Professional Values in a Sample of Nursing Students from Different Countries

AIM: This study aimed to determine the professional values of nursing students from different countries. METHODS: This descriptive study was conducted with a convenience sample of nursing students from different countries. The data were collected using an identification form and the Nurses’ Professional Values Scale–Revised. A total of 305 nursing students from Turkey, Tanzania, and Spain were included in the analysis. RESULTS: In this study, the mean nursing professional values scores were 113.5±12.8, 105.8±16.0, 107.9±8.4 for Turkey, Tanzania, and Spain, respectively (minimum–maximum: 44–130). There were no statistically significant differences between the Turkish and the Spanish students’ professional value scores, but the Turkish students’ scores were higher than the Tanzanian students. CONCLUSION: The factors affecting the level of professional values of students for each country were different. For educators, it is important to develop teaching strategies to empower professional values. Understanding cultural differences can guide professional values and universal ethics in nursing practice, education, and research

Depressive symptoms during pregnancy and postpartum: a prospective cohort study

SEVEN, MEMNUN/0000-0002-6981-8877WOS: 000477684300013PubMed: 30430584Purpose The aim was to determine the prevalence and risk factors of postpartum depression, and changes over time from pregnancy to postpartum period. Design and Methods A prospective cohort study was conducted in 23 cities in Turkey, with 497 pregnant women. Findings Of women, 13.5% had a high level of depressive symptoms during pregnancy and 4.8% during the postpartum period. Significant relationships emerged between total Edinburgh Postnatal Depression Scale score and mean age of participants and their husbands, duration of marriage, parity, and history of receiving professional psychological support. Practice Implications Family planning education could be an important intervention to prevent depression in young couples

Consanguineous marriage and its effect on reproductive behavior and uptake of prenatal screening

Pasalak, Seyma Inciser/0000-0003-1040-4044WOS: 000506588600001PubMed: 31919935The study aimed to determine the prevalence of consanguinity among pregnant women, its effect on reproductive behavior and the uptake of prenatal screening. The sample consisted of 842 pregnant women recruited to a prospective cohort study conducted in twenty-three cities from different regions in Turkey between June 2017 and March 2018. Of the women, 17.7% (n = 149) were in consanguineous marriages. The consanguineous couples were younger at the time of their marriages than non-consanguineous couples, and 49% of the consanguineous marriages were arranged. The educational levels of both spouses in consanguineous marriages were lower than those in non-consanguineous marriages. There was a statistically significant difference in the prevalence of the pregnant women having a prenatal screening test between women in consanguineous marriages (53%) and those in non-consanguineous marriages (78.2%). There were no statistically significant differences between the two groups in terms of having health problems during pregnancy, the number of pregnancies, abortions and/or stillbirths, the week of delivery and the birthweight of the baby. Healthcare providers play a key role in eliciting whether or not pregnant couples are consanguineous, providing a tailored risk assessment, education, and counseling about screening and diagnostic tests for early diagnosis and management of the fetus, explaining the testing process and possible outcomes, and helping couples make informed decisions regarding their reproductive options or pregnancy management

Studying the Physical and Psychological Symptoms of Patients With Cancer

Objectives; Aim of the descriptive study was to evaluate the frequency and severity of physical and psychological symptoms so as to determine palliative care needs of cancer patients. Methods; Total 142 patients who were treated in oncology clinic at an university hospital were enrolled in the cross sectional research. “Descriptive Information Questionnaire” was developed by the authors and the adapted “Beck Depression Inventory (BAI)” and “Beck Anxiety Inventory (BDI)”, “Edmonton Symptom Assessment System (ESAS)” to evaluate psychological and physical symptoms were used to collect data. Results; The mean age was 49,35±36,61 years and 54.9% of them were out-patients. %16.2 of the patients were diagnosed with colon and 13.4% breast cancer. The mean BDI score was 8.59±6.36, and 88.7% the patients have depressive symptoms. The mean BAI score was 11.39±7.53. The three most frequent problems were fatigue (87.3%), breathlessness (76.1%), and insomnia (67.6%). The mean of the highest-ranking problems were anorexia (6.02+2.77), fatigue (5.33+2.09) and insomnia (0.04+2.42). Conclusion: The study shows that some symptoms might be experienced by majority of the cancer patients as well as some symptoms might be felt more severe by fewer patients. Therefore, It should be assessed that both the frequency and severity of symptoms that patients experienced associated with cancer and its’ treatment individually and focusing on primary care. [TAF Prev Med Bull 2013; 12(3.000): 219-224

From Probands to Relatives Communication of Genetic Risk for Hereditary Breast-Ovarian Cancer and Its Influence on Subsequent Testing

Background The genetic risk communication from proband to relatives varies from family to family, and patients often need support with the communication of genetic test results and making decisions to manage hereditary cancer risks. Objective The aim of this study was to characterize the communication of BRCA1 or BRCA2 (BRCA1/2) genetic risk from proband to first-degree relatives (FDRs) using a social network framework. Methods We characterized network and nonnetwork factors to explore their association with which FDRs were told about the genetic risk and whether or not relatives underwent genetic testing. Ninety-two female probands with hereditary breast and ovarian cancer who have confirmed BRCA1/2 mutations participated in the study. Communication of hereditary breast and ovarian cancer risk was assessed between 92 probands and their 417 FDRs. Results Of 92 probands, 94.5% (n = 87) communicated their genetic test result to at least one of their FDRs. Of FDRs older than 18 years, 19.9% (n = 72) have genetic testing. Emotional closeness, educational level of the proband, and relative's age were significantly associated with communicating test results with FDRs. Conclusion Communication of genetic risk with the FDRs after having a BRCA1/2 gene-mutation-positive test result was high in this group of cancer patients. However, the rate of genetic testing among FDRs was low. Implications for Practice Probands' educational level and age of relatives for cascade genetic screening should be considered during counseling. Interventions to support women with BRCA1/2 mutations during the communication process and their family members' engagement in testing and risk-reducing strategies are needed

