Burn injuries constitute a serious public health problem all over the world. Currently, an estimated 180,000 people die each year from burns, most of which occur in people living in low-and middle-income countries (World Health Organization, 2018). Although electrical burns account for only 3.6% of burn-related hospital admissions, they are more severe and cause greater trauma than other burns (American Burn Association National Burn Repository Advisory Committee, 2019). Electrical burns often occur in young, working individuals and are the most common cause of amputation in patients being cared for in burn care units (Azzena et al., 2016).The sequelae and loss of function that results from a burn injury can be physically and mentally devastating to patients (Koltka, 2011). For this reason, patients with burns should be treated with holistic nursing care that addresses all body systems. The European Practice Guidelines for Burn Care (European Burns Association, 2017) describe best practices for caring for patients with burns and lists the following as holistic duties of nurses:• Evaluating the patient's needs; • Consulting other specialists to improve patient care as necessary; • Developing individualized care plans based on a defined theory; and • Planning and regularly reviewing nursing interventions.
Background Surgical nurses face the risk of psychological problems while trying to cope with the challenges arising from the COVID-19 pandemic. Aim This study aimed to determine levels of COVID-19-related fear and burnout and affecting factors in surgical nurses. Design The study has a descriptive, cross-sectional design. Methods The study sample included 321 nurses working in surgical units and operation rooms in Turkey. Data were gathered with a sociodemographic and occupational characteristics form, the Fear of COVID-19 Scale and the COVID-19 Burnout Scale through a Google form between 1 August and 15 October in 2021. Obtained data were analyzed with independent groups t-test, One-Way ANOVA and simple and multiple linear regression analyses. Results The nurses had moderate levels of fear (20.00 ± 6.77; Min–Max: 7–35) and burnout (29.52 ± 10.03; Min–Max:10–50) due to COVID-19. The female gender and belief in health staff shortage were predictive of fear and burnout related to COVID-19. Age was not predictive of COVID-19 fear and receiving education about COVID-19, exposure to violence, having adequate supplies of goggles/face shields and having a limited number of aprons/work wear were not predictive of COVID-19-related burnout. Fear of COVID-19 was predictive of COVID-19 burnout. Conclusions Female nurses and nurses believing in health staff shortage had higher levels of fear and burnout due to COVID-19. As COVID-19 fear increased, so did COVID-19 burnout. Nurses working in surgical units should be provided with education about coping strategies taking account of the factors affecting COVID-19-related fear and burnout.
Böbrek transplantasyonu, son dönem böbrek yetersizliğinde altın standart tedavi olarak kabul edilmektedir. Transplantasyon uzun vadeli sağkalım ile birlikte, ölüm riskini azaltarak cinsel sağlığı ve yaşam kalitesini iyileştirmektedir. Böbrek nakli alıcılarının yaklaşık %40’ını doğurganlık çağındaki kadın ve erkekler oluşturmaktadır. Böbrek transplantasyonu, böbrek yetersizliği hastalarına anne veya baba olmak için bir umut ışığı olsa da transplantasyonun beraberinde getirdiği birtakım zorluklar yer almaktadır. Cinsel işlev bozuklukları ve plansız gebelikler bunların başında gelmektedir. Böbrek transplantasyonu sonrası immünsupresif tedavi alan kadınlarda cinsel fonksiyon bozuklukları, olumsuz gebelik sonuçları, emzirme endişeleri görülürken, immünsupresif tedavi alan erkeklerde cinsel işlev bozuklukları sık görülmektedir. Nakil sürecinde hasta bakımı ve izlemi trasplant cerrahı, nefrolog, nefroloji, transplantasyon hemşireleri ve organ nakil koordinatörü vd. içeren multidisipliner bir ekip yaklaşımı gerektirmektedir. Böbrek transplantasyonu öncesi, sırası ve sonrası nefroloji ve transplantasyon hemşireleri ile diğer nakil ekibine önemli sorumluluklar düşmektedir. Nefroloji ve transplantasyon hemşirelerinin hastaya bütüncül yaklaşarak cinsellik ve üreme konusunda danışmanlık vermesi ayrıca greftin sağkalımını ve yaşam kalitesini en üst düzeye çıkarmak için hastanın ameliyat öncesi ve sonrası bakımını yönetmesi gerekmektedir
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