Nursing Students' Experiences on Assessing the Sexuality of Patients: Mixed Method Study

This study aims to examine nursing students' experiences on assessing the sexuality of patients. This research is a mixed method study consisting of two stages as qualitative and quantitative. The first stage was carried out with 104 students using a socio-demographical data form and the sexual attitude and belief scale (SABS) to collect data. In this stage, most students stated that they could collected data about patients' sexuality in clinical practice; however, they could not make a nursing diagnosis and give care regarding sexuality. It was determined that this was due to the age, gender and education level of the patient/nurse. A significant difference was found between SABS total scores of students who collected data about sexual health and those who did not (p < 0.05). The second stage was carried out with 72 students. Focus group interviews were performed to examine the students' experiences on assessing the sexuality of their patients. Two main themes were specified: barriers and recommendations. Most nursing students perceived many characteristics, particularly socio-demographical characteristics, as barriers for talking about sexual matters. Nursing care in this field is postponed since they do not talk about sexual problems. Nursing students' problems in assessing the patients' sexuality must be realized in the first year of education. Trainings that aim at eliminating the lack of knowledge are recommended

The effects of clinical education program based on Watson's theory of human caring on coping and anxiety levels of nursing students: A randomized control trial

Purpose The purpose of this study is to examine the effect of the clinical education program based on Watson's human caring theory on coping and anxiety levels of nursing students. Design and Methods The research sample consisted of the intervention (n = 53) and the control (n = 53) group. Findings A statistically significant difference was determined in anxiety mean scores (P < .001) and the self-confident approach, the social-support seeking approach, the unconfident approach, and the submissive approach subscales of coping with stress in students of the intervention group compared to the control group (P < .05). Practice Implications It is recommended that the clinical education program based on Watson's caring theory is used during the clinical education of nursing students

The Turkish version of the Nursing Students' Perceptions of Instructor Caring Scale: An assessment of psychometric properties

Purpose The aim of this study was to determine the psychometric properties of the Turkish version of the Nursing Students' Perceptions of Instructor Caring (NSPIC-Tr) Scale. Design and Methods Methodological study. The sample of this study consisted of 344 nursing students. Findings Its four-factor structure was confirmed with explanatory factor analysis (EFA) and confirmatory factor analysis (CFA) results. The results of CFA showed that the scale's fit index supported the EFA. The scale's Cronbach's alpha internal consistency coefficient had high reliability. Practice Implications NSPIC-Tr is a valid and reliable scale for the assessment of Turkish nursing students' perceptions of instructor caring

Coping with Stress among Pregnant Women with Gestational Diabetes Mellitus

Introduction: The stress of pregnancy itself, gestational diabetes mellitus (GDM) that develops during pregnancy is also a stressor, because it can cause serious maternal and fetal health problems. The aim of this study was to examine the relationships between the characteristics of pregnant women with GDM and their styles of coping with stress. Methods: This descriptive cross-sectional study was conducted on 126 pregnant women with GDM. The sample consisted of patients who applied to the diabetes mellitus training polyclinic of a training and research and university hospital in southeastern Turkey, Data were evaluated using descriptive statistics, Kolmogorov-Smirnov normality tests, Spearman's rho and Pearson Correlation analysis, the Student’s t-test, Mann–Whitney U-test and Kruskal–Wallis- test by SPSS software (version 13.0). Results: It was determined that a planned pregnancy, a high educational level, a first pregnancy and weight gain were important factors in the women with GDM in the study who coped effectively with stress during pregnancy. Unemployment and a second or subsequent pregnancy were important factors in the women with GDM< who coped ineffectively with stress during pregnancy. In addition, it was determined that the hemoglobin HbA1c levels of the pregnant women with GDM with "optimistic" and "submissive" approaches towards coping with stress were lower. Conclusion: It was determined that pregnant women with optimistic and submissive approaches towards coping with stress had lower HbA1c levels. It is suggested that randomized controlled studies be conducted to further determine the coping styles of patients with GDM

Are levels of coping with stress in pregnancy with gestational diabetes worse than in healthy pregnancy?

