AMAÇ: Bu çalýþma, karaciðer nakil ameliyatý olmuþ hastalarýn ve onlarýn bakýmýndan sorumlu hasta yakýnlarýnýn ruhsal durumlarýný ve ruhsal durumlarýnýn yaþam kalitesi üzerine etkisini belirlemeyi amaçlamaktadýr
YÖNTEMLER: Bu tanýmlayýcý ve kesitsel çalýþma, bir üniversite hastanesinin karaciðer nakil merkezinde 2009-2010 yýllarý arasýnda nakil olan 18 hasta ve onlarýn bakýmýndan sorumlu 18 hasta yakýný ile yapýlmýþtýr. Araþtýrmanýn verileri, Kiþisel Bilgi Formu, klinik bulgular (Meld), Beck Depresyon Ölçeði, SF-36 Yaþam Kalitesi Ölçeði ve Durumluk-Sürekli Kaygý Ölçeði ile toplanmýþtýr. Araþtýrmada elde edilen verilerin analiz ve deðerlendirmelerinde sýklýk tablolarý, merkezi ve yaygýnlýk ölçütleri ile Mann-Whitney U testi, Kruskall- Wallis Testi ve Spearman Korelasyon analizi kullanýlmýþtýr.
BULGULAR: Hastalarýn yarýsýnda ve hasta yakýnlarýnýn yarýsýndan çoðunda ciddi düzeyde depresyon saptanmýþtýr. Depresyon, durumluk ve sürekli anksiyete puaný ortalamalarý hasta yakýnlarýnýn hastalardan daha yüksek olduðu, aradaki farkýn istatistiksel olarak anlamlý olmadýðý bulunmuþtur. Hastalarýn yaþam kalitesinin fiziksel fonksiyon ve rol güçlüðü ile depresyon puanýnýn ve aðrý, canlýlýk ve ruhsal saðlýk ile durumluk kaygý puaný arasýnda negatif yönde orta düzeyde anlamlý bir iliþki bulunmuþtur. Hasta yakýnlarýnýn yaþam kalitesinin fiziksel ve ruhsal birçok alt boyutunun depresyon, durumluk ve sürekli kaygý puanlarý arasýnda negatif yönde orta düzeyde anlamlý bir iliþki saptanmýþtýr.
SONUÇ: Nakil sonrasý hasta ve hasta yakýnlarýnýn anksiyete ve depresyon düzeylerinin yüksek olduðu, ruhsal durumun yaþam kalitesini etkilediði, bu baðlamda nakil sonrasýnda destek gruplarý oluþturmanýn ve ruhsal durum ile yaþam kalitesini iyileþtirmeye odaklanan programlar geliþtirmenin gerekli olduðu söylenebilir.

OBJECTIVE: The aim of this study is to determine the effect on quality of life, of the mental states of the patients who had liver transplant surgery and their relatives who are responsible for the care of them.
METHODS: This descriptive and cross-sectional study, were performed in the liver transplantation center of a university hospital with 18 patients transferred between 2009-2010 and their 18 caregivers. Data of the study were collected through Personal Information Form, clinical findings (Meld), Beck Depression Inventory, the SF-36 Quality of Life Scale and the State-Trait Anxiety Inventory. In the analysis and evaluation of the data obtained in the study, frequency table, central and prevalence criteria and Mann-Whitney U test, Kruskal-Wallis test and Spearman correlation analysis were employed.
RESULTS: Half of patients and more than half of relatives of the patients were found severely depressed. Depression, state and trait anxiety mean score was higher in relatives of the patient than the patients. The difference was not statistically significant. We have found a significant moderate negative relationship between the patients’ physical function and physical role difficulties with depression score and pain, vitality and mental health with state anxiety score. We found that there is a moderate negative relationship between the relatives of the patients depression and anxiety score with a lot of physical and mental quality of life subscale.
CONCLUSION: The high rate of depression and anxiety seen on the post transplant patient and their relatives. Mental states that affects quality of life in this reveals the importance of the establishment of therapeutic groups and the need for the creation of support groups.

