Evaluating the Knowledge Levels and Attitudes Regarding Pressure Injuries among Nurses in Turkey.

OBJECTIVE: To determine nurses' knowledge levels and attitudes regarding pressure injury (PI) in Turkey and to reveal the relationship between these two variables. METHODS: This study was conducted with 604 nurses to obtain 98% power based on the G*Power analysis. The authors used the Pressure Ulcer Knowledge Assessment Tool (PUKAT) 2.0 and Attitude toward Pressure Ulcer Prevention (APuP) instrument for data collection. Regression, correlation analysis, independent-sample t test, and analysis of variance were used in data analysis. RESULTS: Nurses' mean total PUKAT 2.0 score was 9.40 ± 2.47 (46.72% correct). Nurses' mean total score on the APuP instrument was 32.39 ± 2.752. The total knowledge score and total attitude score were positively correlated (ρ = 0.761; P = .007). According to the results of linear regression analysis, the demographic variables of sex, education, seniority, and unit significantly predicted PUKAT 2.0 scores and APuP scores. CONCLUSIONS: Nurses' knowledge of PI prevention was insufficient, and their attitudes were average. A significant and positive relationship was identified between nurses' knowledge and attitudes regarding PI.

Nurse's Spiritual Sensitivity Scale (NSSS): A Validity and Reliability Study in Turkey.

Nurses carry out spiritual care based on ethical principles, and they must have spiritual sensitivity to meet spiritual care needs. Seen from this angle, it is important to determine nurse's spiritual sensitivity in order to meet patient's spiritual care needs, to increase patient-nurse communication and to adopt a holistic approach to care. For this reason, the aim of this study was to test the validity and reliability of the Turkish Nurse's Spiritual Sensitivity Scale. In the present study, a sample size of 207 nurses was reached in the data collection stage. The Turkish Nurse's Spiritual Sensitivity Scale (NSSS) is a Likert-type scale consisting of 20 items and a single factor. There are no reverse-scored statements on the scale. A score of zero shows no spiritual sensitivity, and four shows higher spiritual sensitivity. The minimum score on the scale is zero, and the maximum score is 80. It was seen in this study that the Nurse's Spiritual Sensitivity Scale is a valid and reliable measurement instrument for a Turkish sample. This scale can be used by professionals to determine the spiritual sensitivity of Turkish nurses.

Comparison of forearm and intra-arterial blood pressure measurements according to body and arm positions in obese patients.

RATIONALE: Noninvasive blood pressure (BP) monitoring is very important also difficult for accurate diagnosis and monitor of obese patients. AIMS: The study aimed to assess the agreement between forearm arm BP and intra-arterial BP values in a different body and arm positions in obese patients. METHODS: The descriptive study was carried out on 60 intensive care patients with a body mass index above 30 kg/m2 who were monitored with invasive radial BP in the general and surgical intensive care units. BP values obtained from the upper arm and forearm with different arm and body positions were compared with intra-arterial BP results. Bland-Altman analysis and correlation coefficient were used for the accuracy of upper and forearm noninvasive BP reading in different positions. RESULTS: The best agreement was found between the forearm systolic BP in the supine and half-sitting position with the arm down and intra-arterial BP values. Also, the best agreement in diastolic BP was found between the half-sitting and half-sitting position with the arm down and intra-arterial BP. CONCLUSIONS: Forearm systolic BP measurement, especially in the supine and half-sitting position with the arm below the heart level position, was best agreement with intra-arterial measurement, regarded as the gold standard. For this reason, it is more appropriate to use forearm BP measurement in obese patients monitored in intensive care to obtain accurate results.

The Effect of Video Streaming With Virtual Reality Glasses on on Pain Anxiety and Satisfaction Applied in Peripheral Intravenous Catheter Process.

