Postoperative Nausea and Vomiting After Orthopaedic Surgery: Prevalence and Associated Factors.

Postoperative nausea and vomiting (PONV) is a common complication after surgery and can lead to additional complications and delayed discharge. This descriptive, cross-sectional study assessed the prevalence of PONV and its associated factors in patients undergoing orthopaedic surgery. The study was conducted between November 2020 and July 2021 with 149 patients in a public hospital in the Central Anatolia region of Turkey. In the first 48 hours after surgery, 40.9% of the patients had nausea and 17.4% had vomiting. Gender, age, medical diagnosis, surgical procedure, operative time, postoperative opioid use, and anxiety were identified as significant risk factors for PONV after orthopaedic surgery (p < .05). These factors should be considered during postoperative follow-up, and patients who are older, female, and have prolonged operative time or anxiety should be monitored more closely for PONV.

Examining the relationship between elderly patients' fear of falling after spinal surgery and pain, kinesiophobia, anxiety, depression and the associated factors.

This study aimed to examine the relationship between fear of falling in elderly patients who underwent spinal surgery and pain, kinesiophobia, anxiety, depression, and associated factors. The study was a descriptive, cross-sectional design. The research sample consisted of 211 elderly patients who had undergone spinal surgery. The average age of the patients was 66.68 ± 5.57. Of the sample, 83.4% were afraid of falling, and 21.3% were severely afraid of falling. In the study, age (ß = 0.115, p = 0.005), being a woman (ß = -0.182, p < 0.001), pain (ß = 0.269, p < 0.001), risk of falling (ß = 0.084, p = 0.49), Hospital Anxiety and Depression Scale-Anxiety (HADS-A) (ß = 0.135, p = 0.044), Hospital Anxiety and Depression Scale Anxiety-Depression (HADS-D) (ß = 0.382, p < 0.001), and kinesiophobia (ß = 0.722, p < 0.001) were statistically significant predictors of fear of falling. This study provided important information about the variables that surgical nurses should pay attention to while evaluating the fear of falling in elderly patients who underwent spinal surgery.

Empathic approach to reducing the negative attitudes of nursing undergraduate students towards cancer.

BACKGROUND: In cases where even professional nurses have difficulty in giving care to cancer patients, student nurses may not be able to provide adequate care and sometimes develop a negative behavior or attitude towards this patient group. OBJECTIVES: The purpose of the study was to examine the relationship between the attitudes of nursing undergraduate students towards cancer and the empathic approach. DESIGN: The study was carried out using the cross-sectional research design. SETTINGS: A university located in the southeast of Turkey between November-December 2020. PARTICIPANTS: Nursing students from one Turkey nursing school. METHODS: The research data were collected using the Personal Information Form, Questionnaire for Measuring Attitudes towards Cancer (Cancer Stigma) (QMAC) - Community Version, and Jefferson's Empathy Scale for Nursing Students (JESNS). RESULTS: 240 students volunteered to participate in the study, and the rate of the students' response to the questionnaires was 52%. Of all the nursing students, 66.2% of them were female; 45.4% had a moderate perception of their economic status; 94.2% had no chronic disease; 90.4% had no family history regarding cancer; 67.9% had never been in an oncology clinic, and 59.2 of them had received training on empathy. When nursing students' attitudes towards cancer were examined, it was seen that empathic approach (ß = -0.291; p < .01) and chronic disease treatment received (ß = 0.174; p = .005) were found to be significant predictors. CONCLUSIONS: The results revealed that the nursing undergraduate students' negative perception of cancer decreased as their empathic skills increased. In addition, the students' receiving treatment for chronic diseases increased their negative perception of cancer. In order to reduce the negative attitudes of nursing students towards cancer, more trainings, lectures and seminars or clinical skills training regarding the development of empathic skills could be included in the undergraduate nursing curriculum.

Examining the Relationship between Older Adults' Readiness for Discharge after Surgery and Satisfaction with Nursing Care and the Associated Factors.

This study aimed to examine the relationship between older adults' readiness for discharge after surgery and satisfaction with nursing care and effects factors, using a descriptive, cross-sectional design that included 204 older adults. Examining the state of readiness for the discharge of older adults who underwent surgery in terms of the expected support sub-dimension of patients revealed that the presence of someone to support home care, the existence of health insurance, living with someone, undergoing emergency surgery, and being illiterate were statistically significant predictors. Thought of improvement in terms of nursing care between prior hospitalization and the latest hospitalization, use of intensive care unit, male, nursing care satisfaction, and the existence of health insurance were statistically significant predictors of the readiness for discharge in older adults after surgery in terms of personal status sub-dimension. Accordingly, an individual approach that takes these characteristics/variables into account is recommended when planning discharge.

Psychological Hardiness and Spirituality in Patients with Primary Brain Tumors: A Comparative Study.

The purpose of this research was to compare healthy individuals with patients having primary brain tumors (PBTs) with respect to their psychological hardiness and spirituality. In this study, a comparative and descriptive research design was employed. The research sample included 122 individuals: 61 patients with PBTs and 61 healthy individuals. When healthy individuals were compared with patients with PBTs, it was found that the patients with PBTs had significantly lower mean scores for spirituality and psychological hardiness. The study revealed that spirituality (ß = .661) and age (ß = - .270) were statistically significant predictors of psychological hardiness (p < .001). These variables explained 53% of the total variance. To decrease the negative effects of PBTs on psychological hardiness, nurses and other health staffs should focus on strategies that strengthen patients' spirituality.

Hope, Sociodemographic and Clinical Characteristics as Predictors of Stigma-Related Negative Discrimination Experiences of Patients With Primary Malignant Brain Tumor.

