Spiritual Care Support Perception and Spiritual Care Competence of Nursing Students in Turkey: A Quasi-Experimental Study.

This study aimed to assess the spiritual care support perception and spiritual care competence of nursing students, and the effect of a spiritual care course on their perceptions and competence in this regard. The study was conducted within the Faculty of Health Sciences, Department of Nursing located in the south of Turkey. Data were collected through the Descriptive Characteristics Form, Spiritual Support Perception Scale, and Spiritual Care Competence Scale. The results of this study show that; there was a significant difference between the total spiritual care competence scale score averages of the control group students and the experimental group students. There was a significant difference between the total spiritual support perception scale score averages of the control group students and the experimental group students. Based on this study, it is recommended to further extend this study by adding spiritual care course content to the curriculum for junior and senior students to reveal the differences between the years, and to evaluate the knowledge of the students.

Nurses' Perceptions of Patient Safety on Patient Safety Climate.

PURPOSE: The purpose of this study was to determine the relationship between nurses' perception of patient safety and the safety climate. DESIGN: Descriptive study. METHODS: The sample consisted of 262 surgical nurses. Data were collected with an online questionnaire system using the Leiden Operating Theatre and Intensive Care Safety (LOTICS) Scale and Patient Safety Climate (PSC) Scale. FINDINGS: Intensive care unit (ICU) nurses were found to have higher perceptions of patient safety (106.0 ± 15.2 vs 102.6 ± 17.0) and safety climate (59.2 ± 20.9 vs 50.9 ± 24.3) than Operating Room (OR) nurses. According to ICU nurses, OR nurses stated that teamwork was weak, they did not feel like a part of the team, and teamwork was incompatible. They stated that there was no preliminary information about the operation, that they could not get enough information during the operation, that sufficient materials were not available in the OR in case of need, and that the worn-out materials were not replaced and repaired in a timely manner. CONCLUSIONS: As nurses' perception of patient safety increases; patient safety climate perceptions also increased. Providing both professional and in-service trainings to raise awareness of patient safety, developing strategies that prevent team conflicts, providing preliminary information about the surgery, and eliminating material deficiencies can increase nurses' perception of PSC.

Effect of Acupressure on the Blood Pressure, Heart Rate, and Pain Severity of Patients who Underwent Coronary Angiography: A Randomized Controlled Trial.

Background: Patients experience a fear of death and consequent anxiety before coronary angiography (CA). High levels of stress cause cardiac irritability and increased blood pressure. Acupressure is a non-pharmacological nursing intervention that can relieve and reduce pain and regulate anxiety-related blood pressure levels. Objective: This study aimed to evaluate the effect of acupressure applied before the CA procedure on systolic and diastolic blood pressure, mean arterial pressure, pulse, and pain intensity parameters after the CA. Design: The study was a randomized controlled trial. Setting: The study took place at the Cardiology Service (CS) of a Training and Research Hospital in Turkey. Participants: One hundred patients who met the research criteria were divided equally into two groups-50 patients in the intervention group (IG) and the rest in the control group (CG)-using a simple randomization method. Intervention group (IG): The IG received acupressure and the CG did not. Acupressure was applied to patients in the IG 30-60 minutes before the CA. In the study, pressure was applied to the Li4, HT7, and Extra 1 acupressure points. Outcome measure: Pain intensity, systolic and diastolic blood pressure, and the pulse of the patients were measured three times-once before the CA intervention and twice after. The study data were collected using a patient information form, a visual analog scale (VAS), an electronic blood pressure measurement device, and a pulse oximeter. Results: It was found that group and group-time interactions were not significant in the IG and CG for systolic and diastolic blood pressure, mean arterial pressure, and pulse (P > .05). It was observed that the mean VAS of the IG was statistically significantly lower than that of the CG (P = .000). Conclusion: It was concluded that acupressure has no effect in the management of hemodynamic changes after a CA, but it is effective in pain management. We suggest that the use of acupressure be expanded by creating awareness about its benefits among CA patients and nurses working in CS. Clinical Trial Registration Number: NCT05235841.

The Effect of Acupressure on Anxiety and Pain Among Patients Undergoing Coronary Angiography: A Randomized Controlled Trial.

The aim of this study was to evaluate the effect of acupressure on anxiety and pain of patients undergoing coronary angiography procedures. This study was conducted in a cardiology clinic of the training and research hospital in of a province of southeast Turkey. A randomized control group design was used. Eighty patients who were undergoing coronary angiography were randomly enrolled in intervention and control groups. The intervention protocol included 11 minutes of acupressure that applied to Hegu, Shenmen, and Yintang acupoints. No intervention was applied to the control group. Spielberger's state-trait anxiety inventory and the visual analog scale were used as data-collecting tools. Data were analyzed using t test in independent groups and χ2 test. The mean score of state anxiety of the intervention group was 41.50 ± 3.88, and was statistically significantly lower than the score of the control group after acupressure (P = .000). VASP2 and VASP3 pain intensity of the intervention group was statistically significantly lower than that of the control group after the coronary angiography procedure (P = .000). Acupressure is an effective technique for reducing the pain severity and anxiety among patients undergoing coronary angiography.

