Turkish validity and reliability of the Self-Report Instrument to Measure Patient Safety Attitudes, Skills, and Knowledge.

AIMS: The present study was carried out methodologically to provide the Turkish equivalence of the Self-Report Instrument to Measure Patient Safety Attitudes, Skills, and Knowledge and to determine its reliability and validity. METHODS: This methodological study included 317 nurses. The back-translation method was used to test the linguistic equivalence of the methodological scale. Experts' opinions were asked to test its content validity. Time invariance (test-retest reliability) and internal consistency were tested to test its reliability. A group of 100 nurses participated in the test-retest. The content validity index and confirmatory factor analysis were used to test its validity. RESULTS: The scale was highly reliable, with a content validity index value of 0.965 and an overall internal consistency coefficient of 0.875. Confirmatory Factor Anaysis (CFA) showed that the goodness-of-fit indices were good and that the model was suitable for this situation. CONCLUSIONS: The Turkish version of this scale is reliable and valid for evaluating nurses' knowledge and attitudes about patient safety and their perceptions of patient safety culture. Therefore, it is possible to apply this approach in studies carried out in Türkiye.

Association between peripheral intravenous catheters and clinical characteristics in the development of phlebitis.

BACKGROUND: Serious complications can develop from erroneous insertion of a peripheral intravenous catheter (PIVC). Successful PIVC insertion has a great place in the continuation of IV treatment without causing complications that may require the removal of the PIVC. METHODS: The population for this prospective observational study included patients who had undergone PIVC insertion in the surgical, intensive care, and inpatient units of a large teaching and research hospital in Istanbul. Data were collected via a patient information form, a PIVC and treatment information form, the Visual Infusion Phlebitis (VIP) scale, and a PIVC nurse observation form. The SPSS 24 software package was used to analyze the data. RESULTS: Of the 168 patients enrolled, 64.9% (n = 109) were male, and the mean age was 56.71 ± 17.97 years. The mean PIVC dwell time was 73.46 ± 21.57 h, and 32.7% (n = 55) of the catheters were removed due to discharge from hospital. Overall, 29.2% (n = 49) of the cases developed phlebitis, with half of the cases (51%, n = 25) developing grade 2 phlebitis and developed within 48 h in 38.8% of cases (n = 19). The mean PIVC dwell time was significantly lower in patients with phlebitis than in those with no phlebitis (p < 0.05). CONCLUSIONS: It was determined that PIVC dwell time could be increased by routine surveillance to monitor for phlebitis regularly. It is recommended that education programs for nurses be developed to prevent PIVC-related complications.

Skin problems associated with the use of personal protective equipment by healthcare workers during COVID-19 pandemic in Türkiye.

Background: Skin problems associated with the use of personal protective equipment (PPE) have been reported during the COVID-19 pandemic. Aims: To determine the skin problems experienced by healthcare workers in Türkiye who used PPE during COVID-19 and the effect of these problems on their quality-of-life. Methods: This cross-sectional study was conducted from 30 November 2020 to 30 May 2021. Data were collected from 404 healthcare workers recruited via social media. Participants completed a skin problem evaluation form and Skindex-16, which measures the effects of skin disease on quality-of-life. The t test and ANOVA were used to analyse differences between the means. Results: Most (85.1%) of the participants were nurses and 38.6% worked in COVID-19 intensive care units. All the participants wore gloves (53.2% wore double gloves), 99.3% wore surgical masks and 56.2% wore protective glasses. They washed their hands on average 31.94 [standard deviation (SD) 27.55] times a day. Skin problems developed were mostly around the forehead, hands, nose, and ears. The mean (SD) Skindex-16 score was 45.42 (26.31). Based on Skindex scores, respondents with chronic skin problems had a significantly lower quality-of-life than those without skin problems, as did those who developed skin problems during the COVID-19 pandemic than those who did not (P < 0.001). Conclusion: Skin problems associated with the use of PPE increased during the COVID-19 pandemic and these affected the quality-of-life of healthcare workers. Further studies should evaluate how to minimize adverse reactions due to PPE use.

