Psychometric properties of the Turkish version of the moral distress-appraisal scale for nurses.

Moral distress causes frustration, guilt, anger, stress, sadness, anxiety, fear, burnout, insecurity, and depression in nurses, and this is reflected in their work performances. Therefore, internationally validated tools and methodological studies are needed to measure moral distress among nurses. This study aims to evaluate the psychometric properties of the Turkish version of the Moral Distress-Appraisal Scale (MD-APPS) among nurses in Turkey. Psychometric properties of the Turkish version of the Moral Distress-Appraisal Scale (MD-APPS), which included internal consistency reliability and construct validity with factor analysis, were examined in a sample of 420 nurses working in different hospitals in Turkey completed the study between February and July 2022. The content validity index of the Turkish version of the MD-APPS based on expert opinions was 0.90. Through exploratory factor analysis for construct validity, a two-factor structure was obtained as in the original scale. The variance explained by these two factors was 56.67 %. Confirmatory factor analysis showed that the scale was valid, while internal consistency coefficient and test-retest results demonstrated that the scale was reliable. The Turkish version of the MD-APPS is a valid and reliable tool for evaluating moral distress among nurses.

The effect of a video-assisted operating room promotion program on the anxiety levels of parents and their children: A randomized controlled trial protocol.

PURPOSE: Anxiety experienced by parents is an important predictor of anxiety experienced by children. Different interventions are used to reduce the anxiety levels of children and their parents during the preoperative period. Apart from conventional training methods, watching videos about real-life operating rooms can reduce parents' and their children's anxiety levels. Children scheduled for surgery are likely to experience less anxiety if their parents experience less anxiety. A video-assisted operating room promotion program will develop for parents. This study will be aimed to evaluate the effect of the program on the anxiety levels of parents and children. DESIGN AND METHODS: This study protocol is a single-center, single-blind, pre-test, post-test, follow-up parallel group randomized controlled trial. This study protocol was prepared with the Standard Protocol Items: Recommendations for Interventional Trials guidelines and will adhere to the Consolidated Standards of Reporting Trials Non-Pharmacologic Treatment Interventions checklist. A total of 100 eligible participants will be randomized into intervention and control groups. The intervention group will attend the program and receive standard care. CONCLUSION: If we obtain the expected results, we think that they will help healthcare professionals develop methods and strategies to reduce the anxiety levels of parents and children through content covering the pre-, peri-, and post-surgical processes. PRACTICE IMPLICATIONS: The results will assist healthcare professionals in the management of pain and guide them in developing technology-based nursing interventions. Trial registration It was registered at ClinicalTrials.gov in January 2022 (NCT05186766).

Relationship Between Quality of Care and Patient Care Outcomes for Postoperative Pain in Major Orthopedic Surgery: Analytical and Cross-Sectional Study.

The quality of care provided for the management of postoperative pain and patient outcomes are key criteria for healthcare institutions. This study aimed to determine the relationship between the quality of care provided for the alleviation of postoperative pain experienced among patients undergoing major orthopedic surgery and the patient care outcomes. The study was designed as an analytical and cross-sectional study. The rates of pain severity and sleep interference, activity interference, affective experiences, and adverse effects due to postoperative pain were higher in female patients than in male patients. A significant positive correlation was identified between the quality of postoperative pain care and the perception of care (p < .05). Implementing nursing interventions to improve pain management and increase the quality of care appears to be vital elements for reducing adverse effects caused by pain and increasing the satisfaction with postoperative pain care.

Effect of Preoperative Skin Preparation Methods on Sternotomy Surgical Site Infection Rates: A Quasi-Experimental Study.

