Surgery Nurses' Awareness on SBAR Communication Model and SBAR Training

Objective: The study has been carried out to analyze surgery nurses’ awareness on SBAR communication model and to measure the effectiveness of SBAR training on it. SBAR communication model, which abbreviates “situation, background, assessment and recommendation”, undertakes a significant role to provide patient safety. Methods: It was undertaken between 1 March 2019 – 30 April 2019 with a sample consisting of 138 nurses serving in surgical units of the hospital involved in the study. A session of 45-minute training, which has been delivered to surgery nurses, consisted of example scenarios and practices based on SBAR communication model as well as the user guide and some video shots related to communication settings in compliance with SBAR Model. The data were collected during pre-training, immediately after post-training and one-month after the posttraining sessions via face-to face interviews conducted with surgery nurses. Results: Mean values of nurses’ SBAR communication model awareness have been calculated for all 18 questions in the form. Those mean values have been displayed as 62.76±28.52 during pre-training, 95.05±7.56 during immediate post-training and 90.90±13.89 during a-monthlater session of post-training. Comparisons of pre-training and post-training scores have displayed a statistically significant increase in mean values, both after the training and one month later (p<0.05). Conclusion: The findings observed in the study show that trainings have a positive effect on raising awareness with respect to SBAR communication model to measure the effectiveness of SBAR training on it

The Impact of Facial Aesthetic and Reconstructive Surgeries on Patients' Quality of Life

The aim of the present prospective and descriptive study was to assess the impact of facial aesthetic and reconstructive surgeries on quality of life. Ninety-one patients, of whom 43 had aesthetic surgery and 48 had reconstructive surgery, were analysed. The data were collected using the patient information form, body cathexis scale, and short form (SF)-36 quality of life scale. There were significant differences between before and after the surgery in both groups in terms of body cathexis scale and quality of life (p< 0.05 for both). It was observed that problems regarding the body image perception were encountered more, and the quality of life was poorer in both aesthetic and reconstructive surgery patients before the surgery. However, the problems were decreased, and the quality of life was enhanced after the surgery. Among the parameters of SF-36 quality of life scale, particularly the mean scores of social functioning, physical role functioning, emotional role functioning, mental health, and vitality/fatigue were found low before the surgery, whereas the mean scores were significantly improved after the surgery. The results revealed that facial aesthetic and reconstructive surgical interventions favourably affected the body image perception and self-esteem and that positive reflections in emotional, social, and mental aspects were effective in enhancing self-confidence and quality of life of the individual

Sesbilgisel Farkındalık Mesleki Gelişim Programı’nın Okul Öncesi Öğretmenleri ve Çocukları Üzerindeki Etkisi

This study aimed to investigate the effects of a phonological awareness professional development program on teachers’ phonological awareness knowledge, teaching quality, and the phonological awareness skills of children. The study was planned with a quasi-experimental design and a pretest-posttest control group, and 67 children and 4 preschool teachers were participated. Teachers in the experimental group were given 5 hours of training and applied 10 hours of coaching. The results showed that the teachers’ knowledge and teaching quality increased. After expressive language and category naming scores of the children were controlled, there were significant differences between the experimental and control group children in phonological awareness skills.Bu çalışma, Sesbilgisel Farkındalık Mesleki Gelişim Programının okul öncesi öğretmenlerinin sesbilgisel farkındalık bilgisi, öğretim kalitesi ve çocukların sesbilgisel farkındalık becerileri üzerindeki etkilerini araştırmayı amaçlamıştır. Yarı deneysel desende ve ön test-son test kontrol gruplu olarak planlanan araştırmaya 67 çocuk ve 4 okul öncesi öğretmeni katılmıştır. Deney grubundaki öğretmenlere 5 saat eğitim verilmiş ve 10 saat koçluk yapılmıştır. Sonuçlar, öğretmenlerin bilgisinin ve öğretim kalitesinin arttığını göstermiştir. Çocukların ifade edici dil ve genel isimlendirme puanları kontrol edildikten sonra deney ve kontrol grubu çocuklar arasında sesbilgisel farkındalık becerilerinde anlamlı farklılıklar bulunmuştur

Pamuk İpliğine Bağlı Hayatta Bir Umut Olmak: Tekirdağ Namık Kemal Üniversitesi Birinci Sınıf Öğrencileri İçin İlk Yardım Eğitimi Projesi

