Roles, experience and views of nurses working in robotic surgery settings: A mixed-methods study.

Robotic-assisted surgery has benefits for patients, but there are challenges to working in this field. In Turkey, training is not provided for nurses working in robotic-assisted surgery, and national legislation on nurses' roles in these settings has not been implemented. This study aimed to demonstrate the roles and experiences of nurses in robotic-assisted surgery in Turkey. This study was conducted as a mixed-methods research. The qualitative data were analysed by content analysis. More than half of the nurses had received basic training in robotic-assisted surgery. Qualitative data consisted of five themes, including the effects of robotic surgery, feelings and thoughts on robotic surgery, working as a nurse in robotic surgery settings, responsibilities of nurses and competence of nurses working in robotic surgery settings. Determining the working conditions and roles of nurses working in robotic-assisted surgery settings by policymakers in regulations is crucial for improving the quality of nursing care and the outcomes of patients.

Effect of a Childhood Burn Prevention Program on Knowledge Level of Caregivers and Burn Risk Factors.

BACKGROUND: Prevention activities are very important in paediatric burns. More than 73% of burns occur at home. This study aimed to develop a Childhood Burn Prevention Program for caregivers of children with burns and to evaluate the effectiveness of the program for reducing burn risk factors for children at home as well as increasing the relevant knowledge of caregivers on burn prevention. METHODS: "Childhood Burn Prevention Program" was developed in the study. Within the scope of the program, caregivers were interviewed twice at home visits. At the first home visit, caregivers were trained in burn prevention and a poster including burn risk factors was put in their homes. In addition, the knowledge levels of caregivers about burns and risk factors in home settings were evaluated in the first and second home visits. RESULTS: We found the total risk factor for burns in home settings was 28.94 ± 6.24 before the training and 14.68 ± 3.74 after the training (p < 0.05). In addition, the total number of correct answers given by the caregivers to the questions about burns before the training was 8.60 ± 2.62 and 11.71 ± 1.70 after the training (p < 0.05). CONCLUSION: This Childhood Burn Prevention Program can be used to reduce risk factors for burns at home and to increase the relevant knowledge of caregivers of children.

The effectiveness of online Visually Enhanced Mental Simulation in developing casualty triage and management skills of paramedic program students: A quasi-experimental research study.

BACKGROUND: Paramedics who perform patient triaging in case of a mass casualty incident generally receive triage training during their undergraduate educational program. Triage training can be facilitated using various simulation modalities together with theoretical training. OBJECTIVES: The aim of this study is to determine the effectiveness of online scenario-based Visually Enhanced Mental Simulation (VEMS) on developing the casualty triage and management skills of paramedic students. DESIGN: The study was conducted using a single-group pre-test/post-test quasi-experimental design. SETTINGS AND PARTICIPANTS: The study was carried out in October 2020 with 20 volunteer students studying in the First and Emergency Aid program of a university in Turkey. METHODS: After the online theoretical crime scene management and triage course, students completed a demographic questionnaire and a pre-VEMS assessment. They then took part in the online VEMS training and eventually completed the post-VEMS assessment. At the end of the session, they filed an online survey concerning VEMS. RESULTS: There is a statistically significant increase in the scores obtained by the students between the pre- and post-educational intervention assessment (p < 0.05). The majority of the students gave positive feedback concerning VEMS as an educational approach. CONCLUSION: The results show that online VEMS is effective in helping paramedic students acquire casualty triage and management skills and that students thought it was an effective educational approach.

The cultural adaptation and validation of a Turkish version of the satisfaction with appearance scale (SWAP-TR).

AIM: The aim of this study was to translate, culturally adapt and validate the Satisfaction with Appearance Scale (SWAP) into Turkish to be used in the context of pediatric burn care. METHOD: This methodological study was conducted in two stages as Language Adaptation and Psychometric study. In the first stage, the Turkish scale was obtained after expert translations. A pilot study was conducted. After back-translation, and the scale was finalized. In the second stage, the scale was administered to 145 children with burns. Body Appreciation Scale for Children (BASC) was applied to the same group for correlation analysis with the scale. RESULTS: A structure explaining 65.98 % of the total variance was obtained. Cronbach's alpha values in the range of 0.995-1000 were quite reliable. A statistically significant correlation was determined between the test and retest applications for all the items (0.99-1.00) in the positive direction (p < 0.001). There is a linear negative moderate correlation between BASC scores and the scores of the SWAP-TR scale (r = -0.621 p<0.001). The dissatisfaction scores of children with face, hand and leg burns are significantly higher than the other groups. CONCLUSIONS: SWAP-TR is a reliable and valid instrument for use in a Turkish speaking children with burns. It is recommended to study the validity of this scale in other age groups with burns in Turkey.

Experiences, Difficulties, and Coping Methods of Burn Nurses: An Exploratory-Descriptive Qualitative Study.

