Rejection of Childhood Vaccines from The Perspective of Nurses: A Qualitative Research | Author : Meltem KÜRTÜNCÜ Aylin KURT Nurten ARSLAN | Abstract | Full Text | Abstract :Objective It was aimed to examine the childhood vaccination rejection from the perspective of
nurses working in the Family Health Center, considering that it could contribute to awareness
raising regarding childhood vaccination rejection.
Methods: Phenomenology, one of the qualitative research designs, was used in the study. The
participants consisted of 15 nurses who worked in three different Family Health Centers in
Zonguldak/Turkey between 8 31 January 2020 and agreed to participate in the study. In the
study, a semi-structured interview form prepared by the researchers based on the literature was
used. Individual in depth interview technique was used as the data collection method. Interviews
How are families informed about vaccination? It started with a question and a voice recording
was made in line with the consent of the participants. Participants answers were noted by two
researchers. The data obtained were themed by the researchers with the content analysis method.
Results The main themes of the research are; the importance of childhood vaccines, the reasons
for rejection of vaccines, and information about families. It was determined that all of the nurses
participating in the study faced childhood vaccination rejection in the institutions where they
worked. It has been stated that the majority of vaccine rejection is due to the side effects of the
vaccines.
Conclusion More research should be done on this subject and these studies should be aimed at
improving the level of public awareness about childhood vaccines. In this way, it is thought that
it can contribute to the reduction of childhood vaccine rejection rates.
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| Attitudes of Nursing Students Towards Ageism | Author : Esra TAYAZ Aysegül KOÇ | Abstract | Full Text | Abstract :Objective Aging is a process that brings along physical and psychological problems. In this process, treatment and care requirements also increase. Nursing professionals should be aware of this and every individual should be given the necessary care as a human regardless of age. This
research was conducted to determine the attitudes of nursing students towards ageism.
Methods The research was applied to the students who were educated in the nursing department
and accepted to participate in the online environment by
taking their consent. The study was carried out with 1744 nursing students continuing their
education at state universities in Ankara. Demographic data form and Age discrimination
attitude scale were used while collecting the study data.
Results The mean total score of the age discrimination attitude scale was found to be
70.05. In this direction, it was concluded that the attitudes of the students towards ageism
were positive. A significant difference was found between the age discrimination attitude scale
mean score and gender, class, and the presence of elderly people in need of care in their
surroundings. A significant difference was found between the mean score of Limiting the Life of
the Elderly and gender, the presence of an elderly person in the family, and the mean score of
Positive Discrimination Against the Elderly and the presence of an elderly person in the family.
There are statistically significant differences between the Negative Discrimination Against the
Elderly subdimension mean score and the class, the presence of the elderly in need of care, the
place where the elderly person lives in the family, and the presence of an elderly person in the
family.
Conclusion As the score obtained from the scale increases, the attitude towards the elderly
changes positively. In this context, it can be thought that our students attitudes towards the
elderly are positive. The results obtained can be generalized to nursing students. Interventions
and intervention studies can be recommended to develop a positive attitude towards the elderly in
students, as they will provide care for the elderly after graduation. |
| Investigation of the Relationship Between Mothers’ Chilbirth Experiences and Postpartum Maternal Attachment | Author : Duygu GÜLEÇ SATIR Ruken YAGIZ ALTINTAS Ümran SEVIL | Abstract | Full Text | Abstract :Aim Childbirth is one of the most special experiences in a woman’s life. The relationship between negative birth experience and postpartum emotional problems has been reported in the literature. However, its association with maternal attachment has been less reported. Therefore this study was conducted to investigate the relationship between mothers’birth experience and postpartum maternal attachment. Methods: This cross sectional and descriptive study was conducted 103 mothers who had a normal vaginal delivery in a university hospital between January and December 2018. Data were collected with the introductory information form, The Perception of Birth Scale and Maternal Attachment Inventory. The introductory information form and The Perception of Birth Scale were collected in the clinic within the first 24 hours after the birth. The Maternal Attachment Scale was sent to the mothers one month after the birth via e-mail. They were asked to fill in the scale themselves and resubmit it in the same way. Results: The mean age of the mothers was 27.65 ± 4.69, 35.9% of them were primary school graduates, 62.1% of them were not working in any job and 46.6% of them have first birth experience. Enema was applied to 54.4% of the mothers during birth, oxytocin induction was applied to 46.6% of the mothers, amniotomy to 36.9% and episiotomy to 62.1% of the mothers. Fourty seven percent of the mothers evaluated their birth experience as good. The Perception of Birth Scale total mean score was 78.32±14.74, Maternal Attachment Inventory mean score was 101.07± 4.40, and no significant difference was found between birth experience and maternal attachment. Conclusions As a result of the research, no relationship was found between birth experience and maternal attachment. |