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AMAÇ: Amaç: Ýnfertilite týbbi, psikiyatrik, psikolojik ve sosyal yönleriyle psiþik travmaya neden olan bir kriz durumudur. Üreme tekniklerindeki geliþmeler, hastalara bir yönüyle umut olurken, diðer yandan özellikle kadýnlarda üzüntü, kontrol kaybý, damgalanma gibi durumlar da yaratmaktadýr. Bu doðrultuda bu çalýþmada infertilite tedavisi gören kadýnlarda umutsuzluk ve umutsuzluðu etkileyebilecek benlik saygýsý, çift uyumu, kiþilik özellikleri ve sosyodemografik deðiþkenlerin incelenmesi amaçlanmýþtýr.

YÖNTEMLER: Yöntem: Kesitsel ve tanýmlayýcý nitelikteki bu araþtýrma Ege Üniversitesi Týp Fakültesi Hastanesi Aile Planlamasý ve Kýsýrlýk Uygulama ve Araþtýrma Merkezinde 2009 - 2010 tarihleri arasýnda yapýlmýþtýr. Çalýþmanýn örneklemini 141 kadýn oluþturmuþtur. Veriler, Tanýtýcý Bilgi Formu, Beck Umutsuzluk Ölçeði (BUÖ), Rosenberg Benlik Saygýsý Ölçeði (RBSÖ), Çift Uyum Ölçeði (ÇUÖ) ve Mizaç ve Karakter Envanteri (MKE) kullanýlarak toplanmýþtýr.

BULGULAR: Bulgular: Yaþ ortalamasý 32.21 (SD=4.73) olan infertil kadýnlarýn RBSÖ’den aldýklarý puan ortalamasý 5.13 (SD=3.52), BUÖ’den aldýklarý puan ortalamasý 7.52 (SD=3.82) olarak belirlenmiþtir. Çalýþma grubunu oluþturan kadýnlarda benlik saygýsý %37.3’ünde düþük, %45.6’sýnda orta, %17.9’unda yüksektir. Düþük gelirli grupta BUÖ’den alýnan puanlar anlamlý düzeyde daha düþüktür (F=12.35, p<0.01). Görücü usulü ile evlenen kadýnlarýn umutsuzluk düzeyleri daha yüksektir (F=3.63, p<0.05). Kadýnlarda çift uyumu ile umutsuzluk arasýndaki iliþki negatif yönde orta düzeydedir (r=-0.445, p<0.01). Çalýþmaya katýlan kadýnlardan infertilite tedavi görme süresi en uzun olanlar BUÖ’den daha yüksek puan almýþlardýr (F=2.88, p<0.05). Kadýnlarýn RBSÖ ve BUÖ’den aldýklarý puanlar arasýnda pozitif yönde anlamlý iliþki bulunmuþtur (r=0.445, p<0.01). Regresyon analizi sonuçlarýna göre sorumluluk, beceriklilik ve kendini unutma þeklindeki üç karakter özelliði kadýnlarda umutsuzluðu yordayan deðiþkenler olarak saptanmýþtýr (F=16.36; p<0.01).

SONUÇ: Sonuç: Benlik saygýsý, çift uyumu ve karakter özellikleri infertil kadýnlarda umutsuzluðu etkileyen deðiþkenlerdir. Ýnfertilite tedavi sürecinde destekleyici psikososyal yaklaþýmlara yer verilmesi yararlý olacaktýr.

OBJECTIVE: Objective: An Infertility medical, psychiatric, psychological and social aspect of the psychic trauma is causing a crisis situation. Developments in reproduction techniques, patients with a direction of hope, while on the other hand, especially in women of sadness, loss of control, are creating situations such as stigma. In this direction, in this study, despair and hopelessness in women undergoing infertility treatment that may affect self-esteem, dyadic adjustment, personality traits and socio-demographic variables examined were aimed.

METHODS: Method: Cross-sectional and descriptive nature of this research, Ege University Medical Faculty Hospital, Family Planning and Infertility Research Center has been made between 2009-2010. The study sample consisted of 141 women. Data was collected using Information Form, Beck Hopelessness Scale ( BHS), Rosenberg Self-Esteem Scale (RSES ), Dyadic Adjustment Scale (DAS ), and the Temperament and Character Inventory ( TCI).

