AMAÇ: Araþtýrma acil serviste çalýþan hemþirelerin þiddete maruz kalma ve iþ doyumuna etkili olan faktörlerin incelenmesi amacýyla yapýlmýþtýr
YÖNTEMLER: Araþtýrma Ankara’nýn Yenimahalle ilçesinde altý hastanenin acil servislerinde çalýþan 128 gönüllü hemþire ile yürütülmüþtür. Araþtýrmamýz 15 Ocak-15Mart 2014 tarihleri arasýnda tanýmlayýcý türde bir araþtýrma olarak yapýlmýþtýr. Araþtýrmanýn verileri gönüllülerin þiddet ve iþ doyumuna iliþkin özelliklerini tanýmlayan anket formu ve Minnesota Ýþ Doyum Ölçeði ile kullanýlarak toplanmýþtýr.
BULGULAR: Hemþirelerin yaþ ortalamasý 29.48 ±6.47 olup % 65.6’sý þiddete uðradýðý ve þiddete uðrayan hemþirelerin %68’i sözel þiddet türüne maruz kaldýklarýný ifade etmiþlerdir. Hemþirelerin genel iþ doyum puan ortalamalarýnýn (2,99 ± 0,59) orta düzeyde olduðu belirlenmiþtir. Hemþirelerin iþ yerinde þiddet görme ile iþ doyumu arasýnda anlamlý fark bulunurken (p<0.05) þiddet gören hemþirelerin iþ doyumu puanlarýnýn diðer hemþirelere göre daha düþük olduðu belirlenmiþtir.
SONUÇ: Çalýþmamýzda þiddete maruz kalmanýn iþ doyumunu azalttýðý belirlenmiþtir. Bu doðrultuda þiddete eðilimin gün geçtikçe arttýðý acil servislerde þiddeti önlemeye iliþkin gerekli önlemlerin alýnmasýnýn iþ doyumunu olumlu yönde etkileyeceði düþünülmektedir.

OBJECTIVE: This study aims to investigate the effects of exposure to violence and affecting factors on job satisfaction of emergency nurses
METHODS: Research was conducted with 128 volunteer nurses who are currently working as emergency nurses at the emergency departments of six hospitals in Yenimahalle district of Ankara. Research was designed as a descriptive cross-sectional study and conducted between 15 January 2014 and 15 March 2014.Data was collected through Minnesota Job Satisfaction Scale and a questionnaire which elicits how nurses describe characteristics of job satisfaction and workplace violence.
RESULTS: The average age of the nurses was 29.48 ± 6.47 years. It was found that 65.6% of the nurses were exposed to violence and 68% of the nurses were exposed to verbal abuse. Nurse’s job satisfaction scores were found to be moderate at 2.99 ± 0.59.There was a significant importance between exposure to violence and job satisfaction (p<0.05). Nurses that were exposed to violence in the workplace had lower job satisfaction scores compared to the nurses that weren’t.
CONCLUSION: In our research it was found that exposure to work place violence was an adverse environmental factor that reduces job satisfaction. In this respect, since violence in the emergency departments is on the rise, preventing workplace violence will have a positive effect on job satisfaction of nurses.

