ATTITUDES OF STUDENT NURSES TOWARDS A CAREER IN A NURSERY

The attitudes towards a choice of a workplace are formed from the opportunity for professional realisation. While progressing through their university education, nurses master a modern, autonomous and regulated profession that enables them to successfully build a career wherever health care is required, including at a nursery. The aim of this study is to investigate the attitudes of student nurses regarding a career in a nursery. Materials and methods: A survey was conducted among 58 second - and third - year nursing students at MU-Varna. The survey was conducted during April 2023. Results and discussion: Students’ awareness of the nurse’s work in a nursery is primarily based on personal impressions during clinical practice at a nursery, with almost half of the surveyed participants considering the time spent for that particular practice to be insufficient. Nevertheless, a majority of them claim that the clinical practice in a nursery has enhanced their knowledge and skills regarding working with children. Out of all the studied disciplines, Children’s pedagogy, Children’s psychology and Nursing care in pediatrics were highlighted as most essential when forming professional competencies in this pathway. More than 1/3 of students want to become a nursery nurse mainly because of the work with children, the convenient working hours and the pedagogical work

Perception of the nursery nurse through the eyes of student nurses

In the fast-paced world of modern healthcare, the role of nurses continues to evolve and expand, gaining more significance and recognition. As student nurses undergo training, they are exposed to a wide range of nursing roles, including the opportunity to work in nurseries. This exposure allows them to gain insights into the responsibilities and duties of healthcare workers in the nursery setting.The aim of this study is to explore the perceptions of student nurses regarding nurses working in nurseries.Materials and methods: A direct and anonymous survey was conducted among 58 nursing students, all in their second or third year of studies at MU-Varna, in April 2023.Results and discussion: Student nurses actively observe the work of nursery nurses during their clinical practice, engaging in various activities as part of the children's daily routine. More than two-thirds of the student nurses acknowledge the challenges of nursing in a nursery due to the immense responsibility associated with caring for children. Effective communication and patience were unanimously recognized as essential traits for nurses working with children. Practical skills in healthcare provision and the ability to work with children were highlighted as vital skills for nursery nurses by the students of MU-Varna. According to these students, the core activities of nursery nurses revolve around fostering healthy habits and implementing nutritious practices for the children under their care

Hizmetkar liderliğin örgütsel vatandaşlık davranışı oluşumundaki rolü: Torbalı Ticaret Odası örneği

