Missed nursing care: A cross-sectional and multi-centric study from Turkey

AIM

The aim of this study is to explore the extent of missed nursing care in Turkey and identify its predictors.

DESIGN

This was a descriptive, cross-sectional, multicentre study.

METHODS

A total of 477 nurses working in seven public hospitals participated in this study from March to July 2019. The survey included two components: a personal and professional characteristics data form and the MISSCARE survey.

RESULTS

The study revealed that emotional support, patient bathing and ambulation were the most frequently missed nursing care activities. An inadequate number of assistive personnel and staff, along with an unexpected increase in patient volume, were identified as the primary reasons for missed nursing care. Of the 21 missed nursing care activities, nine predictive models showed statistical significance (p < 0.05). Factors such as the type of unit, years of work experience, working hours, number of patients cared for in a shift and intention to leave the unit were found to be significant predictors of seven missed nursing care activities (p < 0.05).

CONCLUSION

This study found that numerous variables influence each care activity, which suggests the need to devise more targeted and specific strategies to minimize missed nursing care. Thorough investigation into the impact of these strategies on each care activity is essential.

A study of health literacy and social media use of the students on vaccine preferences during COVID-19 pandemic in Turkey

Background

It is unknown if health-care literacy and social media use of the students affect vaccine preferences during the COVID-19 pandemic.

Objectives

The aim of the present research was to detect whether health-care literacy and social media use of the students affect vaccine preferences during the COVID-19 pandemic.

Materials and Methods

The universe of the sample consisted of the students of a university in Mus Alparslan University. The sample of the research included students whose last digit of the school number is an odd number. Four hundred and twenty students participated into the study. The data of the study were collected through the "Sociodemographic Characteristics Questionnaire," "Health Literacy Scale (HLS)," and "Social Media Usage Scale (SMUS)."

Results

The total score average of the students on the "HLS" was 42.74 ± 13.85 and the "SMUS" was 21.30 ± 7.38. It was determined that those who have preferred the "Sinovac" vaccine had higher score averages on the "Information Understanding Subdimension" and "HLS" than those who have preferred the Türkovac vaccine. Furthermore, it was determined that the score average of "Continuity Subdimension," "Competency Subdimension" and "Social Media Use Scale" were higher, and these differences were statistically significant.

Conclusion

It was detected that the health literacy (HL) levels of the students were lower and they do not use social media competently. On the other hand, it was determined that social media use and HL affect the vaccine preferences.

Development of the Thirst Discomfort Scale: A Validity and Reliability Study

BACKGROUND

Thirst is a sensation associated with a dry mouth and the desire or craving to drink water. Surgical patients are among those hospitalized individuals who are at high risk of developing both osmotic and hypovolemic thirst.

OBJECTIVES

To develop a new measurement tool for evaluating the thirst-related discomfort of surgical patients and to assess its validity and reliability.

METHODS

The study population consisted of patients admitted to the surgical clinics of a research hospital in Turkey between January and March 2022. The new measurement tool was developed in several stages: a pilot implementation phase with 51 patients and the main implementation phase with 198 patients. Data were collected by means of face-to-face interviews with patients. Exploratory factor and confirmatory factor analyses were performed using IBM SPSS Statistics, version 22, and IBM SPSS Amos.

RESULTS

The final Thirst Discomfort Scale consisted of 12 items in 3 subdimensions. The Cronbach α values of the scale subdimensions ranged from 0.787 to 0.848, and the Cronbach α value for the scale as a whole was 0.886. The scale explained 66.237% of the total variance of the data.

CONCLUSION

The Thirst Discomfort Scale consisting of 12 items and 3 subdimensions is a valid and reliable measurement tool for evaluating thirst-related discomfort of surgical patients.

Relationship between perceived social support and post-traumatic growth in coronavirus disease 2019 patients discharged from the hospital

BACKGROUND

The coronavirus disease 2019 (COVID-19) pandemic has affected mental health and physical health negatively in some individuals. Examining perceived social support and post-traumatic growth (PTG) in COVID-19 patients could facilitate our understanding of how patients maintain their mental health.

