Objective: The aim of this study was to investigate fall preventive behaviors in elderly patients who suffered hip fractures as a result of falling. Methods: This descriptive and cross-sectional study was performed at a university hospital in Izmir, Turkey between January 2014 and December 2015. Data were collected using the Fall Behaviors Scale for Old People. This study was conducted with 103 patients who had a hip fracture caused by falling. Descriptive statistics, Mann Whitney U and Kruskal-Wallis tests were used. Results: There was a significant difference between age groups in this score (KW = 6.85, p = 0.03). The patients aged 85-96 years obtained significantly higher scores for the sub-scales of protective mobility (KW = 8.71, p = 0.01) and avoidance (KW = 6.03, p = 0.04) than patients in the other age groups. There was not a significant difference in fall prevention behaviors between the elderly with a history of a repeated falls and those without a repeated fall history. Conclusion: Although elderly people with hip fractures due to falling has highly protective behavior, they have fallen. Advanced age patient has showed more protective behavior for falling.

No abstract

BackgroundIntensive care units are stressful places where patients experience physical and psychological discomfort. Understanding the experience of these patients regarding nursing care is very important.Aims and objectivesTo determine the intensive care experiences of thoracic and cardiovascular surgery patients and the factors that affect them.DesignThe research consists of two phases: quantitative and qualitative.MethodsThis was a descriptive and cross‐sectional study. Its research sample comprised 100 patients who spent at least one night in an intensive care unit after thoracic or cardiovascular surgery. The Intensive Care Experiences Scale (ICES) and the Numeric Rating Scale were used. Two open‐ended questions were asked to the patients to understand what they felt when they were attached to mechanical ventilation and to describe their intensive care experiences.ResultsThe ICES mean score was 66.35 ± 6.88. Significant negative relationships were found between length of stay and severity of pain and ICES total scores. A significant difference was found between scale scores and being understood by health care professionals when attached to mechanical ventilation. The patients stated that, when they were attached to mechanical ventilation and during their stay in the intensive care unit, they experienced feelings of helplessness, uncertainty, and fear. They also experienced physical discomfort and reported no longer fearing death.ConclusionIt was determined that patients partially positively perceived their experiences. It was found that they focused on coming out of surgery alive. The physical discomfort and negative emotions reported can be reduced or relieved by competent care.Relevance to clinical practiceThe intensive care experiences and emotions of intensive care patients are important. Physical discomfort and negative emotions can be mitigated or alleviated by competent nursing care.

Objective:to analyse research articles on pain and nursing issues using bibliometric and scientometric methodologies. Method:articles in the Web of Science database containing pain and nurse and pain and nursing were analyzed using scientometric methods through data visualization techniques and advanced text analytics. Result:among the 107,559 research articles found in the field of nursing, 3,976 of them were written based on the keywords pain and nursing, and were considered in conformity with the scope of this study. Preliminary analyses indicated that the publications have increased through the years with minor fluctuations. Titles, keywords, and abstracts were analyzed through text analytics to reveal keyword clusters and topic structures. Studies on oncology and pain in the field of nursing have a relatively higher frequency. Conclusion:the results of the analyses revealed the characteristics of the current literature in a broad range of areas by considering the particular dimensions. Therefore, the findings may support present and future research in this field by shedding light on the networks, trends, and contents in the related literature.

No abstract

No abstract

Background: Several studies have investigated the social and technical dimensions of a career in nursing. This paper reveals tendencies and patterns in relevant literature, through bibliometrics and scientometrics. Aim: This article aims to shed light on the scientific literature of nursing as a career, which is a growing field of study in the nursing category of the Web of Science. Methods: The researchers designed and conducted a bibliometric and scientometric study in the Web of Science Database, in April 2018. The 1,434 articles the authors evaluated were published between 1980 and 2017 in the Web of Science database. They analyzed the retrieved dataset through distancebased, graph-based, and timeline-based approaches, and text analytics in the scope of scientometrics and bibliometrics. Findings: The authors used summary statistics, text, and network analytics to determine the number of publications over the years. In addition, citation metrics, demographics, co-authorship identifications, citations, co-occurrence networks, and topic structures were used. In the keyword analysis of the studies, the concepts "nurse restriction," "satisfaction," "difficulties in the working environment," and "burn out and stress" were found to be used intensively. Discussion and Conclusion: This study is intended for nurses, managers, researchers, and also policymakers, because it is critical for them to see the rhetoric of the debates in the literature and provide the best governance and the best quality services.

Stoma hem ilk görüldüğü anda, hem de taburculuktan sonra bireylerin ve aile üyelerinin fiziksel, psikolojik ve sosyal açıdan çeşitli sorunlar yaşamasına neden olmaktadır. Bu olgu sunumunda stomalı bir bireyin aile üyesi ile derinlemesine görüşme yapıldı. Yapılandırılmış soru formu ve ses kayıt cihazı kullanılarak gerçekleştirilen görüşme 60 dk sürdü. Veriler tümevarım yöntemiyle analiz edilerek temalar ve alt temalar oluşturuldu. Rektum kanseri nedeniyle geçici ileostomi açılan stomalı bireyin kızı E.Y. 51 yaşında, evli iki çocuk sahibi ve ev hanımıdır. Görüşmenin analizi sonucunda bilgi gereksinimi, yaşam kalitesi, uyum sorunu ve güçlükler ve diğer stomalı birey ve ailelere öneriler olmak üzere dört tema ve bu temaların alt temaları belirlendi. Bu çalışmada oluşturulan temalar ve alt temalar olgunun yaşamının etkilendiği yönleri ve yaşadığı sorunları çarpıcı olarak göstermektedir. Bu nedenle stomayla yaşama uyum tüm aileyi içine alan bir süreç olarak değerlendirilmelidir. Stomalıların stomayla yaşama uyumlarının hızlandırılması için aile üyelerinin de uyum sürecine dahil edilmesi önemlidir. Bu amaçla stomalı bireyin ailesinin gereksinimleri ameliyat öncesi dönemden itibaren belirlenmeli ve aileye uygun hemşirelik girişimlerinin planlanması ve uygulanması gerekmektedir. Anahtar Kelimeler: Stoma, aile üyesi, stomayla yaşam, stomalı bireye bakım verme, rehabilitasyon ÖZ ABSTRACTStomas cause various physical, psychological and social problems among individuals and their family members both when they are created and in the post-hospital period. In the present study, an in-depth interview was conducted with a family member of a person with stoma. A structured questionnaire was utilized in this interview period. The entire 60-minute interview was recorded with a voice recorder. The collected data were analyzed by inductive method, and themes and sub-themes were identified. The daughter of the stoma patient, E.Y., is a 51-year-old married housewife with two children. Her mother underwent ileostomy due to rectal cancer. From the results of the analysis of the interview, four core themes were determined as need for information, quality of life, adjustment issues and difficulties, and suggestions to other individuals with stoma, together with their sub-themes. The core and sub-themes structured within the present study vividly illustrate how her life was affected and the problems she encountered. Therefore, adjustment to living with stoma must be regarded as a process that includes all family members. In order to accelerate the adjustment process to living with person with stoma, it is also important to include family members in this adjustment process. Hence, needs of the family of a person with stoma must be determined in advance, prior to the surgery, and relevant nursing interventions appropriate for the family must be determined and implemented.