Çağımızın hızla değişen ve rekabetin yoğun yaşandığı iş ortamlarında, örgütlerin sürekliliği açısından, ileriye dönük başarılı performans sergilemeleri ve kaynaklarını etkili ve verimli kullanmaları gittikçe önem kazanmakta ancak bir o kadar da zorlaşmaktadır. İş dünyasına yeni katılan örgütler; gücün kötüye kullanımı, etik dışı uygulamalar, dışlanma, çalışanların iyilik hali ve iş yaşam dengesinin bozulması vb. sistematik sorunlarla verimlilik ve karlılık alanlarında tıkanıp kalmaktadır. Söz konusu olumsuz durumları aşmak konusunda, hizmetkâr liderlik kavramı örgütlerin devamlılığı ve rantabilitesi açısından önemli bir yer tutarak dikkat çekmektedir. Hizmetkar liderlik, kendini takipçi ve paydaşlarının yerine koyabilen, onların isteklerini dinleyen, duygusal olarak anlayan ve destekleyen, alışılmadık bir nüfuza ve kaynağa sahip liderlik biçimi olarak tanımlanmaktadır. Her ne kadar hizmetkar liderlik verilen tanım doğrultusunda dönüştürücü, etik, karizmatik ve lider-üye etkileşimli liderlik gibi diğer önemli liderlik teorileri ile kavramsal olarak örtüşse de takipçilerinin ve paydaşlarının ihtiyaçlarına özel olarak odaklanıp, gelişimi ve yetiştirilmesine yardımcı olmayı öne çıkarmasıyla, diğer liderlik yapılarından farklılık göstermektedir. Aynı kapsamda ve birbirine bağlı olarak örgütsel davranış ve kurumsal iletişim alanında son yıllarda üzerinde durulan yaygın konulardan bir diğeri, örgütsel vatandaşlık davranışıdır. Örgütsel vatandaşlık; çalışanların formel iş tanımlarının ötesinde, gönüllü olarak yaptıkları ekstra rol davranışlarını ifade etmektedir. Özgecilik, sivil erdem, vicdanlılık, nezaket ve sportmenlik olarak temelde 5 boyuta sahip örgütsel vatandaşlık davranışı, çalışanın bireysel performansına ve bağlı olduğu kurumun, örgütsel performansına katkıda bulunmaktadır. Buradan hareketle, iş doyumu, kurumsal bağlılık ve performans ile örgütsel vatandaşlık davranışı arasında pozitif bir korelasyon olduğunu söylemek mümkün olmaktadır. Bu bağlamda, tezin genel amacı; hizmetkar liderliğin, örgütsel vatandaşlık davranışının sergilenmesinin benimsenip, sergilenmesindeki rolünün incelenmesidir. Tezin birincil önceliği hizmetkar liderliğin örgütsel vatandaşlık davranışının oluşumundaki rolünü genel bir ölçekte incelemektir. Buna ek olarak çalışmanın diğer amacı, örgütlerin modern dünyada sürdürebilirliklerini sağlamaları için gerekli şartlardan biri olan hizmetkar liderlik olgusunun kamu ve özel sektörlerdeki kullanım alanının yaygınlaştırılmasının desteklenmesidir. Son olarak bu tezle amaçlanan, örgütsel vatandaşlık davranışının, çeşitli sektörlerde çalışan bireyler bazında bilinirliğinin arttırılmasının sağlanmasıdır. Bu doğrultuda, tezin ilk ve ikinci bölümünde araştırmanın temelini oluşturan literatür taraması yapılmıştır. İlk bölümde liderlik kavramından, liderliğin tarihsel gelişiminden, modern liderlik yaklaşımlarından, hizmetkar liderliğin tanımı, öncülleri ve karakteristik yapılarından bahsedilmiştir. İkinci bölümde örgütsel vatandaşlık davranışının tanımları, yapısı, boyutları ve oluşmasına sebep olan faktörler tanıtılmıştır. Üçüncü bölümde Torbalı Ticaret Odası organ üyeleri ile gerçekleştirilen nitel çalışma yöntemleri ile elde edilen verilere yer verilmiş, hizmetkar liderlik ile örgütsel vatandaşlık davranışı arasında ilişki ortaya konulmaya çalışılmıştır. Elde edilen sonuçlar değerlendirilerek, çeşitli önerilerde bulunulmuştur.In business environments which are changing rapidly and have an intense competition, it is becoming more and more difficult to use the resources effectively and efficiently in terms of continuity of organizations and to use their resources effectively and efficiently. New business organizations be stopped up in fields of productivity and profitability because of systematic problems such as abuse of power, unethical practices, exclusion, employee well-being and deterioration of work life balance. In order to overcome negative situations, the concept of servant leadership has an important place in terms of the continuity and profitability of the organizations. Servant leadership is defined as the form of leadership that has an unusual influence and resources, which can show empathy towards its followers, listen to their wishes, emotionally understand them and support them. In line with the given definition, although servant leadership overlaps from other modern leadership structures like transformative, ethical, charismatic and leader-member interactive leadership, it differs from other leadership structures with its focus on the needs of its followers and support for their development and upbringing. In the same scope and in relation to each other, one of the most common topic in the field of organizational behavior and corporate communication in recent years is organizational citizenship behavior. Organizational citizenship desribes employees extra role behaviours which they do voluntarily, beyond their formal job descriptions. Organizational citizenship behavior, which is based on 5 dimensions, as altruism, civil virtue, conscientiousness, courtesy and sportsmanship, contributes to the individual performance of the employee and to the organizational performance of the institution it is affiliated with. Hence, it is possible to say that there is a positive correlation between job satisfaction, institutional commitment and performance and organizational citizenship behavior. In this context, the general purpose of the thesis; is to examine the role of servant leadership on the adoption and display of organizational citizenship behavior. The primary priority of the thesis is to examine the effects of servant leadership on the formation of organizational citizenship behavior on a general scale. In addition, the other aim of the study is to support the dissemination of the use of servant leadership which is one of the conditions necessary for organizations to ensure their sustainability in the modern world., in public and private sectors. Finally, the last aim of this thesis is to increase the awareness of organizational citizenship behavior on the basis of individuals working in various sectors. In this respect, the first and the second part of the thesis, the literature review, which forms the basis of the research, was conducted. In the first chapter, the concept of leadership, the historical development of leadership, the modern leadership approaches, the definition of the servant leadership, the pioneers and the characteristic structures are mentioned. In the second chapter, definitions, structure, dimensions and factors that cause the formation of organizational citizenship behavior are introduced. In the third chapter, the data obtained from the qualitative study which implemented on members of the Torbalı Chamber of Commerce are presented and the relationship between servant leadership and organizational citizenship behavior is tried to be put forward. The results were evaluated and various recommendations were made

