Surgery is a process that aims to improve the quality of surgical care and includes pre- and postoperative recovery and has a very important role in health care services. Enhanced Recovery After Surgery protocols for cardiac surgery have recently been introduced. The evidence-based peri-operative care guide developed specifically for cardiac surgery has a positive effect on improvement in clinical outcomes and the reduction in costs; it also aims to provide a standard care for the recovery of patients undergoing cardiac surgery. This review includes pre-operative strategies (measurement of hemoglobin A1c for risk stratification, measurement of albumin for risk stratification, preoperative correction of nutritional deficiency, consumption of clear liquids before general anesthesia, carbohydrate loading, patient engagement tools, prehabilitation, smoking and hazardous alcohol consumption), intra-operative strategies (surgical site infection reduction, hyperthermia, rigid sternal fixation, tranexamic acid or epsilon aminocaproic acid), post-operative strategies (perioperative glycemic control, insulin infusion, pain management, postoperative systematic delirium screening, persistent hypothermia, chest tube patency, chemical thromboprophylaxis, extubation strategies, kidney stress and acute kidney injury, goaldirected fluid therapy) and other Enhanced Recovery After Surgery recommendations. After the evaluation of the data, recommendations were stated. These recommendations were approved by Enhanced Recovery After Surgery Society. In this review, Engelman ve digerleri, (2019) proposed enhanced recovery protocol recommendations specific to cardiac surgery.

Purpose: This study aims to determine student nurses attitudes towards registering and preserving personal health data. Methods: 131 nursing students participated in this descriptive study. Data were collected online using the Descriptive Characteristics Form and the Attitude Scale to Record and Protect Personal Health Data for Nursing Students. Descriptive statistics, one-way analysis of variance, independent sample t-test and chi-square tests were used to analyze the data. Results: It was determined that 82.4% were female, the mean age of the students was 20.67 (±1.79), 32.8% were in the first grade, and the total average score they got from the scale was 4.14 (±0.35). While there was no significant difference between the scores of the students from the scale according to gender and the class they studied, it was determined that the students who knew the concept of informed consent had more knowledge in the legal dimension. Conclusion: It was determined that the students had a positive attitude about the recording and protection of the patients personal health data. It is recommended that the subject be studied in samples with more extensive participation and analyzed qualitatively

Objective: This study is to determine the factors which influence the quality of working life of nurses working at the hospital and the quality of working life. Method: As the population of the study comprised 1752 nurses working at public hospitals and a university hospital, its sample consisted of 315 nurses selected through stratified sampling according to the hospitals. Data was collected with information form, the scale of quality of working life in nursing, analyzed with ANOVA, t-test, correlation and regression test. Results: Of the nurses, 57.8% had undergraduate/postgraduate study, 77.1% of the nurses worked in the position 4A and 58.7 % of them worked at public hospitals. The total score was 2.85±0.46 which the nurses got from the scale of the quality of working life. Besides, the total scale points of the quality life of the nurses who had experiences within the rage 6-10 years, worked in internal and surgery services, were not satisfied with their job and the institution where they work, generally found the quality of working life bad and evaluate the relations manager and subordinate as a factor of the quality of working life were lower than the others and these findings were statistically significant. (p<0.05). Moreover, being unpleased especially with the institution worked (ß=-12.231), and with the job (ß=-7.136) which was one of these variables had a negative effect on the quality of working life of nurses. (F=35.379; p=0.000<0.05). Conclusion: The quality of working life of nurses was at medium level. Being unpleased especially with the institution worked and with nursing had a negative impact on the quality levels of working life of nurses