The effect of light on sleep quality and physiological parameters in patients in the intensive care unit.

BACKGROUND: If patients in the intensive care unit are constantly exposed to artificial light, various problems related to sleep, and circadian rhythm may develop. OBJECTIVES: The aim of this study was to determine the effect of light in the ICU on sleep quality and physiological parameters of patients. DESIGN: Experimental and randomized-controlled trial. METHODS: The study was conducted in the ICU of a training and research hospital between May 2019-March 2021. The patients hospitalized in the ICU constituted the population of the study, and 148 patients constituted the sample calculated by power analysis. In individuals allocated into the experimental and control groups according to randomization, a cyclic lighting system was organized in isolation rooms for the experimental group, and a standard ICU lighting system was used in the control group. RESULTS: The durations of deep sleep, light sleep and total sleep in the experimental group were statistically significantly higher compared to the control group (P < .05). No statistically significant difference was found in terms of systolic and diastolic blood pressure, peak heart rate and body temperature values in the experimental and control groups according to 48-hour sleep duration (P > .05). The 48-hour respiratory rate values in the ICU were statistically significantly higher in the control group compared to the experimental group (P < .05). CONCLUSION: It was determined that the light in the ICU affected the sleep quality and physiological parameters of individuals. It is recommended to make environmental arrangements for light according to human biorhythm and to reduce exposure to artificial light in order to increase sleep quality and sleep duration in the ICU. TRIAL REGISTRATION NUMBER: NCT0466142.

Nursing students' perceptions of nursing diagnoses, critical thinking motivations, and problem-solving skills during distance learning: A multicentral study.

PURPOSE: To determine the relationship between attitude towards nursing diagnosis, critical thinking motivation, and problem-solving skills of nursing students during distance learning. METHOD: The descriptive and correlational study was conducted with 450 first-year nursing students from four universities. The "Positions on Nursing Diagnosis Scale," "Critical Thinking Motivational Scale," and "Problem Solving Inventory" were used for data collection in June-July 2021. FINDINGS: The students' mean score of nursing diagnosis perception was 114.90 ± 18.47, the score for expectancy main subdimension of critical thinking motivation was 4.17 ± 1.16 and the score for value main subdimension was 4.81 ± 1.12, and score for problem-solving skills was 90.65 ± 19.03. A statistically significant positive correlation was found between nursing diagnosis perception and subdimension of critical thinking motivation scores (p < 0.001) and problem-solving skills score (p < 0.001). The linear regression model established to examine the effect of other scales on nursing diagnosis perception was found to be statistically significant (F = 17.516, p < 0.001). As the expectancy score increases by one unit, the perception of nursing diagnosis score increases 3.452 times (p = 0.001), the cost score increases by one unit, the perception of nursing diagnosis score increases by 3.894 (p = 0.001), and the problemsolving skills score increases by one unit, the perception of nursing diagnosis score decreases by 0.246 (p < 0.001). CONCLUSIONS: To conclude that nursing diagnosis perception, critical thinking motivation, and problem-solving skills of nursing students were high and have a relationship with each other during distance education. As nursing diagnosis perception scores of students increase, their critical thinking motivation and problem-solving skills also increase. IMPLICATIONS FOR NURSING PRACTICE: The high skills of critical thinking and problem solving have an important place effectively to identify the nursing diagnosis more quickly and easily in the nursing care process.

Reliability and validity of the Turkish version of the Barriers to Nurses' Use of Physical Assessment scale.

