Objective: The aim of this study is to examine the medication errors that the intern nurses witnessed during pediatric practice.
Material and Methods: This descriptive and cross-sectional study was conducted with 201 intern nurses who completed pediatric practice (5 weeks) between September 15, 2018, and June 15, 2019, in Gaziantep University Faculty of Health Sciences Nursing Department. The questionnaire form prepared by the researchers by examining the literature was used. Descriptive analysis (number, percentage, arithmetic mean) was used for the data obtained from the questionnaire form.
Results: It was determined that 42.8% of the intern nurses participating in the study witnessed medication errors. It was determined that 15.4% of the witnessed errors were giving the wrong dose of medication, 10.9% were giving the wrong drug, and 10% were giving to the wrong child. It was stated that 33.8% of the witnessed errors did not affect/reach the patient and 35.8% were not reported. According to the intern nurses, 47.3% of the medication errors that occurred in the pediatric clinic were due to the high workload of nurses in the clinic.
Conclusion: In our study, it was determined that almost half of the intern nurses have witnessed medication errors, the most common among them being wrong dose, wrong drug, wrong child, and wrong method. Most of the errors do not affect the patient, and reporting rate of the errors is low. The most important causes of medication errors are the high workload of nurses in the clinic and lack of communication.
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Objective: This study was carried out retrospectively to investigate the type, frequency, and physical effects of trauma in 0- to 6-year-old children admitted to the emergency department.
Material and Methods: The data were collected using the admission record of emergency department and patient follow-up forms of 1,237 pediatric trauma patients between the ages of 0 and 6 years from January 2014 to January 2017. The data collected were transferred retrospectively to the “data collecting form,” which was prepared by the researcher. The collected data were analyzed using Statistical Package for Social Sciences 21.0 (IBM SPSS Corp.; Armonk, NY, USA) package program.
Results: Of the total patients, 57.2% were male, and 35.7% were between 0 and 12 months old. The reasons for admission of these patients were stated as falling down (48.7%), hitting (13.6%), and falling from a height (13.4%). In addition, it was indicated that the injuries of the patients admitted to the ER were head and neck injury (67.4%) and extremity trauma (28.9%). When the patients’ ages and other variables were compared, it was observed that children in the age group of 0–12 months stayed in the ER more than any other age groups; falling down from a height was mostly seen in the 0–12 months age group; pulling of arm and presence of foreign bodies in the eye, ears, and nose were mostly seen in the 13–36 months age group; hitting, squeezing, and distortion of extremities were seen mostly in the age group of 37–72 months (p<0.05). It was found that head and neck injuries were more frequent in children in the age group of 0–12 months than older children, whereas thoracic injuries were more frequent in the age groups of 0–12 and 37–72 months.
Conclusion: The result of this study is that the trauma in the age group of 0–6 years can be prevented by taking some precautions by the families by considering the children’s developmental features.
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Objective: This study was conducted to determine the effect of fear of labor on the level of prenatal attachment and the factors affecting it.
Material and Methods: This descriptive and relational study was performed with 299 pregnant women who were 28-38 weeks and who came for routine checkups to Erzurum Nenehatun Maternity Hospital from June to December 2016. Data were collected from a questionnaire form, the A version of WIJMA birth expectancy/experience scale, and the prenatal attachment scale.
Results: There was a statistically significant difference between the mean scores of the WIJMA birth expectancy/experience scale and the fear of giving birth (p<0.05). The difference between the number of pregnancies, number of abortions, and the fear of labor pain and mean scores of prenatal bonding scale was statistically significant (p<0.05). A total of 33.1% of the pregnant women were found to have a severe and clinical fear of labor. It was determined that they had a mean score of 54.12±23.68 on the WIJMA birth expectancy/experience scale, and their mean prenatal attachment score was 39.10±9.65. A very weak positive correlation was found between the average scores of these scales.