Covid-19 Literacy Scale: Turkish Validity and Reliability Study.

The current study was planned to test the validity and reliability of the Turkish version of the COVID-19 Literacy Scale. The sample of the study was taken from 473 individuals. In this study, language validity, content validity and construct validity were examined to determine the validity of the scale. Its reliability was evaluated by internal consistency, split-half reliability, and test-retest reliability method. It was defined that the scale has a two-factor structure as a result of EFA and its factor loadings are in the appropriate range (0.852-0.324). According to the CFA result, it was determined that the model-data fit was at a good level. The Cronbach values for the whole scale and subscales were .92, .90, and .87, respectively. It was observed that the test-retest value was .95. It was concluded that the Turkish form of the COVID-19 Literacy Scale is a reliable and valid tool.

Relationships Among Self-Care Agency, Health Perceptions, and Activities of Daily Living in Patients After Tracheostomy: A Cross-sectional Multisite Study.

BACKGROUND: Patients who have undergone tracheostomy may feel weak, perceive a change in their health status, and have difficulty performing activities of daily living (ADL) following hospital discharge. PURPOSE: To investigate the relationships among self-care agency, health perception, and ADL in patients after tracheostomy. METHODS: A cross-sectional multisite descriptive study was conducted between December 31, 2019, and March 31, 2020. The sample consisted of 123 patients discharged from 3 hospitals in different regions of Turkey who agreed to participate in the study, were discharged with a tracheostomy, and received home care for at least 1 month (maximum 3 months) after discharge. The Sociodemographic Characteristics Form, the Self-Care Agency Scale (SCAS), Perception of Health Scale (PHS), and Activities of Daily Living (ADL) Scale were used and completed during face-to-face interviews. Descriptive statistics, independent sample t-test, analysis of variance, and Pearson correlation analysis were used to analyze data; P < .05 was accepted as the level of significance. RESULTS: Sixty-three (63) of 123 patients (51.2%) were 65 years and older, 86 (69.9%) were male, and 62 (50%) did not receive regular outpatient care. Most underwent surgery < 45 days ago (69; 56%), had cancer (92; 75%), and spent between zero and 185 US dollars per month on tracheostomy care (94; 76%). Compared with patients who received regular outpatient care, SCAS, PHS, and ADL scores were significantly lower (P < 0.05) in patients who did not receive this care. Overall scores showed moderate self-care agency and health perception, and the average ADL scores (14.92 ± 3.05) were in the independent range. Statistically significant positive correlations were found between health perception and self-care agency (r = 0.628; P = .001), health perception and ADL (r = 0.238; P = .008), and self-care agency and ADL (r = 0.461; P = .001). CONCLUSION: Patients who underwent tracheostomy had moderate SCAS and PHS scores, were able to perform ADL independently, and the scores were correlated. Patients with access to outpatient care had significantly higher SCAS, PHS, and ADL scores than patients who did not. Follow-up care may affect all dimensions of health and well-being.

Relationships Among Body Perception, Life Satisfaction, and Attitude Toward Seeking Psychological Help in Patients With a Tracheostomy After Discharge: A Descriptive and Cross-sectional Study.

A patient with a tracheostomy may have impaired body perception, reduced life satisfaction, and a need for psychological help after discharge. PURPOSE: This study aimed to investigate the relationships among body perception, life satisfaction, and attitude toward seeking psychological help in patients with a tracheostomy after discharge. METHODS: The data were collected between November 2019 and January 2020. The sample consisted of 60 patients with a tracheostomy who agreed to participate in the study voluntarily, were discharged with a tracheostomy, and continued home care for at least 1 month (maximum 3 months) after discharge. Thirty-three (33) of these patients (55%) were older than 65 years of age, and 45 patients (75%) were female. The Sociodemographic Characteristics Form, the Body Cathexis Scale, the Satisfaction With Life Scale, and the Attitude Scale toward Seeking Psychological Help were used in data collection. Data were collected via face-to-face interviews between patients and researchers using paper-and-pencil questionnaires and were analyzed. Descriptive statistics, independent samples t-test, analysis of variance, and Pearson correlation analysis were used to analyze the data; P < .05 was accepted as the level of significance. RESULTS: The mean Body Cathexis Scale score of all 60 patients was 127.03 ± 29.02 (minimum 40; maximum 200), their mean score on the the Satisfaction With Life scale was 16.20 ± 6.55 (minimum 5; maximum 35), and the mean score on the Attitude Scale toward Seeking Psychological Help was 55.21 ± 12.19 (minimum 18; maximum 90). Statistically significant correlations were found between body perceptions and life satisfaction (r = 0.419, P <.001), body perceptions and attitude toward seeking psychological help (r = 0.530, P < .001), and life satisfaction and attitude toward seeking psychological help (r = 0.448, P < .001). CONCLUSION: In this study, patients with a tracheostomy who had a good body perception and higher life satisfaction had a more positive attitude toward seeking psychological help. Additional studies are needed to confirm these results and explore the effects of correlations to improve the well-being of persons with a tracheostomy.