AIM: This study aimed to translate the Barriers to Nurses' Use of Physical Assessment Scale into Turkish and assess the new version's validity and reliability. METHODS: This was a methodological study to verify the linguistic equivalence of the scale through the translation/back-translation method. Twelve experts in health assessment confirmed the scale's content validity. Along with the Barriers to Nurses' Use of Physical Assessment Scale, an information form, including socio-demographic features, was distributed to 380 nurses, who consented to participate in the research. Data were collected between July 2017 and April 2018. Internal consistency, factor analysis and test-retest reliability were used to determine consistency over time and intraclass correlations. RESULTS: The content validity index of the scale (0.963) was calculated following confirmation of its language equivalence. With the confirmatory factor analysis, it was determined that the fit index values were at an acceptable level and the model was suitable. The factor analysis clustered factors in seven domains. The overall internal consistency coefficient was 0.822. All subscales and the overall scale showed high intraclass correlations. CONCLUSION: The Turkish version of the Barriers to Nurses' Use of Physical Assessment Scale is a valid and reliable instrument.

Relationship between fall behavior and quality of life of elderly individuals.

The aim of this study was to examine the association between the quality of life and the fall behavior in elderly individuals. The study was conducted as a descriptive and correlational study design. Data were collected with the Patient Information Form, The Fall Behavior Scale for the Elderly and the World Health Organization Quality of Life module for the elderly. There were 110 older people included in study. When the relationship between the Fall Behavior Scale for the Elderly and the World Health Organization Quality of Life Module for the Elderly sub-scale and total scores were examined, there was a statistically significant negative correlation between the Fall Behavior Scale for the Elderly safe movement sub-scale and the World Health Organization Quality of Life Module social participation sub-scale scores (p < .01).

Nursing students' individual values, inclination to ethical and professional values.

PURPOSE: To determine the relationship between nursing students' individual values, inclination to ethical and professional nursing values. DESIGN AND METHODS: This cross-sectional study was conducted with 315 nursing students in Turkey. Data were collected using the student information form, the Portrait Values Scale, the Inclination to Ethical Values Scale, and Nursing Professional Values Scale. FINDINGS: The students' basic values are Tradition and Universalism. It was determined that an inclination toward ethical and professional values was quite high. PRACTICE IMPLICATIONS: The fact that nursing students are aware of their individual values how these values affect behaviour can be a guide to human focused values in professional lifes.

Knowledge and practices of nurses working in psychiatry clinics on ventrogluteal injection.

PURPOSE: To determine the knowledge and practices of nurses working in psychiatry clinics on the ventrogluteal (VG) injection. DESIGN AND METHODS: This study was conducted as a descriptive and cross-sectional study. A total of 91 nurses constituted the sample of the study. FINDINGS: It was determined that 35.7% of the nurses preferred the VG site. It was determined that the nurses who preferred the VG site knew and applied the preparation for injection, and the stages during and after the injection. PRACTICE IMPLICATIONS: This study will guide the preparation of in-service training programs on the use of VG site in psychiatric clinics.

Turkish adaptation of the Multidimensional Emotional Empathy Scale: A validity and reliability study.

PURPOSE: This study examined the validity and reliability of the Turkish version of the Multidimensional Emotional Empathy Scale for multidimensional evaluations of empathy. DESIGN AND METHODS: The methodological study included 202 nursing students. Turkish translation was performed using a back-translation technique. In determining the time invariance, the scale was applied twice to 38 nursing students with a 2-week interval, and the test-retest method was used, and intraclass correlations were calculated. Construct validity was examined with confirmatory factor analysis (CFA). FINDINGS: The content validity index was 0.997, and the general internal consistency coefficient of the scale was a highly reliable 0.905. With the CFA, it was determined that the fit index values were at an acceptable level and the model was suitable with this state. PRACTICE IMPLICATIONS: The Turkish version is considered a valid and reliable tool.

Relationship between individualized care perception and innovativeness among final-year nursing students.

PURPOSE: The aim of this study was to evaluate the relationship between individualized care (IC) perceptions and innovativeness among final-year nursing students. DESIGN AND METHODS: The population of this analytical study consisted of 230 students. Data were collected using a student information form (individualized care scale [ICS]-nurse version, individual innovativeness). Data analysis was carried out using descriptive, comparative, correlational, and stepwise regression analysis statistics. FINDINGS: Nursing students had a high perception of IC and an early majority level of innovativeness. As their innovativeness levels increased, their perceptions of IC also increased. There was a positive correlation between the total ICS-A-nurse score and the individual innovativeness scale/openness to experience subscale. In regression analysis, the individual innovativeness total increased IC. PRACTICE IMPLICATIONS: Courses and practical work should be organized for students to raise their awareness of IC and to increase their innovativeness.