AIM

To examine the relationship between the level of perceived social support and PTG in COVID-19 patients discharged from the hospital.

METHODS

This descriptive study was carried out between August and September 2022 with patients who were hospitalized due to COVID-19 in a university hospital in Erzurum and who were discharged at least 3 mo prior to the beginning of the study. The study was completed by 196 patients. Study data were collected face-to-face using a personal information form, multidimensional scale of perceived social support and PTG inventory.

RESULTS

The total mean score of the multidimensional scale of perceived social support was 63.82 ± 15.72. The PTG inventory total mean score was 47.77 ± 19.85. In addition, a direct significant correlation was found between perceived social support in COVID-19 patients and PTG.

CONCLUSION

The study results showed that perceived social support variables affected PTG significantly. Therefore, it is recommended for healthcare professionals to implement interventions to promote social support from healthcare professionals and the patient’s family and friends. Considering the negative effects of the ongoing COVID-19 pandemic, it is very important and necessary to implement effective public health interventions to promote PTG to reduce mental health problems.

The relationship between nursing students' compassion competencies and perceptions of spirituality and spiritual care

OBJECTIVES

The present study was conducted to examine the relationship between nursing students' compassion competencies and their perceptions of spirituality and spiritual care.

METHODS

The population of the study consisted of nursing students over the age of 18 years who were educated at the nursing faculty of a state university in Turkey between May and June 2022. The study was completed with 263 student nurses. The "Sociodemographic Characteristics Form," "Compassion Competency Scale," and "Spirituality and Spiritual Care Rating Scale" were used to collect the data. Frequencies, percentages, mean values, standard deviations, and Pearson Correlation Analysis were used to evaluate the data.

RESULTS

The nursing students were found to have a high level of compassion competency (4.04 ± 0.57). It was also found that the students had moderate (54.76 ± 5.35) perceptions of spirituality and spiritual care. On the other hand, there was a moderate and positive relationship between the total mean scores of "Compassion Competency" and "Perceptions of Spirituality and Spiritual Care" (p > 0.05).

SIGNIFICANCE OF RESULTS

It was concluded that as nursing students' compassion competencies increased, their perceptions of spirituality and spiritual care also increased.

Hospital-acquired insomnia scale: A validity and reliability study

BACKGROUND

Sleep breathing, one of the basic human needs, is a physiological need that affects cardiac functions, body temperature, daily vitality, muscle tone, hormone secretion, blood pressure, and many more. In the international literature, studies reported that patients have had sleep problems in the hospital since the 1990s, but no measurement tool has been developed to determine the causes of hospital-acquired insomnia in individuals. These findings suggest that sleep remains in the background compared to activities such as nutrition and breathing. Although patients generally experience hospital-acquired sleep problems, there is no measurement tool to determine hospital-acquired sleep problems. These features show the originality of the research.

AIM

To develop a measurement tool to determine the sleep problems experienced by patients in the hospital.

METHODS

A personal information form, hospital-acquired insomnia scale (HAIS), and insomnia severity index (ISI) were used to collect research data. The study population consisted of patients hospitalized in the internal and surgical clinics of a research hospital in Turkey between December 2021 and March 2022. The sample consisted of 64 patients in the pilot application stage and 223 patients in the main application stage. Exploratory factor analysis and confirmatory factor analysis (CFA) analyses were performed using the SPSS 20 package program and the analysis of moment structure (AMOS) package program. Equivalent forms method used.

RESULTS

The HAIS consisted of 18 items and 5 subscales. The Cronbach alpha values of the subscales ranged between 0.672 and 0.842 and the Cronbach alpha value of the overall scale was 0.783. The scale explained 58.269% of the total variance. The items that constitute the factors were examined in terms of content integrity and named as physical environmental, psychological, safety, socioeconomic, and nutritional factors. CFA analysis of the 5-factor structure was performed in the AMOS package program. The fit indices of the obtained structure were examined. It was determined that the values obtained from the fit indices were sufficient. A significant correlation was determined between the HAIS and the ISI, which was used for the equivalent form method.

