Validity and reliability of the neonatal palliative care attitude scale in Turkey

AIM: This study aimed to establish the validity and reliability of the Neonatal Palliative Care Attitude Scale in Turkey. METHOD: This methodological study was conducted between December, 2014, and July, 2017, in the neonatal intensive care unit of 4 hospitals (2 public, 1 university, and 1 private hospital) in the center of a city in eastern Turkey. The study population consisted of all the nurses of the hospitals. No sampling was performed, and the sample consisted of 145 nurses who agreed to participate in the study. The 26-item Neonatal Palliative Care Attitude Scale developed by Kain et al. (2009) was translated into Turkish and then back-translated into English for to determine the validity for Turkey. Experts were consulted to determine the validity of the content. Cronbach's alpha coefficient, test-retest reliability, and item-total correlation were used for reliability. Exploratory and confirmatory factor analyses were used for validity. RESULTS: Content validity index ranged from .8 to 1.0. The Kaiser-Meyer-Olkin measure of sampling adequacy was .934, for which the Bartlett's test of sphericity was chi(2) = 415.127, p = .000. According to the principal component analysis, the Neonatal Palliative Care Attitude Scale in Turkey. had 3 subscales as did the original Neonatal Palliative Care Attitude Scale. The items had factor loadings greater than .40, and the factors accounted for 55.51% of the total variance. The subscales "organization," "resources," and "clinician" had a Cronbach's alpha of .692, .710, and .680, respectively. CONCLUSION: The Neonatal Palliative Care Attitude Scale in Turkey. has a structure similar to that of the original Neonatal Palliative Care Attitude Scale and has high validity and reliability. It is, therefore, a valid and reliable instrument that can be used to identify nurses' attitudes toward neonatal palliative care.AMAÇ: Bu çalışma, Yenidoğan Palyatif Bakım Tutum Ölçeğinin Türkçe geçerliliğini ve güvenirliğini test etmek amacıyla yapıldı. YÖNTEM: Metodolojik olarak yürütülen bu çalışma, Aralık 2014- Temmuz 2017 tarihleri arasında Türkiye’nin doğusunda bulunan bir il merkezinde 4 hastanenin (iki devlet, bir üniversite ve bir özel hastane) yenidoğan yoğun bakım ünitesinde yapıldı. Evreni belirtilen ünitelerde çalışan hemşireler oluşturdu. Örneklem seçimi yapılmadı ve evrenin tamamı ile çalışıldı (n = 145). Çalışmada Kain ve ark. (2009) tarafından geliştirilen 26 tutum sorusundan oluşan Yenidoğan Palyatif Bakım Tutum Ölçeğinin öncelikle Türkçeye çevirisi ve geri çevirisi yapıldı, daha sonra dil geçerliğini sağlamak amacıyla uzman görüşleri alındı ve kapsam geçerliliği sağlandı. Güvenirlik için Cronbach Alfa katsayısı, test-tekrar test güvenirliği, madde toplam korelasyonu; geçerlilik için açıklayıcı ve doğrulayıcı faktör analizleri yapıldı. BULGULAR: Ölçek maddelerine ait kapsam geçerlilik indeksinin ,8-1,0 arasında, Kaiser-Meyer-Olkin değerinin ,758, Barlett’s testi değerinin χ2 = 415,127, p = ,000 olduğu belirlendi. Temel bileşenler analizine göre ölçeğin özgün formuna uygun şekilde üç boyutlu olduğu belirlendi. Ölçek maddelerinin faktör yükü değerlerinin ,40’ın üzerinde ve açıklanan varyansın %55,51 olduğu bulundu. Ölçeğin alt boyutlarının Cronbach alfa katsayısı; alt boyutlara göre organizasyon için ,692, kaynaklar için ,710 ve klinik için ,680 olarak belirlendi. SONUÇ: Yenidoğan Palyatif Bakım Tutum Ölçeğinin özgün ölçekle benzer bir yapıya sahip olduğu, geçerlilik-güvenirliğinin yüksek olduğu bulundu. Ölçeğin hemşirelerin yenidoğanda palyatif bakıma yönelik tutumlarını belirlemek için yeterli bir ölçüm aracı olduğu belirlendi

Determination of Effective Speech Skills of Pediatric Nurses and Affecting Factors

Aim: This descriptive and cross-sectional research aims to determine effective speech skills of pediatric nurses and their affecting factors. Materials and Methods: The study population consisted of 124 nurses working in pediatric clinics of one university hospital, two state hospitals and two private hospitals located in the Province of Erzurum, Turkey. The research data were obtained using a “Demographic Information Form” and an “Effective Speech scale (ESS)”. In the analysis of the data, percentile distributions, averages, t-test, One-Way variance analysis, Kruskal-Wallis variance analysis and Cronbach’s alpha coefficient were used. Ethical principles were adhered to when conducting the study. Results: In the study, it was found that the vast majority of nurses did not receive training to improve effective speaking skills (76.6%). It was determined that the mean ESS score was 98.40±11.08, and that the average score of the nurses who received training on effective speech skills was higher (p<0.05). Conclusion: In the study, it was determined that the nurses had moderately effective speech skills, and the average ESS score of the nurses who received training on effective speech skills was found to be higher. According to the results of the study, nurses should be supported both in their formal education and working life with activities such as domestic or foreign courses, symposiums, seminars, congresses, etc. in order to improve their effective speech skills professionally

The effect of the facilitated tucking position in reducing vaccination-induced pain in newborns

Background: This study was conducted to evaluate the pain perceptions of newborns during the hepatitis B (HBV) vaccinations performed in the facilitated tucking position and the classical holding position, respectively

Evaluation of the Knowledge of Triage among Nurses Working in Emergency Departments

Introduction: This study was conducted to measure the level of knowledge of triage among nurses working in pediatric emergency and general emergency departments. Methods: This descriptive study was conducted between June and September 2014 with 154 nurses from five pediatric emergency and general emergency clinics of five hospitals located in the provinces of Erzurum and Ağrı, Turkey. In contrast to the study sample, this study was conducted within the universe. One hundred seventy seven nurses actively working at the clinics were contacted, however, 23 nurses did not agree to participate in the study, thus, the study was performed with 154 nurses. The study data were collected using a questionnaire created by the researchers through face-to-face interviews with nurses. In the evaluation of the data, percentage calculations, average and chi-square test were used. Official permission of the studied institution, approval of the ethics committee, and verbal consent of the participants were obtained in order to conduct the study. Results: In the study, the vast majority of nurses stated that they did not receive triage education during (51.3%) and after (72.1%) their college education. A statistically significant difference was found between the education level of the nurses and their triage practices (p<0.05). It was found that 72.7% of the nurses did not consider themselves qualified to perform triage, and 68.2% believed that triage was among the duties of emergency care nurses. It was also determined that the physical environment of the emergency department, the ability of personnel to triage and the absence of specialist physicians and nurses were factors affecting triage practice (p<0.05). Conclusion: It was determined that the majority of nurses working in emergency departments did not receive triage education, did not consider themselves competent on triage and that triage practice should be supported through in-service training