RESULTS: Results: Mean age was 32.21 (SD = 4.73) than that of infertile women get RSES mean score 5.13 (SD = 3.52), BHS scores taken from the average of 7.52 ( SD = 3.82 ), respectively. Self-esteem in women in the study group 37.3% low, 45.6% moderate, 17.9% is higher. In low-income groups from BHS scores significantly lower (F = 12.35, p < 0.01). Arranged married women with higher levels of hopelessness (F = 3.63, p < 0.05). The relationship between dyadic adjustment in women with negative moderate levels of hopelessness (r = -0,445, p < 0.01). Infertility treatment in women participating in the study period than the long ones BHS scored higher (F = 2.88, p < 0.05). Women between the RSES and receive their scores from BHS significant positive correlation was found ( r = 0.445, p < 0.01). According to the results of the regression analysis of responsibility, resourcefulness and self- forget -shaped feature three characters in women has been identified as predictors of hopelessness (F = 16: 36, p < 0.01).

CONCLUSION: Conclusion: Self-esteem in women infertile couples harmony and character traits are variables affecting despair. In the process of infertility treatment will be useful to include supportive psychosocial approaches.

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This article is about an intervention or approach in mental health care that has been developed and conceived from hermeneutics, more specifically the hermeneutics of Ricoeur. The intervention we called the photo-instrument. In this intervention photography is used as a means to assist patients in a process of meaning making from experiences in their life world. It aims at empowerment and strengthening the agency of patients. It does so by facilitating storytelling. Mimesis, as interpreted by Ricoeur, was found to be a central concept with which we could explain the therapeutic working of the approach and legitimize its ethical claims of empowerment and recovery. Another aspect is the concordance between narrative and action, as described by Ricoeur, which has a pendant in the goal orientation of the photography intervention. At the same time it will be demonstrated that experiences from professional practice (nurses applying the intervention) feedback on the theory and enrich it with new insights, e.g. on ‘iconic representation’.

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AMAÇ: Bu çalýþma psikiyatri kliniklerinde çalýþan ve hemþirelik öðrencilerinin eðitiminde görev alan psikiyatri hemþirelerinin profesyonel davranýþlarýnýn düzeyini ve etkileyen faktörleri belirlemek amacýyla yapýlmýþtýr.
YÖNTEMLER: Tanýmlayýcý tipteki bu çalýþmada; 100 katýlýmcýya ulaþýlmýþ ve veriler Hemþirelikte Profesyonelliðe Ýliþkin Davranýþsal Envanter (HPDE) ile toplanmýþtýr. Verilerin analizinde yüzdelik, ANOVA, t testi, Kruskall Wallis testi, Mann Whitney-U testi kullanýlmýþtýr.
BULGULAR: Araþtýrmaya katýlan hemþirelerin %67’si þu anda hastanede ve %46’sý servis hemþiresi olarak çalýþmaktadýr. Hemþirelikte HPDE puan ortalamasý 10.54±6.48 (min=0.00, max=25.00) olarak saptanmýþtýr. HPDE alt grup puan ortalamalarýnýn yüksek puandan düþük puana doðru sýralamasý; “teori, eðitimsel hazýrlýk, yeterlilik ve sürekli eðitim, hemþirelik kodlarý, meslek örgütlerine üyelik, araþtýrma, yayýn, toplumsal hizmet, otonomi” þeklindedir. Yaþýn, eðitim durumunun artmasý HPDE puan ortalamasýnýn artmasýnda etkili olduðu saptanmýþtýr (p≤0.03). Görev yerine göre otonomi dýþýnda tüm alt grup puanlarý arasýnda (p≤0.002), þu andaki göreve göre ise tüm alt grup puanlarý arasýnda istatistiksel olarak anlamlý bir fark (p≤0.02) bulunmuþtur.
SONUÇ: Bu çalýþmada hemþirelerin profesyonellik puanlarýnýn düþük olduðu görülmüþtür. Hastanede psikiyatri servislerinde çalýþan hemþirelerin eðitim düzeyinin yükseltilmesi, lisansüstü eðitim almasý, araþtýrma/yayýn yapma ve bilimsel aktivitelere katýlmaya teþvik edilmesi ve desteklenmesi, hemþirelik eðitiminde etik kodlarýn öðretilmesi önerilmektedir.