BACKGROUND: Peripheral intravenous catheter (PIC) implementation is among the most frequent and highly invasive nursing initiatives. PIC leads to anxiety with procedural pain, causing individuals to reject these procedures or negatively affecting the process's success. AIM: The study was conducted to determine the effect of virtual reality glasses (VRG) on pain, anxiety, and patient satisfaction during the peripheral intravenous catheter (PIC) process in adults. DESIGN: An experimental study. SETTINGS: An emergency department of a university hospital. METHODS: Individuals who were admitted to the emergency unit of the university hospital were recruited between the data collection dates. Data from individuals' "Patient Information Form," "Visual Pain Scale," "Visual Anxiety Scale," and "Visual Satisfaction Scale" were collected. "VR-Box 3D Glasses" was used as virtual reality glasses. RESULTS: In our study, when the pain point averages with VAS were compared during the PIC process, the pain score average of the patients in the control group was 5.78 ± 1.23 visual anxiety scale 5.89 ± 1.23 and patient satisfaction scale 3.86 ± 2.48, The visual pain score average of patients in the VRG group is 4.12 ± 2.16, visual anxiety scale 3.14 ± 1.76 and visual patient satisfaction scale 7.64 ± 3.26. In short, it has been detected that the pain, anxiety, and patient satisfaction score averages of patients in the VRG group are statistically significant compared to the pain score averages of patients in the control group (p < .005). Our study unearthed a statistically significant relationship at an average level of negative direction between PIC post-treatment pain, anxiety, and patient satisfaction (r = - 0.476). CONCLUSION: Utilization of VRG has been detected to reduce pain and anxiety felt during the PIC process in adult patients and increase process satisfaction. VRG, a non-pharmacological, non-invasive, inexpensive, and feasible nursing initiative, may be recommended for use in pain and anxiety control in patients undergoing PIC treatment.

Nurse's Opinions on School-Hospital Cooperation: Scale Development Study.

Background and Purpose: This study aims to develop a valid and reliable measurement tool that can evaluate the views of clinical nurses on school-hospital cooperation and the scale of nurses. Methods: Within the scope of validity analyses for the development of the scale, content validity index, construct validity, and known group validity were used. Standard error, Cronbach's alpha coefficient, item-total score correlation, and scale response bias methods were used within the scope of reliability analyses. Results: In the final version of the developed scale, the Kaiser-Meyer-Olkin value was 0.90, and Bartlett's test result was χ2: 2819.610, p < 0.001. It was determined that the total variance of the scale was 45.33%, and the Cronbach's alpha coefficient was 0.857. In the scale response bias analysis, the Hotelling T² value was 3585.645. Conclusions: It was found that the Nurses' Views of School-Hospital Cooperation Scale is a valid and reliable measurement tool.

The effect of music on comfort, pain, and anxiety in patients with bone marrow aspiration and biopsy in Turkey: a mixed-methods study.

AIM: This study was conducted to determine the effect of music on the pain, anxiety, and comfort levels of patients who underwent bone marrow aspiration and biopsy. METHODS: This study was conducted on patients with hematological malignancies. Music was used with the intervention group. Patients' pain, anxiety, and comfort levels were measured. In addition, qualitative data were obtained through in-depth interviews with patients. RESULTS: A significant difference (p < 0.05) was found between the experimental and control groups regarding pain, comfort and anxiety levels following the application of music. It was found that there was a negative correlation between comfort and pain (r=-0.442 p < 0.001) and between comfort and anxiety (r=-0.544 p < 0.001). As a result of qualitative interviews, patients mentioned the relaxing effect of music and the reduction of anxiety and pain levels. They also stated that music can be utilized as an alternative method. CONCLUSION: According to the results of the present study, music reduced the pain and anxiety levels of the patients in bone marrow aspiration and biopsy and increased their comfort levels. We can say that music can be used in the clinic as a non-pharmacological method for pain, anxiety and comfort. CLINICAL TRIALS NUMBER: NCT05895357 (Date:08/06/2023).

Implementation of stethoscope disinfection: an observational study on nursing staff practice and knowledge.

Background: Healthcare-associated infections cause high mortality and morbidity, and lack of stethoscope disinfection is one of the reasons for healthcare-associated infections. Nurses who frequently use stethoscopes in the clinic do not disinfect stethoscopes at high rates. This study aimed to identify the frequency of stethoscope disinfection by nurses and their knowledge about the same. Methods: This was a mixed-methods observational study. The quantitative part of the study included 202 nurses, the qualitative part included 12. Two researchers who made observations during stethoscope use recorded the procedures the nurses performed on the "Observation Form". Semi-structured in-depth interviews were conducted based on phenomenological methods. Results: 23.7% of the nurses disinfected their stethoscopes before contact with patients, 11.8% after contact with patients and 6.4% before and after contact with patients. The nurses used a stethoscope on an average of 7.42 patients without disinfecting it. In the qualitative interview, some nurses stated that they did not have information about the disinfectants to be used for stethoscopes and their effectiveness. Some of the participants in the present study stated that they did not receive training on stethoscope disinfection and that they did not know that there were guidelines about it. Conclusion: Since there were deficiencies in the implementation of stethoscope disinfection as well as knowledge, the transfer of knowledge in this context must receive more attention in education and training.