The effect of undergraduate nursing students' e-Health literacy on healthy lifestyle behaviour.

e-Health literacy has become more important in promoting healthy lifestyles in recent years. The purpose of this study was to determine the effect of undergraduate nursing students' e-Health literacy on healthy lifestyle behaviours. This cross-sectional study was conducted during the 2016-2017 academic year at a Nursing Department in the Faculty of Health Sciences in Istanbul. The study population consisted of 232 undergraduate nursing students. The study sample was 205 students who volunteered to participate in the research. The data were collected using the Structured Questionnaire Form, the e-Health Literacy Scale in Adolescent and the Adolescent Lifestyle Profile Scale. The mean score of the e-Health Literacy Scale in Adolescent was 29.50 ± 5.02. The mean total score of the Adolescent Lifestyle Profile was 112.11 ± 14.66. There was a positive correlation between students' Internet attitudes and general health-promoting lifestyle (r = 0.273; p < 0.01), indicating the higher the students' e-Health literacy, the higher their levels of healthy lifestyle behaviours. The result showed that e-Health literacy is an important parameter in promoting healthy lifestyle behaviours of nursing students.

"TANGO" nocturia scanning tool: Turkish validity and reliability study.

BACKGROUND: The aim of this study is to evaluate the validity and reliability of the Targeting the Individual's Aetiology of Nocturia to Guide Outcomes (TANGO) screening tool, which is used to determine nocturia etiology. METHODS: Patients hospitalized in urology, orthopedics, and general surgery clinics between September 2019 and January 2020 were included in the study. Demographic characteristics of the participants such as age, gender, drug use, and nocturia severity were assessed by the researchers. The Turkish version of the TANGO questionnaire consisting of 22 questions was filled in by the patients. The patients were asked to repeat the same test 4 weeks later. RESULTS: A total of 124 patients were included in the study. The mean age of the patients participating in the study was 51.20 ± 18.50 (38-82). The result of the reliability assessment showed that the total score intraclass correlation coefficient was 0.715 (individual item score weighted kappa coefficients, 0.696-0.731) and the Cronbach's alpha coefficient was 0.727. A total of 112 patients filled in the TANGO screening tool again after 4 weeks. The test-retest reliability analysis kappa value was 0.75 (0.68-0.83). In the validity analysis, a moderately positive correlation was observed between the TANGO-Urinary Incontinence Score and the number of nocturia (r = 0.452, P = .003). CONCLUSION: According to the validation study, the TANGO screening tool is valid and reliable to determine the nocturia etiology for the Turkish population.

Relationship between nursing students' levels of internet addiction, loneliness, and life satisfaction.

PURPOSE: This study examined nursing students' levels of Internet addiction, loneliness, and satisfaction with life. DESIGN AND METHODS: This descriptive, cross-sectional study was conducted in included university involving 160 nursing students who completed an information form and the Internet addiction, UCLA Loneliness, and Satisfaction with Life Scales. FINDINGS: No significant correlation was found between students' Internet addiction, loneliness, and life satisfaction (P > .05). However, a significant positive correlation between loneliness and life satisfaction was observed (P < .05). PRACTICE IMPLICATIONS: Measures to raise students' awareness of Internet addiction and social activities to enhance communication skills and life satisfaction should be planned.

Nursing Students' Technological Equipment Usage and Individual Innovation Levels.