Atrial fibrillation in off-pump heart and conventional coronary revascularization

Atriyal fibrilasyon koroner bypass cerrahisi sonrası en sık gözlenen komplikasyondur. Başta çarpıntı ve anksiyete olmak üzere, bayılma, düşük debi, tromboemboli'ye bağlı gelişen inme, nadir de olsa görülen mortalite ve kardiyomiyopati'ye neden olması dışında, yoğun bakım ve hastane kalışlarını uzatarak maliyeti artırmaktadır. Kardiyak cerrahi işlem sonrası oluşan atriyal fibrilasyonun etiyolisi, önlenmesi ve tedavisi konularında son 25 yılda birçok çalışma yapılmıştır. Çalışmaların çoğu postoperatif atriyal fıbrilasyon gelişen hastaların, bazı indikatörlerle preoperatif dönemde tahmin edilerek gereksiz antiaritmik profilaksisinin önlenmesine yöneliktir. Bu çalışmada, konvansiyonel koroner bypass ile çalışan kalpte koroner bypass arasında atriyal fibrilasyon insidansı karşılaştırıldı. Postoperatif atriyal fibrilasyon oluşumunda rol oynayan faktörler araştırıldı. Kliniğimizde son iki yılda koroner bypass ameliyatı olan hastalar değerlendirildi. Çalışma dışı bırakma kriterleri dışındaki, konvansiyonel teknikle koroner bypass ameliyatı olmuş ardışık 100 hastadan oluşan 1. grup (G1), çalışan kalp tekniği ile ameliyat olmuş ardışık 100 hastalardan oluşan 2. grup (G2) ile karşılaştırıldı. Aralarında atriyal fibrilasyon gelişme oranı ve demografik özellikler açısından fark olup olmadığına bakıldı. Yine 1. grup ve 2. grup kendi içinde atriyal fibrilasyon nedenleri yönünden değerlendirildi. Her iki grup arasında atriyal fibrilasyon gelişmesi yönünden anlamlı fark yoktu. Grup içi değerlendirmelerinde de yaş ve beta bloker yoksunluk sendromu dışında atriyal fibrilasyon ile ilgili bir faktöre rastlanmadı. Sonuç olarak atriyal fibrilasyon gelişimi ameliyat tipinden bağımsızdır, kimde ve ne zaman görüleceği belirsizdir.Atrial fibrillation is the most common complication of coronary by-pass surgery that may leads to palpitation, anxiety, faintness, low cardiac output and thromboembolism. Cardiomyopaty and mortality is occasionally seen. Thus, atrial fıbrillation prolongs intensive care and hospital stay that increases the cost of surgery. In the last 25 years, many studies have been published for its etiology, prevention and treatment. The main topic in most of these studies was to avoid unnecessary antiarithymic proflaxis in the light of preoperative predictive factors. In this study, the incidence of atrial fıbrillation following conventional by-pass surgery was compared to off-pump coronary surgery. In addition, the factors effecting the occurence of atrial fıbrillation was also investigated. Patients who underwent coronary revascularisalion in the last two years period were retrospectively reviewed. One hundred consecutive patients, Group 1, undergoing conventional coronary by-pass surgery were compared to the other 100 patients, Group 2, undergoing off-pump coronary surgery. The statistical difference of atrial fıbrillation incidence and demographic parameters were searched in both groups. The cause of atrial fibrillation was also evaluated in both groups. The occurence of atrial fibrillation was not statistically different between the groups. In addition, the age and beta blocker abstinance syndrome were the only factors that effects the occurence of atrial fibrillation in both groups. In conclusion, the development of atrial fibrillation is not related to the type of surgery and its prediction is not possible in the pre-and postoperative period