Purpose: The purpose of this study was to analyze the levels of coping with stress in healthy pregnant women in comparison with the levels of coping with stress in pregnant women with gestational diabetes mellitus (GDM).Materials and methods: In the study, the descriptive cross-sectional research design was used. The study was carried out with 218 pregnant women in total.Results: It was found that the healthy pregnant women had a higher total score for coping with stress and used the self-confident coping style, one of the effective coping styles, more frequently when compared to the pregnant women with GDM (p<.001). In addition, the pregnant women with GDM used the desperate coping style, one of the ineffective coping styles, more frequently than the healthy pregnant women (p<.001).Conclusions: Diabetes education that nurses give should allow not only the nurses to evaluate the coping levels of pregnant women with GDM, but also to teach these pregnant women how to use effective coping styles

Akciğerin Sarkomatoid Karsinomlarının Cerrahi Rezeksiyonunda Prognostik Faktörler

Akciğerin Sarkomatoid Karsinomlarının Cerrahi Rezeksiyonunda Prognostik Faktörler Berker Özkan1, Eren Erdoğdu1, Fahmin Amirov1, Salih Duman1, Yasemin Özlük2, Murat Kara1, Dilek Yılmazbayhan2, Alper Toker3 1İstanbul Üniversitesi İstanbul Tıp Fakültesi, Göğüs Cerrahis Anabilim Dalı, İstanbul 2İstanbul Üniversitesi İstanbul Tıp Fakültesi, Tıbbi Patoloji Anabilim Dalı, İstanbul 3West Virginia Üniversitesi Kalp Damar Enstitüsü, Kalpdamar Cerrahisi Anabilim Dalı, Morgantown, ABDGiriş-Amaç : Sarkomatoid karsinom çok nadir görülen bir akciğer neoplazmıdır. Sarkomatoid karsinomların prognozunun, diğer küçük hücreli dışı akciğer karsinomlarına kıyasla daha kötü olduğu bildirilmiştir. Ancak sarkomatoid karsinom nedeniyle ameliyat edilen hastalarda prognostik faktörler belirsizliğini korumaktadır. Gereç ve Yöntem : İstanbul Tıp Fakültesi Göğüs Cerrahisi Anabilim Dalı’nda pulmoner sarkomatoid karsinom nedeniyle ameliyat ettiğimiz hastaları geriye dönük değerlendirildi. Bu hastalarda sağkalım sonuçlarıyla birlikte klinik ve patolojik özelliklerin prognostik etkisi istatistiksel olarak analiz edildi. Bulgular : Pulmoner rezeksiyon yapılan toplam 44 sarkomatoid karsinom hastasını değerlendirdik. Beş yıllık hastalıksız sağkalım ve genel sağkalım sırasıyla % 59 ve % 58 idi. Hastalar; T evresine (p = 0.016), N evresine (p = 0.005), patolojik TNM evresine (p &lt; 0.0001) göre karşılaştırıldığında ve patolojik boyutu 50 mm’den büyük tümörlerde (p = 0.044) beş yıllık sağkalımda istatistiksel olarak anlamlı fark olduğu saptandı. Bununla birlikte, histolojik alt tip (p = 0.628) ve adjuvan tedavinin (p = 0.804) sağkalım üzerinde anlamlı bir etkisi görülmedi. Benzer şekilde, tek değişkenli regresyon analizinde anlamlı prognostik faktörler; tümör boyutu (p = 0.085), T evresi (p = 0.005), N evresi (p = 0.028) ve patolojik TNM evresi (p = 0.0001) idi . Çok değişkenli regresyon analizinde, bağımsız prognostik faktörler sadece T evresi (p = 0.058), N evresi (p = 0.018) ve patolojik TNM evresi (p = 0.019) olarak gösterildi. Tartışma-Sonuç : Cerrahi, pulmoner sarkomatoid karsinom hastaları için iyi sonuç veren optimal bir tedavi seçeneğidir. Erken evre hastalıkta sağkalıma katkısı olduğundan dolayı histolojik alt tipine bakılmaksızın cerrahi öneriyoruz. Anahtar Kelimeler: Sarcomatoid Karsinom, Cerrahi, Kemoradyoterapi, Sağkalı