Effectiveness of online education in teaching breast self- examination.

BACKGROUND: This research evaluated the effectiveness of an online education model in teaching breast self- examination to university staff and students. MATERIALS AND METHODS: 1,679 women participated in a breast self-examination online training program. Breast self-examination knowledge evaluation forms developed by Maurer (1997) were used in the research and were evaluated on a 100 point scale. Paired t-test and McNemar's Test statistics were employed. RESULTS: The participants scored an average of 46.5 (14.0%) on knowledge on breast self-examination before training, but 77.4 (11.0%) one month after education and 76.7 (9.52%) after six months. There was a clear significant difference between these knowledge levels (p<0.05). Similarly, while the rate for systematic practice of breast self-examination among women was 30.8% before training it increased to 47.8% afterwards. Again the difference was significant (p<0.05). CONCLUSIONS: Online education is an effective method for teaching breast self-examination to women.

Determination of knowledge of Turkish midwifery students about human papilloma virus infection and its vaccines.

Human papilloma virus (HPV) is one of the most common sexually transmitted agents and its infection is the most established cause of cervical cancer. Midwives play a key position in the implementation of cervical cancer. This descriptive study aimed to determine the level of knowledge concerning HPV and HPV vaccination among 268 midwifery students. Data were collected between November 15 and 30, 2011, through a self-reported questionnaire. The mean age of participants was 20.75 ± 1.60. Among all students, 44.4% had heard of HPV, while 40.4% had heard of HPV vaccinatiob. The relationship between the midwifery student knowledge on HPV and HPV vaccine and their current educational year was significant (p=0.001). In conclusion midwifery students have moderate level of knowledge about HPV and its vaccine and relevant information should be included in their teaching curriculum.

Research activities and perceptions of barriers to research utilization among Turkish nurses.

BACKGROUND: This study assessed the barriers to the use of research in nursing practice among Turkish registered nurses. METHODS: A descriptive cross-sectional study of 718 nurses in three hospitals was conducted. The data collection instrument used for the study consisted of the Barriers to Research Utilization Scale and a self-administered questionnaire that included demographic data, educational background, and nurses' involvement in research activities. RESULTS: Almost half of the participants (48.5%) responded that they had attended academic conferences in the past 2 years. Most of the participants had not published a research article (90.5%), and 23.4% reported that they had never read research articles. Seven items within the top 10 barriers were found on the setting subscale. CONCLUSION: The results describe the research activities and perceptions of the barriers to the use of research among nurses in Turkey. Creating an organizational climate that values research use and supports nurses in participating in research activities is crucial.

Cigarette dependence among males and females aged 50+ living in Izmir, Turkey.

BACKGROUND: Smoking, the most important preventable cause of death overall, is also the leading cause of cancer-related mortality. Tobacco consumption has a direct or indirect relationship with most types of cancer. In Turkey, the second leading cause of death is cancer, with lung cancer the most prevalent. OBJECTIVE: The aim of this study was to determine the level of cigarette dependence among men and women aged 50+, living in Izmir. METHODS: This research is a descriptive and cross-sectional field study, carried out with the participation of a total of 2,497 subjects. RESULTS: It was found that 48.8% of the participants used to be smokers, and 95.5% of the smoking participants had been smoking for at least 11 years at the time of study. 36.1% of the participants were being exposed to secondhand smoke at home, and almost one third of the smokers (29%) had a moderate level of dependence. CONCLUSIONS: Continuing education may help high-risk groups develop good habits for a healthier lifestyle such as smoking less and quitting smoking, thereby reducing the level of morbidity and mortality of most common types of cancer.

Relations between breast and cervical cancer prevention behaviour of female students at a school of health and their healthy life style.

Regular breast self-examination (BSE) and pap-smear tests are the two of the positive heath behaviors for improving, promoting and protecting the health of adolescent girls. The present quasi-experimental research was carried out with the purpose of analyzing the relations between breast and cervical cancer prevention behavior of female students at a School of Health and their health lifestyle. The research was conducted at Canakkale Onsekiz Mart University School of Health between November 2008 and February 2009. A total of 77 female students attending the first and second grades were included in the sample. Education pertinent to the matter was provided and evaluation was made three months later. A knowledge evaluation form for breast and gynecological examination, the Healthy Life-Style Behavior Scale (HPLP), was used in data collection. Number percentages, the McNemar Bowker test, the t test and the Mann Whitney U test were used in the evaluation. Despite the information they had received, not all of the students performed regular breast self-examination (BSE) prior to the education. For 24.7% (n=19) the reason for not doing regular BSE was their having no symptoms and for 29.9% (n=23) it was due to thinking that they would not have breast cancer. The reason for not having pap smear test was a virgin status. Three months after the education, knowledge level scores of the students increased approximately three and a half times (from 23.8-9.8) to 81.2-8.0). The rate of having regular BSE was 88.3% after three months, however; there was no pap smear test probably due to the fact that it was a taboo. When the rate of having regular BSE three months after the education and HLPL scores were compared, the scores of those having it regularly and the scores of those not having it regularly were found to be close and no statistically significant difference was detected (p> 0.05). In conclusion, consultancy service units should be established to comprehend the barriers perceived by adolescent girls who do not have regular health screening, to make appropriate strategic planning in order to eradicate the hindrances in Muslim societies and to enhance the motivation of youth with continuous education.