OBJECTIVE: This study was conducted for the purpose of determining the factors influencing and the level of the professional behaviors of psychiatric nurses working in the psychiatric clinic and assuming a role in the training of nursing students.
METHODS: In this descriptive study, 100 participants were accessed and the data was collected with the Behavioral Inventory for Professionalism in Nursing (BIPN). Percentile, ANOVA, t test, Kruskall Wallis test, and Mann Whitney-U test were utilized in the analysis of data.
RESULTS: A proportion of 67% of nurses participating in the study currently work at the hospital and 46% work as psychiatric service nurses. The mean BIPN score was determined to be 10.54±6.48 (min=0.00, max=25.00). The ordering of the mean BIPN sub-group scores from the highest score to the lowest score is as follows: “theory, educational preparation, competency and constant education, nursing code of ethics, membership in professional organizations, research, publication, community service, autonomy. It was determined that the increase of age and status of education has an impact on the increase of the mean BIPN scores (p≤0.03). A statistically significant difference was determined between all subgroup scores other than autonomy depending on location of duty (p≤0.002) and between all sub-group scores depending on current duty (p≤0.02).
CONCLUSION: In this study it was observed that the professionalism scores of nurses were low. Enhancing the level of education of nurses working in the psychiatric service in the hospital and encouraging and supporting them in receiving postgraduate education, engaging in research/publications, and participating in scientific activities, and teaching them nursing code of ethics is recommended.

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AMAÇ: Bu çalýþma, bir devlet hastanesinde çalýþan hemþirelerin uyku kalitesini ve ruhsal bozuklukla iliþkisini belirlemek amacýyla tanýmlayýcý olarak gerçekleþtirilmiþtir.
YÖNTEMLER: Çalýþma, 2011 Ocak-Þubat aylarýnda yapýlan tanýmlayýcý tipte bir araþtýrmadýr. Araþtýrmanýn örneklemini Ordu’da bir devlet hastanesinde çalýþan 105 hemþire oluþturmuþtur. Araþtýrma verileri, “Kiþisel Bilgi Formu”, “Pittsburg Uyku Kalitesi Ýndeksi (PUKÝ)”, ”Genel Saðlýk Anketi (GSA)” kullanýlarak toplanmýþtýr. Ýstatistiksel analizlerde ki-kare testi, t testi, korelasyon testleri kullanýlmýþtýr.
BULGULAR: Hemþirelerin %70.9’unun uyku kalitesinin düþük olduðu ve %52.9’unun ruhsal sorunu olduðu belirlendi. Ruhsal saðlýk durumu (GSA puaný) ile uyku kalitesi (PUKÝ puaný) arasýnda pozitif yönde orta düzeyde anlamlý bir iliþki bulundu (r=0.524, p<0.001). Uyku kalitesinin eðitim düzeyi (r=0.211, p<0.05), çalýþma yýlý (r=0.458, p<0.01), nöbetten sonra yorgun hissetme (r=0.467, p<0.01) ve hasta sayýsý (r=0.211, p<0.01) ile arasýnda pozitif yönde orta düzeyde anlamlý iliþki bulundu. Ruh saðlýðý durumunun (GSA) çalýþma saati (r=0.393, p<0.01), sosyal yaþantýyý bozmasý (r=0.302, p<0.01), evlilik düzenini bozmasý (r=0.225, p<0.01), çocuklarýn bakým düzenini bozmasý (r=0.255, p<0.01) ile arasýnda da pozitif yönde zayýf düzeyde anlamlý iliþki olduðu bulundu.
SONUÇ: Hemþirelerin büyük kýsmýnýn uyku kalitesinin kötü olduðu saptandý. Hemþirelerin uyku kalitesi arttýkça, ruh saðlýðýnýn (GSA ortalamasýna göre) iyileþtiði bulundu. Eðitim düzeyi, çalýþma yýlý, hemþire baþýna düþen hasta sayýsý, haftalýk çalýþma saati ile uyku kalitesi düzeyi arasýnda iliþki olduðu bulundu.