Objective: This study aims to determine the relationship between infertile women’s distress from infertility, coping with stress, and perceived social support. Methods: The sample of this descriptive study consists of 202 infertile women who were admitted to the Assisted Reproductive Treatment Center of a university hospital between November 15, 2016, and May 15, 2017, and started treatment with a diagnosis of primary infertility and had no diagnosed psychiatric problems. The data were collected face-to-face, using a questionnaire containing questions on women s socio-demographic characteristics, Infertility Distress Scale, Ways of Coping Inventory, and Multidimensional Scale of Perceived Social Support. The obtained data were evaluated by using t-test, variance analysis and Pearson correlation analysis. Results: It was found that participants mean Infertility Distress Scale score was 38.20±9.66 and their infertility distress was low, their mean subscale scores of functional coping strategies with stress were higher than of non-functional coping strategies, and the mean Multidimensional Scale of Perceived Social Support score was 65.45±15.83 and the social support perceived by women was at a good level. It was determined that there was a negative correlation between the scores of the Infertility Distress Scale and the Stress Coping Scale s functional coping strategies subscale, a positive correlation between the Infertility Distress Scale and the Ways of Coping Inventory nonfunctional coping strategies subscale, and a negative correlation between the scores of the Infertility Distress Scale and the Multidimensional Scale of Perceived Social Support and family subscale. Conclusion: It was determined that women who cannot effectively cope with stress and have insufficient social support are affected by infertility more than others

Objective: This study aimed to detect nursing students’ drug medication errors in pediatric patients. Methods: The study used a comparative descriptive research design and was carried out after the necessary ethical and official permissions had been obtained. The universe of the research consisted of the students of Faculty of Nursing. The sample of the study included 94 students (third year n=47 and fourth year n=47). A laboratory of the Faculty of Nursing was simulated as a room where a nurse provides treatment. The students who participated in the study with the determined drug order were asked to prepare the drugs with the most appropriate technique, and they were observed by the researchers. Data were collected one by one by the researchers using a drug medication errors checklist prepared by the researchers. Results: The third year students did not consider dry powder dosage and obtained the lowest score (X¯=0.68). The fourth year students did not attach the right label on the drug taken and received the lowest score (X¯=0.42). The third year students were more successful in attaching the right label on the remaining drug (p=0.20) and the fourth year students were more successful in observing aseptic rules (p=0.03). Students in both groups ignored dry powder dosage of the drug in total and earned the lowest score from this practice (X¯=0.64). Conclusion: Drug medication errors committed by the students in both groups were high, and the students did not consider dry powder dosage when reconstituting the drug.

A number of degenerative differences occurring in the knee cap joints carrying the body s load affect the patient s life, causing movement limitation and pain. These degenerative changes cause a number of problems in the joints. The purpose of the treatment applied to eliminate these problems is to relieve pain, increase mobility and provide patient comfort. One of the treatment methods is total knee replacement surgeries. Postoperative pain may be associated with surgical procedures, reduced mobility and dependence. It is noteworthy that the use of non-pharmacological treatment methods as well as pharmacological treatment methods in order to reduce these complaints after surgery, as well as due to degenerative problems. This review aims to raise awareness of ginger applications used to provide pain control due to knee diseases and to provide a suggestion for its use after surgery.

Objective: This study was conducted to evaluate patients attitudes towards exercising their patient rights. Methods: The study was planned in the cross-sectional design, and was conducted between the dates June 2017-September 2017. It was carried out with 326 patients who were hospitalized in Kahramanmaras Sütçü Imam University Health Practice and Research Hospital and met the study criteria. The data of the study were collected with the Introductory Information Form and the Patient Rights Use Attitude Scale. Number-percentage distribution, mean and student t-test were used in the statistical analysis of the data. Results: The mean age of the patients participating in the study was 51.5±17.5%, 46.3% of them were female and 53.7% of them were male. The hospitalization period of the patients was 9.4±17.8 days in average; and 48.5% of these patients were receiving treatment in Internal Diseases Clinics, and 51.5% were treated in Surgery Clinics. While 53.1% of the patients participating in the study stated that they did not know about patient rights, 54.9% stated that they did not know that there was a patient rights unit in the hospital. It was determined that the average score received by the patients from the scale was 122.0±14.8. When the gender variable and the total scores and the sub-dimensions of the scale were compared, it was found out that the scores of the female patients were higher at a statistically significant level (p=0.00) only in the organ transplantation sub-dimension. The average scores of the patients who stated that they knew that they had information on Patient Rights (p=0.00), and knew that there were Patient Rights Departments in hospitals (p=0.00) were higher. It was also determined in the present study that educational status, age group, residential area, economic status, existence of chronic disease, and previous hospitalization were not influential on the attitudes of the patients towards using Patient Rights. Conclusion: It was observed in the present study that the scores received by the patients from the Patient Rights Use Attitude Scale were high, and therefore, it was concluded that the patients developed positive attitudes on using Patient Rights