CONCLUSION

The HAIS is a valid and reliable measurement tool for determining patients’ level of hospital-acquired insomnia. It is recommended to use this measurement tool to determine the insomnia problems of patients and to adapt it in other countries.

How important is altruism to nursing students?

OBJECTIVE

The objective of this study is to identify the altruism levels of nursing students and the affecting factors.

BACKGROUND

Altruism is important for nursing students who are at the beginning of their careers as it is characterized by other-oriented feelings such as compassion and empathy.

METHODS

The study was carried out as descriptive research. A total of 1200 nursing students studying at the nursing faculty of a state university in Turkey constituted the population of the study. The sample of the study consisted of 558 students. The data of the study were collected on January-February 2020. Data were collected by the researchers with the "Student Information Form" and the "Altruism Scale." Statistical analyses were performed using the SPSS program.

RESULTS

The main scores of the subdimensions were found to be as follows: "Participating in Volunteer Activities," 24.51 ± 6.50; "Helping Financially," 23.56 ± 5.01; "Helping in Traumatic Situations," 25.68 ± 3.68; "Caring for the 'Elderly/Sick,'" 16.54 ± 3.25; "Helping Based on Physical Strength," 19.55 ± 4.21; "Helping in the Education Process," 19.68 ± 3.72; and "Helping from a Sense of Closeness," 21.06 ± 3.34. The total mean score of the Altruism Scale was found to be 150.59 ± 24.16. The altruism levels of nursing students were found to be at a high level. In addition, the altruism levels of the students who were female, studying in the fourth grade, has an income less than their expenses, felt belonging to the profession, and read books were found to be higher compared to the others.

The Turkish version of the Nurses' Occupational Stressor Scale: A validity and reliability study

PURPOSE

The study was conducted to test the validity and reliability of the Turkish version of the "Nurses' Occupational Stressor Scale," which was developed to determine the occupational stressors that nurses experience during work.

DESIGN AND METHODS

"Nurses' Introductory Form" and "Nurses' Occupational Stressor Scale" were used to collect the research data.

FINDINGS

The factor loading values of the scale items varied between 0.351 and 0.670. X² /SD was 2.27, Goodness of Fit Index (GFI) = 0.92, Adjusted GFI = 0.92, Comparative Fit Index = 0.91, Root Mean Square Error of Approximation = 0.061, and Standardized Root Mean Square Residual = 0.055. As a result, the scale was shaped with 21 items and a single dimension.

PRACTICE IMPLICATIONS

"Nurses' Occupational Stressor Scale" is a valid and reliable scale. Using this scale, stressors in nurses' work environment can be measured, and while intervention is applied, the effectiveness of such intervention can be evaluated.

The transformative power of pain and posttraumatic growth in nurses with Covid-19 PCR positive

PURPOSE

This study aims to examine the relationship between the transformative power of pain and posttraumatic growth in nurses with positive Covid-19 polymerase chain reaction (PCR) test.

DESIGN AND METHOD

"Sociodemographics Form," "Transformative Power of Pain Scale," and "Post-Traumatic Growth Scale" were used to collect the data of the study.

FINDINGS

In the study, posttraumatic growth increased as the level of the transformative power of pain increased for nurses. Furthermore, some variables were found to have an effect on the transformative power of pain and the posttraumatic growth mean score in nurses who had positive Covid-19 PCR test.

PRACTICE IMPLICATIONS

Nurses should be provided with social and professional psychological support to improve their transformative power of pain and posttraumatic growth levels.

A psychometric assessment on patient education: Developing a satisfaction scale

PURPOSE

The research aimed to develop a valid and reliable measurement instrument to determine patient satisfaction with patient education.

DESIGN AND METHODS

Data were collected by the researchers with the "Patient Information Form" and the "Patient Education Satisfaction Scale (PESS)."

FINDINGS

The factor load values of the scale items range from 0.534 to 0.890. X² /SD was 3.49, the goodness-of-fit index was 0.91, the adjusted goodness-of-fit index was 0.92, the comparative fit index was 0.91, root mean square error of approximation was 0.061, and standardized root mean square residual was 0.061. The scale was shaped with 30 items and a single dimension. Cronbach's α value of the scale was 0.93. The item-total correlation scores range between 0.68 and 0.87.