Aim: In this study, theoretical and applied education is given to thevolunteer first class university students. At the end of theeducation, it is aimed to give first aider certification which hasinternational validity and to open first aid education center withinthe university.Materials and Methods: In the first step of the study, 78 of the firstyear volunteer School of Health students are given a book aboutfirst aid. They were requested to study that book during summertime. A test was applied when the schools are open and a pre-testwas applied to the 53 students who were found successful. A 16hours long education about “Basic First Aid” was given. The posttest was re-applied after the education. Consequentially they aretested with written and an oral exam on “Basic First Aid Training”.Results: The results of the test after education is also comparedbetween the group of successful students and students whofailed.When successful and failed students were evaluated amongthemselves and together with the same questions before and aftereducation, the difference in all questions after education isstatistically significant (p< 0.001).Conclusion: “First Aid Staff Certificate” with both national and aninternational validity was given to the thirty-one succesfull studentsand first aid education center was established within the university.Amaç: Bu çalışmada; gönüllü üniversite birinci sınıf öğrencilerine ilkyardım konusunda teorik ve uygulamalı eğitim ve eğitim sonunda başarılı olanlara uluslararası geçerliliği olan ilkyardımcı sertifikası verilmesi ile üniversite bünyesine ilkyardım eğitim merkezi açılması amaçlandı. Materyal ve Metot: Çalışmanın ilk aşamasında, Sağlık Yüksekokulu gönüllü birinci sınıf öğrencilerinden 78’ine ilkyardım kitabı gönderildi ve yaz dönemi kendilerinden kitaba çalışılması istendi. Okul açıldığında ilkyardım konusunda bir sınav yapıldı ve başarılı olan 53 öğrenciye ön test uygulandı ve 16 saat “Temel İlkyardım Eğitimine” alındı. Eğitim sonrasında tekrar son test uygulandı. Bulgular: Eğitimden sonra, başarılı ve başarısız öğrenciler arasında test sonuçları karşılaştırıldı. Başarılı ve başarısız öğrenciler kendi aralarında ve eğitimden önce ve sonra aynı sorularla değerlendirildiğinde, tüm sorularda eğitimden sonra istatistiksel olarak anlamlı fark izlendi (p<0.001) Sonuç: Hem uluslararası hem de ulusal geçerlil37. Abella BS, Alvarado JP, Myklebust H, Edelson DP, Barry A, O'Hearn N, et al..Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA. 2005;293:305-10 38. Harvey PR, Higenbottam CV, Owen A, Hulme J, Bion JF. Peer-led training and assessment in basic life support for healthcare students: synthesis of literature review and fifteen years practical experience. Resuscitation. 2012;83(7):894-9. 39. Patidar AB, Sharma A. Attitude of School Children towards Basic Life Support in Punjab, India. Int J Health Sci Res. 2014;4(5):193–01iği olan bir “İlk Yardımcı Sertifikası” başarılı olan 31 öğrenciye verildi ve üniversite bünyesinde ilkyardım eğitim merkezi açıldı

Complication of a Henoch-schonlein purpura: the stoma

Henoch Schönlein Purpurası (HSP) deri, böbrek, eklem ve gastrointestinal sistemi etkileyen ve immun kompleks aracılığı ile oluşan bir lökositoklastik veya hipersensitivite vaskülitidir. Esas olarak çocukluk çağı hastalığıdır. Prognoz genellikle iyidir; ancak şiddetli gastrointestinal ve renal bulguları olan hastaların dikkatle tedavi edilmesi ve izlenmesi gerekir. Bazı durumlar ise, hastalık sonucu stoma açılmasını gerektirebilir. Olgumuz, HSP tanısı ile servise kabul edildikten kısa bir zaman sonra ani olarComplication of a Henoch-Schonlein Purpura: The Stomaak stoma ile tanışan adölesan bir bireydi. Hasta/ailesinde, hastalıkla akut bir biçimde karşılaşmak ve hastalık sonucu stoma ile tanışmak fiziksel, psikolojik ve sosyal travmalara neden oldu. Bu çalışmada; adölesan dönemde Henoch Schönlein Purpurası sonrası acil ileostomi açılmış olan hasta/ailesine yaş dönemleri göz önüne alınarak sunulan hemşirelik bakımının önemi vurgulanmaya çalışılmıştır.Henoch Sch&ouml;nlein Purpura (HSP) is a leukocytoclastic or hypersensitivity vasculitis which affects skin, kidneys, joints and the gastrointestinal system and is formed via immune complexes. It is mainly a disease of chidhood. The prognosis is generally good, but patients with severe gastrointestinal and renal manifestations must be treated and monitored carefully. Some cases may require stomatal opening as a consequence of disease. The case was an adolescent individual who has suddenly met with stomata shortly after having been accepted into a service with HSP diagnosis. Facing the illness in a form of acute and meeting stoma as a result of disease can cause physical, psychological and social trauma on dhe patient/his family. In this study, the significance of nursing care which is offered to the patient/his family that has emergent ileostomy, taking into account their ages, in the period of adolescent after Henoch Sch&ouml;nlein Purpura has been tried to emphasize

