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.
This study was a randomized controlled trial aimed to compare the effects of acupressure and abdominal massage on constipation development for patients with TKA. The patients were randomly assigned to each group: control group ( n = 31), acupressure group ( n = 30), and abdominal massage group ( n = 30). The finding showed that the severity of constipation and straining stool consistency of the groups in which acupressure and abdominal massage was applied are significantly better than the control group ( p < .05). When the first defecation times of the groups are analyzed, it is seen that the patients to whom acupressure and abdominal massage are applied defecate significantly earlier than the control group ( p < .05). It has been concluded that safe non-invasive acupressure and abdominal massage that can be easily applied by health professions, healthy individuals, and patients is effective on patients with total knee arthroplasty for the prevention of constipation.
Background The coronavirus disease (COVID-19) pandemic has implications for health professionals. Aim The aim of this study was to explain the relationship between emotional labor levels and moral distress in health professionals during the COVID-19 pandemic using the Structural Equation Modeling (SEM) technique. Research design A descriptive and cross-sectional study was adopted. Participants and research context Data were collected between 7 February and 7 March 2021. 302 health professionals who were not on leave (annual leave, sick leave, prenatal and postnatal leave, etc.) at the time of the research and who volunteered to participate in the research were included. Research data were collected using a “Personal Information Form,” the “Emotional Labor Scale” and the “Moral Distress Thermometer.” Ethical considerations The Ethics Committee approved the study (dated 07.01.2021 and numbered 2021/1-3). The participants were informed of the study aim and written consent was obtained before completing the survey. Findings In the present study, the mediator role of emotional labor in the effect of providing service to a patient with COVID-19 and having had COVID-19 on moral distress was examined in health professionals and it was found that there was a correlation between providing service to a patient with COVID-19 and moral distress regardless of whether or not emotional labor had a role in this relationship. Conclusion In this study, the relationship between the level of emotional labor and moral distress in health professionals during the COVID-19 pandemic was evaluated with a structural equation model.
No information exists on the minimum number of times that fist clenching should be performed to increase vein visibility and palpability. In this study, the researchers aimed to determine the average number and duration of fist clenching to increase vein visibility and palpability before peripheral intravenous catheter insertion. This observational study included 207 healthy individuals. Participants meeting the inclusion criteria were asked to perform fist clenching. The number and duration of fist clenches performed to increase dorsal metacarpal vein and cephalic vein grade were determined. The participants carried out fist clenching 7.57 ± 4.26 times for the first increase and 22.16 ± 7.93 times for the second increase in dorsal metacarpal vein grade. Fist clenching was carried out 10.05 ± 7.30 times for the first increase and 21.30 ± 7.86 times for the second increase in cephalic vein visibility. A statistically significant, weak, but positive relationship was observed between the duration of fist clenching and the change in dorsal metacarpal vein grade and anxiety level (r = 0.194, P < .005). However, the relationship was negative between room temperature and the duration of fist clenching in dorsal metacarpal vein grade (r = –0.207, P = .003). This inexpensive and simple technique should be performed in specified numbers before catheter insertion.
ObjectiveUniversity students are a large group of the population who should be vaccinated to prevent the spread of the pandemic. This research aimed to determine the effect of COVID‐19 vaccine literacy on the attitudes towards the COVID‐19 vaccine among university students.MethodsThis descriptive and cross‐sectional study was conducted with 2384 university students via online survey in September and October 2021. ‘Demographic Information Form’, ‘COVID‐19 Vaccine Literacy Scale’, and ‘Attitudes towards the COVID‐19 Vaccine Scale’ were used to collect the data. Data were evaluated via descriptive statistics, independent group t‐test, ANOVA, Tukey HSD, and Pearson Correlation analysis.ResultsThe mean score on the COVID‐19 Vaccine Literacy Scale was 27.26 ± 6.49 (moderate). Demographic differences that significantly affected students' vaccine literacy scales included parents' education levels (lower levels of parental education associated with higher communicative/critical vaccine literacy). Health sciences students had more positive attitudes to the COVID vaccine than students of other disciplines. The higher the level of mother's education, the more positive the student's attitude towards the vaccine, and similarly the higher the student's socio‐economic background the higher the positive attitude towards the vaccine. Examination of the relationship between the vaccine literacy scale and the attitudes towards the vaccine showed low levels of correlation.DiscussionStudents who had parents of lower education levels may have more responsibilities for explaining vaccination to their parents, thus improving their communicative/critical vaccine literacy.ConclusionA vaccine literacy scale with separate functional literacy score and critical/communicative score helps to explain some of socio‐demographic differences in students' scores, and similarly for attitude towards the COVID‐19 vaccine (positive and negative attitude sub‐scales).
The aim of this study is to discover medical students’ ideas on the phenomenon of death; produce information on how these students interpret the value-related problems regarding death that they come across in different units of hospitals; and assess this data in ethical terms. This study included a qualitative research in which 12 focus group interviews were conducted with 92 fifth- and sixth-year medical students. Data obtained from interviews were assessed using a thematic content secondary analysis. The main themes were specified according to the medical students’ statements and were reviewed under the contexts of the “dying process”; “effects of death”; “attitude and behavior of health professionals”; “seeing a dead body/looking at a dead body”; “accepting death”; and “forms of expressions of death.” Medical students’ encounters with death in different units of hospitals leads them to question their values and familiarize themselves with the borders of their areas of profession.
The belief in a just world is a mindset that facilitates our ability to cope with life events by fostering a sense of control. Nursing students' beliefs in a just world and their attitudes towards death can influence how they will care for their patients. The intent of this descriptive and cross-sectional study was to examine the relationship between nursing students and their beliefs in a just world and their attitudes towards death. Quantitative data was collected using the Descriptive Characteristics Questionnaire, the Belief in a Just World Scale, and the Attitude towards Death Scale. The sample included 270 participants. It was determined that as nursing students’ beliefs in a just world increased, they developed positive attitudes towards death. It is recommended that discussions on the subject should be included in the education curriculum to increase nursing students' beliefs in a just world and their awareness about death.
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