Spirituality, Spiritual Care Perceptions and Moral Sensitivity of Senior Nursing Students: A Multicenter and Cross-Sectional Study

Aim: The objective of this study was to investigate the perception of spiritual care and moral sensitivity of senior nursing students receiving education in five different regions of Turkiye. Method: This study used a multicenter, descriptive and cross-sectional survey design.Data were collected with the Spirituality and Spiritual Care Rating Scale and the Moral Sensitivity Questionnaire in the research. A total of 590 senior nursing students, studying in five different universities in five different regions of Turkiye, participated in this research. Results: The mean total score of students on the Spirituality and Spiritual Care Rating Scale was 4.06±0.70 and Moral Sensitivity Questionnaire was 5.44±1.12. There was a significant relationship between the mean total scores on the Spirituality and Spiritual Care Rating Scale and the Moral Sensitivity Questionnaire (p<0.05). Conclusion:It is recommended to benefit from different and innovative educational practices related to spirituality and moral sensitivity in nursing education, and to conduct interventional and longitudinal studies on these issues

Nursing care given with NANDA, NOC and NIC classification systems in line with the model for nursing based on activities of living: Example of COVID-19 case

T Pandemiye neden olan koronavirüs hastalığı-2019’un yoğun bakım gereksinimini artırması sonucu, hemşirelerin nitelikli bakım için model ve sınıflama sistemlerini kullanması gerekmektedir. Bu olgu sunumunda amaç, pandemi yoğun bakım ünitesinde yatan bir hastanın, Yaşam Aktivitelerine Dayalı Hemşirelik Modeli doğrultusunda Kuzey Amerika Hemşirelik Tanı Derneği-Uluslararası [North American Nursing Diagnosis Association-International (NANDA-I)], Hemşirelik Sonuçları Sınıflaması [Nursing Outcomes Classification (NOC)] ve Hemşirelik Girişimleri Sınıflaması [Nursing Interventions Classification (NIC)] sistemleri ile verilen hemşirelik bakımının planlanması, uygulanması ve değerlendirilmesini sunmaktır. Araştırmacılar tarafından 30 gün boyunca izlenen olgunun hemşirelik bakımı, 17 NANDA-I tanısı, 23 NIC girişimi ve 17 NOC sonucunu içermektedir. Olgu, ilk yatış günü ve taburculuk öncesi gün olmak üzere 2 kez değerlendirilmiştir. Uygulanan girişimler sonrası NOC puanı en fazla artan tanının “Bozulmuş Spontan Solunum”, hiç değişim gözlenmeyen tanının ise “Bozulmuş Sözel İletişim” olduğu görülmüştür. Sonuçlar doğrultusunda, hemşirelik sınıflama sistemlerinin hastayı sistematik ve bütüncül olarak ele aldığı, tanılamada, uygun girişimlerin seçilmesinde, sonuçlarının değerlendirilmesinde kolaylık sağladığı görülmüştürAs the coronavirus disease-2019 causing the pandemic increases demand for intensive care, nurses should use models and classification systems for qualified care. This case report’s aim is to plan nursing care provided by North American Nursing Diagnosis Association-International (NANDA-I), Nursing Outcomes Classification (NOC) and Nursing Interventions Classification (NIC) systems with Nursing Model Based Life Activities for a patient in pandemic intensive care unit, to present its implementation and evaluation. The care of case which was followed up by the researchers for 30 days, included 17 NANDA-I diagnoses, 23 NIC interventions and 17 NOC results. The case was evaluated twice, first day of hospitalization and day before discharge. After interventions, it was observed that the highest NOC score was “Impaired Spontaneous Respiration” and no change was “Impaired Verbal Communication”. Conclusion, it was observed that the nursing classification systems examined patient systematically and holistic, facilitated diagnosis, selection of appropriate interventions, and evaluation of results

Investigation of the Relationship between Empathy and Burnout Levels of Nursing Students