Objective: This study was conducted to examine the relationship between cancer knowledge burden and healthy lifestyle behaviors of female workers. Methods: The research was conducted with a descriptive and relationship seeking female workers working in the shift system in the city center of Karaman. The number of female workers in the factories has been kept confidential as per the corporate policy. For this reason, the total number of female workers could not be reached. This research was completed with 380 women workers. The data were collected using the Questionnaire Form, Cancer Information Overload Scale and Healthy Lifestyle Behaviors II Scale prepared by the researcher. Pearson correlation analysis, t test and Mann Whitney U test were used in data analysis. Independent variables that had an effect on women s cancer knowledge overload and healthy lifestyle behavior scores in the primary analyzes were evaluated by multiple regression analysis. Results: %70.6 of female workers are 31 years old and over, %51.3 of them have received education at the literate/primary level. %95.3 of the participants heard about cancer screening tests, while %57.9 heard from healthcare professionals, %42.1 heard from the press/broadcast. Cancer Information Overload Scale mean score of female workers is 19.32±5.38, Healthy Lifestyle Behaviors II Scale mean score is 119.14±22.29. It was determined that there was a weak and positive significant relationship between the Cancer Information Overload Scale scores of female workers and the nutrition, spiritual development and interpersonal relations sub-dimension scores of the Healthy Lifestyle Behaviors II Scale (p<0.05). Conclusion: It was concluded that as the cancer knowledge load of female workers increased, healthy lifestyle behaviors such as nutrition, spiritual development and interpersonal relations also increased.

Venous thromboembolism is an important health problem that starts with deep vein thrombosis and results in pulmonary embolism. Deep vein thrombosis is considered to be the cause of preventable deaths with mortality risk for hospitalized patients, and especially those who are in the postoperative period. Prevention of thrombus formation is one of the most important steps in venous thromboembolism as in all preventive procedures. Surgical or other invasive procedures are one of the important risk factors that cause venous thromboembolism. Evaluation and determination of the patient s risk of venous thromboembolism has an important role in the preoperative period. Deep vein thrombosis is seen in 25-60% of patients who underwent surgical intervention without proper venous thromboembolism prophylaxis. Nurses, who provide continuous care in patient care, play an important role and responsibilities in the prevention of deep vein thrombosis and complications which are mostly asymptomatic. In the preoperative period, nurses play an active role in monitoring the interventions for the evaluation and prevention of venous thromboembolism. This article was prepared to provide information to the nurses in order to update their knowledge in line with the latest guidelines for evaluating and preventing the risk of venous thromboembolism in surgical patients

Aim: This study was carried out as an analytical and cross-sectional in order to determine the effects of the patients postoperative problems at home and the perception of the disease Method: This research was carried out with 104 patients appropriate with the criteria at a surgical clinic in the public hospital in between May – November 2018. In data collection; patient data form, daily life activities form and Disease Perception Scale were used. Number, percentage, mean, standard deviation and Pearson correlation analysis were used in the analysis of the data. Results: The average age of the patients (n:104) included in the study was (47.61±14.60) 80% female, 87% married, 52% primary school graduate and 65% unemployed. The patient s activities of daily living and having problems were found to be in the dimensions of work/entertainment at a rate of 89.4%, providing/maintaining a safe environment at a rate of 86.8% and moving at a rate of 52.9%. It was found that as communication and personal hygiene – clothing increased, the perception of emotional representation increased; as the problem of sexual life increased, the perception of time (acute/chronic) increased; as the anxiety of death and sleep problems increased, the perception of results increased (p<0.05). Conclusions: In this study, the postoperative problems that patients face with at home including communication, personal hygiene - clothing, sexual life, sleep and death anxiety were affected by the perception of illness. We recommend making nursing care plans to improve patients daily living activities by increasing their perception of illness