An innovative method to prevent infection when measuring the arterial blood gas SpO2 saturation.

Background: Patients are hospitalized for extended periods, particularly in intensive care units (ICUs). As a result, the saturation probe (pulse oximeter) remains attached for an extended period and microorganisms can grow in the wet environment. If the pulse oximeters are not reprocessed, cross-infection may occur. The literature contains several studies in which gloves were used for the measurement while various SpO2 (peripheral arterial oxygen saturation) measurements were compared with each other. However, such comparisons have yet to be made with the results of arterial blood gas SpO2 measurements by pulse oximeter, considered as the gold standard. The present study aimed to compare arterial blood gas values with the fingertip saturation measurement performed by having adult patients wear gloves of different colors, one after the other, on their fingers and determining the effect of the differently colored gloves (transparent, white, black, light blue) on saturation values. Methods: The study was conducted on 54 patients in an ICU. Intra-arterial blood gas SpO2 results were measured. Oxygen saturation was measured while the patient 1. did not wear gloves and 2. sequentially wore a series of gloves of different colors. Paired t-test, correlation analysis, and Bland Altman charts were used to evaluate the results. Results: The mean SpO2% value of the participants' intra-arterial blood gas measurements was 97.76±2.04. The mean SpO2% value obtained from the measurements of the fingers with a transparent glove was 0.43 points lower than the mean SpO2% value of the intra-arterial blood gas measurements (t=0.986, p=0.61). The mean SpO2% value obtained from the measurements of the fingers with a white glove was 0.93 points lower than the mean SpO2% value of the intra-arterial blood gas measurements (t=1.157, p=0.093). Conclusion: Of the measurements performed with a glove, the mean SpO2% value obtained from the measurements of the fingers with a transparent glove was more consistent with the mean SpO2% value of the intra-arterial blood gas measurements than measurement of the fingers without a glove.

The effect of footbath applied to patients receiving hemodialysis treatment on comfort, fatigue, and dialysis symptoms: A randomized controlled study.

INTRODUCTION: This study aimed to evaluate the effect of warm water footbaths on comfort, fatigue, and dialysis symptoms in patients undergoing hemodialysis. METHODS: Data were collected from a total of 58 patients, 31 in the intervention group and 27 in the placebo group. The data in the study are collected using the intervention and control group informed volunteer Form, Patient Demonstration Form, foot Bath Application Monitoring Chart, fatigue VAS Scale Form, Dialysis Symptom Index, and Hemodialysis Comfort Scale (HCS). RESULTS: In the second follow-up in the intervention group, HCS was determined to significantly increase all sub-size and total score averages by the first trace (p < 0.05). VAS fatigue point averages were significantly lower (p < 0.05) in the intervention group. CONCLUSION: It was determined that the footbath applied to patients who received hemodialysis treatment increased comfort and reduced fatigue and dialysis symptoms.

Spiritual Care and Death in Intensive Care from the Perspective of Nursing Students in Turkey: An Exploratory Mixed Study.

This mixed methods research study aimed to determine spiritual care competencies and death anxiety levels of nursing students practicing in intensive care. The quantitative part of this study included 33 students while the qualitative part included 17 students. Nursing students' spiritual care competence was detected to be above medium and their death anxiety was high. Two themes emerged from the qualitative data collected through in-depth interviews with 17 nursing students: (a) Views on spiritual care competencies and (b) Views on death. These findings are significant to reduce nursing students' death anxiety, increase spiritual care competencies and the quality of patients' end-of-life care.

The effect of foot reflexology on fatigue in hemodialysis patients: a meta-analysis study. / El efecto de la reflexología podal sobre la fatiga en pacientes en hemodiálisis: un estudio de metaanálisis.