BACKGROUND: A surgical site infection (SSI) reduces patient quality of life, increases morbidity and mortality rates, and increases health care costs. Results of studies comparing the effects of preoperative skin preparations are contradictory. PURPOSE: This study aimed to determine the effect of different preoperative skin preparation methods on the rate of SSIs in patients undergoing sternotomy. METHODS: A quasi-experimental study was conducted among 96 male patients undergoing sternotomy. The control group (CG) (n = 34) received routine care consisting of shaving body hair with a razor blade followed by instructions to take a bath or shower. In the intervention groups, patients received education about SSI prevention and body hair was removed with an electric clipper, followed by bathing with daphne soap containing olive oil (IG-1) (n = 31) or 2% chlorhexidine solution (IG-2) (n = 31). Patient demographic, medical history, surgical, and wound assessment variables were obtained. Potential SSI signs and symptoms were assessed for up to 90 days following surgery. RESULTS: Patient demographic, medical history, and surgical variables did not differ among the 3 groups. Sternal SSI occurred in 10.4% of all study patients; 8.8% of the CG patients, 12.9% of the IG-1 patients, and 9.7% of the IG-2 patients developed an SSI (P > .05). CONCLUSION: There were no significant differences in the rate of sternotomy SSI among the 3 groups. Randomized controlled trials with large samples are needed to compare these methods to determine optimal and affordable preoperative skin preparation methods.

Nursing students' medication errors and their opinions on the reasons of errors: A cross-sectional survey.

OBJECTIVE: To determine number and type of medication administration errors made by nursing students, and to explore the rate of reportings, emotions after the errors and the causes of errors. METHODS: The cross-sectional study was conducted at the two schools of nursing, Akdeniz University, Antalya, Turkey, in February 2009, and comprised students having worked in hospital settings for a minimum of one semester and who had been involved in administering medications. SPSS 13 was used for statistical analysis. RESULTS: Of the 324 subjects in the study, 124(38.3%) had made an error in clinical/field applications. Overall, 402 medication administration errors had been reported of which 155 (38.6%) were detected and corrected by academic nurses. The most common error reported was deviation from aseptic technique in 96(23.8%) cases. Most common emotions resulting from errors were fear in 45(28.8%) and anxiety in 37(23.5%). Most common cause was performance deficit in 141(43.4%) cases and the most common contributing factor was workload declared by 179(55.2%). CONCLUSIONS: The error rate among nursing students was high whereas reporting of errors was low.

[The needs of the critical patients' relatives in the emergency department and how they are met]. / Acil servisteki kritik hasta yakinlarinin gereksinimleri ve karsilanma durumu.

BACKGROUND: This study was designed as a definitive study to determine the needs of the critical patient's family and whether or not these needs are met. METHODS: The study was conducted in the emergency departments (EDs) of a University and a state hospital between February-May 2007 with the families of 353 critical patients. The data was collected by face to face interview technique using the Needs of the Critically Ill Patients' Family Members in Emergency Department Scale and uestionnaires and a personal information form. RESULTS: It was determined that the patient's family valued their right and need to be informed of the patient's status and take part in their care more than their own personal needs. In a more general perspective, nine of the 10 most frequently stated needs regarded communication. It was also found that the needs to be provided by the ED staff were listed as the most important or important. CONCLUSION: Defining the needs of the family of critical patients in the ED may help raise awareness of the health care providers about this issue, thereby helping to improve the service. Support of patients' relatives in regards to their needs would increase satisfaction of the patients' relatives and the quality of care in the ED.

Causes and prevention of violence toward emergency personnel by patients and their relatives in a province in Turkey.

STUDY OBJECTIVE: This research was conducted to determine the opinions of the emergency department's personnel about the causes and prevention of violence directed at them by patients and their relatives. METHODS: This research was conducted between 3 February and 15 June, 2006, in Antalya, a province in southern Turkey, with a total of 216 emergency department personnel who work in the emergency departments of three hospitals. A questionnaire developed by researchers was used to collect data for the purpose of determining what kind of violence is directed at emergency personnel by patients and their relatives and the personnel's socio-demographic characteristics and opinions. Pearson's chi and Fisher's exact test were used in the analysis of the data. RESULTS: Almost all (94.4%) of the participating emergency personnel had been exposed to verbal violence and 59.7% to physical violence. Only 24.5% of those exposed to violence reported the violence. The majority of the personnel (72.5%) thought that individuals' personality tendencies are the primary cause of violence. Their primary recommendation for preventing violence was to increase security measures. Statistically significant differences were found between emergency personnel's place of work and physical violence, between gender and physical violence, and between level of education and reporting violence. CONCLUSION: On the basis of the research results, it is recommended that emergency personnel be trained on the subject of violence, a documentation system be developed for recording and reporting violence, and corrections be made to prevent violence based on the personnel's opinions.