Cerrahi Birimlerde Çalışan Hemşirelerin İzolasyon Önlemlerine Uyumunda Eğitimin Etkisi

Aim: This study has been planned and performed as a descriptive and cross-sectional study to evaluate the adaptation of nurses working in surgicaldepartments to the isolation precautions.Materials and Methods: The target population of the study included 250 nurses working in the surgical departments of University, State andPrivate hospitals, and the sample of the study included 144 nurses who were volunteer to participate in the study and who met the sampling criteria.The data were obtained through the “Worker’s Data Form which was developed in line with the literature and experts’ opinion” and “AdaptationScale To the Isolation Precautions” developed by Tayran (2009), and then these data were evaluated by using appropriate statistical methods withinStatistical Package for the Social Sciences 22.00 statistical package programme.Results: The mean age of the surgical nurses participated in the study was 28.9±8.49 years. Of them, 91% were women, 56.3% were universitygraduate, 58.3% were in profession for less than five years, 81.9% were in the department for less than five years, 32.6% worked in state hospital,36.1% in university hospital, 31.3% in private hospitals, 34.7% in the ward, 27.8% in operating room, and 37.52% in intensive care. Immediatelyafter the education, the adaptation score of the nurses to the isolation precautions was calculated as 80.389±7.106 over 90 (p<0.05).Conclusion: The adaptation score of the nurses working in surgical departments was higher than that before the education. It has been suggestedthat the institution should support the adaptation of the nurses to the isolation precautions, education should be planned considering theprofessional characteristics of the nurses and the factors of the institution, and this training should be repeated with regular intervals.Amaç: Araştırma, cerrahi birimlerde çalışan hemşirelerin eğitim öncesi (EÖ) ve eğitim sonrası (ES) izolasyon önlemlerine uyumlarını değerlendirmek amacıyla tanımlayıcı ve kesitsel nitelikte planlandı ve uygulandı. Gereç ve Yöntem: Araştırmanın evrenini; üniversite, devlet ve özel hastanelerin cerrahi kliniklerinde çalışan 250 hemşire, örneklemi ise örneklem seçim kriterlerini karşılayan ve çalışmaya katılmaya gönüllü 144 hemşire oluşturdu. Veriler literatür bilgileri doğrultusunda ve uzman kişilerin görüşleri alınarak araştırmacılar tarafından hazırlanan ‘‘Çalışan Veri Formu’’ ve Tayran tarafından (2009) geliştirilen ‘‘İzolasyon Önlemlerine Uyum Ölçeği’’ ile toplandı. Statistical Package for the Social Sciences 22.00 istatistik paket programında, uygun istatistiksel yöntemler kullanılarak veriler değerlendirildi. Bulgular: Araştırmaya katılan hemşirelerin yaş ortalamasının 28,9±8,49 yıl, %91’inin kadın, %56,3’ünün lisans mezunu, %58,3’ünün meslekte beş yıldan daha az tecrübesi olduğu, %81,9’unun ise çalışılan birimde beş yıldan daha az çalışma süresine sahip olduğu, %32,6’sının devlet %36,1’inin üniversite, %31,3’ünün özel hastanelerde çalıştıkları, %34,7’sinin servis, %27,8’inin ameliyathane ve %37,52’sinin yoğun bakım birimlerinde çalıştığı belirlendi. Hemşirelerin ES izolasyon önlemlerine uyum düzeyi 80,389±7,106 olarak saptandı (p<0,05). Sonuç: Cerrahi birimde çalışan hemşirelerin izolasyon önlemlerine uyum puanları EÖ’ye göre, ES en yüksek bulunurken, puanın 1. ayda biraz düştüğü 3. ayda ise ES’ye göre daha da düşük olduğu belirlendi. Hemşirelerin izolasyon önlemlerine uyumları konusunda kurumsal desteğin sağlanması, hizmet içi eğitimlerde hemşirelerin mesleki özellikleri ve kurumsal faktörler dikkate alınarak planlamaların yapılması ve eğitimlerin düzenli aralıklarla tekrarlanması önerilmektedir