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AMAÇ: Bu çalýþmanýn amacý kanser hastalarýnýn bilgi kaynaklarýný, bilgi gereksinimlerini ve saðlýk personelinden beklentilerini incelemektir.
YÖNTEMLER: Araþtýrma tanýmlayýcý olarak yapýlmýþtýr. Araþtýrmanýn örneklemini Türkiye’de en sýk kullanýlan kanserle ilgili bir bloðun kullanýcýlarý olan, araþtýrmaya katýlmayý kabul eden 120 kanser hastasý oluþturmuþtur. Veri toplama aracý olarak araþtýrmacýlar tarafýndan literatüre dayalý olarak hazýrlanan Hastalarýn Saðlýk Personelinden Beklentileri isimli anket formu kullanýlmýþtýr.
BULGULAR: Çalýþmaya katýlan kanser hastalarýnýn % 82.5’i hastalýkla ilgili bilgiyi doktordan, %70.8’i internetten almaktadýr. Buna karþýlýk hastalarýn % 97.5’i doktordan, % 39.2’si hemþireden bilgi almak istemektedirler. Hastalarýn % 45.8’i saðlýk personelinin iletiþimini kýsmen yeterli, % 35.0’i yetersiz, % 19.2’si yeterli olarak belirtmiþtir. Hastalarýn doktorlardan beklentileri; tedavi ve hastalýk hakkýnda bilgi alma, anlayýþ, daha iyi bir iletiþim kurmasý, duygusal destek alma, hastalýk ve tedavi hakkýnda karar vermede destek olmasý, saygý göstermesi ve daha fazla zaman ayýrmasý/ dinlemesidir. Hastalarýn hemþirelerden beklentileri; anlayýþ, saygý, daha iyi bir iletiþim kurmasý, bakýmýn daha iyi olmasý ve duygusal destek almadýr. Hastalar saðlýk personelinden tedavi ve yan etkileri, hastalýðýn tekrarlama ihtimali, hastalýðýn psikolojik durum üzerine etkileri, prognoz, tedavinin ne kadar süreceði ve hastalýk (ne olduðu ve nedenleri) gibi konularda bilgi almak istemektedir.
SONUÇ: Saðlýk personelinin hastalýðýn ve tedavinin her aþamasýnda hastayý bilgilendirmesi, dinlemesi, anlayýþlý olmasý ve desteklemesi önemlidir. Ayrýca saðlýk personeli hastalar tarafýndan kullanýlan bilgi kaynaklarýnýn farkýnda olmalýdýr.

OBJECTIVE: The aim of this study is to investigate cancer patients’ information sources, information needs and expectations from health care professionals.
METHODS: This is a descriptive study. The most commonly used cancer blog users in Turkey participated in the study. The sample of study consisted of 120 cancer patients. Patients’ expectations from health care form, which was composed by investigators based on literature, was used for data collection instrument.
RESULTS: While 82.5% of the participants obtained disease-related information from physicians, 70.8% obtained it from the internet. However, 97.5% of the patients wanted to get information from physicians, and 39.2% wanted to get information from nurses. Of the patients, 19.2% considered the medical staff’s communication with patients as sufficient, 45.8% as partially sufficient, and 35.0% as insufficient. The patients expected physicians to provide information about the disease and treatment, to understand them to communicate with them better, to provide emotional support, to be helpful during the decision-making process about the disease and treatment, to respect them and to allocate more time to listen to them. The patients expected nurses to understand them, to respect them, to communicate with them better, and to provide better care and emotional support. The patients wanted the healthcare professionals to inform them about treatment and its side effects, the probability of recurrence of the disease, the effects of the disease on their psychological state, prognosis, duration of the treatment and what the disease is and what causes the disease.
CONCLUSION: It is important to give information and support to the patients at all stages of disease. To determine information needs and requirements of the patients and to plan education can reduce the anxiety of patients during treatment process. Health care personnel must pay more attention to communicate with patients in the care of cancer patients. In addition, health professionals should be aware of the information sources used by patients.

