Information Requirements And Difficulties Experienced After Discharge In Day Surgery Patients: A Descriptive Cross-Sectional Survey

Objective: Day surgery procedures have increasingly been used nowadays as a result of improvements in surgical techniques, anesthesia and analgesia techniques and they are preferred for their benefits to the patient and to the healthcare system. However, it is known that day surgery patients may face many problems in the perioperative period. This research was conducted determin the difficulties experienced by day surgery patients and their information requirements. Material and Methods: The study was designed as a cross-sectional and descriptive survey. It was conducted in 2003 for a total of 12 months, with the participation of 230 patients who had surgery in urology, orthopedics, ear nose throat, ophthalmology, plastic surgery or general surgery clinics and were hospitalized in the day surgery unit of a university hospital in Ankara Province. Data were collected using "Patient's Personal Information and Knowledge Requirements" and "Difficulties Experienced After Hospital Discharge" forms. Results: The research results showed that day surgery patients had deficient knowledge regarding the day surgery process and they experienced problems after discharge at home especially within the first three postoperative days. Mainly, the problems were related to the surgical site and the respiratory, digestive, nervous, urinary and musculoskeletal systems. Conclusions: Day surgery patients experienced many problems in the postoperative period and their knowledge on the solution of these problems and the day surgery process was insufficient. Therefore, we recommend to give the patients and their relatives sufficiently detailed verbal and written information on the day surgery process.WoSScopu

Senior Undergraduate Nursing Students' Perceptions of Disaster Preparedness: A Descriptive Study

WOS: 000381283000010Objective This descriptive study aimed to determine the disaster preparedness of a senior class of undergraduate nursing students. Methods The study sample was composed of 73 undergraduate nursing school students from Ankara, Turkey. Data were collected by using a questionnaire developed by the researchers and were evaluated with descriptive statistics. Results More than half (56.1%) of the students stated that the disaster competencies of nurses should include leadership, manager, and coordinator skills; 42.4% of them indicated the competencies of decision-maker, critical thinking, autonomy, and planning skills. Regarding education, 56.4% of the students considered their education on disaster nursing as efficient; however, 35.9% of them considered their education as partly efficient or inefficient. Conclusions Many correct concepts related to the definition, features, competencies, and roles of disaster nurses were stated by students. However, low percentages and insufficient statements showed low preparedness for disasters. Curriculum development or redesign is necessary to include content and clinical experiences related to disasters. (Disaster Med Public Health Preparedness. 2016;10:557-561

Estudo qualitativo das experiências enfermeiros em cuidados a pacientes críticos em unidade de terapia intensiva médico-cirúrgica

Objective: To describe the meaning attributed to nurses’ clinical experience in a medical-surgical intensive care unit in Northern Cyprus. Method: The qualitative study was conducted in two medical-surgical intensive care units at a university hospital. Data were collected through in-depth interviews with 17 nurses. Giorgi’s descriptive phenomenological approach was used to analyze nurses’ experiences. The consolidated criteria for reporting a qualitative research checklist were followed in this study. Results: The data analysis led to the extraction of the 5 themes and 19 subthemes. The themes identified for the study were competence, the emotional universe, stress resources, the meaning of nursing care, and profoundly affecting events. The study results show that the nurses expressed that having gained much experience in intensive care units and working there has contributed significantly to their professional development. Conclusion: It was indicated that the nurses had meaningful, caring experiences in intensive care units, which were perceived, however, as stressful experiences as well. The study has important implications for nurses, faculty members, and administrators to gain positive care experiences in terms of intensive care units.Objetivo: Describir el significado atribuido a la experiencia clínica de los enfermeros en una unidad de cuidados intensivos médico-quirúrgicos en la República Turca del Norte de Chipre. Método: El estudio cualitativo se llevó a cabo en dos unidades de cuidados intensivos médico-quirúrgicos de un hospital universitario. Los datos fueron recolectados a través de entrevistas en profundidad con 17 enfermeros. Se utilizó el enfoque fenomenológico descriptivo de Giorgi para analizar las experiencias de los enfermeros. En este estudio se siguieron los criterios consolidados para reportar la lista de verificación de investigación cualitativa. Resultado: El análisis de datos dio como resultado 5 temas y 19 subtemas. Los temas identificados para el estudio fueron competencia, universo emocional, recursos de estrés, significado del cuidado de enfermería y eventos con efectos profundos. Al final, los enfermeros expresaron que el estudio les permitió ganar más experiencia en las unidades de cuidados intensivos y contribuyó mucho para su desarrollo profesional. Conclusión: Se observó que los enfermeros tuvieron experiencias significativas de cuidado en unidades de cuidados intensivos, pero evaluaron estas experiencias como muy estresantes. El estudio tiene implicaciones importantes para que los enfermeros, los docentes y los administradores adquieran experiencias de atención positivas en las unidades de cuidados intensivos.Objetivo: Descrever o significado atribuído à experiência clínica de enfermeiros em unidades de terapia intensiva médico-cirúrgica no norte de Chipre. Método: O estudo qualitativo foi realizado em duas unidades de terapia intensiva em um hospital universitário. Os dados foram coletados através de entrevistas em profundidade com 17 enfermeiros. Para analisar as experiências dos enfermeiros, foi utilizada a abordagem descritiva fenomenológica de Giorgi. Neste estudo, foram seguidos os critérios consolidados para relatar a lista de verificação da pesquisa qualitativa. Resultados: A análise de dados levou à extração de cinco temas e 19 subtemas. Os temas identificados para o estudo foram competência, universo emocional, recursos de estresse, significado dos cuidados de enfermagem e eventos profundamente afetados. Os resultados foram que enfermeiros expressaram adquirir muita experiência nas unidades de terapia intensiva e que seu trabalho nelas contribuiu muito para seu desenvolvimento profissional. Conclusão Foi indicado que os enfermeiros tiveram experiências significativas de cuidado nas unidades de terapia intensiva, mas que, no entanto, também foram percebidas como experiências estressantes. O estudo tem implicações importantes para enfermeiros, membros de corpos docentes e administradores, que podem obter experiências positivas em termos de cuidados em unidades de terapia intensiva