Technological equipment is an indispensable part of many people's lives. In parallel with this development, the role of innovation is critical to nurses' ability to provide patient care. Today, nursing students have grown up with technology. Therefore, the field is expected to be more open to innovation in nursing care. It is thought that the use of technological equipment influences the level of innovation. The purpose of this study was to determine nursing students' technological equipment usage, individual innovation levels, and the relationship between them. This descriptive study employed a correlational design during the 2015-2016 academic year at a Nursing Department in the Faculty of Health Sciences in Istanbul. The study population comprised 199 nursing students. The study sample included 165 students who volunteered to participate and were chosen at random. Most (93.3%) of the students were women, and the mean age was 20.92 ± 1.63 years. Data were collected using a devised structured-question form, the Technological Device Use Habits Scale, and the Individual Innovation Scale. Participants' mean scores on the Technological Equipment Usage (a subscale of the Technological Device Use Habits Scale) and on the Individual Innovation Scale were 135.15 ± 27.09 and 61.02 ± 8.89, respectively. Students' technological equipment usage subscale was higher than the other subscales; furthermore, their individual innovation levels revealed that they were "questioners." Several factors affected students' technological equipment usage and individual innovation levels including their age, income, work status, usage of social networking sites, Internet connection type, and if they considered themselves as innovative. The role of technological innovation is critical to nurses' ability to provide patient care.

Male Nursing Students' Social Appearance Anxiety and Their Coping Attitudes.

This study aimed at examining social appearance anxiety levels of male nursing students and their coping attitudes and identifying the relationship between them. A cross-sectional research approach was adopted in a study population of 180; the sample comprised 129 students. Data were collected using a socio-demographic information form, the Social Appearance Anxiety Scale (SAAS), and the Assessment of Coping Attitudes Inventory (COPE). The average age of students was 20.54 ± 1.49 years. The male students' average score obtained from the SAAS measure was 32.64 ± 13.07, while that of the COPE Inventory was 138.11 ± 14.47. Significant correlations were detected between students' SAAS scores and COPE scale scores. There were negative relationships between social anxiety scores and COPE subscales of positive reinterpretation and growth ( p < .05), use of instrumental social support ( p < .05), active coping ( p ≤ .01), and planning ( p ≤ .01). In contrast, there were positive relationships between social anxiety scores and COPE subscales of mental disengagement ( p ≤ .01), denial ( p ≤ .01), behavioral disengagement ( p ≤ .01), restraint ( p ≤ .01), use of emotional social support ( p < .05), substance use ( p ≤ .01), and acceptance ( p < .05). The conclusion was that male students who do not perceive themselves as having an ideal body image face high social appearance anxiety. There is a prejudice that social appearance anxiety has negative effects on these students' self-confidence. In this context, this research revealed concrete results about how male nursing students have battled the prejudices that they have faced throughout their student life.

[Investigation of the Relationship between Empathy and Burnout Levels of Nursing Students]. / Hemsirelik Ögrencilerinin Empati ve Tükenmislik Düzeyleri Arasindaki Iliskinin Incelenmesi.

AIM: This research was designed to determine the relationship between empathy and burnout levels of nursing students. METHOD: The population of this descriptive and cross-sectional research consisted of 1294 students studying at a Nursing Faculty in the 2016-2017 academic year and the sampling consisted of 290 nursing students who were selected by the stratified random sampling method. Data were collected using the "Structured Question Form", the "Empathic Skill Scale B-Form" and the "Maslach Burnout Inventory-Student Form". Written permission and ethical approval were obtained from the faculty where the research would be conducted. Data analysis was performed using the descriptive and significance analysis in the SPSS 21.00 program. RESULTS: 84.1% of the students were female, and the average age was 20.28±1.47. It was determined that the mean score of the Empathic Skill Scale B-Form was 143.86±23.93, and that the mean scores of the sub-dimensions of the Maslach Burnout Inventory-Student Form were 15.11±4,69 in burnout, 9.34±3.62 in depersonalization, and 12.78±2.67 in competency. There is a statistically significant relationship between the Empathic Skill Scale score of nursing students and the Depersonalization sub-dimension score of the Maslach Burnout Inventory (p<0.05). CONCLUSION: It was determined that the burnout and empathy skills of nursing students were at a moderate level and that some socio-demographic characteristics affected their empathy and burnout levels.

Reliability and Validity of the Turkish Version of the Gastrointestinal Symptom Rating Scale.