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AMAÇ: Bu çalýþmanýn amacý Kars’ta, kadýnlarda gebelik döneminde görülen ruhsal sorunlarý ve bunlarla iliþkili faktörleri belirlemektir.
YÖNTEMLER: Çalýþma, Ekim 2011-Þubat 2012 tarihleri arasýnda Kars il merkezine baðlý toplam 6 aile saðlýðý merkezine kayýtlý gebelerde ev ziyaretiyle yapýlmýþ kesitsel tipte bir çalýþmadýr. Çalýþmada anket formu, Beck Depresyon Ölçeði (BDÖ), Sürekli (SKÖ) ve Durumluk Kaygý Ölçeði (DKÖ) kullanýlmýþtýr. Verilerin istatistiksel deðerlendirilmesinde, yüzdelik hesaplamasý, ortalama, t testi, ANOVA, Pearson korelasyon analizi kullanýlmýþtýr.
BULGULAR: Gebelerin ortalama puanlarýna bakýldýðýnda; depresyon puanlarýnýn 11.91 ± 8.64, süreklik kaygý puanlarýnýn 42.81 ± 14.47 ve durumluk kaygý puanlarýnýn 38.98 ± 14.02 olduðu görülmektedir. Ev hanýmlarýnýn, sosyal güvencesi olmayanlarýn, doðum sayýsý fazla olanlarýn, eþiyle iliþkisi kötü olanlarýn, kronik hastalýðý olanlarýn, özgeçmiþinde depresyonu olanlarýn, isteyerek gebe kalmayanlarýn depresyon düzeylerinin daha yüksek ve eðitim düzeyi yüksek olanlarýn, evlilik süresi daha uzun olanlarýn, kronik hastalýðý olanlarýn, özgeçmiþinde depresyonu olanlarýn kaygý düzeyleri daha yüksek görülmüþtür. Gebelerin % 16.0’sý depresyon, % 73.4’ü süreklik kaygý ve % 63.8’i durumluk kaygý açýsýndan riskli bulunmuþtur.
SONUÇ: Çalýþmanýn bulgularý; gebelerin ruhsal sorunlarýnýn erken tanýlanmasý gerektiðini göstermektedir.

OBJECTIVE: The aim of the study is to determine the mental problems and their related factors in women during pregnancy, in Kars.
METHODS: This is a cross sectional type study which has been made in Kars within 6 health centre, between October 2011 to February 2012, had applied to pregnants which are recorded to these centers. In the study; survey sheet, Beck Depression Scale and State-Trait Anxiety Scale were used. In analysing the data statistically; percentage calculation, average, t test, ANOVA and Pearson correlation analysis were used.
RESULTS: When we looked to the average point of the women, it is seen that; their depression points are 11.91 ± 8.64, state anxiety points are 42.81 ± 14.47 and trait anxiety points are 38.98 ± 14.02. It has been seen that the anxiety levels are more higher in the housewives, the ones which don’t have social guarantee, the ones which has depression in their history, in women who had relationship with their husband, in ones which has cronic diseases, in ones who has more birth rates, in ones who has a higher education level and wanted a pregnancy without willingness, in ones whose marriage is long lasted. 16.0% of the women were found risky in means of depression, 73.4% of them were found risky in means of state anxiety and 63.8% of them were found risky in means of trait anxiety.
CONCLUSION: The results of the study shows that the mental problems of the pregnants must be defined in early stage.

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AMAÇ: Araþtýrma, psikiyatri kliniðinde refakatçi uygulamasýna yönelik hasta yakýnlarýnýn ve saðlýk profesyonellerinin görüþlerini belirlemek amacýyla tanýmlayýcý olarak yapýlmýþtýr.
YÖNTEMLER: Araþtýrma Ýzmir’de bir üniversite hastanesinin psikiyatri kliniðinde yapýldý. Örneklem 41 refakatçi ve 19 saðlýk personelinden oluþmuþtur. Araþtýrma verileri ilgili literatürden yararlanýlarak geliþtirilen bir anket formu aracýlýðýyla toplanmýþ ve veri analizinde sayý ve yüzde daðýlýmý kullanýlmýþtýr.
BULGULAR: Refakatçýlarýn çoðunluðu kadýn (%54) ve hastanýn anne babasý rolündedir (%56). Saðlýk personelinin çoðunluðu doktor (%63.2) ve tamamý refakat uygulamasýný gerekli gördüklerini belirtmiþlerdir. Hasta yakýnlarý klinikte dinlenme için yeterli alanýn olmamasýný (%27) ve rahat uyuyamamayý (%36.6) olumsuzluk olarak belirtmiþlerdir. Çalýþanlarýn tamamý refakat uygulamasýnýn riskli hastalarda ekibin yükünü azalttýðýný buna karþýlýk yarýsý da (%52.6) hastanýn iþlevselliðini ve çalýþanlarýn rutinlerini olumsuz etkilediklerini belirtmiþlerdir. Saðlýk uzmanlarý refakatçýlarýn yaþadýklarý güçlükleri; servis ortamýnda uyku ve dinlenme ortamýnýn olmamasý (%68.4) ve hastalýk, hastaya yaklaþým ve hastalýk süreci ile baþ etmede güçlük (%52.6) yaþadýklarýný belirtmiþlerdir.
SONUÇ: Hem hasta yakýnlarý hem de psikiyatri kliniðinde çalýþan saðlýk personeli refakat uygulamasýný özellikle de bakým gereksinimi olan, kendisine ve çevresine zarar verme riski olan hastalar için gerekli görmektedirler. Refakatçilerin hastane ortamýnda üstlendiði sorumluluklar ve yaþadýðý sorunlar göz önüne alýnarak, öncelikli olarak dinlenme ve uyku gereksinimlerine yönelik fiziksel düzenlemelerin yapýlmasý önerilir.