Conclusion: As the fear of labor increased, the prenatal bonding levels also increased. It was determined that women who received prenatal care were not afraid of labor pain, did not find labor difficult, and had less fear of childbirth. In line with the results of this study, it is recommended that pregnant women receive pregnancy, childbirth, and postnatal education by attending prenatal education classes.
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Objective: This study was conducted to assess the quality of life of patients with irritable bowel syndrome.
Material and Methods: The data for the study were collected from 201 patients who were referred to Agrı Hospital, Internal Diseases and Gastroenterology Polyclinic and who were diagnosed with irritable bowel syndrome between February and September 2015. A questionnaire form and the irritable bowel syndrome quality of life questionnaire (IBS-QOL) were used for data collection. Percentage, average, Mann–Whitney U test, and Kruskal–Wallis test were used in the assessment of the data.
Results: The average of the patients’ quality of life total scores was found to be 61.4±18.41. Looking at the sub-dimension score averages in IBS-QOL, dysphoria was found to be 60.29±22.62; activity, 56.36±21.18; body image, 63.71±23.90; health worry, 53.11±26.89; food avoidance, 43.91±24.13; social reaction, 69.68±22.83; activity, 87.94±25.11; and social relation 69.40±26.00. A significant difference was found between quality of life and patients’ marital status (p=0.049), level of income (p=0.000), type of treatment (p=0.026), frequency of complaints (p=0.008), and general health perception (p=0.000).
Conclusion: The quality of life of the patients in the sample was found to be mildly above the average. Whereas the most affected sub-dimension was food avoidance, the least affected sub-dimension was activity. It was found that married patients, those with a low income, those using alternative methods along with drugs in treatment, those whose complaints varied depending on the diet and the medication and lasted every day, and those who had a very poor perception of their general health were found to have a significantly low quality of life.
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Objective: Assessment of high-risk infants is critical for setting early physiotherapy needs and evaluating the effects of clinical practices. The aim of this study was to analyze the inter-rater reliability of the infant motor profile (IMP) performed on high-risk infants with different risk factors.
Material and Methods: IMP videos of 47 infants (18 female and 29 male) with an average corrected age of 10.13±5.13 months were recorded. There were 56 videos in total; three pediatric physiotherapists scored five domains, namely variation, variability, symmetry, fluency, and performance. Spearman Correlation Analysis was used to evaluate the inter-rater reliability.
Results: Considering the Spearman values for the inter-rater reliability, it was found that the values ranged between low (r=0.467) and very high (r=0.941). The highest reliability was very high (r= 0.898–0.929) for the domain of performance, and the lowest reliability was low-high (r=0.467–0.735) for the symmetry domain. The results of inter-rater reliability were acceptable for the IMP total score and all the domain scores in this study.
Conclusion: These results show that the use of IMP by physiotherapists for the assessment of 3-24-month-old high-risk infants is reliable. We recommend that it be used in our country in determining early physiotherapy needs.
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Scoliosis-specific exercises defined as “Physiotherapy Scoliosis-Specific Exercises” are individually adapted to the curvature characteristics, size, and location and are aimed at stopping progression and improving the curvature. Schroth, Schroth Best Practice, Lyon Method, Scientific Exercise Approach to Scoliosis, Barcelona Scoliosis Physical Therapy School, Dobomed, Side Shift, and Functional Individual Therapy of Scoliosis are scoliosis-specific physiotherapy exercise methods developed in different European countries and used in the treatment of scoliosis all over the world.
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Mitochondrial diseases increase mortality and morbidity caused by mutations in mitochondrial DNA (mtDNA) or functional gene disorders of mitochondria. Hereditary mutations in mtDNA are an important cause of genetic diseases for which there is no effective treatment and are transmitted from generation to generation. Mutations in DNA have an important role in infertility or other reproductive anomalies that occur later in life by affecting oocyte functions as well as negatively affecting vital organs. With the development of technology, one of the new treatment approaches developed for mitochondrial diseases is mitochondrial gene replacement therapy (MRT). MRT allows women who are carriers of mtDNA mutations to have a genetically healthy child. In this review, MRT, its effects, nursing dimensions, and ethical relationship are discussed.