The purpose of this methodological study is to investigate the validity and reliability of the Turkish version of the Gastrointestinal Symptom Rating Scale (GSRS). The scale was adapted to the Turkish language via backward translation. Content validity was examined by referring to experts. Reliability was examined via test-retest reliability and internal consistency, and validity was examined with divergent and convergent validity. The Epworth Sleepiness Scale (ESS) and the Marlowe-Crowne Social Desirability Scale (MCSDS) were used for divergent validity. As for convergent validity, the Constipation Severity Instrument (CSI) and the Patient Assessment of Constipation Quality of Life Scale (PAC-QOLQ) were utilized. The relationship between the GSRS and the health-related quality of life (36-item short-form health survey [SF-36]) was also analyzed. The study population consisted of patients in orthopedic clinic who volunteered to participate. Test-retest reliability was examined with the participation of 30 patients; internal consistency and validity were examined with 150 patients. Test-retest reliability correlation coefficients of the GSRS varied from 0.39 to 0.87 for all items. For internal consistency, the GSRS's item total correlation was found to be 0.17-0.67, and Cronbach α was 0.82 for all items. There was a positive linear significant correlation between the GSRS, CSI, and PAC-QOLQ. There was no significant correlation between the GSRS, MCSDS, and ESS. Higher GSRS scores inversely correlated with general quality of life (SF-36). The Turkish version of the GSRS has been found to be a reliable and valid instrument for assessing patients' gastrointestinal symptoms. Therefore, this instrument can be confidently used with Turkish individuals.

The Effect of Abdominal Massage on Constipation and Quality of Life.

This study was a randomized controlled trial aimed to find the impact of abdominal massage application on constipation and quality of life among patients. The sample included 30 intervention (abdominal massage) and 30 control subjects. To collect data, the following were utilized: Patient Information Form, Gastrointestinal Symptom Rating Scale, Constipation Severity Instrument, Bristol Scale Stool Form, Patient Assessment of Constipation Quality of Life (PAC-QOL) Scale, and European Quality of Life Instrument (EQ-5D). The data were collected from among patients in the morning and evening on the fourth, fifth, and sixth days postoperatively. No significant findings were discovered between experimental and control groups in terms of individual characteristics and characteristics that might influence constipation (p > .05). It was found that patients who received abdominal massage application defecated more often following their surgery than patients in the control group, which led to a statistically high level of significant difference between the groups (p ≤ .001). It was also found that the experimental group displayed higher average PAC-QOL and EQ-5D scores on discharge. Findings indicated that abdominal massage applied to patients diagnosed with postoperative constipation reduced symptoms of constipation, decreased time intervals between defecation, and increased quality of life.

The reliability of site determination methods in ventrogluteal area injection: a cross-sectional study.

BACKGROUND: While administering medication through intramuscular injection, the ventrogluteal site must be used instead of the dorsogluteal site, and it is of great significance to locate the ventrogluteal site correctly. OBJECTIVE: To determine the reliability of two different methods used to determine the ventrogluteal site in intramuscular injection practice. DESIGN: A cross-sectional study. SETTINGS: A university hospital in Istanbul. PARTICIPANTS: The study population comprised 120 randomly selected healthcare personnel at a university hospital. METHODS: The ventrogluteal site was determined using the geometric (G method) and V method and these sites were scrutinized under ultrasonography. It was investigated whether there was any anatomic vessels or neural structure present, and also determined the thickness of subcutaneous tissue, musculus gluteus medius, and musculus gluteus minimus. RESULTS: Of the participants, 65.8% were female and the average age was 32.30 years and body mass index was 25.31 kg/m(2). The results showed that G and V methods were statistically significant in terms of variables. It was also found that sex affects subcutaneous tissue thickness and the skin-bone margin in the G and V method, and that body mass index determines subcutaneous tissue, musculus gluteus medius thickness and skin-bone margin. CONCLUSION: When the ventrogluteal site is used for intramuscular injection purposes, the site must be determined in line with the geometric method.