ABSTRACT: BACKGROUND: A brain tumor can cause specific dysfunctions including psychosocial problems, and neurological, cognitive, mental, personality, behavioral, body image, and self-concept changes. Hope is reported in previous studies as an important and protective factor during the difficult duration of the disease. The purpose of this study is to examine hope and related factors as predictors of the stigma-induced negative discrimination experience of patients with primary malignant brain tumor. METHODS: The relational research method was used. The study was conducted in neurosurgery and oncology clinics and outpatient clinics of a university hospital in Southeastern Turkey between July 2018 and March 2020. The research data were collected using an information form, the Discrimination and Stigma Scale, and the Dispositional Hope Scale. The research sample consisted of 124 patients with primary malignant brain tumor. The data were analyzed by stepwise multiple linear regression analysis. RESULTS: The average age of the patients with primary malignant brain tumor was 46.64 (±12.00) years. Of all the patients, 61.3% were male, and 25% received radiotherapy. When the negative discrimination experience of patients with primary malignant brain tumor was examined, age (ß = -0.244, P = .004), total dispositional hope (ß = -0.225, P = .009), and currently receiving radiotherapy (ß = 0.169, P = .048) were determined to be significant predictors. CONCLUSION: This study demonstrates the importance of hope, age, and treatment type in the negative discrimination experience of patients with primary malignant brain tumor. Initiatives taking hope into account should be planned by nurses and healthcare professionals to reduce patients' experience of negative discrimination.

Postcraniotomy Patients' Readiness for Discharge and Predictors of Their Readiness for Discharge.

BACKGROUND: Postcraniotomy individuals should be monitored because of the direct influence on brain function as well as constraints caused by underlying illness. The relationship between demographic and clinical characteristics of postcraniotomy individuals and their readiness for discharge was examined. METHODS: A descriptive correlational study included 150 individuals. The Readiness for Hospital Discharge Scale and demographic variables were examined using descriptive statistics, correlation, and stepwise multiple linear regression. RESULTS: The mean postcraniotomy score for the subdimension of knowledge related to readiness for discharge was 5.13 ± 3.04, and mean score for the whole scale was 7.76 ± 1.48. The individuals' age, employment status, presence of a person to provide care at home, poor financial status, and first hospitalization during the lifetime of the patient were statistically significant predictors of their readiness for discharge. This model was statistically significant (F = 25.572, P < .001) and accounted for 57% of the variance in discharge readiness. CONCLUSION: Patients had moderate levels of readiness for discharge and low levels of discharge-related knowledge. The findings point to the importance of individual approach to the discharge planning.

Factors playing a role in the development of emotional labor behavior of clinical nurses.

PURPOSE: This study aimed to investigate spirituality, sociodemographic features, and occupational features as predictors of nurses' emotional labor. DESIGN AND METHODS: The study is descriptive cross-sectional and correlational research. FINDINGS: The results demonstrated that there was a statistically significant positive relationship between the nurses' spirituality and the subdimension of intimate behavior (r = .545) (P < .05). Regarding the nurses' in-depth behaviors, the study found that spirituality (ß = .550) and the number of patients that the nurses were responsible for (ß = -.154) were statistically significant predictors (P < .05). The subdimensions of superficial behavior, spirituality (ß = .498), and rechoosing the profession (ß = -.142) were statistically significant predictors as well (P < .05). PRACTICE IMPLICATIONS: For the development of emotional labor in clinical nurses, administrators should be sensitive to nurses' spiritual values.

The effects of clinical education program based on Watson's theory of human caring on coping and anxiety levels of nursing students: A randomized control trial.

PURPOSE: The purpose of this study is to examine the effect of the clinical education program based on Watson's human caring theory on coping and anxiety levels of nursing students. DESIGN AND METHODS: The research sample consisted of the intervention (n = 53) and the control (n = 53) group. FINDINGS: A statistically significant difference was determined in anxiety mean scores (P < .001) and the self-confident approach, the social-support seeking approach, the unconfident approach, and the submissive approach subscales of coping with stress in students of the intervention group compared to the control group (P < .05). PRACTICE IMPLICATIONS: It is recommended that the clinical education program based on Watson's caring theory is used during the clinical education of nursing students.

Is spirituality an important variable as the predictor of emotional labour for nursing students?

In the present study, the purpose was to examine nursing students' spirituality and their sociodemographic and professional characteristics as the predictor of emotional labour. In the study, the descriptive cross-sectional and relational research design was used. The study was carried out with 167 2nd, 3rd and 4th grade students from the School of Health at a state university located in Southeast of Turkey. For the analysis of the data, descriptive statistics, correlations and stepwise multilinear regression analysis were used. The results revealed that spirituality (ß = 0.198), the average academic achievement score ranging between 80 and 100 (ß = 0.152), perception of the school atmosphere to be "poor" (ß = -0.367) and "average" (ß = -0.269, p = .048) and a) increasing one's motivation by doing his or her job (Yes) (ß = 0.154) and c) being in a peaceful environment (Yes) (ß = 0.188) for psychological relaxation were found to be important predictors for the sub-dimension of in-depth behaviours of the nurses (p < .05). For the sub-dimension of superficial behaviour, perception of the school atmosphere to be "poor" (ß = -0.204) was a statistically significant predictor (p < .05). As for the intimate behaviour, spirituality (ß = 0.254), c) being in a peaceful environment (Yes) for psychological relaxation (ß = 0.241) and gender (being female) (ß = 0.230) were statistically significant predictors (p < .05). In order for nursing instructors and nurses to manage the nursing students' emotional labour process well, an appropriate educational and clinic environment should be established. Also, strategies considering nursing students' spiritual values and development should be developed.