OBJECTIVE: This descriptive study was conducted to determine the views of the patients’ relatives and health professionals on the implementation of patient accompaniment in the psychiatry clinic.
METHODS: The study was performed in the psychiatry clinic of a university hospital in Izmir.
The sample consisted of 41 patient companions and 19 health personnel. The research data was collected through a questionnaire developed by using the relevant literature and expert opinions, and for the analysis of the data, number and percentage distribution was used.

RESULTS: The most of the companions, (54%) were female and 56% were parents. The most of the health professionals were physician (63.2%) and all of them considered patient accompaniment as a necessary practice. The patients’ relatives expressed negative opinions that there was not enough space to rest in the clinic (27%), and that they were not able to sleep comfortably (36.6%). While all of the employees reported that patients’ having a companion reduces the burden of the team in the care of at-risk patients, half of them (52.6%) stated that the practice adversely affected patients’ functionality and routine applications performed by the employees. Health professionals indicated that the difficulties suffered by the companions were the lack of space to sleep or rest in the clinic environment (68.4%) and that the companions had trouble in coping with the disease and disease process and in approaching the patient (52.6%).
CONCLUSION: Both the patient's relatives and medical staff working in the psychiatry clinic considered that accompaniment was necessary especially for patients who needed care and who were at risk to harm themselves and/or others. It is recommended that the responsibilities undertaken and the problems suffered by the companions should be taken into account and the necessary arrangements regarding their rest and sleep requirements should be made.

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AMAÇ: Bu çalýþma, þizofreni ve kronik böbrek yetmezliði hastalarýna evde bakým veren aile üyeleri ile bakým rolü olmayan bireylerde suçluluk ve utanç düzeylerinin karþýlaþtýrýlmasý amacý ile yapýldý.
YÖNTEMLER: Þizofreni hastalarýna evde bakým veren 32, kronik böbrek yetmezliði (KBY) hastalarýna evde bakým veren 56 aile üyesi ve hastalarýna evde bakým veren aile üyeleriyle yaþ açýsýndan homojen, þizofreni ve KBY hastalarýna bakým veren aile üyeleriyle ayný çevrede yaþayan 60 bakým rolü olmayan birey kontrol grubu olarak toplam 148 birey çalýþmaya alýndý. Veri toplama aracý olarak sosyo-demografik bilgi formu ve suçluluk-utanç ölçeði (SUTÖ) kullanýldý.
BULGULAR: Þizofreni hastalarýna evde bakým veren aile üyelerindeki suçluluk ve utanç puaný 51.4±6.79, KBY hastalarýna evde bakým veren aile üyelerinde 44.3±11.13 ve kontrol grubunda 34.9±0.10 bulundu. Kontrol grubuna göre þizofreni ve KBY hastalarýna evde bakým veren aile üyelerinde suçluluk ve utanç puaný anlamlý idi. Bu çalýþmada ele alýnan sosyo-demografik deðiþkenler ile suçluluk ve utanç puaný arasýnda anlamlý iliþki saptanmadý. Þizofreni hastalarýna evde bakým veren aile üyelerindeki suçluluk ve utanç düzeyinin sosyo-demografik deðiþkenlerden baðýmsýz olarak KBY hastalarýna evde bakým veren aile üyelerinden yüksek olduðu bulundu.
SONUÇ: Þizofreni ve KBY hastalarýna evde bakým veren aile üyelerinde suçluluk ve utanç puaný kontrol grubuna göre yüksek bulundu. Ayrýca þizofreni hastalarýna evde bakým veren aile üyelerinde suçluluk ve utanç puaný diðerlerine göre daha yüksekti. Kronik hastalýðý olan hastalarla çalýþan hemþirelerin ve diðer saðlýk personelinin, hasta ve ailelerinin yaþadýðý sýkýntý ve güçlükleri anlayabilmesi, onlara nasýl yardýmcý olabilecekleri konusunda eðitim, bakým, danýþmanlýk ve rehabilitasyon rollerini geliþtirici hizmet içi eðitim programlarýnýn düzenlenmesi, evde bakým programlarýnýn geliþtirilmesi ve toplumu bilinçlendirme çalýþmalarý önerilmektedir.