Caring for Patients With a Tracheostomy at Home: A Descriptive, Cross-sectional Study to Evaluate Health Care Practices and Caregiver Burden.

In numerous countries, lay (family) caregivers are the primary providers of care for community-dwelling patients with a tracheostomy. PURPOSE: The purpose of this descriptive study was to determine health care practices and the burden on family caregivers for patients with a tracheostomy living at home. METHODS: The research population included 50 caregivers (average age 55.60 ± 1.39 years; 25 [50%] female) who provided care to 50 patients (average age 63.50 ± 1.72 years; 35 [70%] male) who were discharged from the otorhinolaryngology clinic of an education and research hospital in Turkey. Patient and caregiver characteristic data and tracheostomy care practices were collected via face-to-face interviews between caregivers and researchers using paper-and-pencil questionnaires. The 18-item Zarit Caregiver Burden Interview also was completed; responses to statements are rated on a scale of 0-4, where 0 = never, 1 = rarely, 2 = sometimes, 3 = often, and 4 = almost always. Total scale scores range from 0 to 88; higher scores indicate greater burden. Data were transferred into a statistical analysis program. RESULTS: The mean score for the Zarit Caregiver Burden Scale was 42.44 ± 1.93, inferring caregivers were moderately burdened. Caregiver burden scores were significantly higher among female caregivers, caregivers without health insurance, caregivers requiring help, caregivers with chronic illness, more daily care time (hours), and duration of total care (months). Patient burden scores were significantly higher among persons requiring provision of daily nebulization and oxygen therapy, external cannula cleaning, and daily patient care. CONCLUSION: This study illuminates the burdens faced by lay/family caregivers of patients with a tracheostomy and identifies for community health clinicians the challenges, care requirements at home, and burden of family caregivers that must be addressed.

Tracheostomy care education and its effect on knowledge and burden of caregivers of elderly patients: a quasi-experimental study.

INTRODUCTION: Tracheostomy is defined as the surgical procedure for creating an opening at the 3rd or 4th cartilage ring in the anterior wall of the trachea to provide airway patency. It was known that tracheostomy is regarded as the oldest known life-saving method. Tracheostomy care involves a complex care process that requires knowledge and skills for elderly patients and their caregivers. This study was conducted to investigate the effect of tracheostomy training, provided to caregivers of patients with tracheostomy, on caregivers' burden and knowledge levels regarding the tracheostomy care. METHODS: The study population consists of caregivers who provide home care for patients with tracheostomy who were divided into two groups as the control group (n = 30) and the experimental group (n = 30) with the separation of the patients admitted to the outpatient clinic. RESULTS: In the intergroup comparison of experimental and control group post-test score averages, the difference between the Zarit Caregiver Burden Scale score averages and the mean knowledge scores was found to be statistically significant (p < 0.05). CONCLUSION: In line with these results, it may be advisable to perform repeated tests at regular intervals after the provision of education to the caregivers.

The process of nurse adaptation to robotic surgery: A qualitative study.

BACKGROUND: This study aimed to reveal the experiences of nurses in robotic surgery and their adaptation to this method. METHODS: This research was planned within the framework of qualitative research methods. The study population consisted of robotic surgery nurses in Turkey. Focus group interviews were conducted after the flow process was developed, and the interviews were supported using a semistructured interview form. Two focus interviews were conducted with 15 participants. RESULTS: As a result of the content analysis, 11 themes were created in four categories. The categories of the study were designed as follows: (1) Training in Robotic Surgery Nursing, (2) Adaptation to Technology in Robotic Surgery Nursing, (3) Changing Roles and Adaptation Process in Robotic Surgery Nursing, and (4) Future of Robotic Surgery. CONCLUSIONS: The lack of clarity regarding the roles and responsibilities of robotic surgery nurses and the lack of arrangements for working conditions are thought to cause professional dissatisfaction and disengagement from work.

The care of a patient with Fournier's gangrene.

Fournier's gangrene is a rare, necrotizing fasciitis of the genitals and perineum caused by a mixture of aerobic and anaerobic microorganisms. This infection leads to complications including multiple organ failure and death. Due to the aggressive nature of this condition, early diagnosis is crucial. Treatment involves extensive soft tissue debridement and broad-spectrum antibiotics. Despite appropriate therapy, mortality is high. This case report aimed to present nursing approaches towards an elderly male patient referred to the urology service with a diagnosis of Fournier's gangrene.