Impact of BRCA Status on Reproductive Decision-Making and Self-Concept: A Mixed-Methods Study Informing the Development of Tailored Interventions

This mixed-methods study sought to deepen our understanding of self-concept and experiences in balancing cancer risk/reproductive decisions after learning of BRCA+ status. First, a quantitative survey of BRCA+ women (n = 505) examined the childbearing status, risk-reducing surgery, and self-concept. At the time of testing, 307/505 (60.8%) women were of reproductive age (<40 years-old), 340/505 (67.3%) had children, and 317/505 (62.8%) had undergone risk-reducing surgery. A younger age at the time of the testing was significantly associated with the decision to have children after learning BRCA+ status or undergoing risk-reducing surgery (p < 0.001). Compared to older women, BRCA+ women of reproductive age, exhibited a more negative self-concept with significantly higher vulnerability ratings (p < 0.01). Women with a cancer diagnosis exhibited a more negative mastery ratings and worse vulnerability ratings (p < 0.01) than women without a cancer history. Compared to childless counterparts, significantly higher vulnerability ratings were observed among BRCA+ women who had children before learning their BRCA status and/or undergoing risk-reducing surgery (p < 0.001). Subsequently, a subset of women (n = 40) provided in-depth interviews to explore their experiences in decision-making. The interviews provided insights into the effects of BRCA status on decisions regarding relationships, childbearing, cancer risk management, and communicating BRCA risk to children. Integrating quantitative and qualitative findings identifies targets for tailored interventions to enhance precision health for BRCA+ women of reproductive age

Examining Views and Expectations of Senior Nursing Students During Emergency Department Clinical Practice

Amaç: Bu çalışmada, hemşirelik son sınıf öğrencilerinin acil servis klinik uygulamasına ilişkin beklentilerinin ve görüşlerinin belirlenmesi amaçlanmıştır. Yöntem: Bu çalışma tanımlayıcı ve kesitsel bir çalışma olarak, 2011- 2012 eğitim ve öğretim yılında Ankarada bir hemşirelik yüksekokulunda, çalışmaya katılmayı kabul eden 78 öğrenci ile yürütülmüştür. Veriler veri toplama formu ve Klinik Öğrenim Çevresi Ölçeği kullanılarak toplanmıştır. Bulgular: Öğrencilerin acil servis klinik uygulamasından beklentileri, klinik uygulamalara aktif olarak katılabilme (%94.9) ve sağlık ekibinin kendilerine karşı olumlu tutum içinde olması (%89.7)dır. Öğrenciler en yüksek oranda acil servis uygulamasının hemşirelik uygulamaları- na ilişkin el becerilerini artırdığını (8.041.68) ve mesleki bilgiye dayalı uygulama yapma imkanı verdiğini (7.871.80) ifade etmişlerdir. Öğrencilerin Klinik Öğrenim Çevresi Ölçeği toplam puan ortalaması 72.678.99dır. Acil servis klinik uygulamasının bireysel ve mesleki gelişimlerine katkılarına ilişkin ifadeler ile Klinik Öğrenim Çevresi Öl- çeği puanları arasında pozitif yönde ilişki saptanmıştır (p0.005). Sonuç: Bu çalışmada acil servis klinik uygulamasının, öğrencilerin uygulamalarında mesleki ve kişisel gelişimlerine önemli katkılar sağladığı belirlenmiştir. Bu nedenle, bu çalışma bulgularının, acil servis klinik uygulaması yapan öğrencilerin beklentilerinin gözden geçirilmesi açı- sından değerli olduğu düşünülmektedir.Aim: The aim of this research was to determine senior nursing students views and expectations about the emergency department clinical practice. Methods: This cross-sectional and descriptive study was carried out in a school of nursing in Ankara during the 2011-12 academic year. No sampling method was employed as all 78 senior nursing students volunteered to take part in the study. The data were collected through a data-collection form and Clinical Learning Environment Scale (CLES). Results: The expectations of the senior nursing students in the emergency department clinical practice were to participate actively in clinical practice (94.9%) and to meet with health care professionals who showed positive attitudes (89.7%). The students stated that the clinical practice improved their nursing practice (8.04±1.68) and nursing skills based on professional knowledge (7.87±1.80). The mean of the total CLES of students is 72.67±8.99 and the mean of the personnel-student relationship subscale is 19.37±3.82 out of 30. A positive relationship was found between CLES scores and nursing students views regarding contributions of the clinical practice to both personal and professional development. Conclusion: This study showed that during the emergency department clinical practice, the learning environment was positive and provided signifi cant contributions to the students personal and professional development. However, it is thought that there are some limitations in terms of providing opportunities to practice the theoretical knowledge learned during education. Therefore, this study is valuable to reassess students views and expectations during the emergency department clinical practice