OBJECTIVE: This work was done in order to compare the levels of feeling guilt and embarrassment in the family members nursing schizoprenia and chronic renal failure patients and in individuals having no nursing role.
METHODS: 32 family members nursing schizophrenia patients at home, 56 family members nursing real failure-chronic patients,inspection group of 60 healthy individuals who are at the same age and sex with family members, totally 148 individuals have been examined. As data records, demographic information form and guilt-embarrassment scale have been used.
RESULTS: Guilt and embarrassment scores of family members offering care to schizophrenia patients at home were 51.4±6.79, whereas the scores were 44.3±11.13 for family members offering care to KBY patients at home and 34.9±0.10 in the control group. The guilt and embarrassment scores of the family members offering care to schizophrenia and KBY patients at home were significant when they were compared with the control group. A significant relationship could not be found between the socio-demographic variables investigated in this study, and the guilt and embarrassment scores. It was found that the level of guilt and embarrassment in family members offering care to schizophrenia patients at home was, independently of demographic variables, higher than that of the family members offering care to KBY patients at home.
CONCLUSION: Guilt and embarrassment scores of family members offering home care to schizophrenia and KBY patients were higher than those of the control group. Moreover, the guilt and embarrassment scores of the family members offering home care to schizophrenia patients were higher than those of the others. It is recommended that nurses and other health personnel working with patients having chronic diseases should be provided with in-service training programs in order to improve their roles as educators, caregivers, counselors and rehabilitation experts and be able to understand the problems and difficulties the patients and their families experience, home care programs should be organized and activities should be held to raise awareness among the public in this regard.

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AMAÇ: Bu araþtýrma, demanslý bireylere bakým verenlerin bakým verici konumda olma ile ilgili yaþadýðý güçlükler ve bu konudaki görüþlerini belirlemek amacýyla yapýlmýþtýr.
YÖNTEMLER: Araþtýrma nitel bir araþtýrmadýr ve demanslý bireylere bakým verme konusunu katýlýmcýlarýn bakýþ açýsýndan ayrýntýlý bir anlayýþla araþtýrmayý ve ortaya koymayý amaçladýðýndan fenomenolojik desende planlanmýþtýr. Demans tanýsý almýþ 10 hastanýn bakým verenleri ile görüþülmüþtür.
BULGULAR: Yarý yapýlandýrýlmýþ görüþmeden elde edilen veriler, demansýn anlamý, bakým vermenin anlamý, bakým vermeye baþlamadan önceki yaþam, bakým verme ile deðiþen hayatlar, demanslý bir yakýna sahip olmanýn oluþturduðu hisler, bakým verirken zorlanýlan alanlar, baþ etme tarzlarý, baþ etme konusunda diðer bakým vericilere öneriler ve bakým verme iþine iliþkin ürettikleri metaforlar baþlýklarý altýnda incelenmiþtir.
SONUÇ: : Bakým verici konumda olma bireysel özellikler, bakým verilen kiþinin yakýnlýðý, bu role hazýr oluþ (kadýn olma) ile ilgili olsun ya da olmasýn, bakým verme bireyin yaþamýný büyük ölçüde sýnýrlamakta ve yeni düzenlemeler yapmasýna neden olmaktadýr. Bakým verme konusunda aile üyelerinden destek alamadýklarý için de yalnýz kaldýklarý görülmüþtür. Temel rolü bakým verme olan hemþirelerin danýþmanlýk, araþtýrýcý, eðitici, tedavi edici ve savunucu rollerinin gereði olarak demanslý bireyle ilgilenirken yalnýz hastanýn deðil bakým verenin gereksinimlerini de düþünmesi demanslý birey ile bakým verene bütüncül bakým vermesi gerekmektedir.

