficult to maintain entirely in the formof distance learning. Therefore, different teaching methods can be used to develop a positive attitude towards distance education in nursing students.

Relationships between perceived support types and the job satisfaction levels of nurses.

PURPOSE: To identify the relationships between nurses' perceived support and their job satisfaction levels. DESIGN AND METHODS: The sample of this descriptive and correlational study comprised 655 nurses working at a medical faculty hospital in Istanbul. FINDINGS: A statistically significant positive relationship was detected between the total score means of nurses' job satisfaction and perceived administrative support (r = 0.275; p = .001; p < .01), perceived coworker support (r = 250; p = .001; p < .01) and perceived organizational support levels (r = 0.262; p = .001; p < .01). The linear regression model was found to be statistically significant (F = 24.625; p = .001; p < .01). PRACTICE IMPLICATIONS: Training and corporate regulations (e.g., performance system involving promotion, reward, wages) for increasing nurses' perceptions for organizational support should be planned. Activities that increase nurses' perception of social support could also increase their job satisfaction.

Comparison of the effects of two different teaching methods in blood pressure measurement training: a randomized controlled study.

OBJECTIVE: To compare the effects of a high-fidelity simulator and conventional teaching model used during blood pressure measurement training on students' self-confidence, self-efficacy and anxiety levels. METHODS: A randomized controlled trial design was used. The study was conducted on 59 first-year nursing students of a university in Amasya, Turkey. 'Self-Confidence Scale,' 'general Self-Efficacy Scale' and 'Beck Anxiety Scale' were used to collect the data. A high-fidelity simulator used in blood pressure measurement training was applied to the experimental group, while the conventional method in which the students practice on their peers was applied to the control group. Chi-square, Mann-Whitney U test and the Wilcoxon signed-rank test were used to determine the difference between the two groups' average. RESULTS: No statistically significant difference was found between students' pre-test and post-test total scores of self-confidence, general self-efficacy and anxiety scales with the high-fidelity simulator and the conventional model (P > 0.05). A significant increase was noted in inner self-confidence and self-efficacy scores of the group working on the high-fidelity simulator (P < 0.05). CONCLUSIONS: The high-fidelity simulator was effective on the students' increased levels of self-confidence and self-efficacy, whereas it was not effective on their anxiety levels. However, this study can also be conducted on a larger sample group using a variety of training methods.

The effects of noise levels on nurses in intensive care units.

BACKGROUND: Intensive care units (ICUs) are noisy environments, which may have negative psychological effects on nurses. AIMS AND OBJECTIVES: To investigate the effects of the noise level of ICUs on nurses' burnout, job satisfaction, anxiety, psychological symptoms and general psychopathology level. DESIGN: A descriptive and correlational study. METHODS: The study was conducted with 150 intensive care nurses. A Type 2250-L Brüel & Kjaer hand-held sound level meter was used for noise measurement. A Nurse Information Form, the Maslach Burnout Inventory, Minnesora Satisfaction Questionnaire, Self-Report Inventory and Symptom Checklist-90 Revised were used for data collection. RESULTS: The highest levels of noise (71 dB(A) and above) were measured in the neonatal, neurology and cardiovascular surgery ICUs. It was observed that noise level affected extrinsic satisfaction (F = 3·704; p = 0·027) and trait anxiety (F = 3·868; p = 0·023) of nurses. CONCLUSIONS: Noise levels in ICUs are well above the recommended levels, and this affects nurses' job satisfaction and anxiety levels. RELEVANCE TO CLINICAL PRACTICE: More studies on the effects of noise levels on the physical and mental states of nurses working in ICUs are needed. Increased quality of patient care can be achieved by providing healthy working conditions for nurses working in special units such as ICUs.

Factors affecting nursing and midwifery students' attitudes toward social media.

With the advancement of technology, social media use increases day by day, especially among university students. This descriptive and correlational research was conducted with the aim of investigating attitudes of nursing and midwifery students towards social media in terms of certain variables. The population of the research comprised students studying at the nursing and midwifery department of a health college (N = 336), and the sample of the research constituted students who were chosen using accidental sampling from the population (n = 254). A Student Information Form and the Social Media Attitude Scale were used for data collection. It was identified that 73% of the students studied nursing and 64.2% used social media for various reasons. The averages scores for total score, social competence, need for sharing, relationship with the teachers, and social isolation dimensions of Social Media Attitude Scale were found as 72.19 ±â€¯10.92 (23-115), 14.17 ±â€¯4.87 (6-30), 27.65 ±â€¯6.08 (8-40), 7.50 ±â€¯3.20 (3-15), and 13.14 ±â€¯5.01 (6-30), respectively. It was observed that nursing and midwifery students had positive attitudes towards social media. Furthermore, although the personal characteristics of students do not affect their attitudes towards social media, the features of social media have a statistically significant effect on students attitudes towards social media.

