Purpose: Quality of work life affects employees' commitment towards the organization. It is a concept that closely interests both the employees and the organization. The present study was conducted in a descriptive form for the purpose of determining nurses' work life quality and their organizational commitment levels. Materials and methods:The population of the study consists of the nurses working in a university hospital and no further sampling method was implemented. A total of 163 nurses participated in the study. The data were collected between August and December 2012 through the use of the "Organizational Commitment Questionnaire" and the "Quality of Nursing Work Life Survey", a descriptive questionnaire that covers the socio-demographic and work life characteristics of the participants. Student's t-tests, Tukey multiple comparison test, MannWhitney U-test, Kruskal-Whitney U-test, Kruskal-Wallis variance analysis, Cronbach's alpha coefficients and Pearson correlation analysis method were utilized in the evaluation of the collected data. Results: In the study it was determined that the nurses' work life quality and their organizational commitment are at medium levels. It was also determined that there is a positive and statistically significant relation between work life quality and organizational commitment. Conclusion: It is suggested to implement applications that would enhance nurses work life quality.

BackgroundAs the vein structure gets damaged in patients receiving chemotherapy treatment, placement of peripheral intravenous catheter becomes difficult. To increase the success of peripheral intravenous catheter placement, a vein imaging device and fist clenching can be used.ObjectiveThe aim of this study was to determine the effect of using a vein imaging device or fist clenching on the determination of an appropriate vein and successful catheter placement time in adult patients receiving chemotherapy.MethodsOne hundred thirty-five patients receiving chemotherapy were randomly assigned to either the vascular imaging device group (n = 45), the fist clenching group (n = 45), or the control group (n = 45). In the vascular imaging group, a vascular imaging device was used to determine the appropriate vein; in the fist clenching group, the patients were asked to open and close their palms to determine the appropriate vein; and in the control group, no interventions except for the process steps were applied and the same nurse carried out the catheter insertion.ResultsThe durations of determining the appropriate vein and successful peripheral intravenous catheter insertion were shorter in the device group at a significant level (P < .05) compared with the control group. The satisfaction levels of the patients and the nurse were higher in the device group at a significant level (P < .05) compared with the control group.ConclusionThe vascular imaging device was effective in determining the proper vein and in successful intravenous catheter insertion time in patients who were receiving chemotherapy.Implications for PracticeThe use of vein imaging device will have positive results for patients and nurses.

Difficult intravenous access (DIVA) may occur due to several factors, such as the demographic and clinical characteristics of the patients (age, sex, height, weight, ethnicity, IV drugs history, and medical history), health professional’s experience, device characteristics, site of insertion, and vein characteristics. Difficult intravenous access leads to repeated insertion attempts that might prove to be uncomfortable for the patients, frustrating and challenging for the health professionals, and expensive for the health institutions. The practitioners must develop the awareness of the factors capable of increasing the difficulty of defining the appropriate vein for cannulation through their varied experiences with vein location and vascular access.

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This experimental study was conducted to determine the level of anxiety in women undergoing multiple cesarean section. Sixty multiple cesarean section referrals were randomly assigned to either the experimental or control groups. Data was collected at the Karaman Public Health Hospital in Turkey, from June 2015 to June 2016. Songs chosen earlier by the patients were played during the cesarean section procedure for the experimental group. The control group was studied without music. Data was collected using a questionnaire form, and Visual Analogue Scale (VAS) was used to determine the anxiety levels. The t-test and chi-square test were used to analyse statistically significant differences between the groups. The VAS scores before and during the procedure showed significantly lower scores for the experimental group, compared to the control group (p<0.05). Music therapy reduces the physiological and cognitive responses of anxiety in patients undergoing multiple cesarean section, and can be used in the clinical practice.

The aim of this study is to explore nursing students’ experiences with death and terminal patients during clinical education. A secondary analysis of qualitative data that were collected through 11 focus group interviews with nursing students was performed. Data obtained from the interviews were analyzed using thematic analysis. There were a total of 9 themes across 3 contexts. Data were grouped under the following themes: feelings experienced when encountering death for the first time, reactions to the first encounter with death, factors affecting the reactions to death, involvement in terminal patient care, being informed about the physical process that terminal patients are going through, students’ approach toward terminal patients and their relatives, health professionals’ approach toward terminal/dying patients/their relatives, changes in the ideas about death, and changes in the ideas about terminal/dying patients. The study shows a lack of guidance on the part of teachers who also avoid patients and families who are considered terminally ill.

Periferal yoldan uzun süre verilen kemoterapi tedavileri damarların epitel tabakasına zarar vermektedir. Bu durum birçok komplikasyona yol açarak, damarların dolgunluğunu ve görünürlüğünü etkilemekte, hemşirelerin ise periferal intravenöz kateter uygulaması sırasında zorluk yaşamasına neden olmaktadır. Bu zorluklar hastaların işlem sırasında ağrı, anksiyete yaşamasına ve tedavinin gecikmesine neden olabilmektedir. Bu durumları önlemek için periferal kateter uygulamasındaki ilk aşama, ven görünürlüğü ve venöz dolgunluğunun sağlanmasıdır. Bunun için turnike uygulaması veya tansiyon aletinin manşonunun kola takılarak şişirilmesi, kolun kalp seviyesinin aşağısında tutulması, izometrik egzersiz uygulaması, parmak ucuyla vene vurulması, venin sıvazlanması ve lokal sıcak uygulama yapılması, ultrason ve kızıl ötesi ışınların kullanımı şeklinde farklı teknikler bulunmaktadır. Kliniklerde turnike, kolun kalp seviyesinin aşağısında tutulması ve veni sıvazlama tekniklerinin sıklıkla kullanıldığı görülmektedir. Diğer yöntemlerin kullanımına ilişkin çalışmalar yapılmakta ve kemoterapi alan hastalarda etkisi ve kullanım şekli belirtilmektedir. Hemşirelerin bu yöntemleri bilmesi ve kemoterapi alan hasta grupları gibi damarsal yapısı bozulmuş hastalara kullanabilmesi yaşayacakları bu güçlükleri ve komplikasyonları en aza indirecektir. Bu nedenle bu makalenin amacı kemoterapi alan hastalarda ven görünürlüğü ve venöz dolgunluğu sağlayıcı teknikler hakkında kanıta dayalı bilgiler vererek, hemşirelerin bu konuya dikkatini çekmek ve bu bilgilerin uygulamaya aktarılmasını sağlamaktır.

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