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Aim:This study aimed to determine the effects of an early mobilization protocol performed in patients who underwent cardiac surgery on post-operative outcomes.Background: Post-operative complications are common in patients undergoing cardiac surgery. Early mobilization is recommended for patients who undergo cardiac surgery to prevent complications and achieve successful outcomes in postoperative care. Design:The study design was quasi-experimental with a control group. Methods: Participants were patients who underwent cardiac surgery between January and October 2015. The study included 102 patients (51 patients each in the experimental and control groups). The introductory characteristics form, the Richards-Campbell Sleep Questionnaire (RCSQ), duration of hospital stay (postoperatively), and development of a post-operative late complications form were used to collect data. Results: The study results revealed that patients in the experimental group had better improvement in RCSQ scores, shorter duration of hospitalization, and fewer late complications after surgery than patients in the control group. Conclusion: Early mobilization is feasible in adult cardiac surgery patients and has significant benefits. More research is recommended into the effectiveness of early mobilization in different patient groups. KEYWORDS cardiac surgery, early mobilization, length of stay, nursing, post-operative complications, sleep SUMMARY STATEMENTWhat is already known about this topic?• Cardiac surgery stands out from other forms of treatment due to the advances in techniques and materials that have resulted in safer procedures and lower perioperative risks. Despite these advances, post-operative complications are frequent and are a determinant of length of hospital stay and functional recovery.• Early mobilization is one of the evidence-based, effective nursing interventions that improve patient care outcomes and prevent immobilization-related complications.• However, standard guidelines, evidence-based practices, and early mobilization protocols are underused by nurses during postoperative care. What this paper adds?• This study assesses the effect of an early mobilization protocol on patient care outcomes in patients who underwent cardiac surgery

Symptom cluster research is still in its early years. Further work is needed to reach a standard definition of a symptom cluster and a consensus of its criteria. Additional studies are needed to examine symptom clusters in cancer survivors. As individuals are living longer with the disease, comprehensive understanding of the symptom clusters that may be unique to cancer survivors is critical.

The aim of this study was to adapt the Zarit Burden Interview (ZBI) to family caregivers of inpatients in medical and surgical clinics to assess the validity and reliability of the Turkish version. The study design was descriptive and methodological. A total of 223 family caregivers providing care to patients for at least 1 week in clinics were selected through convenience sampling. Data were collected using the Turkish translation of the ZBI. The psychometric testing of the adapted instrument was carried out to establish internal consistency, interitem correlation, and construct validity. The content validity procedure resulted in a final scale comprising 18 items. Cronbach's alpha was .82. Factor analysis yielded one factor. The Turkish version of the ZBI adapted to the clinics can be used as a one-factor tool.

To evaluate the reliability and validity of Richard-Campbell Sleep Questionnaire Turkish version. Materials and Methods: The scale was administered in 50 patients to evaluate the sleep quality and in 50 patients to evaluate the testretest reliability. Percentage distribution and average evaluation of the data, factor analysis, Pearson's correlation test, Cronbach's α reliability coefficient were used for analysis. Results: The majority of study participants were male (70.0%), married (96.0%), literate-primary school graduates (68.0%) and the mean age was 58.26±11.36 years. Factor analysis of the scale was the only factor, item-total correlation scores were determined between 0.48 and 0.96 points. The Cronbach alpha reliability coefficient was 0.91. Test-retest analysis of the scale derived from preliminary and final application there was no difference between the mean scores. Conclusion: The psychometric properties of the scale was found as good and acceptable.

Examining Practice Environments, Patient Safety Culture Perceptions and Burnout Status of Nurses Working in Surgical ClinicsObjective: Is to examine practice environments, patient safety culture perceptions and burnout status of nurses working in surgical clinics.Method: This descriptive study was conducted between August 2012 and January 2013 with 308 nurses working in surgical clinics. A questionnaire on descriptive characteristics, MBI, the PES-NWI, and PSCS were used to the data of the study.Results: Regarding subscales of MBI, mean score of emotional exhaustion was 18.0±7.00, mean score of depersonalization was 6.36±3.57, and mean score of personal accomplishment was 19.41±4.68. Mean scores of subscales were calculated as maximum score of 4; while mean score of PES-NWI ranges between 2.55±.65 -3.08±.53;; mean score of PSCS ranges between 2.45±.61-2.68±.54. Conclusion:In line with these results, it is stated that safety culture perception and practice environment assessment are different based on institutions;the gender has an effect on emotional exhaustion; level of safety culture perception is not higher; and practice environments are positively perceived at moderate level.

Kişisel özelliklere göre ağrı puan ortalamaları, ölçekten ölçeğe, hatta aynı ölçekte farklı günlerde farklılıklar göstermekteydi. Bu nedenle ağrı şiddetini değerlendirmede kullanılacak ölçüm araçlarının belirlenmesi için tanımlayıcı özelliklerin incelendiği çalışmaların yapılması önerilebilir.