Comparison of sleep quality and dialysis adequacy of patients undergoing hemodialysis.

Sleep, as one of the key life activities, is an important indicator of the quality of life. Chronic kidney disease, with a high prevalence, is a serious condition that can deteriorate the sleep quality of patients. This study was carried out to investigate the correlation between sleep quality and dialysis adequacy in hemodialysis (HD) patients on a population and sample consisting of 50 patients receiving HD treatment at a training and research hospital in Amasya. Data were collected using "Patient Information Form," "Pittsburgh Sleep Quality Index (PSQI)," and "Good Dialysis Index (GDI)." Sleep patterns of patients during HD were observed and recorded for three weeks. The average age was 64.46 years (minimum: 22, maximum: 86; standard deviation: 14.612), 56% (n = 28) are women, 64% (n = 32) are married, 82% (n = 41) have PSQI score >5, and 60% were found to have 30 min weekly average sleep duration during HD sessions. A statistically significant relationship was found between the overall GDI scores and the overall Pittsburgh Sleep Quality Index (PSQI) scores of the patients (P <0.05). PSQI scores of patients increase with increasing GDI scores. Good dialysis adequacy improves the sleep quality of patients.

Effects of different education methods in peritoneal dialysis application training on psychomotor skills and self-efficacy of nursing students.

BACKGROUND: Applying the proper technique for connections in Peritoneal Dialysis (PD) is crucial in preventing potential infectious complications. OBJECTIVES: The aim of this study is to investigate the effects of different education methods in PD application training on the psychomotor skills and self-efficacy of nursing students. METHODS: The randomized controlled and experimental study was conducted with a total of 28 nursing student participants. The PD training was provided theoretically and by using a PD simulator for the experimental group and by using videos for the control group. At the end of the training, each student who was included in the experimental and control group were asked to perform PD on the PD simulator one by one. Psychomotor skills were evaluated according to the PD application skill evaluation criteria. Self-efficacy of the students before and after the application was also measured. RESULTS: Psychomotor skill scores of the students were found to be significantly higher in the experimental group, and there was no significant difference between the experimental and control groups in terms of self-efficacy scores. No statistically significant difference was detected between the self-efficacy scores of the experimental group regarding pre-test and post-test results. CONCLUSION: This technique can be used to improve the development of psychomotor skills, since the demonstration of the PD application with the simulation technique is effective in the development of psychomotor skills.

Identification of the self-confidence and self-efficacy levels of student nurses when performing blood drawing for the first time on their peers.

BACKGROUND: Blood sampling is frequently used in health to evaluate diagnosis and treatments. The first blood drawing is most important skill for nursing students. Nursing students gain these skills during their first years of education. OBJECTIVE: To identify the self-confidence and self-efficacy levels of first year nursing students when performing taking blood on their peers for the first time. METHODS: The sample (n= 70) of this descriptive and cross-sectional research comprised first year nursing students. The research was conducted in two stages; theoretical training and laboratory work and students' first taking blood on their peers. A Student Information Form, Blood drawing Skill Practice Evaluation Control Form, Self-Confidence Scale, and General Self-Efficacy Scale were used for data collection. Percentage calculations and the Mann-Whitney U test were used for data analysis. RESULTS: The total mean score of the students' self-confidence was 130.09 ± 15.94 (Min = 91, Max = 157), and total mean score of self-efficacy was identified as 31.71 ± 3.92 (Min = 20, Max = 39). No statistically significant difference was detected between the students' sex and high school type regarding self-confidence and self-efficacy total mean scores (p> 0.05). CONCLUSIONS: It was observed that students' self-confidence and self-efficacy levels were high when performing taking blood on their peers for the first time.

Evaluation of individuals' health beliefs and their association with testicular self-examination: adult sample from Amasya.