Amaç: Bu araştırma, hemşirelik öğrencilerinin empati ve tükenmişlik düzeyleri arasındaki ilişkiyibelirlemek amacı ile planlandı.Yöntem: Tanımlayıcı ve kesitsel türde gerçekleştirilen araştırmanın evrenini bir Hemşirelik Fakültesi’nde2016-2017 eğitim-öğretim yılında öğrenim gören 1294 öğrenci; örneklemini ise; tabakalı rastgeleörnekleme yöntemi ile belirlenen 290 hemşirelik öğrencisi oluşturdu. Veriler, “Yapılandırılmış SoruFormu”, “Empatik Beceri Ölçeği B-Formu” ve “Maslach Tükenmişlik Envanteri-Öğrenci Formu” kullanılaraktoplandı. Araştırmanın yürütüleceği fakülteden yazılı izin ve Etik Kurul’dan etik onay sağlandı. Veri analizi,SPSS 21.00 programında, tanımlayıcı ve önemlilik analizi kullanılarak yapıldı.Bulgular: Öğrencilerin %84.1’i kız, yaş ortalaması 20.28±1.47 yıldır. Empatik Beceri Ölçeği B-Formu puanortalaması 143.86±23.93; Maslach Tükenmişlik Envanteri-Öğrenci Formu alt boyutları puan ortalamalarıise tükenmede 15.11±4,69, duyarsızlaşmada 9.34±3.62, yetkinlikte ise 12.78±2.67 olduğu saptandı.Öğrencilerin Empatik Beceri Ölçeği puanı ile Maslach Tükenmişlik Envanteri Duyarsızlaşma alt boyutupuanları arasında istatistiksel olarak anlamlı düzeyde negatif bir ilişki bulunmaktadır (p<0.05).Sonuç: Hemşirelik öğrencilerinin tükenmişlik ve empati becerilerinin orta düzeyde olduğu ve bazı sosyodemografiközelliklerin empati ve tükenmişlik düzeylerini etkilediği belirlendi.Aim: This research was designed to determine the relationship between empathy and burnout levels of nursing students. Method: The population of this descriptive and cross-sectional research consisted of 1294 students studying at a Nursing Faculty in the 2016-2017 academic year and the sampling consisted of 290 nursing students who were selected by the stratified random sampling method. Data were collected using the “Structured Question Form”, the “Empathic Skill Scale B-Form” and the “Maslach Burnout Inventory-Student Form”. Written permission and ethical approval were obtained from the faculty where the research would be conducted. Data analysis was performed using the descriptive and significance analysis in the SPSS 21.00 program. Results: 84.1% of the students were female, and the average age was 20.28±1.47. It was determined that the mean score of the Empathic Skill Scale B-Form was 143.86±23.93, and that the mean scores of the sub-dimensions of the Maslach Burnout Inventory-Student Form were 15.11±4,69 in burnout, 9.34±3.62 in depersonalization, and 12.78±2.67 in competency. There is a statistically significant relationship between the Empathic Skill Scale score of nursing students and the Depersonalization sub-dimension score of the Maslach Burnout Inventory (p<0.05). Conclusion: It was determined that the burnout and empathy skills of nursing students were at a moderate level and that some socio-demographic characteristics affected their empathy and burnout levels

A systematic review:Unfinished nursing care and the impact on the nurse outcomes of job satisfaction, burnout, intention-to-leave and turnover

Aim: To investigate the association of unfinished nursing care on nurse outcomes. Design: Systematic review in line with National Institute for Health and Care Excellence guideline. Data sources: CINAHL, the Cochrane Library, Embase, Medline, ProQuest and Scopus databases were searched up until April 2020. Review methods: Two independent reviewers conducted each stage of the review process: screening eligibility, quality appraisal using Mixed Methods Appraisal Tool; and data extraction. Narrative synthesis compared measurements and outcomes. Results: Nine hospital studies were included, and all but one were cross-sectional multicentre studies with a variety of sampling sizes (136-4169 nurses). Studies had low internal validity implying a high risk of bias. There was also a high potential for bias due to non-response. Only one study explicitly sought to examine nurse outcomes as a primary dependent variable, as most included nurse outcomes as mediating variables. Of the available data, unfinished nursing care was associated with: reduced job satisfaction (5/7 studies); burnout (1/3); and intention-to-leave (2/2). No association was found with turnover (2/2). Conclusion: Unfinished nursing care remains a plausible mediator of negative nurse outcomes, but research is limited to single-country studies and self-reported outcome measures. Given challenges in the sector for nurse satisfaction, recruitment and retention, future research needs to focus on nurse outcomes as a specific aim of inquiry in relation to unfinished nursing care. Impact: Unfinished nursing care has previously been demonstrated to be associated with staffing, education and work environments, with negative associations with patient outcomes (patient satisfaction, medication errors, infections, incidents and readmissions). This study offers new evidence that the impact of unfinished nursing care on nurses is under investigated. Policymakers can prioritize the funding of robust observational studies and quasi-experimental studies with a primary aim to understand the impact of unfinished nursing care on nurse outcomes to better inform health workforce sustainability