Objective: It is to determine the fall risks, the status of falls and injuries, and the sensitivity of the Hendrich II fall risk scale in patients who are observed in the emergency service. Methods: In this prospective cohort study, 295 patients aged 18-89 years who were under observation due to trauma and /or emergency surgery were evaluated. Falling risks of the patients were diagnosed using the Hendrich II fall risk scale. The data were evaluated by descriptive statistical methods and ROC (receiver operating characteristic curve) analysis. Results: It was found that 63 patients fell during follow-up in the study. The average age of the patients who fell was 47, 68.3% (n = 43) of them were women. After the fall, 14 patients had minor injuries and 2 patients had moderate injuries. The area under the ROC curve was determined as 0.661 at the 95% confidence interval of the scale. The sensitivity of the scale was 95.2% and the specificity was 9.1% at the cut-off point of 5 and above recommended by the developers. Conclusion: It was concluded that the Hendrich II fall risk scale had an acceptable distinction in diagnosing the fall risk of patients in the emergency service and that its diagnostic performance was low at the cut-off point of 5 and above

Child sexual abuse, which negatively affects the development of the child in all aspects, emerges as a legal, moral, psychological and sociological problem all over the world. Although scientific studies on this problem has increased since the 2000s, it is estimated that the actual data are much more than the data stated in the literature. In our country, there was a need to evaluate all the aspects of child sexual abuse and establish new unitsto minimize the child trauma from the seprocess. Before Child AdvocacyCenters? establishment, children who were victims of sexual abuse had to testify to different people about their abuse and were traumatized each time. The establishment purpose of Child Advocacy Centers is taking the testimony of the child by experts in the field and performing all the procedures related to the process at once when there is a suspicionor presence of sexual abuse against a child. In the secenters, which started as a pilot application at first and then spread through out the country; professional ssuch as specialist psychiatric nurses, psychologists, social workers, child development professionals are subjected to a certain certificate program and those who are successful in theoretical and practical exams are assigned to the centers as forensic interviewers. These centers serve in coordination with many institutions and organizations with a multidisciplinary team understanding. Today, more concrete data on child sexual abuse have started to be obtained with Child Advocacy Centers, which have been operating in many provinces. In these centers, the dynamics of the child and family are evaluated together, and necessary injunctions are taken according to the abuse the child is exposed to. The aim of thearticle is to provide information about the Child Advocacy Centers, the process of forensic interviewing and the rolesand responsibilities of the nurses who work as forensic inter viewers in the secenters in Turkey

Epilepsy; chronic neurological disease characterized by abnormal and excessive electrical discharge in cortical neurons, characterized by a sudden developing, recurrent and unidentifiable epileptic seizures. It affects approximately 50 million people in the world and in our country regardless of race, breed, culture and economic level. It takes the second place after brain vascular diseases in adults. In epilepsy, antiepileptic drug therapy is applied to prevent seizures and improve the quality of life of the individual. The medication used varies as monotherapy or polytherapy depending on the type and frequency of seizures. Compliance with treatment is very important in controlling seizures in epilepsy patients. Treatment compliance is defined as the behavior of the individual to use the drugs at the appropriate dose and on time, to follow the recommendations and diet of the health care workers, and to maintain lifestyle changes more positively. Compliance with epilepsy treatment affects many factors. These; patient-related factors demographic, sociocultural, behavioral, disease- and treatment related factors can be classified as healthcare team and healthcare related factors. The probability of seizures, frequency of healthcare use and healthcare costs increase in individuals who do not adapt adequately. In order to increase treatment compliance; the individual should be evaluated in terms of physiological, sociological and psychological aspects, education strategies should be determined for family and social support systems, and programs should be organized in cooperation with healthcare professionals. In this study, factors affecting the compliance of epilepsy patients to treatment and strategies that can be applied to increase compliance rates are discussed within the scope of nurse s responsibilities.