Şeyh Eyüp Sabri Kalyoncuoğlu ve Teşvikiye İsmetiliği

ÖZETTürk toplumunun İslamlaşmasında ve Türk kültürünün olgunlaşmasında tasavvuf ehli karizmatik şahsiyetlerin ve tasavvufi dini grupların rolü büyüktür.ABSTRACTSufist charismatic figures and sufistic groups has a nessential role on Islamızation of Turkish Society and maturation of Turkish Culture

Communicate more – inside the operating room -a systematic review

Bakgrund: Ett säkert och omhändertagande arbetssätt i mötet mellan teknik och patient är viktigt. Icke-tekniska färdigheter såsom teamarbete och kommunikation mellan medlemmarna i operationsteamet är grundläggande för att patientsäkerheten ska bevaras. Operationssjuksköterskan har tillsammans med teamet ett ansvar i att kommunicera på ett så effektivt och patientsäkert sätt som möjligt. Det finns verktyg såsom WHO:s checklista, CRM-träning (crisis resource management) och simulering att använda för att underlätta kommunikationen mellan teamets medlemmar och för att säkerställa patientsäkerheten. Trots detta visar forskningen att bristande kommunikation i operationssalen förekommer, vilket in sin tur kan orsaka vårdskador. Syfte: Syftet med den här studien var att strukturerat söka, kvalitetsgranska och sammanställa litteratur publicerad mellan 2014-2019 som beskriver i vilken utsträckning kommunikationen påverkar medlemmarna i ett operationsteam. Metod: En systematisk litteratursökning gjordes i databaserna Cinahl och PubMed. Författarna läste och gjorde en första sållning utifrån titel och abstrakt. Författarna läste sedan artiklarna i fulltext enskilt utifrån uppställda inklusion och exklusionskriterier. SBU:s granskningsmall användes i bedömningen av de sedan åtta framkomna artiklarnas kvalitet, sedan gjorde författarna dataextraktion och kategoriserade datan utifrån outcome. Resultat: Samtliga artiklar beskriver att kommunikationen är problematisk och brister. De beskriver också att användandet av WHO:s checklista, CRM-träning, simulering och kunskap kring icke-tekniska färdigheter påverkar kommunikationen till det bättre samt skyddar patientsäkerheten. Samtidigt framkommer det tydligt att uppfattningen kring vad god kommunikation är skiljer sig mellan teamets medlemmar. Samtliga studier hade vetenskapliga brister. Slutsats: Evidensen är fortsatt bristfällig och bättre studier behövs i framtiden, för att belysa det valda området, som kan leda till effektivare kommunikation och därigenom till en förbättrad vård för patienten inom operation.Background: A safe and careful way of working in the meeting between technology and patient is important. Non-technical skills such as team work and communication between the members of the operation team are fundamental to maintaining patient safety. The operation nurse, together with the team, has a responsibility to communicate in a efficient and patient-safe manner as possible. There are tools such as WHO's checklist, CRM-training (crisis resource management) and simulation to facilitate communication between team members and to ensure patient safety. Despite this, the research shows that lack of communication in the operating room occurs, which in turn can cause nursing injuries. Aim: The purpose of this study was to search structurally, review quality and compile literature published between 2014-2019, which describes the extent to which communication affects the members of an operation team. Method: A systematic literature search was made in the databases Cinahl and PubMed. The authors read and made a first screening based on title and abstract. The authors then read the articles in full text individually based on established inclusion and exclusion criteria. The SBU's review template was used in the assessment of the quality of the articles that have been published since then, then the authors made data extraction and categorized the data based on outcome. Result: All articles describe that communication is problematic and lacking. They also describe that the use of the WHO checklist and CRM training, simulation as well as knowledge of non-technical skills affects communication for the better and protects patient safety. At the same time, it is clear that the perception of what good communication is differs between the team members. All studies had scientific shortcomings. Conclusion: Evidence is still inadequate and better studies are needed in the future, in order to shed light on the chosen area, which can lead to more effective communication and thereby to an improved care for the patient in surgery