Complication of a henoch-schonlein purpura: the stoma

Henoch Schönlein Purpurası (HSP) deri, böbrek, eklem ve gastrointestinal sistemi etkileyen ve immun kompleks aracılıgı ile olusan bir lökositoklastik veya hipersensitivite vaskülitidir. Esas olarak çocukluk çagı hastalıgıdır. Prognoz genellikle iyidir; ancak siddetli gastrointestinal ve renal bulguları olan hastaların dikkatle tedavi edilmesi ve izlenmesi gerekir. Bazı durumlar ise, hastalık sonucu stoma açılmasını gerektirebilir. Olgumuz, HSP tanısı ile servise kabul edildikten kısa bir zaman sonra ani olarak stoma ile tanısan adölesan bir bireydi. Hasta/ailesinde, hastalıkla akut bir biçimde karsılasmak ve hastalık sonucu stoma ile tanısmak fiziksel, psikolojik ve sosyal travmalara neden oldu. Bu çalısmada; adölesan dönemde Henoch Schönlein Purpurası sonrası acil ileostomi açılmıs olan hasta/ailesine yas dönemleri göz önüne alınarak sunulan hemsirelik bakımının önemi vurgulanmaya çalısılmıstır.Henoch Schönlein Purpura (HSP) is a leukocytoclastic or hypersensitivity vasculitis which affects skin, kidneys, joints and the gastrointestinal system and is formed via immune complexes. It is mainly a disease of chidhood. The prognosis is generally good, but patients with severe gastrointestinal and renal manifestations must be treated and monitored carefully. Some cases may require stomatal opening as a consequence of disease. The case was an adolescent individual who has suddenly met with stomata shortly after having been accepted into a service with HSP diagnosis. Facing the illness in a form of acute and meeting stoma as a result of disease can cause physical, psychological and social trauma on dhe patient/his family. In this study, the significance of nursing care which is offered to the patient/his family that has emergent ileostomy, taking into account their ages, in the period of adolescent after Henoch Schönlein Purpura has been tried to emphasize

Self Examination of Testes for Protection of Fertility: Case Report

The testicular pathologies are detected commonly during childhood. These can be either congenital or acquired. One of them is varicocele. If varicocele is diagnosed earlier, the risk of infertility should be decreased. Herein, a ten year old boy who was diagnosed to have varicocele after his admittance to hospital due to his feeling of hardness in the testicle. The aim of the article is to create an awareness of childhood testicular pathologies in parents and also to state the importance of self testicular examination.

Self Examination of Testes for Protection of Fertility: Case Report

Çocukluk çağında testis sorunları ile yaygın olarak karşılaşılmaktadır. Bu sorunlar doğumsal olabileceği gibi sonradan da oluşabilmektedir. Bu sorunlardan birisi de varikoseldir. Varikosel erken dönemde tanılanabilirse, infertilite açısından riskler azaltılmış olacaktır. Bu yazıda testisinde kendi fark ettiği sertlik nedeniyle hastaneye getirilen, varikosel tanısı alan on yaşında bir erkek çocuk sunulmuş; ebeveynlerde çocukluk çağında testiste oluşabilecek değişimler ve kendi kendine testis muayenesinin önemi konusunda farkındalık oluşturulması amaçlanmıştır.The testicular pathologies are detected commonly during childhood. These can be either congenital or acquired. One of them is varicocele. If varicocele is diagnosed earlier, the risk of infertility should be decreased. Herein, a ten year old boy who was diagnosed to have varicocele after his admittance to hospital due to his feeling of hardness in the testicle. The aim of the article is to create an awareness of childhood testicular pathologies in parents and also to state the importance of self testicular examination

Powdery Mildew Detection in Hazelnut with Deep Learning

Hazelnut cultivation is widely practiced in our country. One of the major problems in hazelnut cultivation is powdery mildew disease on hazelnut tree leaves. In this study, the early detection of powdery mildew disease with the YOLO model based on machine learning was tested on a unique data set. Object detection on the image, which is widely applied in the detection of plant diseases, has been applied for the detection of powdery mildew diseases. According to the results obtained, it has been seen that powdery mildew disease can be detected on the image. In the network trained with the Yolov5 model, diseased areas were detected with 95% accuracy in leaf images containing many diseases. Detection of healthy leaves, on the other hand, was tried on images with complex backgrounds and could detect more than one leaf on an image with 85% accuracy. The Yolov5 model, which has been used in many studies for disease detection on plant leaves, also gave effective results for the detection of powdery mildew disease on hazelnut leaves. Early detection of powdery mildew with a method based on machine learning; will stop the possible spread of disease; It will increase the efficiency of hazelnut production by preventing the damage of hazelnut producers