Breast milk is the most beneficial, natural and ideal nutrition for babies. It reduces both mother and baby mortality and morbidity. However, some conditions (such as anxiety, fatigue, stress, pain) negatively affect lactation in mothers. Especially in recent years, the thought of mothers about whether they have enough breast milk to feed their baby has affected lactation by sending a negative message to their subconscious. There is a variety of different non-pharmacological methods (nipple stimulation, breast massage, warm bath, warm compresses to the breast, milk enhancing herbal tea, etc.) to help increase lactation in mothers. Hypnobreastfeeding is another non-pharmacological method that can be used by mothers to increase lactation and help them reach a calm and relaxed state. Hypnobreastfeeding is a natural effort to use the unconscious energies that exist in the mother after childbirth, so that the breastfeeding process takes place safely and smoothly. When positive affirmation words are inserted subconsciously, they will automatically affect daily life and actions of the mother, thus increasing mother s self-confidence. Displaying positive behaviours during breastfeeding process is just as important as feeling calm and relaxed during feeding. Hypnobreastfeeding is one of the relaxation techniques in the form of meditation that helps mothers relax and stay calm, reduce their blood pressure and heart rate, and slow their breathing activities. Soft and gentle movements provide a calming effect for the body and help initiate and increase lactation along with positive affirmation words. Nurses play a significant role in initiating and maintaining breastfeeding. For this reason, the use of hypnobreastfeeding is recommended in clinics to promote milk production and ensure maternal satisfaction. In studies conducted, the hypnobreastfeeding method, when applied together with oxytocin and endorphin massage, increased the amount of breast milk even more. Hypnobreastfeeding technique has attracted great attention in recent years and its use has been increasing rapidly. However, the use of these methods among healthcare professionals is not at a desired level. This review has been made for the purpose of introducing and developing hypnobreastfeeding and using it in interventions supported by clinical research

Nursing theories guide nursing practices by revealing the relationship between basic concepts. Comfort theory, developed by Kolcaba, is provide a physical, psycho-spiritual, sociocultural and environmental integrity to the individual in order to provide assistance, peace of mind and overcome their problems. In this study, within the framework of comfort theory; The nursing care of a 68-year-old male patient related to the problems he experienced due to Acute Myeloid Leukemia (AML) was addressed, and it was aimed to solve the patient s problems and restore his comfort. In line with the results we obtained in our case study, it was determined that Comfort Theory constitutes an important systematic in determining the requirements of individuals diagnosed with AML, planning and implementing nursing interventions intended for unmet requirements. In this context, it is recommended that the model to take as a guide in nursing care performed in oncology clinics

In addition to physical, psychological and sexual problems, many problems such as a decrease in general health perception occur in women with uterine problems. As the level of these problems increases, the quality of life of women is negatively affected, and serious symptoms lead women to seek surgical treatment. Although hysterectomy is one of the most performed surgical procedures all over the world, it affects women s body image, psycho-social status, reproductive capacity and sexual functions. For this reason, women who have had surgery may experience anxiety and fear in many issues. Since the uterus is the symbol of femininity, sexuality, fertility and motherhood for many women, it is associated with concepts such as childbearing, menstruation, youth and attractiveness. From this point of view, the loss of the uterus means the loss of femininity. For this reason, our study was carried out in order to evaluate three women who had hysterectomy surgery in terms of some parameters (physical, psychological and sexual), to determine the feelings and thoughts of women in line with these parameters, and to shed light on the studies to be done on this subject.

Enteroatmospheric fistula, which is a fearsome complication of abdominal surgery, has a high rate of mortality despite the developments in open abdomen management. Management of a patient with Enteroatmospheric Fistula requires a multidisciplinary approach and a multifaceted treatment from a team of experienced surgeons and expert nurses. In this article, we aimed to present nursing bottle teat technique combined with vacuum assisted closure through our own individualized modification method on a patient with a Grade 4 open abdomen.