Managing well-being in paediatric critical care: a multiperspective qualitative study of nurses’ and allied health professionals’ experiences

Objectives It is well evidenced that healthcare professionals working in paediatric critical care experience high levels of burn-out, compassion fatigue and moral distress. This worsened during the COVID-19 pandemic. This work examines the nature of challenges to workplace well-being and explores what well-being means to staff. This evidence will inform the development of staff interventions to improve and maintain staff well-being. Design Qualitative study. Setting Paediatric critical care units in the UK. Participants 30 nurses and allied health professionals took part in online interviews and were asked about well-being and challenges to well-being. Lived experiences of well-being were analysed using interpretative phenomenological analysis. Results Themes generated were as follows: perception of self and identity; relationships and team morale; importance of control and balance and consequences of COVID-19. They focused on the impact of poor well-being on participants' sense of self; the significance of how or whether they feel able to relate well with their team and senior colleagues; the challenges associated with switching off, feeling unable to separate work from home life and the idealised goal of being able to do just that; and lessons learnt from working through the pandemic, in particular associated with redeployment to adult intensive care. Conclusions Our findings align closely with the self-determination theory which stipulates autonomy, belonging and competence are required for well-being. Participants' accounts supported existing literature demonstrating the importance of empowering individuals to become self-aware, to be skilled in self-reflection and to be proactive in managing one's own well-being. Change at the individual and staff group level may be possible with relatively low-intensity intervention, but significant change requires systemic shifts towards the genuine prioritisation of staff well-being as a prerequisite for high-quality patient care

Investigating The Knowledge and Awareness Of Pre-School Teachers About Emotional Neglect and Abuse

Çocuğa çevresindeki yetişkinler tarafından psikolojik olarak kötü muameleyi içeren duygusal istismar, özellikle erken dönemde görüldüğünde çocukların yaşamında onarılmaz sonuçlara yol açabilmektedir. Araştırmanın temel amacı Hatay ilinde görev yapmakta olan okul öncesi öğretmenlerinin çocukların duygusal ihmal ve istismarı konusundaki bilgi ve farkındalıklarını incelemektir. Araştırma nicel olup tarama modeli kullanılmıştır. Araştırmada verilerin toplanmasında okul öncesi öğretmenlerinin istismara yönelik anılarının ve kişisel bilgilerinin belirlendiği Kişisel bilgi formu ile Kanak (2015)' ın geliştirdiği geçerlik ve güvenirliğini yaptığı Duygusal İhmal ve İstismara Yönelik Bilgi ve Farkındalık Ölçme Aracı (DİBFA) kullanılmıştır. Ölme aracı 38 madde ile reddetme ve görmezden gelme, aşağılama çocuğu şiddete tanık etme, yalnız bırakma ve tehdit etme, karşılaştırma ve ayrımcılık yapma olmak üzere dört alt boyuttan oluşmuştur. Araştırmanın örneklemini Hatay ilinde bulunan Antakya, Altınözü, Arsuz, Defne, Dörtyol, Hassa, İskenderun, Kırıkhan, Reyhanlı ve Samandağ ilçelerinden çalışmaya dahil edilen 323 okul öncesi öğretmeni oluşturmuştur. İlçelerdeki öğretmen sayıları ağırlıklı örnekleme yöntemi ile belirlenmiştir. Verilerin analizinde kullanım ve dağılım durumuna göre parametrik ya da parametrik olmayan analiz yaklaşımları kullanılmıştır. Araştırma bulgularına göre çalışmaya katılan okul öncesi öğretmenlerinin duygusal istismar ve ihmale ilişkin farkındalıkları yüksek bulunmuştur. Okul öncesi öğretmenlerinin yaş, kıdem ve görev yaptıkları ilçe değişkenlerine göre duygusal ihmal ve istismar farkındalığı açısından farkın olduğu görülmüştür. Ölçeğin karşılaştırma ve ayrım yapma boyutunda çocuk sahibi olanların duygusal istismar ve ihmale yönelik farkındalıkları yüksek bulunmuştur. Okul öncesi öğretmenlerinin öğrenim durumu, medeni durumu, daha önce konu ile ilgili eğitim alma durumu ve geçmiş öyküsü olma durumuna göre duygusal istismar ve ihmal farkındalığı açısından önemli bir farkın olmadığı görülmüştür.Emotional abuse involving psychological treatment by the adults around each child can lead to irreparable consequences in children's life, especially when seen early on. The main aim of the research is to examine the knowledge and awareness of the pre-school teachers who are working in Hatay province on emotional neglect and abuse of children. The research was quantitative and the screening model was used. The Information and Awareness Measures of Emotional Neglect and Abuse (DIBFA) made by the Kanak (2015) reliability and validity of the pre-school teachers' exploitation memories and The Personal information form in which the personal information determined were used in the collection of the data in the research. Measuring tool with the 38 items consists of these four sub-sections; rejection and ignoring, humiliating and children witnessing violence, leaving alone and threatening, made comparison and discrimination. 323 pre-school teachers were included in the study of the research sample from Antakya, Altınözü, Arsuz, Defne, Dörtyol, Hassa, İskenderun, Kırıkhan, Reyhanlı and Samandağ districts in Hatay province. The number of teachers in the districts was determined by the weighted sampling method. Parametric or nonparametric analysis approaches were used according to the use and distribution status in the analysis of data. According to research findings, awareness of emotional abuse and neglect of pre-school teachers participating in the study was high. It was seen the differences among pre-school teachers were aware of emotional neglect and abuse awareness according to their age, the districts they worked in and their experienced years. The level of awareness of emotional abuse and neglect has been found to be high for those who have children in terms of comparing and distinguishing scale. It was found that there was no significant difference in terms of emotional abuse and neglect awareness according to the pre-school teachers' education status, marital status, previous education situation and past story