OBJECTIVE: The aim of this study was to determine the difficulties which the individuals experienced because of being in the position of care givers.
METHODS: The study is qualitative and planned in phenomenological pattern, as it aims to do and present a detailed research of the attendants' perspectives on taking care of the patients with dementia. Data set of ten patients with dementia were used in the study.
RESULTS: The data obtained from semi-structured interviews were examined under the title of conception of dementia, conception of providing healthcare for dementia, life before the healthcare, change in lives after healthcare, feelings of having a relative who had dementia, difficulties while providing healthcare, ways of coping with dementia, advice on coping with dementia for other healtcare providers, metaphors which are built about providing healthcare.
CONCLUSION: Being in the position of care giver; whether or not it is related with personal specialities, the closeness of the person cared, being ready for this role (being woman), care giving restricts individual’s life in a large scale and it causes him/her to do new arrangements. The main role advising the nurses who provide care, researchers, educational, therapeutic, and demented as required by the advocate role the individual dealing only thinking also of the needs of patients, not caregivers of dementia is necessary to provide holistic care for caregivers and individuals.

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Deðiþen yaþam koþullarý ve beraberinde gelen yeniliklere, hem saðlýk hizmetlerinin hem de bireylerin uyum saðlamasý gerekmektedir. Yaratýcýlýkla ortaya çýkan yeniliklerin saðlýk alanýnda kullanýmý yaygýndýr. Dolayýsýyla saðlýk hizmeti alan kiþilere doðrudan ulaþan meslek olan hemþirelik için de yaratýcýlýk, önemli bir kavramdýr. Özellikle ruh saðlýðýný koruma, geliþtirme ve hastalýklarla müdahalede ruh saðlýðý hastalýklarý hemþirelerinin yaratýcýlýklarýný kullanmalarý beklenmektedir. Böylece kendilerine ve hizmet verdikleri kiþilere olumlu katkýlar sunabilirler. Bu nedenle bu makalede, yaratýcýlýðýn, ruh saðlýðý ve hastalýklarý hemþireliði için önemi üzeride durulmuþtur. Bu kapsamda, Mart- Nisan 2014 tarihlerinde Google Akademik arama motorunda; ScienceDirect ve Academic Search Complete (EBSCOHOST) veri tabanlarýnda literatür taramasý yapýlmýþtýr. Temel olarak 2005-2014 yýllarýnda yapýlan araþtýrmalar incelenmiþtir.

Health services and also individuals should adapt to changing life conditions and innovations with them. Using innovation arise from creativity is common in healthcare field. So creativity is important for nurses which is the profession provides service directly to individuals that are service users. Especially psychiatric and mental health nurses are waited to use their own creativity skills for protecting and developing mental health and fighting against psychiatric diseases. Thus, they can offer positive contributions to themselves and service users. For this reason, importance of creativity in psychiatric and mental health nurses was dealed in the article. Within this scope, the current literature were reviewed by using Google Scholar search engine and, ScienceDirect and Academic Search Complete (EBSCOHOST) databases between March- April 2014. Mainly researches conducted in 2005-2014 were investigated

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