OBJECTIVE: This research was conducted to determine the sleep quality of nurses who working in a state hospital and to determine the relationship between the sleep quality and mental disorders. This study was carried out in the type of descriptive research.
METHODS: This study was made as a descriptive study in 2011 January-February. The research consisted of nurses working in the state hospital in Ordu; however a total of 105 comprised research sample. The research data were collected by using “Personal Information Form, Pittsburg Sleep Quality Index (PSQI), General Health Questionnaire (GHQ)”. Chi-square test, t-test, correlation tests were used in statistical analysis.
RESULTS: According to PSQI, poor sleep quality of nurses by 70.9%. According to GHQ, was determined to be the mental health problem by 52.9%of the nurses. There is a positive, moderate level significant relationship between the mental health status and quality of sleep (r=0.524, p<0.001). A significant positive moderate level correlation was found between the sleep quality (PSQI) and education level (r=0.211, p<0.05), working years (r=0.458, p<0.01), of feeling tired after shift-work (r=0.467, p<0.01), the number of patients per nurse (r=0.211, p<0.01). A positive significant weak level correlation was found between the general health status (GHQ) and working hours (r=0.393, p<0.01), reversal of order of social life (r=0.302, p<0.01), the disturbing marriage scheme (r=0.225, p<0.01), disturbing children’s care (r=0.255, p<0.01).
CONCLUSION: The majority of nurses were found to be poor quality of sleep. Increase the nurses’ sleep quality, mental health status was found to heal. There is a relationship was found between the sleep quality and the level of education, working years, the number of patients per nurse, weekly working hours.

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AMAÇ: Araþtýrma, hemþirelerin iþ doyumlarýn da duygusal zekânýn etkisini incelemek amacýyla yapýlmýþ tanýmlayýcý,kesitsel bir araþtýrmadýr.


YÖNTEMLER: Araþtýrma verileri hemþirelerin tanýmlayýcý özelliklerini belirlemek için oluþturulan soru formu, Duygusal Zeka Ölçeði (Bar on EQ-i), Minnesota Ýþ Doyumu Ölçeði aracýlýðýyla toplanmýþtýr. Türkiye’de, Ýzmir ilinde Atatürk Eðitim Ve Araþtýrma Hastanesi’nde aktif olarak çalýþmakta olan toplam 601 hemþireyi kapsamaktadýr. Araþtýrmaya katýlým oraný % 55.4’ tür.
BULGULAR: Hemþirelerin genel iþ doyumu ortalamasýnýn 3.21±0.65, içsel doyum ortalamasýnýn 3.49±0.66 orta düzeyin üzerinde olduðu ve dýþsal doyum ortalamalarýnýn 2.79±0.76 düþük olduðu bulunmuþtur. Toplam duygusal zeka ortalamalarýnýn 3.79 ± 0.01 olduðu saptanmýþtýr. Hemþirelerin toplam duygusal zeka ortalamalarý ile iþ doyumu alt boyutlarýndan “Genel Doyum”, “Ýçsel Doyum” ve “Dýþsal Doyum” arasýnda zayýf düzeyde pozitif yönde iliþki olduðu saptanmýþtýr.
SONUÇ: Hemþirelerin duygusal zekâ becerileri iþ doyumlarýný etkilemektedir. Fakat araþtýrmada, hemþirelerin iþ doyumu düzeylerinin düþük bulunmasýnýn nedeni olarak iþ doyumunu etkileyen baþka etkenlerin olduðu düþünülmektedir.

OBJECTIVE: This research was conducted with the aim of examining the role of emotional intelligence in job satisfaction of nurses.
Emotional intelligence is an important factor that can measure the performance of individuals in their professional life beyond their daily life. In other words, it is a factor that increases/decreases their potential of being successful, affects job satisfaction, contributes to the measurement of leadership qualities and develops the communication and interaction in the working group. It is considered that job satisfaction is one of the most important necessities of being successful, happy and productive; therefore, for nurses who are required to be in constant communication with their supervisors, colleagues and patients and whose professional life directly affects their daily life and demands continuous devotion, job satisfaction and emotional intelligence are very important.