BACKGROUND: Testicular self-examination is important for the early diagnosis and treatment of testicular cancer; the nature of the examination itself influences individuals' health beliefs about testicular self-examination. METHODS: This descriptive research study was carried out using 152 individuals working at Amasya University between August and November 2016. A personal information form and Champion's Health Belief Model Scale were used for the data collection stage of this research. Descriptive statistical tests, Mann-Whitney U test, Kruskal-Wallis variance analysis and Cronbach's alpha were used in the data analysis stage. RESULTS: Analysis of respondents' sociodemographic data revealed that the study participants' mean age was 38.88 ± 9.36, and that 112 participants (73.7%) were married and 76 participants (50.0%) had a graduate degree at the time the study was conducted. Of the research participants, 134 (88.2%) had no training on testicular self-examination; a statistically significant difference (p < 0.05) was found between participants' consciousness of their capability to perform testicular self-examination on their own and the mean factor scores of the Champion's Health Belief Model Scale's 'barriers of testicular self-examination' and 'self-effectiveness' items. CONCLUSION: The study found that health beliefs play a part in individuals' positive health behaviours regarding testicular self-examination.

A planned admission protocol application in intensive care units.

BACKGROUND: The process of admission to an ICU may have a negative impact on a patient's physiological parameters and comfort. AIM: To determine the effect of providing a patient admission protocol on patients' comfort and physiological parameters prior to admission to the intensive care unit (ICU). DESIGN: A randomized, controlled experimental study. METHODS: This study included 100 (50 control, 50 experimental) patients who experienced planned admissions to the ICU of a University Hospital. Standard forms were used to record patient information, evaluations and comfort. Data were collected from patients prior to, during and 24 h after admission to the ICU and 24 h after being transferred. The experimental group was admitted to the ICU using the patient admission protocol and the control group underwent routine admittance. FINDINGS: There was no significant difference between the groups regarding the individual characteristics, physiology and comfort prior to, during or 24 h after admission to the ICU (p > 0·05). However, 24 h after being transferred, the experimental group's comfort was significantly higher than that of the control group (p < 0·01). CONCLUSIONS: The use of the patient admission protocol does not affect the physiological parameters of patients; however, it does raise the comfort level of patients. RELEVANCE TO CLINICAL PRACTICE: The patient admission protocol specific to the institution (in this context, a unit introductory booklet) should be developed in ICUs. We suggest that admission to the ICU should be carried out in accordance with this protocol.

The reliability of site determination methods in ventrogluteal area injection: a cross-sectional study.

BACKGROUND: While administering medication through intramuscular injection, the ventrogluteal site must be used instead of the dorsogluteal site, and it is of great significance to locate the ventrogluteal site correctly. OBJECTIVE: To determine the reliability of two different methods used to determine the ventrogluteal site in intramuscular injection practice. DESIGN: A cross-sectional study. SETTINGS: A university hospital in Istanbul. PARTICIPANTS: The study population comprised 120 randomly selected healthcare personnel at a university hospital. METHODS: The ventrogluteal site was determined using the geometric (G method) and V method and these sites were scrutinized under ultrasonography. It was investigated whether there was any anatomic vessels or neural structure present, and also determined the thickness of subcutaneous tissue, musculus gluteus medius, and musculus gluteus minimus. RESULTS: Of the participants, 65.8% were female and the average age was 32.30 years and body mass index was 25.31 kg/m(2). The results showed that G and V methods were statistically significant in terms of variables. It was also found that sex affects subcutaneous tissue thickness and the skin-bone margin in the G and V method, and that body mass index determines subcutaneous tissue, musculus gluteus medius thickness and skin-bone margin. CONCLUSION: When the ventrogluteal site is used for intramuscular injection purposes, the site must be determined in line with the geometric method.

Nursing activities in intensive care units in Turkey.

This cross-sectional study was conducted to determine applications practiced by nurses working in intensive care units of various institutions in Turkey. The research setting was neurosurgery, surgery, coronary and general intensive care units. The population of the study comprised nurses working in intensive care units, which were under the scope of this study, and these nurses' functions were studied. Data were collected using a Personal Information Form, the Cheltenham Patient Classification Scale and Nursing Activity List. It was observed that nurses spend most of their time on direct nursing care, clerical nursing duties and patient assessment. The most frequent activities included recording observations, calculating fluid balance, recording ventilator parameters, talking to patients, conversation not task orientated, drug preparation and administration. Although nurses spend most of their time on direct nursing care, they might also be obliged to get around to activities not in relation with direct patient care.