| Investigation of Medical Error Complaints Case in Health Care Practices: A Retrospective Study | Author : Gülay OYUR ÇELIK Leyla BAYSAN ARABACI Belkis Gülçin EJDER | Abstract | Full Text | Abstract :Aim This study was carried out to examine the profiles of medical errors cases caused by health care practices that reached a Provincial Health Directorate between 2012 and 2019. Method The research designed as a retrospective cohort, was conducted by examining the records of 170 medical error complaint files opened because of health care practices, which reached a Provincial Health Directorate Discipline Branch Directorate between 2012-2019. In the study, file records were evaluated in accordance with the Information Form prepared by the researchers. In the analysis of the data, number-percentage distributions, mean and standard deviation were used. Results It was observed that 46.5% of the complaint cases examined within the scope of the research, the majority of which belonged to the years 2012 24.1% and 2013 23.5%, were personally made by the person who was subject to the error. 81.2% of cases were determined negligence (lack of care, inadequate treatment or evaluation), mostly in education-research (37.6%) and public hospitals 34.7%, gynecology (22.9%), emergency (21.8%) and surgery (14.7%) units were found to occur. It was observed that was the subject of complaint in the cases mostly performed by health professionals who’s responsible for the treatment (30% specialist physician, 24.7% operator practitioner and 21.2% general practitioner) and health professionals with 10 years or more of professional experience. It was determined that medical errors made in 27.1% of the cases were a factor in the loss of patients. In almost all complaints, there was a statement that property damage occurred. Conclusion: It has been observed that the mistakes made were negligent that the number of medical error cases decreases over time compared to the years. Medical errors that are the subject of complaints caused loss of function, disability, and property damage to the victim. Under the results of the research, it is recommended to make arrangement about working hours or workload of healthcare professionals, especially in risky clinics (surgery, obstetrics, emergency, etc.) and also to plan interventions such as in-service training that will raise awareness to prevent eventual medical errors. |
| Evaluation of The Effect of The God Perception on Psychosocial Adjustment in Coronary Artery Patients | Author : Seher ÇAKMAK Nesrin NURAL Songül GÜRSES | Abstract | Full Text | Abstract :Objective This study was conducted to determine the effect of God perception on psychosocial adjustment in coronary artery disease patients. Methods The descriptive study was conducted with 138 inpatients in the Cardiology clinics of a state hospital. In data collection, Descriptive Characteristics Form, Perception of God Scale and Psychosocial Adjustment Self-Report Scale were used. The data were analyzed with the SPSS 21 Package program. Results: The patients included in the study was determined that the mean score of God perception was 100.2±6.7, the mean score of psychosocial adjustment-self-report to the disease was 35.3±18.1, and 52.2% of them showed "ood psychosocial adjustment to the disease. Extended family relationships, family environment and psychological distress sub-dimension mean scores in the psychosocial adjustment-self-report scale were found to be lower. There was no statistically significant relationship between God Perception Scale and Psychosocial Adjustment Self-Report Scale scores. Conclusion In this study, it was found that coronary artery patients had a loving/love oriented God perception and had moderate psychosocial adjustment to the disease, psychosocial adjustment to the disease was higher in the areas of extended family relations, family environment and psychological distress, and the perception of God did not affect the psychosocial adjustment to the disease. |
| Psychosocial Problems of Healthcare Professionals During the COVID 19 Pandemic Period and Resilience | Author : Emel ÖZTÜRK TURGUT Esra ENGIN | Abstract | Full Text | Abstract :Healthcare workers continue their active work in struggling with the pandemic. Supporting
healthcare workers in the ongoing pandemic is extremely important both for the protection of
their healths and the quality of the service they provide. Resilience, which refers to re-adaptation
to life after difficult life events, has been considered as a factor that protects healthcare workers
against the difficulties of this pandemic process. This review was conducted to examine the
psychosocial effects of the pandemic process on healthcare workers, internal and external coping
methods and resources and, psychological resilience of healthcare workers. It has been stated in
the literature that during the pandemic period, healthcare workers have worsening working
conditions, limited their social relations and experience mental problems. It has been indicated
that there are healthcare workers using self-helping skills, and online support programs have been
proposed. |