Caring for burn patients is both physically and emotionally exhausting for nurses. Each nurse can experience different emotions and make different senses of these experiences. This study was conducted to determine the experiences of nurses who care for burn patients. The study conducted as an exploratory-descriptive qualitative study. Six nurses participated in the study who work in the burn units of a university hospital. Data were obtained by the semistructured face-to-face interviews. The transcription of audio records from interviews was performed, and these transcriptions were analyzed using the thematic analysis method. Codes and subthemes were extracted and the main themes were reached. These themes were gathered under two contexts and reported. Under the context of experience, the themes of "emotional challenge," "physical difficulties," and "psychological difficulties," and nine subthemes were created. Under the context of coping, the themes of "coping methods" and "motivation" as well as eight subthemes, were created under these themes. It was found that nurses who provide care to burn patients face emotional and physical difficulties; however, they do not have effective coping methods and adequate support. The biggest source of support for nurses was again seen to be nurses. In line with these results, it is important that nurses experienced in burn care support junior nurses, nurses who work in such clinics are allowed to use coping mechanisms, and professional support should be provided to these nurses.

Anti-embolism stocking care protocol to prevent associated skin problems: A quasi-experimental study.

AIM: The aim of this quasi-experimental study was to develop an anti-embolism stocking care protocol and assess its effectiveness in preventing associated skin problems on the legs. MATERIALS AND METHODS: The study was conducted between 02 March and July 20, 2016 in the surgical clinics of a private university hospital in Ankara, Turkey. The sample consisted of 27 nurses and 162 patients (three different patients were fitted of anti-embolism stockings by each of the 27 nurses; pre-protocol 81 patients and post-protocol 81 patients). Data were collected using data collection forms developed by the researchers. An anti-embolism stocking care protocol was developed and used. Nurses and patients were evaluated using an observational method. RESULTS: Following implementation of the protocol, nurses' mean knowledge (95.24 ± 5.60) and intervention skill (92.06 ± 10.42) scores were significantly higher than their pre-protocol knowledge (73.54 ± 14.26) and intervention skill (15.30 ± 6.84) scores. Nurses performed almost all steps of the care protocol correctly after the protocol was implemented. The rates of skin problems such as pressure ulcers, neurovascular problems and issues associated with wrinkles or creases in stockings were significantly reduced after implementation of the protocol. CONCLUSIONS: This study demonstrates that nurses' knowledge and intervention skills are increased when a care protocol is used, together with the prevention of errors and improved patient outcomes. The use of care protocols guides nurses in practice, raises awareness and helps to achieve nursing care objectives by standardizing information.

Nursing Diagnoses and Interventions in Kidney Transplant Recipients: A Retrospective Study.

PURPOSE: The aim of the study is to determine the nursing diagnoses and interventions applied to kidney transplant recipients. MATERIALS AND METHODS: A descriptive, retrospective study of nursing care plans of patients who underwent kidney transplantation from January 2008 through December 2016 was performed. Data were collected using a descriptive characteristics information form for patients and nursing care plans registered to the hospital's information-processing system. Data for nursing care plans of 100 kidney transplant recipients were analyzed. FINDINGS: It was determined that 59% of the kidney transplant recipients were male and the mean age ± SD was 42.56 ± 12.40 years; 81% of the patients had undergone kidney transplantation from living donors. The most commonly used nursing diagnoses in the care of kidney transplant recipients were (1) risk of infection (100%); (2) deficient knowledge (100%); (3) risk for bleeding (31%); (4) acute pain (26%); and (5) risk for falls (16%). The most common interventions were (1) examining the infection-related laboratory findings (69.0%); (2) limiting the number of visitors (64.0); and (3) setting aside time for patient questions and concerns (59.0%). CONCLUSIONS: Nursing diagnoses and interventions applied in the care of kidney transplant recipients seem to be limited. To provide holistic care to the kidney transplant recipients, the nursing care plans should include more extensive nursing diagnosis and interventions to maintain physical, psychological, and social well-being.

Nursing diagnoses and interventions in the care of elderly patients undergoing surgery.

AIM: The aim of this study was to determine nursing diagnoses and interventions in the care plans of elderly patients undergoing surgery. METHODS: This descriptive and retrospective study was conducted with the files of 129 elderly patients undergoing surgery in a university hospital in Turkey. Data were collected using a questionnaire and nursing care plans. Frequency and percentage calculations were used to evaluate the data. RESULTS: The mean age of hospitalized patients was 72.8 ± 5.8 years; 28.7% of patients were hospitalized at a general surgery clinic and 51.9% were male. Nurses had been using 14 nursing diagnoses and 171 different nursing interventions while planning their care of elderly patients undergoing surgery. The most frequently used nursing diagnoses were falling risk, infection and hypertension. CONCLUSION: Nurses use limited diagnoses and standard interventions to plan the care of elderly surgical patients.