Effectiveness of the auscultatory and pH methods in predicting feeding tube placement.

AIMS AND OBJECTIVES: This study was designed to determine the effectiveness of the auscultatory and pH methods in predicting feeding tube location in critically ill patients. BACKGROUND: There is confusion about how nurses should asses feeding tubes location at the bedside. The most common method for determining tube location is the auscultatory method. It is known that auscultation is an unreliable method and additional data relating to bedside methods are needed to assist nurses in making a decision regarding tube location. DESIGN: A methodological study. METHODS: The sample consisted of 44 new insertions of feeding tubes. Data from a total of 44 auscultations relating to tube position and gastrointestinal aspirates for pH were obtained from 32 critically ill adult patients ranging in age from 38-87 years. Results from the auscultatory and pH tests were compared with the location of the tube as determined by radiography. A total of 44 feeding tube applications were investigated using the auscultatory and pH methods and concurrently with X-rays to determine the feeding tube position. Nurses used the auscultatory method to predict tube position, a concurrent researcher aspirated fluid from the feeding tube, and samples were tested for pH within five minutes of radiographs taken to determine tube location. pH was measured with a test strip. RESULTS: Mean pH level in the gastrointestinal aspirates was 4.23 (SD 1.20). Approximately 89% of the pH strip readings from gastrointestinal fluid were between 0-5. A pH of <5 successfully identified 90.4% of the 44 feeding tube cases. CONCLUSION: The pH method is effective in determining the feeding tube position, but the auscultatory method is not effective in determining the feeding tube position. RELEVANCE TO CLINICAL PRACTICE: Simple bedside assessment of gastrointestinal aspirate pH is useful for predicting feeding tube position.

Do Turkish nursing and midwifery students teach breast self-examination to their relatives?

AIM: To describe health beliefs and breast self-examination (BSE) practice of Turkish female nursing and midwifery students and assess teaching of BSE to their mothers, sisters, relatives. METHODS: The study was designed as a definition survey, withe data obtained from 113 participants, in third and fourth class and their mothers, sisters, relatives in Turkey. Data were collected by using a personal data form, knowledge evaluation form for BSE (Maurer 1997) and the Champion's Health Belief Model Scale. RESULTS: Students had learned about breast cancer and BSE in their lessons one or two years previous to the study. Knowledge level scores of the students were 52.3 ∓ 9.63 (min:25, max: 75). Rate of regular BSE was 32.7%. When health belief scale assessed, the average susceptibility was 7.52∓2.62, seriousness was 21.8∓5.30, benefit was 16.7∓4.45, barrier was 22.3∓6.44, confidence was 40.3∓6.67 and medical motivation was 26.6∓4.22. A statistically significant difference in the rate of having regular BSE and benefit, barrier scores was noted (p<0.05). Regarding BSE training, 91.3% (n = 106) gave assistance to their mother and sisters, 42.6% (n = 48) to relatives, 6.2% (n = 7) to friends, and 5.4% (n = 6) to patients. CONCLUSIONS: Knowledge about breast cancer and BSE repetition training programs should be planned for nursing/midwifery students. Their susceptibility, belief and attitudes, medical motivation with BSE should thereby increase.

Physical restraint use in Turkish intensive care units.

OBJECTIVE: This study aimed to determine intensive care nurses' reasons for the application and removal of physical restraint and physical restraint patterns used in Turkey intensive care units. DESIGN: This research was conducted using descriptive and cross-sectional research design. SETTING: Data were collected in intensive care units of the 2 university hospitals and the 5 state hospitals in Izmir, West Turkey. Nurses were given the self-administered questionnaire with open-ended questions. PARTICIPANTS: The study participants were 190 nurses working in intensive care units of 7 hospitals. FINDINGS: Most of the nurses (86.8%) reported that maintenance of the placement of medical devices was the main reason for physical restraint applications. The nurses (68.9%) reported improved mental status as the most important reason for removal of restraint from the patient. A total of 84.7% of nurses reported that wrist and ankle ties were the most common forms of physical restraint device; 84.7% used physical restraint without any verbal or written physician order. CONCLUSIONS: Identifying the reasons for application and removal of physical restraints can help clinical nurse specialist tailor education, impact policy, and serve as role models to reduce the use of restraints in hospitals.

Effect of the first chemotherapy course on the quality of life of cancer patients in Turkey.

Multiple studies have examined the quality of life of cancer patients before or after treatment, but few have evaluated the impact of a specific course of treatment on cancer patients' quality of life. Using a longitudinal design, we examined the quality of life of 24 women and 8 men before receiving their initial course of chemotherapy and again at 21 days after the first course of chemotherapy. The study was carried out at the outpatient chemotherapy unit of a university hospital located in the city of Izmir, West Turkey. Research data were collected using a patient demographic form and the Rolls Royce Model Quality of Life Scale. All of the postchemotherapy mean scores from the quality-of-life instrument were statistically significantly lower at day 21, except for the cognitive functioning subscale. Overall, initial chemotherapy was found to have a significantly negative effect on the quality of life of cancer patients. Nurses can help patients prepare for an initial decrease in their quality of life early in treatment.