OBJECTIVE: this meta-analysis study analyzed the effect of foot reflexology on fatigue in hemodialysis patients by combining the results of independent studies on this subject. METHOD: meta-analysis study. A literature search was conducted in seven databases. The methodological quality of the included studies was assessed using tools proposed by the Joanna Briggs Institute. Comprehensive Meta-Analysis v3 was used for meta-analysis. RESULTS: eight studies were included in the meta-analysis. The result of the meta-analysis standardized mean difference = 1.580 (95% Confidence Interval = 1.075 - 2.085 p = 0.000). The result of the subgroup analysis performed based on the number of foot reflexology sessions standardized mean difference = 1,478 (95% Confidence Interval = 1,210 - 1,747, p = 0.000). CONCLUSION: it was concluded that foot reflexology can be used to reduce fatigue in hemodialysis patients. No information was provided in the investigated studies about the possible side effects and negative effects of foot reflexology. (1) This study found that foot reflexology reduced fatigue levels. (2) The 10-session foot reflexology was the most effective. (3) This study will guide nurses and health workers. (4) Reflexology is one of the non-pharmacological methods used to relieve fatigue.

The effect of video-based fistula care education on hemodialysis patients' self-care behaviors: A randomized controlled study.

OBJECTIVE: This study aimed to determine the effect of face-to-face and video-based education for fistula care on hemodialysis patients' self-care behaviors. METHODS: The study was conducted as a randomized controlled experimental study. Accordingly, 60 patients were included in the study for 95% strength. Fistula care training was given to the patients in the control group using face-to-face education technique. Fistula care training was given to the patients in the experimental group using a video-based technique. RESULTS: The analysis showed that the post-test second week (p = 0.044) and fourth week (p = 0.00) mean scores of the experimental group were higher compared to those of the control group. CONCLUSION: These results showed that the video-based education given to hemodialysis patients was more memorable and instructive than the verbal education, and it was observed that the video-based education showed a higher level of success in developing self-care skills.

Can artificial intelligence and robotic nurses replace operating room nurses? The quasi-experimental research.

Operating room nurses, who have an important place in the professional healthcare team, should be able to use technology effectively and adapt to innovations. This study is expected to shed light on how effective the development of robotic technologies and artificial intelligence and their integration into operating room nursing will be in fulfilling the requirements of contemporary nursing philosophy. This study was designed as a single group pre- and post-test quasi-experimental study. The quasi-experimental (pretest-posttest) research design was utilized to conduct the study in a Training and Research Hospital in Western Turkey. The nurses (n = 35) working in the operating room of the aforementioned hospital were included in the study. In this study, we aimed to determine whether operating room nurses experienced anxiety due to the use of artificial intelligence and robotic nurses, and the effectiveness of the training given to them in order to raise their awareness. The following three tools were used for data collection: The Nurses' Descriptive Characteristics Form, Artificial Intelligence Knowledge Questionnaire, and Artificial Intelligence Anxiety Scale. Data extraction and analysis were performed in a narrative and tabular way. According to this study, the training given to the operating room nurses significantly increased their knowledge levels about artificial intelligence and robotic nurses, and increased their artificial intelligence- and robotic nurse-related anxiety significantly (p < 0.05). The participating operating room nurses experienced limitations regarding current information, training programs and learning opportunities on robotic surgery. We recommend that the operating room nurses should be provided with trainings on artificial intelligence technologies and robotic nurses, and that they should be enabled to use these information technologies regarding future technologies actively.

Artificial intelligence and robot nurses: From nurse managers' perspective: A descriptive cross-sectional study.

AIM: This research was planned to identify nurse managers' opinions on artificial intelligence and robot nurses. BACKGROUND: As the concepts of artificial intelligence and robot nurses are becoming widespread in Turkey, nurse managers are expected to guide and cooperate with nurses in the future in regard to these technologies. METHODS: The sample of the study consisted of 326 manager nurses, who were reached via the online questionnaire during the period of September to November 2021. A Nurse Managers Information Form and a Question Form on Artificial Intelligence and Robot Nurses were used to collect data. Data in this cross-sectional descriptive study were collected between September 2021 and November 2021 by the online survey method. The descriptive statistics of the data were analysed with numbers and percentages. The difference between the knowledge of artificial intelligence and robot nurses and demographic characteristics was analysed with the chi-square test. RESULTS: According to the findings, 66.9% of the nurse managers reported having heard the concepts of artificial intelligence and robot nurses previously. 67.2% stated that they thought that robot nurses would benefit the nursing profession, but 86.2% voiced disbelief that robots would replace nurses. CONCLUSIONS: The majority of the participating nurse managers reported that artificial intelligence and robot nurses would not replace nurses but would be beneficial for nurses and would reduce their workload. IMPLICATIONS FOR NURSING MANAGEMENT: It should be ensured that the nurse managers plan the areas in the hospital where artificial intelligence and robot nurses will be used and determine the possible risks. Awareness should be increased with in-service trainings, and patient safety and ethical problems regarding the use of artificial intelligence and robot nurses should be identified.

