In incontinence developing after radical prostatectomy the role of nurses on implementing behavioral therapy

Developing after radical prostatectomy urinary incontinence (UI) is a major health problem affecting the quality of life of men. Urinary incontinence patients in their care and treatment purpose is to provide continence.In the treatment of urinary incontinence surgery, medication and behavioral treatments are used. For the purposes of behavioral therapy; increasing the capacity of the bladder function and is aimed at promoting bladder control. Behavioral treatments for incontinence; diet, exercise bladder training and pelvic floor muscle training (PFMT) is located. Diet is regulated by the bladder diary. PFME is first identified in 1948 by Arnold Kegel, which is aimed pelvic to strengthen the muscles of the base and are expressed in improving the urethral sphincter function. In the literature, in the treatment of incontinence; with drug therapy or surgery, it should be emphasized also behavioral therapy

Mobbing among healthcare workers: A review of research findings and methods of struggling

Healthcare institutions are organizations with a complex structure where there is a high work stress and it is of utmost importance that services are provided without errors in this complexity. Nowadays, when the hospital management becomes increasingly complex, hospital managers are in a position that influences the success of the hospitals the most. While this situation necessitates the managers to use their time in a more rational and efficient manner, giving a senseless workload to the managers would surely negatively affect the individual and organizational productivity (Karsavuran, 2014). In other words, exposure of the healthcare professionals to mobbing in the professional life causes depressive symptoms to arise, this situation leading to the individual negatively evaluating the quality of his life. As a result, decrease in the job satisfaction of the individual, low performance and reluctance towards the job occur (Yavuzer and Civilidag, 2014).   Therefore, it is proposed to clarify the arrangements that prevent managers from applying psychological abuse to their subordinates when determining the superior-subordinate relationships (Yıldız et al., 2013). In this study the titles will include definition of mobbing in health sector, results of mobbing

Determining the adaptation of patients to follow-up, medicine, and diet after total thyroidectomy

Aim: Thyroid nodules are a common condition. For this reason, surgeons have lots of operation in this area. There are basic rules that patients should follow after this surgery. In this study, It is aimed to determine the adaptation of patients to follow-up, medicine, and diet after a total thyroidectomy. Material and Method: This cross-sectional study was conducted on 108 patients in the Endocrinology and internal Medicine Clinics at Dr. Sadi Konuk Education and Research Hospital and the Department of Endocrinology. The data were collected using the Patient Assessment Form, the Beliefs About Medication Compliance Scale (BMCS) and the Beliefs about Dietary Compliance Scale (BDCS). Results: The mean age of the patients in the study sample (n=108) 47.03 +/- 10.55 years. The details about the subjects were as follows:50% of them were women, 88.9% were married, 35.2% were graduated from primary school, 36.1% were self-employed, 41.7% were informed about thyroid disease. 34.3% were examined by a physician once in three months, 41.7% thought this frequency of inspections is adequate, 70.4% stated that they will accept to have surgery again if they need any surgery, 41.7% of them used levothyroxine (0.5-1 tb). When the mean scores of the patients in the Beliefs About Medication Compliance Scale (BMCS) and the Beliefs about Dietary Compliance Scale (BDCS) were examined, the highest mean scores were found in the perception of benefit subscale for both scales, 21.14 +/- 2.87 and 23.38 +/- 3.34, respectively. Discussion: It was thought that the perception of benefit and adaptation are positively correlated, it was also thought that informing after the intervention improves the adaptation

Nursing students’ knowledge levels about nanotechnology and factors influencing knowledge levelsHemşirelik öğrencilerinin nanoteknoloji bilgi düzeyleri ve bilgi düzeylerini etkileyen faktörler