METHODS: Data was collected via questionnaire which was developed to determine the defining characteristics of nurses, Bar-On Emotional Quotient Inventory (Bar-On EQ-i), and Minnesota Job Satisfaction Questionnaire. The study involves 601 nurses working in Atatürk training and research hospital in Izmir, Turkey. The participation proportion is 55.4%.
RESULTS: It was found that the general job satisfaction average score is 3.21±0.65 and intrinsic satisfaction average score is 3.49±0.66 which are above the medium level, and extrinsic satisfaction average score is 2.79±0.76 which is low. The total Emotional Intelligence average score is 3.79 ± 0.01. There is weak positive correlation between the nurses’ total Emotional Intelligence average score and sub-factors of job satisfaction namely “General Satisfaction”, “Intrinsic Satisfaction” and “Extrinsic Satisfaction”.
CONCLUSION: It is concluded that emotional intelligence ability of nurses influences their level of job satisfaction. Nevertheless, the research indicates that there are other factors which cause low job satisfaction level of nurses.

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AMAÇ: Bu çalýþmada, hemþirelik öðrencilerinin özel yaþamlarýnda ve klinik uygulamalar sýrasýnda maruz kaldýklarý þiddetin doðasýný araþtýrmak amaçlanmýþtýr. Ayrýca, klinik uygulamalar sýrasýnda meydana gelen þiddete katkýda bulunan faktörler de incelenmiþtir.
YÖNTEMLER: 1200 hemþirelik öðrencisinin kiþisel özellikleri ve þiddetle ilgili deneyimleri hakkýnda bilgi toplamak amacýyla bir anket formu kullanýlmýþtýr
BULGULAR: Hemþirelik öðrencilerinin hem özel yaþamlarýnda, hem de klinik uygulamalar sýrasýnda farklý þiddet türlerine maruz kaldýklarý belirlenmiþtir. Öðrenciler en fazla sözel agresyona maruz kalýrken, klinik uygulamalarda görülen sözel ve fiziksel saldýrýlarýn çoðunlukla hastalar ve yakýnlarý tarafýndan gerçekleþtiði görülmüþtür. Hemþirelik öðrencileri saldýrýlar sonrasý öfke, korku ve anksiyete gibi emosyonel güçlükler yaþadýklarýný belirtmiþtir. Ayrýca, öðrencilerin psikiyatri kliniklerinde çalýþýrken kendilerini güvende hissetmedikleri belirlenmiþtir. Özel yaþamlarýnda kötüye kullanýma maruz kalan öðrencilerin, klinik uygulamalar sýrasýnda da þiddete daha fazla maruz kaldýklarý saptanmýþtýr.
SONUÇ: Bu çalýþma sonuçlarý, hemþirelik öðrencilerinin þiddete çoðunlukla maruz kaldýklarýný ve acil önlemler alýnmasýnýn gerekli olduðunu göstermektedir. Þiddet yönetimi ve baþ etme stratejileri, hemþirelik müfredatýna dahil edilmelidir.

OBJECTIVE: The purpose of this study was to identify the nature of violence experienced by nursing students, both in their private lives and during their work in clinical practice. In addition, we assessed factors that contributed to violence occurring during clinical practice.
METHODS: A questionnaire, administered to 1200 nursing students, was used to collect personal characteristics of students and their experience with violence.
RESULTS: Results showed that student nurses were exposed to multiple types of violence during their private and professional life. Students most commonly experienced verbal aggression. Verbal and physical assaults that occurred during clinical practice were mostly from patients and their relatives. Following an assault, nursing students experienced emotional difficulties including anger, fear, and anxiety. In addition, students felt unsafe working at psychiatric clinics. Furthermore, students who were abused in their private life also reported greater exposure to violence during clinical practice.
CONCLUSION: The current findings show that student nurses are often exposed to violence and that urgent preventions are needed. Consequently, violence management and coping strategies should be included in nursing curriculum

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