Micropropagation and prevention of hyperhydricity in olive (Olea europaea L.) cultivar 'Gemlik'

Gurel, Aynur/0000-0002-7002-9752WOS: 000506413200032Olive (Olea europaea L.) is an economically important crop because of its fruit and oil. Successful olive micropropagation is highly dependence on cultivar, shoot proliferation rate, which is generally low, the rooting of micropropagated olive plantlets is difficult, and the rate of post-transplanting losses is high. in addition, hyperhydricity, a common problem in vitro culture was found to be prevalent. the aim of this study was to establish a micropropagation system for the Turkish O. europaea L. cv. Gemlik. Initially, five different basal media were tested to determine appropriate medium for establishment of in vitro culture and Woody Plant Medium (WPM) was the most efficient. Nodal explants were cultured on WPM containing different plant growth regulators (PGRs) for shoot regeneration. Maximum regeneration frequency and number of shoots per explant were achieved from nodal explants cultured on WPM supplemented with 4.0 mg/L 6-benzyladenine (BA). However, all cultures showed high hyperhydricity and an experimentation was also conducted to resolve the hyperhydricity problem. Hyperhydricity was prevented by changing the gelling agent to Agar-Agar. the shoots regenerated from nodal explants and still attached to initial woody nodal explant were transferred to four different medium formulations each containing 2.0 mg/L zeatin (ZEA) for shoot elongation. Modified Olive Medium (MOM2: OM with three times the concentrations of KNO3) fortified with 2.0 mg/L ZEA was found to be the best for shoot elongation. the elongated shoots were rooted on Olive medium (OM) containing 160 mg/L Putrescine, 1.5 mg/L naphthaleneacetic acid (NAA), 30 g/L mannitol and solidified with 0.65% (w/v) Agar-Agar. Finally, all plantlets were successfully acclimatized in a climate chamber and the plants were transferred to greenhouse conditions. (C) 2019 SAAB. Published by Elsevier B.V. All rights reserved.Ege University Scientific Research Projects Coordination UnitEge University [09-MUH-010]This work was supported by Ege University Scientific Research Projects Coordination Unit [grant number: 09-MUH-010]. All of the experiments were carried out at the Bioengineering Department of Ege University. the authors are grateful to Mark Smedley for critically reviewing the manuscript

Patient Safety Attitudes among Doctors and Nurses: Associations with Workload, Adverse Events, Experience

Patient safety concept has achieved more attention from healthcare organizations to improve the safety culture. This study aimed to investigate patient safety attitudes among doctors and nurses and explore associations between workload, adverse events, and experience with patient safety attitudes. The study used a descriptive cross-sectional design and the Turkish version of the Safety Attitudes Questionnaire. Participants included 73 doctors and 246 nurses working in two private hospitals in Northern Cyprus. The participants had negative perceptions in all patient safety domains. The work conditions domain received the highest positive perception rate, and the safety climate domain received the lowest perception rate among the participants. Nurses showed a higher positive perception than doctors regarding job satisfaction, stress recognition, and perceptions of management domains. There were statistically significant differences between experiences, workloads, adverse events, and total mean scores of patient safety attitudes. Policymakers and directors can improve the quality of care of patients and patient safety by boosting the decision-making of health care providers on several domains of safety attitudes. Patient safety needs to be improved in hospitals through in-service education, management support, and institutional regulations

Patient Safety Attitudes among Doctors and Nurses: Associations with Workload, Adverse Events, Experience

Patient safety concept has achieved more attention from healthcare organizations to improve the safety culture. This study aimed to investigate patient safety attitudes among doctors and nurses and explore associations between workload, adverse events, and experience with patient safety attitudes. The study used a descriptive cross-sectional design and the Turkish version of the Safety Attitudes Questionnaire. Participants included 73 doctors and 246 nurses working in two private hospitals in Northern Cyprus. The participants had negative perceptions in all patient safety domains. The work conditions domain received the highest positive perception rate, and the safety climate domain received the lowest perception rate among the participants. Nurses showed a higher positive perception than doctors regarding job satisfaction, stress recognition, and perceptions of management domains. There were statistically significant differences between experiences, workloads, adverse events, and total mean scores of patient safety attitudes. Policymakers and directors can improve the quality of care of patients and patient safety by boosting the decision-making of health care providers on several domains of safety attitudes. Patient safety needs to be improved in hospitals through in-service education, management support, and institutional regulations