Aim: The aimed of the study determine the nursing students’ knowledge levels about nanotechnology and factors influencing knowledge levels.Method: This cross sectional research is study with 283 nursing students and there isn’t sample selection.The questionnaires developed by the researchers for assessment level of knowledge  about nanotechnology and data were collected by face-to-face methods. In the analysis, we used SPSS 22.0 package program and chikare , logistic regression analysis were used.The level of significance was accepted as p<0.05.As the level of mother education increased, the students' knowledge level of nanotechnology increased nearly 1.2% -1.5% (p <0.05).If students use internet for follow up the scientific world the level of knowledge about nanotechnology increased nearly 1,0%.It has been determined that there isn’t any knowledge of the students about related fields in health a rate of 38.9% -59.0%.Nursing students have inadequate knowledge on the concept of nanotechnology which use in healthcare.It was suggested that the topic of nanotechnology should be included in the course content parallel to evolving and changing science. ÖzetAraştırmada, hemşirelik bölümü öğrencilerinin nanoteknoloji bilgi düzeylerini ve bunu etkileyen faktörleri belirlemek amaçlanmıştır.Kesitsel tipte gerçekleştirilen çalışmada, örnek seçimi yapılmamış, 283 hemşirelik öğrencisiyle gerçekleştirilmiştir. Veriler araştırmacılar tarafından geliştirilen anket yardımıyla yüzyüze görüşme yöntemiyle toplanmıştır. Çözümlemede SPSS 22.0 paket programı kullanılmış, kikare ve lojistik regresyon analizinden yararlanılmıştır. Anlamlılık düzeyi p<0,05 kabul edilmiştir. Çalışmada anne eğitim düzeyi arttıkça öğrencilerin nanoteknoloji bilgi düzeylerinin yaklaşık %1,2-%1,5 kat arttığı (p<0,05) belirlenmiştir. Bilim dünyasını takip etmek amacıyla internet kullanımı (yaklaşık %1,1 kat) ve kanser tedavisi alanlarında nanoteknoloji kullanımının (yaklaşık  %1,0 kat) nanoteknoloji bilgi düzeyini anlamlı olarak (p<0,05) arttırdığı saptanmıştır. Öğrencilerin %38,9-%59,0 arasında değişen oranlarda sağlık ile ilgili alanlarda hiçbir fikri/bilgisi olmadığı belirlenmiştir.Hemşirelik öğrencileri nanoteknoloji kavramı ve sağlık alanındaki kullanım alanları konularında yetersiz bilgiye sahiptir. Gelişen ve değişen bilime paralel olarak nanoteknoloji konusunun ders içeriğinde yer alması gerekmektedir.

An Evaluation of the PRE-DELIRIC (PREdiction of DELIRium in ICu Patients) Delirium Prediction Model in Intensive Care Units in Türkiye

Objective:This methodological study was conducted in order to carry out the adaptation and validation of the “PRE-DELIRIC score” prediction of delirium model in Türkiye among patients hospitalized in the intensive care unit (ICU).Materials and Methods:The research involved 172 patients treated in the intensive care units of a training and research hospital between October 2019 and April 2020. The study data were collected using (1) a data collection form to determine the participants’ descriptive characteristics, (2) the PRE-DELIRIC score, and (3) the Confusion Assessment Method for the ICU (CAM-ICU). Receiver operating characteristic (ROC) analysis and diagnostic screening tests were applied for the purpose of determining cut-off points for the groups. The scores’ sensitivity and specificity were calculated. Significance was evaluated at the p<0.05 level.Results:A statistically significant association was determined between the cut-off point obtained for the PRE-DELIRIC score (≥7.58%) and the study groups (p=0.003). Patients with PRE-DELIRIC scores of 7.58 or higher exhibited a 7.404-fold greater risk of being CAM-ICU-positive [odds ratio: 7.404; 95% confidence interval (CI): 1.638-33.469]. The area under the ROC curve was 64.9% (95% CI: 0.538-0.760), and the standard error was 5.6% (p=0.044).Conclusion:The PRE-DELIRIC score yielded reliable results in this study. It appears significant for patients with a likelihood of developing delirium within the ICU, and its use is recommended as a functional score that is easily applied and calculated

Effect of the arterial needle bevel position on puncture pain and postremoval bleeding time in hemodialysis patients: A self-controlled, single-blind study

Aim: This study aimed to investigate the effect of the bevel orientation (facing upwards or downwards towards the skin) of the needle inserted into the arterial limb of the arteriovenous fistula (AVF) on puncture pain and postremoval bleeding time. Methods: This study, using a single-blind crossover design, was conducted on 35 maintenance hemodialysis patients who had been dialyzed for at least 6 months and in whom blood access was via an AVF. AVF cannulation was performed with the needle bevel pointing upward in the first six sessions and the needle bevel pointing downwards (towards the skin) in the subsequent six sessions. Needles were always inserted in the direction of blood flow. At each dialysis session, cannulation pain was measured using a visual analog scale (VAS), and the bleeding time at the end of dialysis after needle removal was recorded. Findings: The VAS score and postremoval bleeding time were lower when the needle bevel pointed downwards towards the skin during insertion (P < 0.05). Discussion: Insertion of the needle with the bevel pointed downward decreased puncture pain during cannulation and bleeding time postdialysis on needle removal. © 2022 International Society for Hemodialysis