| Getting Pregnant While Breastfeeding: Can I Carry On Berastfeeding? | Author : Büsra UYSAL Nevin Akdolun BALKAYA | Abstract | Full Text | Abstract :It is recommended that breastfeeding be continued exclusively with breast milk for six months, followed by additional food until the age of two. Although the importance of breastfeeding is known, effective breastfeeding and exclusive breastfeeding are still not at the desired level. Unintended or intended new pregnancies while breastfeeding is among these reasons. Mothers, family members, and healthcare staff feel extremely worried that breastfeeding during pregnancy will adversely affect maternal, fetal, and neonatal health. Due to these concerns, breastfeeding is stopped at the early phase during pregnancy. This paper aims to examine the effects of breastfeeding during pregnancy on the health of the mother, fetus, and baby and the worries that are experienced, and the responsibilities of nurses on this topic. While the literature was searched, due to the small number of studies, the keywords ‘pregnancy’, ‘breastfeeding’, ‘maternal health’, ‘child health’ and concept in ‘breastfeeding during pregnancy’ were searched in Turkish and English in the database of Google Scholar, PubMed and Mugla Sitki Koçman University Library without determining the date, and the resources related to the subject and the relevant references of these resources were examined. In the literature, it is maintained that it is safe for a pregnant mother to carry on breastfeeding in the first and second trimesters and sustainable in the third trimester, provided that an adequate and balanced diet and follow-up against any possible risks are provided. Nurses should explain the effects of breastfeeding during pregnancy on maternal, fetal, and neonatal health, emphasize the necessity of a balanced diet and routine controls, and should not make a definite recommendation about breastfeeding during pregnancy, but should support the mother to carry on breastfeeding. |
| Mother-Baby Attachment in Reproductive Treatment: Concept Analysis | Author : Begüm KIRIK ARIK Hediye ARSLAN | Abstract | Full Text | Abstract :In this study, it is aimed to analyze the concept of mother-infant attachment in reproductive
treatment, to guide the infertility nurses who have a key role in the treatment, and the women s
health and pediatric nurses who ensure the continuation of the mother-infant bond. Literature
review; Clinical Key Elsevier, Science Direct, Taylor & Francis Online, Ulakbim, Pubmed,
Dergipark, Yöktez databases with the keywords mother-baby, attachment, concept analysis,
bonding, neonatal bonding" 14 Turkish, 3 English articles, 1 Turkish book, Turkish Language
Association Dictionary, Chambridge English Dictionary and Psychology Dictionary were
discussed. In the first step of the analysis made in accordance with the concept analysis method
of Walker and Avant, the concept was chosen as "mother-baby attachment in reproductive
treatment", and the purpose of the analysis was included in the second step. In the third step, the
dictionary definition and other usage areas of the concept were determined and specified. The
defining features of the concept in the fourth step; relationship was determined as intimacy and
commitment. In the fifth and sixth steps, the model was explained in the borderline and opposite
cases in line with the concept-defining features. In the seventh step, the preparatory factors and
results that led to the emergence of the concept were discussed in terms of mother and baby. In
the last step, scales were presented to evaluate the concept. It is thought that examination of
mother-infant attachment in reproductive treatment with the method of concept analysis will
contribute to clarifying the concept of mother-baby attachment in reproductive treatment.
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| Nursing Approach According to The Watson Human Care Model of A Patient Who Had Covid-19 and Open Heart Surgery: Case Report | Author : Necibe DAGCAN Gülsah GÜROL ARSLAN | Abstract | Full Text | Abstract :Covid-19 is an infectious disease that negatively affects individuals. Studies show that the
disease also causes cardiac damage. Concomitantly, the impact of Covid-19 on patients
undergoing coronary artery bypass grafting is still undefined. Coronary artery bypass grafting is
one of the most effective methods in the treatment of coronary artery disease. For a quality
nursing care after surgery, nurses should consider the individual holistically. Nurses care
behaviors form the basis of Watson s Human Care Model WIBM. WIBM tries to increase the
well-being of individuals by addressing spirituality in nursing care. It is easy to use and also
reduces negative emotions caused by chronic diseases such as coronary artery disease. The aim
of this case report is to explain the nursing approach of an individual who has had Covid-19 and
underwent open heart surgery, according to the model, and to provide an example of model use.
The patient, who had a Covid-19 disease and applied to the emergency department of a training
and research hospital with chest pain, was followed up in the intensive care unit for 2 days after
the bypass operation. The first interview was held on 27.04.2021 with the case who was on the
1st postoperative day, and the data were collected in the intensive care unit by facetoface
interview method using Gordon s Functional Health Patterns Model. According to the WIBM,
nursing care was provided and the results were followed. The case was informed about the study,
and written informed consent was obtained, and verbal consent was obtained from the
responsible persons for institutional and clinical permission.
In our article, it is thought that the improvement processes in the model increase the satisfaction
and safety of the phenomenon. The patient stated that her pain, anxiety and fear decreased. She
started to fulfill her self-care needs unaided, and communicated with the intensive care team and
expressed her fears and concerns. She stated that he was sufficiently informed about Covid-19
and bypass, and that she did not feel as bad as before. The case, who stated that he would be pass, and that she did not feel as bad as before. The case, who stated that he would be
alone after discharge due to the pandemic, stated that he was no long |
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