Comparison of the effects of two different teaching methods in blood pressure measurement training: a randomized controlled study.

OBJECTIVE: To compare the effects of a high-fidelity simulator and conventional teaching model used during blood pressure measurement training on students' self-confidence, self-efficacy and anxiety levels. METHODS: A randomized controlled trial design was used. The study was conducted on 59 first-year nursing students of a university in Amasya, Turkey. 'Self-Confidence Scale,' 'general Self-Efficacy Scale' and 'Beck Anxiety Scale' were used to collect the data. A high-fidelity simulator used in blood pressure measurement training was applied to the experimental group, while the conventional method in which the students practice on their peers was applied to the control group. Chi-square, Mann-Whitney U test and the Wilcoxon signed-rank test were used to determine the difference between the two groups' average. RESULTS: No statistically significant difference was found between students' pre-test and post-test total scores of self-confidence, general self-efficacy and anxiety scales with the high-fidelity simulator and the conventional model (P > 0.05). A significant increase was noted in inner self-confidence and self-efficacy scores of the group working on the high-fidelity simulator (P < 0.05). CONCLUSIONS: The high-fidelity simulator was effective on the students' increased levels of self-confidence and self-efficacy, whereas it was not effective on their anxiety levels. However, this study can also be conducted on a larger sample group using a variety of training methods.

The effect of perceived organisational justice on job satisfaction and burnout levels of haemodialysis nurses.

BACKGROUND: Organisational justice influences job satisfaction, the performance of individuals and the functioning of institutions. The lack of evidence-based studies investigating the relationship between hemodialysis nurses' perceptions of organisational justice, job satisfaction and burnout has created a research gap in this area. OBJECTIVE: To investigate the effect of perceived organisational justice on professional satisfaction and burnout levels of haemodialysis nurses and to identify any relation ship with individual and organisational factors. MATERIAL AND METHODS: The study was designed as a multi-centre descriptive study. The data were collected using the 'personal information form', the Organisational Justice Scale', the 'Maslach Burnout Inventory' and the 'Minnesota Satisfaction Questionnaire'. RESULTS: The distributive justice scores decreased as the depersonalisation scores of the nurses increased. As the personal accomplishment scores of the nurses increased, the interactional justice scores also increased. It was observed that the job satisfaction scores increased as the sub-dimensional scores of the organisational justice scale increased and exhaustion decreased. CONCLUSION: It was detected that there was a significant relationship between the organisational justice perception of nurses and their job satisfaction and level of burnout. Institutions are encouraged to adopt a fair policy towards nurses and promote personal development.

Comparison of sleep quality and dialysis adequacy of patients undergoing hemodialysis.

Sleep, as one of the key life activities, is an important indicator of the quality of life. Chronic kidney disease, with a high prevalence, is a serious condition that can deteriorate the sleep quality of patients. This study was carried out to investigate the correlation between sleep quality and dialysis adequacy in hemodialysis (HD) patients on a population and sample consisting of 50 patients receiving HD treatment at a training and research hospital in Amasya. Data were collected using "Patient Information Form," "Pittsburgh Sleep Quality Index (PSQI)," and "Good Dialysis Index (GDI)." Sleep patterns of patients during HD were observed and recorded for three weeks. The average age was 64.46 years (minimum: 22, maximum: 86; standard deviation: 14.612), 56% (n = 28) are women, 64% (n = 32) are married, 82% (n = 41) have PSQI score >5, and 60% were found to have 30 min weekly average sleep duration during HD sessions. A statistically significant relationship was found between the overall GDI scores and the overall Pittsburgh Sleep Quality Index (PSQI) scores of the patients (P <0.05). PSQI scores of patients increase with increasing GDI scores. Good dialysis adequacy improves the sleep quality of patients.

Effects of different education methods in peritoneal dialysis application training on psychomotor skills and self-efficacy of nursing students.

BACKGROUND: Applying the proper technique for connections in Peritoneal Dialysis (PD) is crucial in preventing potential infectious complications. OBJECTIVES: The aim of this study is to investigate the effects of different education methods in PD application training on the psychomotor skills and self-efficacy of nursing students. METHODS: The randomized controlled and experimental study was conducted with a total of 28 nursing student participants. The PD training was provided theoretically and by using a PD simulator for the experimental group and by using videos for the control group. At the end of the training, each student who was included in the experimental and control group were asked to perform PD on the PD simulator one by one. Psychomotor skills were evaluated according to the PD application skill evaluation criteria. Self-efficacy of the students before and after the application was also measured. RESULTS: Psychomotor skill scores of the students were found to be significantly higher in the experimental group, and there was no significant difference between the experimental and control groups in terms of self-efficacy scores. No statistically significant difference was detected between the self-efficacy scores of the experimental group regarding pre-test and post-test results. CONCLUSION: This technique can be used to improve the development of psychomotor skills, since the demonstration of the PD application with the simulation technique is effective in the development of psychomotor skills.

Does Having a Relative in Dialysis Therapy Affect Attitudes Toward Kidney Donating?

CONTEXT: The majority of kidney transplants in Turkey are performed from live donors and from those among first-degree relatives. OBJECTIVE: To compare the view points and the attitudes of individuals who have relatives undergoing dialysis toward kidney donation treatment with those who do not. DESIGN: The study was designed as a descriptive study, which used simple random sampling. SETTING: The sample consisted of 204 individuals, divided into 2 groups: those whose relatives underwent dialysis treatment (group A, n = 106) and those whose relatives did not (group B, n = 98). RESULTS: The means of the total points obtained in "Kidney Donation Attitude Inventory" (KDAI) by individuals in group A were statistically significantly higher than those obtained by individuals in group B ( P = .001). Although there was a statistically significant difference in the educational status, status of willing to donate their kidneys and being a relative of an individual awaiting a kidney transplant, and the mean total points obtained from the KDAI between the groups ( P < .05), no statistically significant difference was determined between the means of the obtained total points and the gender and the duration of dialysis treatment ( P > .05). CONCLUSION: The attitudes of the relatives of individuals undergoing dialysis treatment toward kidney donation were determined to be more positive.

THE IMPACT OF CONTROLLED FLUID AND SALT INTAKE TRAINING IN PATIENTS UNDERGOING HAEMODIALYSIS.

BACKGROUND: Serious complications can occur when patients have difficulty in adhering to fluid and salt recommendations. OBJECTIVES AND DESIGN: This study was designed as an experimental study with the aims of evaluating the effects of controlled fluid and salt intake training on the intra-dialytic process and on the level of patients' knowledge. The factors that had an impact on the training process were also evaluated. The effectiveness of the planned training was evaluated at 0, 1, 3 and 6 months. RESULTS: There were no significant differences in salt intake exceeding 3 g per day (p > 0.05) between the preliminary and final test, although a statistically significant change was observed at months 1 and 3. The effectiveness of the training decreased by the end of the 3rd month. A statistically significant change was obtained prior to and after the training at months 0, 1, 3 and 6 with respect to the rates of daily fluid intake exceeding 1,500 ml, hypovolaemia, hypervolaemia, awareness of salt-rich food and correct calculation of daily fluid intake by the patients. Also a significant reduction was observed in the volume of oedema after the training. The patients' age, gender, marital status and educational background did not have a significant effect on daily salt intake of more than 3 g, daily fluid intake of more than 1,500 ml, and level of knowledge regarding fluid and salt control. CONCLUSIONS: The training was effective at some time points in decreasing salt and fluid intake. This training should be repeated at certain intervals for the behavioural changes to become permanent.