The effects of noise levels on pain, anxiety, and sleep in patients

Background Intensive care is a noisy environment for patients and one that affects pain, anxiety levels, and sleep quality. Aims and objectives To determine the relationship between noise levels and pain, anxiety, and sleep levels in patients in intensive care units. Design A descriptive and observational study design was used. Methods This study was conducted between June and December 2018 in a public hospital and included 111 patients admitted to surgical critical care for at least 24 hours. Three Benetech Gm1351 manual sound level metres were used to measure noise. A Patient Information Form, a pain Visual Analog Scale (VAS), the Spielberger State-Trait Anxiety Inventory, and the Richards Campbell Sleep Questionnaire (RCSQ) were used for data collection. Results The mean age of the patients was 57.29 years. The mean noise level detected in the intensive care unit was 66.52 dB (dB). Patients' mean pain VAS score was 3.79 +/- 1.72, the mean State Anxiety Inventory score was 39.74 +/- 2.98, and the mean total RCSQ score was 25.10 +/- 13.17. Our findings show that patients in the intensive care unit are exposed to high noise levels and that, while this has no effect on pain, it significantly impacts anxiety and quality of sleep. Conclusions Noise levels in intensive care units significantly exceed recommended thresholds, and this adversely affects patients' anxiety levels and sleep quality. It is important for suitably restful conditions to be provided for patients, to be aware of the potential for anxiety, and for these factors to be borne in mind when planning nursing interventions. Relevance to clinical practice Further studies on the effects of noise levels on pain, anxiety, and sleep levels in patients admitted to intensive care units are needed.WOS:0005459655000012-s2.0-85087449384PubMed: 3262139

Qualitative determination of occupational risks among operating room nurses

Objective: The purpose of this study was to determine the occupational risks faced by operating room nurses, their working conditions and health problems, and the protective measures adopted. Background: Since operating rooms are high-risk environments, the nurses working in them are exposed to correspondingly greater health risks. Method: This qualitative descriptive study design involved 17 operating room nurses and was performed in a public hospital in Turkey. Data were collected by the author during face-to-face interviews using a semi-structured form constructed on the basis of the study aims. Theme establishment continued until new data emerged from the analysis of all interviews. Data were then subjected to qualitative content analysis. Results: Three main themes were determined in the study, worker safety, working conditions, and training. At interview, operating room nurses reported being exposed to several occupational risks, including radiation, sharp implements, long working hours, and working standing up. They also reported experiencing, or were anxious about encountering in the future, various health problems associated with these risks. They also identified activities associated with education and protective measures as inadequate. Discussion and conclusion: Several occupational risk factors in the operating room environment adversely affect the health of nurses working in the unit. We recommend that standards aimed at protecting against occupational risks be applied on a regular basis in order to preserve the personal health and safety of operating room staff. Implication for nursing and health policy: Nurses are responsible for the constant care of their patients under all conditions and environments but may face the risk of compromise of their own health as a result. Training, certification, and nursing policies aimed at protecting the health of employees in clinical settings should be implemented. What is already known about the topic? Operating room nurses are known to experience severe health problems arising from their working environment. Many nurses have to cope or live with these health problems. What this paper adds: The study reveals the need for operating room nursing education programs. It also stresses the importance of legislation and monitoring to ensure a safe working environment for nurses in Turkey.WOS:0006260459000052-s2.0-8510081268

Açık kolesistektomi sonrası hastalara uygulanan bir mobilizasyon programının uyku süresi ve diğer klinik değişkenlere etkisi

