Determination of Accuracy of Nursing Diagnoses Used by Nursing Students in their Nursing Care Plans

Aim: The aim of this study was to determine and evaluate appropriateness of nursing diagnoses with NANDA taxonomy used by second year nursing students in their nursing care plans.Methods: Retrospective design.Findings: While care plans included 42 nursing diagnoses appropriate to NANDA II taxonomy, some phrases (n=30)were used as nursing diagnoses. Risks for infection, pain, activity intolerance, anxiety were the most frequently used diagnoses while nursing diagnoses in domains of cognitive-perceptive, self perception and role relations are very few.Conclusio: Performing case studies in clinical settings by using NANDA diagnoses, specifying difficulties experienced by nursing students’ and determining levels of discomfort while assessing the patients and determining the perceptions of nursing students by doing qualitative studies are recommended

Effects of Planned HIV/AIDS Education on Attitudes towards AIDS in Beginning Level Nursing Students

Purpose: The aim of this study is to describe nursing students’ knowledge and attitudes towards people with AIDS anddetermine effects of planned education on perceptions of students towards AIDS.Sample: The sample of this study consisted of first year undergraduate nursing students (n=88). Data were collected using aquestionnaire; related to socio demographic variables, sources of knowledge about HIV/ AIDS and the ways of AIDStransmission, willingness of students to provide care for patients with AIDS. Attitude Scale (AAS) was used to determineattitudes of students towards AIDS.Results: Close to half of the students believed that taking care of AIDS patients makes their job high risk occupation andthey also feel angry to homosexuals because they increase the risk of AIDS. Getting infected is one of the biggest fears ofnursing students while caring AIDS patients (67%). Although introduction of education did not change nursing students’intentions to give care for AIDS patients, statistical differences were found on students’ level of knowledge about AIDS aftereducation (p <0.001).Conclusion and implications Findings of this study have strong implications in methods used for AIDS education and needfor special and detailed education program on AIDS

Mokken scaling of the Caring Dimensions Inventory (CDI-25)

Aims and objectives. To validate a Turkish version of the Caring Dimensions Inventory in a group of Turkish nursing students. Background. There are no studies about how nurses or nursing students perceive caring in nursing in Turkey. There is also no valid and reliable instrument in Turkey for evaluating caring in nursing. Design. Descriptive study design. Methods. Using a convenience sample of nursing students (n=266), standard forward-back translation techniques were used with the Caring Dimensions Inventory. An expert panel considered the translations and provided content validation. A final version of the Caring Dimensions Inventory was tested with 10 nursing students, and we found no difficulties with the items in the instrument. Mokken Scaling analysis of the Caring Dimensions Inventory was used. Results. A range of psychosocial and professional/technical items was included in the Mokken scale with 'Providing privacy for a patient' as the most endorsed (mean=4•66) item and 'Being with a patient during a clinical procedure' being the least endorsed (mean=3•87). There is a tendency for the most endorsed items to be psychosocial with the professional/technical items being less endorsed, with the exception of the least endorsed item 'Being with a patient during a clinical procedure' which is a psychosocial item. Conclusion. The Turkish version of the Caring Dimensions Inventory is a reliable instrument for measuring nurses' perceptions about caring. Relevance to clinical practice. The results using the Caring Dimensions Inventory will help to identify how caring in nursing is perceived by nursing students in Turkey. Repeating this study in different groups such as working nurses will help to determine nurses who work in clinical settings perceive caring in nursing

Two Cases of Dyke-Davidoff Masson Syndrome

Dyke-Davidoff Masson Syndrome (DDMS) is a rare syndrome characterized by seizures, facial asymmetry, and contralateral hemiplegia or hemiparesis. The typical radiological features of DDMS include cerebral hemiatrophy with ipsilateral hypertrophy of the skull and sinuses. It is usually diagnosed in childhood. Presently described are 2 rare cases of DDMS that were diagnosed in adults based on magnetic resonance imaging of the brain

Intravenous Fosfomycin Therapy Induced Hypernatremia and Hypokalemia in Critically Ill Patients: A Cross-Sectional Study

Introduction: This study aimed to evaluate the incidence of hypernatremia and hypokalemia and predisposing factors during IV fosfomycin treatment. Materials and Methods: In this retrospective and cross-sectional study conducted at a university hospital, patients who received intravenous fosfomycin therapy between September 2021 and August 2022 were included. Demographic characteristics, comorbidities, and clinical and laboratory data of the included patients during their stay in the intensive care unit were extracted from the hospital information management system. The analyses were conducted using the SPSS 20.0 software. Results: The mean age of the 62 patients included in the study, 24 of whom were women, was 58.8 ± 19.5 years. Following IV fosfomycin treatment, it was observed that 26 (41.9%) patients developed hypernatremia, with an average onset time of 4.81 ± 1.7 days. There was a statistically significant difference between patients with and without hypernatremia in terms of APACHE II scores (t= 2.246; p< 0.05), the presence of enteral nutrition (p= 0.020), and albumin replacement (p= 0.007). In all patients who developed hypernatremia, fosfomycin was diluted with 0.9% NaCl solution. After IV fosfomycin treatment, 21 (33.9%) patients developed hypokalemia, with an average onset time of 3.90 ± 1.14 days. There was a statistically significant difference between the patients with and without hypokalemia in terms of the presence of albumin replacement (p= 0.004). Conclusion: The incidence of hypernatremia observed in this study was higher than the rates reported in previous studies. The APACHE II score, enteral nutrition, and albumin replacement appear to be significant predisposing factors in hypernatremic patients. Fosfomycin is recognized for its stability not only in 0.9% NaCl solution but also in 5% glucose solution. In patients susceptible to hypernatremia, the use of a 5% glucose solution to dilute fosfomycin could be considered as a preferable option, unless contraindicated

Salmonella gastroenteritis in children (clinical characteristics and antibiotic susceptibility): comparison of the years 1995-2001 and 2002-2008

We document herein the prevalence and serotype distribution among Salmonella enterica strains isolated from children treated for diarrhea over two seven-year periods spanning 14 years. Four hundred and eight (1.38%) S. enterica cases were isolated among 29,601 diarrheal admissions. Among the Salmonella isolates, 63.7% were serogroup D and 29.9% were serogroup B. Overall, 21.7% of cases were under one year of age, with 2.1% being younger than three months. Bloody diarrhea was found in 18.8% of the cases. The resistance rates were 25.8%, 18.2%, 7.0%, 4.7%, and 0.3%, to ampicillin, chloramphenicol, trimethoprim-sulfamethoxazole, ceftriaxone, and ciprofloxacin, respectively. In conclusion, our study has revealed that the predominance of Salmonella serogroup D continues. The clinical features of our patients were mostly mild, with no deaths or severe complications. While resistance to antimicrobial agents changes constantly, it is important to keep these strains under surveillance in order to formulate policies for the rational use of antimicrobial agents