PRACTICE IMPLICATIONS

PESS is a valid and reliable scale. It is thought that this measurement tool will be useful for researchers working with patient education.

Adaptation of the compassion competence scale to Turkish

PURPOSE

In this study, we examined the validity and reliability of the Compassion Competence Scale (CCS) by adapting it to Turkish.

DESING AND METHODS

The data of the methodological research were obtained from 180 nursing students in the 3rd and 4th grades of the nursing department of a public university.

FINDINGS

CCS Cronbach alpha coefficient was determined as 0.795; 0.758 for the "Communication" subdimension and 0.639 for the "Sensitivity" subdimension and 0.658 for the "Insight" subdimension.

PRACTICE IMPLICATIONS

As a result of this research, it was identified that the CCS is a valid and reliable evaluation tool in assessing compassion competence in nursing students.

Analysis of anxiety levels and attitudes of nursing students toward the nursing profession during the COVID-19 pandemic

PURPOSE

This study was conducted to analyze the anxiety levels and attitudes of nursing students for the nursing profession during the COVID-19 pandemic.

METHODS

Data collection forms were sent online to nursing students of three different state or foundation universities in Turkey. In all, 456 individuals who answered the data collection forms were included in the study.

FINDINGS

Study results revealed that the total average score for the "Attitude Scale for Nursing Profession" was 162 ± 15.6. The Professional characteristics subdimension score average was 80.64 ± 7.02. Furthermore, the state of choosing nursing profession subdimension score average was 50.05 ± 9.23, whereas the Attitude for the general status of nursing profession subdimension score average was 34.38 ± 2.97. Due to the pandemic, anxiety levels for the nursing profession were 4.86 ± 2.76 (between 0 and 10). It was determined that nursing students who studied in cities where the virus was very common had a more positive attitude toward the profession. Anxiety levels of nursing students studying in cities where the virus impact was moderate and in cities where the virus presence was quite common were higher (p > 0.05). PRACTICAL IMPLICATIONS: It was found that nursing students had a positive and high-level attitude toward the nursing profession. Furthermore, the results demonstrated that attitudes toward the nursing profession decreased significantly as anxiety increased.

Examining the correlation between intercultural sensitivity and individualized care perception of nursing students

BACKGROUND

Intercultural sensitivity is accepting the existence of cultural differences and similarities between individuals without attributing a value to them. In order to provide individualized nursing care, it is required to train nurses who can respond to cultural needs of society, have cultural knowledge and skills regarding society and show a high intercultural sensitivity.

PURPOSE

The purpose of this study is to examine the correlation between intercultural sensitivity and individualized care perception of nursing students, who will become a member of professional health discipline.

METHOD

The population of this study consisted of nursing students receiving education in a state university in Ağrı. The sample of the study consisted of 2nd, 3rd, and 4th year students who agreed to participate in the study and were not absent during the data collection process. In the study, the "Student Information Form", "Intercultural Sensitivity Scale" and "Individualized Care Scale" were used. The study was completed with 90 individuals. Statistical analyses were performed in the SPSS program using arithmetic mean, standard deviation, and correlation analysis.

RESULTS

Nursing students' Intercultural Sensitivity Scale total mean score was 89.10 ± 10.42 and their Individualized Care Scale mean score was 3.97 ± 0.59. It was determined that there was a weak, positive and statistically significant correlation between total mean score of Intercultural Sensitivity Scale and total mean score of Individualized Care Perception Scale among the nursing students (r = 0.274, p = 0.009).

CONCLUSION

It was determined that the correlation between nursing students' intercultural sensitivity and individualized care perception was weak, positive and statistically significant. It was found that as nursing students' intercultural sensitivity level increased, their individualized care perception also increased.

Comparison of the effect of reinforcement with question-answer and kahoot method on the success and motivation levels of nursing students: A quasi-experimental review

OBJECTIVE

This study aims to compare the effect of question-answer and Kahoot method reinforcement on nursing students' success and motivation levels.

