Kütahya Health Sciences University Research Information System
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Biological Activities of Etodolac‐Based Hydrazone, Thiazolidinone and Triazole Derivatives on Breast Cancer Cell Lines MCF‐7 and MDA‐MB‐231
Serebral Palsili Adölesanların Akıllı Bileklik ve Mobil Uygulama Destekli Telerehabilitasyon Deneyimlerinin İncelenmesi – Vaka Serisi
Does fear of compassion effect nurses’ caring behaviours? a cross-sectional study
Aims: The aim of this study is to determine the levels of nurses’ fear of compassion for others, fear of compassion from others, and fear of self-compassion and to examine the effect of fear of compassion on caring behaviors. Design: A cross-sectional, quantitative design was used. Participants and research context: The study was conducted between October 2022 and April 2023 with 304 nurses working in two public hospitals. Data collection tools were the “Fears of Compassion Scales” and the “Caring Behaviors Inventory.” Data were analyzed using a t test, one-way ANOVA, Pearson correlation analysis, and stepwise multiple regression model. Ethical considerations: Ethics committee approval of the research was obtained from the non-invasive ethics committee of Kütahya Health Sciences University (Reference No: 25.05.2022/2022/06-19). The principles of the Declaration of Helsinki were followed in the study. The purpose of the research was explained to all participants, and their verbal/written informed consent was obtained. Results: The mean scores of nurses on fear of compassion for others and from others were at a moderate level, and their scores on fear of self-compassion were close to a moderate level. It was found that the level of nurses’ fear of compassion was related to their sociodemographic and professional variables. Fear of self-compassion, fear of compassion for others, and fear of compassion from others explained 33.5% of the total variance in caring behaviors. Conclusions: Nurses’ caring behaviors were shown to be more associated with fear of self-compassion than fear of compassion for others. Fear of compassion may be one of the barriers to compassionate care. Interventions that will reduce nurses’ fear of compassion may be one way to provide compassionate care. It is recommended to conduct awareness studies on self-compassion and accepting compassion from others in nurses
‘Earthquake of the century’ and its aftermath: Reflections on social work practices implemented in the first hours of the disaster at a hospital in Türkiye
This article presents the practice reflections of two social work academics who worked with individuals affected by a recent disaster in Kayseri, Türkiye. The study shares the experiences and insights regarding how hospital-based social work interventions were conducted in the first hours following the earthquake
The effect of an open-heart surgery patient care protocol on post-sternotomy pain, anxiety and quality of care: A randomized controlled trial
Background: Open-heart surgery patients face many problems because of post-sternotomy pain. Care protocols can eliminate pain and pain-related problems by providing holistic care. Aim: The aim of this study was to examine the effect of an open-heart surgery patient care protocol developed in the study on post-sternotomy pain, anxiety and quality of care. Study Design: The study was carried out as a double-blind randomized controlled trial. The sample size was calculated. Considering some attrition, the sample size was increased by 10% for each group, and a total of 68 participants, including 34 in each group, were included in the sample. Data were collected using a ‘Patient Information Form’, a ‘Post-Sternotomy Pain Follow-up Form’, the ‘Numeric Rating Scale’, the ‘State Anxiety Inventory’ and the ‘Strategic and Clinical Quality Indicators in Postoperative Pain Management Questionnaire’. The patients in the experimental group were given care in accordance with the protocol, which was developed in the study, on postoperative days 0, 1 and 2. Results: The statistical evaluation showed a significant difference between the mean scores of the experimental (F = 7.28; p <.001) and control groups (F = 2.42; p <.05) on the pain assessment scale. It was determined that the number of analgesics used in the experimental group was statistically significantly lower than in the control group. Intra-group comparisons showed that there was a difference between the mean pre-test and post-test state anxiety scale scores of the groups (p <.001). The experimental group had higher mean scores on the Strategic and Clinical Quality Indicators in Postoperative Pain Management Questionnaire than that of the control group (p <.001). Conclusions: The protocol developed in the study was found to be effective in reducing pain, the use of NSAIDs and opioids, and anxiety levels and increasing the level of quality of care. Relevance to Clinical Practice: The protocol was original and feasible in that it included independent nursing interventions to improve the quality of care by reducing pain and anxiety. Particularly, the use of protocols in intensive care units was nurses' strongest resource in patient care management. Thus, the protocol, which was prepared for intensive care patients who most frequently experience pain and anxiety, was promising for nurses in improving the quality of care by reducing pain and anxiety. However, it is necessary to conduct further studies involving longitudinal follow-up in samples and institutions with similar conditions
Halk Sağlığında Güncel Derlemeler VII
İşyeri şiddeti, özellikle sağlık sektöründe önemli bir halk sağlığı sorunudur. Sağlık çalışanları, diğer meslek gruplarına kıyasla çok daha yüksek oranda şiddete maruz kalmaktadır. Sağlıkta şiddete maruziyet öğrencilik zamanında başlamaktadır. Tıp fakültesi öğrencileri, şiddetin doğrudan veya dolaylı etkilerine maruz kalmakta; bu durum öğrencilerde öfke, hayal kırıklığı, tükenmişlik, depresyon ve umutsuzluk gibi psikolojik sorunlara yol açmaktadır. Ayrıca, öğrenciler uzmanlık seçimlerinde hasta temasının daha az olduğu alanlara yönelmekte ya da meslekten uzaklaşmayı düşünmektedir. Şiddet, sadece bireysel düzeyde değil, tıp mesleğinin itibarı ve sürdürülebilirliği açısından da ciddi tehditler oluşturmaktadır. Şiddetin önlenmesi için iletişim becerilerinin geliştirilmesi, hukuki farkındalığın artırılması, güvenlik önlemlerinin güçlendirilmesi ve caydırıcı yasal düzenlemelerin yapılması gerekmektedir. Bu doğrultuda, mezuniyet öncesi tıp eğitimine şiddetle mücadeleye yönelik içeriklerin eklenmesi önerilmektedir.</p