Preparing nursing students to achieve informatics competencies is essential in today's information-intensive healthcare delivery systems. This study aimed to provide hands-on informatics experience to nursing students and to identify the frequency and type of home care clients' health problems, nursing interventions, and outcomes using a standardized nursing terminology, the Omaha System. Data were collected by 159 nursing students on home visits to 598 clients, who received 8657 interventions from students and faculty for 2267 problems, in addition to the services provided by the home care centers. Skin, neuromusculoskelatal function, personal care, nutrition, and urinary function were the most common problems. The most common intervention category was teaching, guidance, and counseling (47%), followed by treatments and procedures (22%), surveillance (22%), and case management (9%). Outcomes evaluation showed significant improvement in 97.5% of the identified problems. Students gained informatics experience in the use of a standardized nursing language in electronic health records, data management, and use of nursing data at the basic practice level. This study demonstrated that the Omaha System was a useful data collection tool for evaluating problems, interventions, and outcomes in home care and a positive teaching and learning tool for baccalaureate nursing education.
Nurses working with CRC patients must develop strategies to increase FDRs' knowledge of, awareness of, and motivation for CRC screening tests. Risk counseling of FDRs during the treatment period might increase screening rates.
Nursing administrators should determine the ergonomic risks of intensive care unit nurses by using Rapid Upper Limb Assessment tool. Health policy makers should develop occupational health teams, and 'ergonomic risk prevention programs' should be implemented throughout the units.
Cervical cancer can be prevented by having a Pap test aiming for early screening. This study was planned to determine the beliefs of women about cervical cancer and the influencing factors. The cross-sectional study was conducted in Sarıyer, one of the most densely populated districts of Istanbul, which is the most crowded city in Turkey. This study sample included 300 women receiving training at public education centers. The data for the study were collected with "HBM-based scale" developed by Bryd et al. upon the basis of health belief model. The mean of the women's ages was determined as 33.9 ± 10.6. Considering the beliefs of the women who haven't had a Pap test about cervical cancer, it was determined that 75.7% of the women participating in the survey thought "I am not at risk for cervical cancer". Logistic regression analysis was carried out in order to find out the most decisive variable among the reasons for not having a Pap test, and it was determined that the factors stated as "I don't know where I could go if I wanted a Pap test" was a four times factor. This study demonstrated that the main determinant factor affecting CCS behaviors of married women is beliefs. It is considered that the results from this study could be basic data for cervical cancer early screening and educational programs.
To describe the experiences of intensive care nurses who provided care to Covid-19 patients and their perceptions towards the disease and their work conditions during the pandemic. Introduction: Identification of experiences and perceptions of intensive care nurses towards disease, care and their workplace conditions when providing care to Covid-19 patients will inform decision-makers about improvements that can be implemented. Background: The Covid-19 pandemic has led to increased strain and workplace-related health risks to intensive care nurses, but it has also provided a unique experience and opportunities for learning and development. Methods: A descriptive qualitative study was conducted with 10 intensive care unit nurses working in seven hospitals in Istanbul, Turkey. Snowball sampling method was used, and the data were collected by semistructured online interviews. A thematic analysis was performed. The Consolidated Criteria for Reporting Qualitative Research were followed. Findings: Five major themes were identified: 'death and fear of death' , 'impact on family and social lives' , 'nursing care of Covid-19 patients' , 'changing perceptions of their own profession: empowerment and dissatisfaction' , and 'experiences and perceptions of personal protective equipment and other control measures' . Discussion: Intensive care nurses experience an increased risk of infection and psychological burden, and they lack a sense of professional satisfaction. Improvements to working conditions are needed to support nurses caring for patients during the pandemic.
Conclusion:The pandemic increased the workload and responsibilities of intensive care nurses and led to increases in their work-related health risks and challenges with care. However, it also increased nurses' awareness about the importance of their professional roles.
Implications for nursing practice and policies:There is a need to improve working conditions and develop nursing standards for the care of Covid-19 patients in intensive care units.
Workrelated Risks and Health Problems of Working Children in Urban Istanbul, Turkey: Melek Nihal Esin, et al. Department of Community Health Nursing, Florence Nightingale College of Nursing, Istanbul University, Turkey—The purpose of this cross‐sectional study was to identify the work‐related risks and health problems of working children. The sample included 167 working boys. These boys were chosen from schools giving occupational education in the industrial part of Istanbul. A questionnaire and worksite assessment checklists, developed by the researchers, were used as data gathering tools. Data were collected from the boys’ schools and workplaces. From this data, it was found that 24.6% of the boys were jewelers, 32.3% were car mechanics and 43.1% were hairdressers. Findings revealed that 30.5% of the boys, who were engaged in child labor, were poor and dropped out of school to assist their families. Boys, whose mean age was 17.6 ± 1.2, had been working since they were 13 yr old. The boys were also found to work 66.4 h a week, which was an unexpectedly high result considering the 35 hours limitation set by the laws of Turkey for working children. As for work‐related risks, chemical risks for boys working as hairdressers (p<0.01), and using sharp tools and accidents for boys working as car mechanics were more common than the other groups (p<0.001, p<0.001). Boys working as hairdressers mostly had respiratory system problems, skin problems, and headache (p<0.001, p<0.001, p<0.001). Those working as car mechanics had nose/throat problems, and musculoskeletal system problems (p<0.001, p<0.01). Among those working as jewelers, eye‐related problems were common (p<0.001). It was concluded from the findings of the present study that child labor creates an unhealthy environment for children.
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