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Health workers are exposed to antineoplastic drugs when working in the preparation and management of antineoplastic drugs or in the place where these drugs are used. The development of oncology as a field of expertise in medicine, the increase of chemotherapy doses and combinations given to cancer patients, and the development of a supportive care area to help minimize or protect from the side effects of chemotherapy increase the occupational exposure of nurses to antineoplastic drugs. Occupational exposure to antineoplastic drugs has many side effects and health problems in healthcare workers. This exposure may cause acute side effects such as skin rash, nausea, vomiting, diarrhea, constipation, alopecia, nail hyperpigmentation, dysuria, and insomnia, or chronic side effects such as infertility, miscarriage, damage to the fetus and embryo, leukemia, and breast cancer. Therefore, the aim of this review is to evaluate the occupational exposure of nurses working with antineoplastic drugs and the preventive measures.
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Objective: This study was conducted to determine the cyberchondria levels of women being treated for heart disease in training and research hospital and the factors affecting these levels.
Materials and Methods: The population of this descriptive and cross-sectional study was composed of 331 female patients, who presented to the Cardiology and Cardiovascular Surgery services of Koşuyolu High Specialized Training and Research Hospital between August 2018 to October 2018. Moreover, the patients who were diagnosed with heart disease were literate, spoke Turkish, and volunteered to participate in the study. Before the sample was selected, data collection was continued until the total number of the sample was met with the patients who were in compliance with the study criteria and willing to participate in the study. Research data were collected by a descriptive data collection form and by the Cybercondria Severity Scale (CST). For the evaluation of the data, number-percentage calculations, the Mann Whitney-U test, the Anova test, and a t-test were used.
Results: About 38.7% of women who participated in the study expressed that they searched their diseases on the internet, while 75.8% of them expressed that they watched health related programs. About 8.8% of the participants stated that they underwent extra tests without the physician’s recommendations, and 12.7% of them used medication without the physician’s recommendation. A total of 25.4% of them believe that the information on the internet was correct and 36% of them said that they sometimes made decisions about their health issues according to that information. The average CST score of the women was found to be 68.00±27.04. An increase in the anxiety related to behaviors such as online searching and self-evaluation about health issues was determined at a low level. No statistically significant difference was found between the participants’ marital status, watching health-related programs on TV, taking tests and medicines without the physician’s recommendations, and the CST average score (p>0.05). The anxiety of the participants who were over and under 50 years old, had graduated from high school or a higher level, were employees, whose income levels were at the middle and higher level, had children, had never been operated, had been diagnosed with a disease for less than a year, and believed that the information on the internet was correct and made a decision according to this information, was increased due to the online searching and self-evaluation behaviors about health issues (p<0.05).
Conclusion: Nurses should take an active role in training patients who are being treated for heart disease, by eliminating the need for information and directing patients to reliable information sources.
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Objective: This study was carried out to determine the levels and affecting factors of nursing students’ belief in sexual myths.
Materials and Methods: This descriptive study included 376 students, that is, 190 freshman and 186 senior students, studying in a nursing department of a public university in the Mersin province between March, 20 and April 17, 2017. The study data were gathered using a questionnaire and the Sexual Myths Scale (SMS).
Results: The average age of 376 students was 20.60±2.34 years, and 66% of them were women. It was determined that the SMS total score average was 65.86±22.11. A statistically significant difference was found between the SMS total score averages and student’s gender, classes, place where the student lived the longest, parent’s working status, and the place from which the first sexual information was received. A negative significant linear relation was detected between the SMS total scores and students’ ages (r=−216, p<0.05).
Conclusion: It was determined that nursing students who were women, who were senior class, who have lived in the city for a long time, whose parents work, and who received first sexual information from family members believe less in sexual myths, and these beliefs decreased with age. It is recommended that nursing educators who are experts in the field of sexuality add lessons and subjects related to sexuality and sexual myths from the 1st grade to the nursing curriculum and consult students according to their personal characteristics until the 4th grade.
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