MATERIALS AND METHODS

This quasi-experiment study was carried out with 65 students studying at the nursing department at a state university in Turkey. The research data were obtained between November 2019 and February 2020. The study sample was divided into two groups as question-answer and Kahoot. In the first stage of the research, 8 h of training were given to all 65 students on the subject "Infection Control and Precautions," applying the method of teaching by presentation. Shortly after the training, the Kahoot group was reinforced on the Kahoot platform and the Question-answer group in PowerPoint, using the same questions for 30 min. In the second stage of the study, one day after the training, "Student Information Form" and "Instructional Materials Motivation Scale" were filled out, and "Achievement Test 1" was implemented. In the third stage, "Achievement Test 2" was executed two months after the training to test longer term knowledge retention.

RESULTS

The Kahoot group students had a score of 66.63 ± 11.02 in the "Achievement Test 1" and 67.76 ± 15.62 in the question-answer group. It was determined that the total score average of the students in the Kahoot group "Achievement Test 2" was 51.25 ± 13.42, and the students in the question-answer group were 47.03 ± 12.61. Accordingly, there was no statistically significant difference between the "Achievement Test 1" and "Achievement Test 2" mean scores of the students in the question-answer and Kahoot group (p > 0.05). The total score average of the question-answer group for "Instructional Materials Motivation Scale" was 127.88 ± 13.64, while the Kahoot group was 126.28 ± 16.88. It was determined that there was no statistically significant relationship between the "Achievement Test 1", "Achievement Test 2" and the "Instructional Materials Motivation Scale" total score and sub-dimensions of the students in the Question-Answer group and Kahoot group (p > 0.05).

CONCLUSION

In the study analyzing the effect of reinforcement by the question-answer or Kahoot method on nursing students' success and motivation levels, it was concluded that no method was superior.

Effect of social support on the treatment adherence of hypertension patients

This descriptive study was conducted to determine the effect of social support on drug treatment adherence in patients with hypertension. The sample of this study consisted of 259 patients who met the research criteria, agreed to participate in the research, and admitted to the cardiology clinic of a university hospital in Turkey between January and June 2017. Data were collected by "Patient Information Form", "Adherence to Drug Treatment Self-Efficacy Scale", and "Multidimensional Perceived Social Support Scale". It was determined that 48.3% of the patients participating in the study were in the 61-75 age group, 58.7% were female, 91.9% were married, and 66.4% were living in the city. It was also found that 71% of the patients had at least one relative or person with hypertension in the family, 79.2% were using at least one blood pressure medication, 61% adhered to his/her diet, and 72.2% adhered to the disease. The average score of the Medication Adherence Self-Efficacy Scale was calculated as 64.24 ± 16.89, whereas the total score average of the Multidimensional Perceived Social Support Scale was calculated as 53.74 ± 23.30. Besides, a statistically significant positive correlation was found among Medication Adherence Self-Efficacy Scale score average, Multidimensional Perceived Social Support Scale total score, and all subgroup score averages (P = .000).In conclusion, in this study, treatment adherence and social support levels of the patients were found to be substantially good; besides, adherence to drug treatment was found to increase positively as the social support of patients with hypertension increase.

What level of self-care agency in mental illness? The factors affecting self-care agency and self-care agency in patients with mental illness

The purpose of this study is to evaluate self-care agency and the factors affecting self-care agency in patients with psychiatric disorders. The population of the study comprised patients diagnosed with mental disorders at the clinics of psychiatry in Erzurum Regional Training and Research Hospital and Atatürk University Research Hospital. Patient information forms and the Self-Care Agency Scale were used to collect the study data. Psychiatric nurse collected the data from the patients face to face. This study determined that the average age of the patients was determined to be 32.19±1.11. The findings indicated that the mean self-care agency level of the patients was 79.3±23.2. It was also found that the differences between sex, educational status, socio-economic status, and self-care agency levels were statistically significant (p<0.05). In conclusion, the patients' self-care agency levels were determined to be mid-level. The findings suggest that people with mental disorders have difficulty identifying their need for self-care. Thus, periodic training programs are necessary to increase self-care levels and further research studies of this type should be done on larger groups.