Public perceptions about nurses communicated via Twitter in Turkey.

OBJECTIVES: Social media platforms such as Twitter allow people to openly express their views about many topics, including the nursing profession. COVID-19 is currently a frequently searched and discussed topics on Twitter. This study was performed to identify the image of nursing in the social media before and during COVID-19 pandemic in Turkey, and to review of public perceptions about nurses' communication on twitter in Turkey. DESIGN: This study was conducted using content analysis with a sample of tweets posted on Twitter before and during the COVID-19 pandemic. Codes were created, including expressions of respect, anxiety, violence, gratefulness, anger, positivity, and negativity. RESULTS: Findings showed that 35.65% of the 373 tweets posted prior to the COVID-19 pandemic were positive while 64.35% were negative. During the pandemic 91.94% of the 1006 tweets were positive and 8.06% were negative. CONCLUSION: The results of this study suggests that public opinion about nurses, as reflected on Twitter during the COVID 19 pandemic, was positive.

The Effect of ShotBlocker Application on Intramuscular Injection Pain in Adults: A Meta-Analysis.

This meta-analysis study was conducted to determine the effects of ShotBlocker application during administration of intramuscular injections to adult patients for providing an evidence-based practice. The PubMed, Scopus, Science Direct, Ovid and Google Scholar databases were used for the literature review. The literature review was conducted by two researchers using the key phrases intramuscular injection AND ShotBlocker AND pain AND adults. According to the result of the meta-analysis, the pain levels in the experiment group in which ShotBlocker was used during IM injection to adult patients was found to be significantly different in comparison to the control group (SMD = -0.769, 95% CI = -1.449 to -0.090, p = .027). As a result of the meta-analysis, it was found that ShotBlocker application in IM injection in adult patients reduced patients' pain intensity. High-quality studies conducted with appropriate research methods are required for achieving a more comprehensive and effective result.

Innovation in measuring obese patients' blood pressure: measurement with conical wrapping technique.

INTRODUCTION: Accurate measurement of blood pressure (BP) is difficult in obese patients due to their upper arm shape and width. Errors made during BP measurement cause misdiagnosis or lead to wrong treatment. METHOD: The data of this methodological study were collected from 40 patients who were 18 years old or above, with a BMI above 25 kg/m2, and who were followed up with radial catheter arterial pressure in adult intensive care and postoperative care units between March and December 2020. RESULTS: In total 55% of the participants were male with a mean age of 63.9 years, mean height of 165.7 cm, mean weight of 85.2 kg and mean BMI of 31.0 ± 2.1 kg/m2. Intra-arterial BP (IABP) measurement values were found to be correlated with conical wrapping technique and cylindrical wrapping technique (P < 0.001). As a result, a statistically significance was found between conical SBP and intra-arterial SBP (r = 0.921; P < 0.05) and conical DBP and intra-arterial DBP (r = 0.902; P < 0.05). CONCLUSION: It was determined that the SBP and DBP results of the conical wrapping technique were closer to the results obtained by IABP measurements. For this reason, it is more appropriate to measure BP with conical wrapping technique in clinically obese patients.

Determining the Spiritual Care Requirements and Death Anxiety Levels of Patients Diagnosed with COVID-19 in Turkey.

Our study was conducted to determine the spiritual care needs and death anxiety levels of individuals diagnosed with COVID-19. The population consisted of patients who were diagnosed with COVID-19 in Turkey. The mean total Spiritual Care Requirements Scale score of the participants was 67.05 ± 26.30. The mean VAS for Death Anxiety score of the participants was 8.82 ± 1.26. In our study, it was found that the patients diagnosed with COVID-19 had an increased need for spiritual care and high levels of anxiety about death.