Experiences of nurses diagnosed with COVID-19 and recovered: A qualitative research

Aim: This study aimed to explain the feelings and experiences of nurses who survived COVID-19 in their care and recovery processes, based on Watson's theory of human caring. Background: The COVID-19 pandemic was an extraordinary time when nurses both took care of their patients and dealt with their illness by catching the disease themselves. In this process, nurses who contracted the disease experienced the fear of transmitting the disease to their relatives. Method: A qualitative descriptive research design was used in this study. The sample consists of 15 nurses selected by the convenience sampling method and diagnosed with COVID-19 and recovered. The data were collected in face-to-face interviews using the individual in-depth interview method through a semi-structured interview form. A thematic analysis was performed on the data according to the 10 carative factors of Watson's theory of human caring. Results: It was determined that the spiritual and professional difficulties experienced by nurses who recovered from COVID-19 during the disease and symptom management process were the fear of death, infecting their family members and losing them, and the importance of life. Conclusion: It is considered that care practices based on Watson's theory of human caring will be beneficial in the management of these processes. Implications for Nursing Management Nurses diagnosed with COVID-19 should be supported by the nursing management during their illness so that their negative experiences will not be repeated. Watson's theory of human caring can help eliminate this sense of fear and loss

Ultrasonik Ve Sonik Aktivasyonun Self-Adeziv Rezin Simanin İtme Bağlanma Dayanımına Etkisi

Aim: This study aims to evaluate the bond strength of SARC to the root canal dentin through the use of ultrasonic and sonic activation. Material and Methods: Thirty-six mandibular premolar teeth were used. After preparation-irrigationobturation procedures post space preparation was completed with the drill incident to post system used. Specimens were divided randomly into three groups according to resin cement activation (n=12): No activation (Control), Ultrasonic activation (UA), Sonic activation (SA). Fiber posts were seated and resin cement polymerized. Six slices, 1-mm thick, were obtained from each specimen. A push-out test was performed to slices two, four, and six. Data were analyzed statistically with Kruskal-Wallis and MannWhitney U tests. Results: A significant difference was found between activation methods (p0.05). Conclusion: Both ultrasonic and sonic activation of SARC could have negative effects on the bond strength.Amaç: Bu çalı?manın amacı ultrasonik ve sonik aktivasyon kullanımının self adeziv rezin simanın kök kanal dentinine olan bağlanma dayanımına etkisinin değerlendirilmesidir. Gereç ve Yöntemler: Bu çalı?ma için 36 adet mandibular küçük azı di?i kullanıldı. Kök kanallarının ?ekillendirilmesi, irrigasyonu ve doldurulmasının ardından post bo?luğu preparasyonu yapıldı. Örnekler rezin siman aktivasyon yöntemine göre 3 gruba ayrıldı (n:12): Aktivasyon yok(Kontrol), Ultrasonik aktivasyon (UA), Sonik aktivasyon (SA). Ardından fiber postlar yerle?tirildi ve rezin siman polimerize edildi. Her bir örnekten yakla?ık 1 mm kalınlığında 6 yatay kesit alındı. Koronalden 2, 4 ve 6. kesitlere itme testi uygulandı. Veriler Kruskal-Wallis ve Mann-Whitney U testleri ile istatistiksel olarak analiz edildi. Bulgular: Aktivasyon metotları arasında istatistiksel olarak fark bulundu (p0.05) Sonuç: Ultrasonik ve sonik aktivasyon yöntemlerinin self-adeziv rezin simanın bağlanma dayanımı üzerine olumsuz etkileri olabilir

LC-MS/MS analyses of Ziziphora clinopodioides Lam. from Turkey: Antioxidant, anticholinesterase, antimicrobial and, anticancer activities

Background and Aims: Ziziphora clinopodioides is one of the wild edible species used in Turkish folk medicine. The study was aimed to investigate the phenolic compounds of the extracts as well as the antioxidant, enzyme inhibitory, antimicrobial activities, and anticancer potential

The Use of Digital Storytelling in Nursing Education, Case of Turkey: Web 2.0 Practice

WOS: 000414587900036The aim of the study was to evaluate the effects of nurse candidates' digital storytelling boards and hand-drawn storytelling boards (the current method) on processes of empathising with patients and analysing the case. The study designed in mixed research model was conducted with the 1st year nursing students in Turkey. While the experimental group used web 2.0 tools to prepare their storytelling boards, the control group used paper and pencil to prepare their storytelling boards. Storytelling boards designed by the students were analysed under the titles of empathising with patients and analysing cases and opinions of the nurse candidates about the process were assessed. The experimental group analysed cases more easily and tried to see the incidences from the others' eyes more compared to the control group. Besides, this process was an interesting and enjoyable one. Digital storytelling would be an alternative and effective teaching method for nursing education