Purpose: The purpose of this study was to determine theeffect on sleep duration, pain level, first flatus anddefecation time, and discharge of a mobilization programadministered under nurse supervision and monitoringfollowing open cholecystectomy.Materials and Methods: This experimental study wasperformed in February-August 2019 in the general surgeryclinic of a public hospital. Considering the possibility ofdata loss, 68 patients meeting the research criteria wereincluded. Two patients from the experimental group andtwo from the control group subsequently dropped out, andthe study was finally completed with 64 patients. Data werecollected using a patient description form, a VisualAnalogue Scale, and a walking chart on which pedometeroutput was recorded.Results: Length of hospitalization was shorter, first flatusand defecation time occurred earlier, and walking distanceswere longer in the experimental group compared to thecontrol group. No difference was determined between thegroups in terms of amount of drainage, or times tospontaneous urination. It was determined that the painlevels in the control were lower than those in theexperimental group on postoperative day 1, and sleepdurations on postoperative days 2 and 3 were significantlylonger.Conclusion: Earlier first flatus, defecation time, anddischarge, and significantly longer walking distances, weredetermined in the experimental group compared to thecontrol group. However, the mobilization program had noeffect on sleep duration or pain levels.Amaç: Bu çalışma açık kolesistektomi sonrası hastalara hemşire gözetimi ve denetiminde uygulanan mobilizasyon programının uyku süresi, ağrı düzeyi, ilk flatus, gayta çıkışı ve taburculuk üzerine etkisinin belirlenmesi amacıyla yapıldı. Gereç Yöntem: Deneysel tipteki çalışma bir devlet hastanesinin genel cerrahi kliniğinde Şubat-Ağustos 2019 tarihleri arasında yapıldı. Veri kaybı olasılığı göz önüne alındığında, araştırma kriterlerini karşılayan 68 hasta çalışmaya dahil edildi. Çalışma süresince iki hasta deney grubundan iki hasta kontrol grubundan çıkarıldı ve çalışma 64 hastayla tamamlandı. Veriler hasta tanıtım formu, postoperatif izlem çizelgesi, Görsel kıyaslama ölçeği, pedometre çıktılarının kaydedildiği yürüme çizelgesi ile toplandı. Bulgular: Deney grubu hastaların, kontrol grubuna göre hastanede yatış sürelerinin kısa, gaz ve gaita çıkış saatlerinin daha erken, yürüme mesafelerinin ise uzun olduğu, dren geleni ve spontan idrara çıkış zamanları açısından iki grup arasında fark olmadığı saptandı. Kontrol grubunun postop 1. gün ağrı düzeylerinin anlamlı düzeyde daha düşük, postop 2 ve 3. günde ise fark olmadığı, uyku süreleri ise, postop 1. ve 2. günde kontrol grubunun deney grubundan daha yüksek olduğu belirlendi. Sonuç: Deney grubu hastaların ilk gaz ve gayta çıkışlarının, taburculukların kontrol gruba göre erken olduğu, yürüme mesafelerinin anlamlı şekilde uzun olduğu saptandı. Buna rağmen mobilizasyon programının uyku süreleri ve ağrı düzeylerine etkisi olmadığı belirlendi.WOS:00053797600002

Pre-transurethral prostate resection anxiety on postoperative pain and sleep quality: A correlational study

Does pre-transurethral prostate resection (TURP) anxiety have any effect on postoperative pain and sleep quality? This descriptive, cross-sectional study was planned to determine the effect of pre-TURP anxiety on postoperative pain and sleep quality in adult male inpatients scheduled for TURP surgery in a urology clinic. Studies investigating the relationship between preoperative anxiety and TURP have reported side-effect-related quality of sleep impairment and higher pain levels in patients. The study was completely conducted from June to December 2018. Eighty-five participants meeting the inclusion criteria were involved. Informed consent was provided before the study outset. A patient identification form, the Surgery-Specific Anxiety Scale (SSAS), a numerical pain scale (Visual Analog Scale, VAS) and the Pittsburgh Sleep Quality Index (PSQI) were employed. Descriptive statistical methods and parametric tests were used with NCSS 2007 software for data analysis. Significance was set at P .05). Preoperative anxiety levels in patients undergoing TURP surgery positively affected pain during the post-operative period but had no effect on sleep quality. The limitations of the present study include the time restriction in the sample selection, and the fact that the results are specific to the group involved in the research. Another limitation was the research design that obviated any conclusion being drawn concerning the cause and effect relationship between anxiety and pain and sleep quality. The effect of preventing anxiety before surgery on pain and sleep quality can be investigated in future studies.WOS:0006653873000042-s2.0-8509672460