The validity and reliability of the Pressure Ulcer Quality of Life instrument: A methodological study.

AIM: This study aimed to adapt the Pressure Ulcer Quality of Life instrument to Turkish and to determine the validity and reliability by using the Rasch model. MATERIALS AND METHODS: This methodological study used forward translation, expert opinion, back translation, pilot testing, and finalization for the language adaptation of the instrument. Prior to back translation, the instrument was assessed by five experts certified in wound care nursing. Then, the comprehensibility of the instrument was tested in the pilot study. The study was conducted between March 2017 and September 2019 at one private, one state, and four university hospitals in Turkey. Eligible participants were patients 18 years of age or older, having pressure injury, and fully conscious. Data were collected from a total of 250 patients by using a demographic and clinical history form, the Pressure Ulcer Quality of Life instrument, and the World Health Organization Quality of Life - Brief Form Turkish scale. The instrument's internal construct validity using the Rasch model, the external construct validity, internal consistency, and test-retest reliability were assessed. RESULTS: The final Turkish version of the Pressure Ulcer Quality of Life self-report instrument differed from the original, comprising 74 items under the following ten subscales: three regarding symptoms, plus one itchiness item; four regarding physical functioning; two regarding psychological well-being, self-consciousness, and appearance; and one regarding social participation. CONCLUSION: The Turkish version of the PU-QOL is a valid, reliable, and widely available instrument for measuring quality of life for patients with pressure injury.

Factors associated with nursing students' self-regulated learning in clinical practicum: A descriptive cross-sectional study.

Self-regulated learning is essential to nursing students' professional development, especially in the management of their learning and adaptation to complex clinical learning environments. This study aimed to explore the self-regulated learning status and associated factors of nursing students in clinical practicum. The study was conducted with 764 second-, third-, and fourth-year nursing students from 135 nursing undergraduate programs in Turkey. Data were collected using a questionnaire that consisted of sociodemographic characteristics, factors affecting learning, and the "Self-Regulated Learning Scale in Clinical Nursing Practice." Descriptive methods, univariate linear regression, and multiple linear regression were used for data analysis. The results of the multiple regression analysis revealed that being female, having a higher academic grade point average, having willingly chosen the nursing profession, feeling comfortable in clinical practicum, having the ability to transfer theoretical knowledge into practice, and making sufficient effort to learn in clinical practicum were factors associated with nursing students' self-regulated learning; these factors explained 45.1% of the variance. The study suggests that positive learning clinical environments can support students in the use of self-regulated learning approaches.

Exploring faculty-to-faculty incivility among nursing faculty: Related factors, reasons and solutions.

AIM: This study aimed to explore faculty-to-faculty incivility in university nursing programmes and to identify the perceptions of faculty regarding the reasons and solutions for incivility. BACKGROUND: Incivility is a fundamental problem in nursing educational settings. METHODS: This cross-sectional and analytic study comprised 330 faculty members from different schools of nursing in Turkey. A personal information form and the 12-item Incivility Scale were used to collect data. The data were analysed by using descriptive analysis, Mann-Whitney U and Kruskal-Wallis tests, Spearman's correlation test, linear regression tests and thematic analysis. RESULTS: Faculty and research assistants who were single and holding master's degrees perceived high incivility (p < .05). There was also a significant, mildly negative relationship between age and incivility scores (r = -0.236). A strict hierarchical structure was revealed to also be a reason for incivility (p < .05). CONCLUSION: Further research is needed to determine the effectiveness of the solutions for faculty-to-faculty incivility. IMPLICATIONS FOR NURSING MANAGEMENT: This study can guide administrators regarding the causes and solutions of incivility within academic environments. By implementing strategies to increase awareness, administrators can become positive role models for faculty, providing a respectful and fair work environment to prevent incivility.

The validity and reliability of the Stoma Self-Efficacy Scale: A methodological study.

AIMS: To assess the validity and reliability of the stoma self-efficacy scale for Turkish-speaking individuals with stoma. BACKGROUND: Self-efficacy in stoma care is one of the most important variables requiring compliance for an increase in the quality of life and well-being of individuals with stoma. DESIGN: A methodological study. METHODS: This study used translation and back translation for the scale's language equivalence and expert opinion for the content validity. An expert panel and 10 individuals with stoma evaluated the scale for face validity. The scale's reliability was assessed by internal consistency, Pearson correlation, and test-retest reliability in a sample of 174 individuals with stomas. The scale's construct validity was tested with confirmatory factor analysis and exploratory factor analysis. RESULTS: The content validity index was .96, and Cronbach's alpha was .95. In the test-retest analysis, the intraclass correlation coefficients were high. In the factor analysis, two factors emerged from the scale, and after the confirmatory factor analysis and scale modification, the fit indices of the model were found to provide a good level of validity. CONCLUSION: The Turkish version of the stoma self-efficacy scale is a valid and reliable tool to determine the levels of self-efficacy in individuals with stoma.

Using high-fidelity simulation as a learning strategy in an undergraduate intensive care course.

Using high-fidelity simulations to facilitate student learning is an uncommon practice in Turkish nursing programs. The aim of the present study was to understand students' perceptions of the use of simulation in nursing courses. Subjects included 36 senior nursing students taking an intensive care course. This study revealed that high-fidelity simulation is an ideal method of promoting learning by helping students transfer theory into practice, build confidence and teamwork, and raise professional awareness.

[The determination of the pain relief approaches in emergency trauma units]. / Acil travma ünitelerinde agri geçirme yaklasimlarinin belirlenmesi.

This definitive study has been performed to assess the approach to pain relief in emergency trauma units. The study population consisted of patients seen at the emergency trauma clinics of three different, state-owned, research hospitals in the city of Istanbul. A total of 375 patients with an age range of 18-65 were included. The data were obtained from an 18 question data sheet. Trauma was caused by a fall in 46.1% of the patients and 66.7% of the cases were out of building. Blunt trauma was the cause in 85.6%, 31.2% had head trauma, 38.1% extremity injuries. Of the patients enrolled in the study, only 17.1% (64 patients) had received analgesics. The most common analgesic medication group used was Nonsteroid Anti Inflammatory Drugs (NSAID). According to these results, 82.9% of patients with pain due to trauma had not received analgesics and it can be concluded that pain in trauma patients is undertreated.