No abstract

Onkoloji hemşirelerinde algılanan stres, iletişim becerileri ve psikolojik semptomlar arasındaki ilişkiler Amaç: Bu çalışmanın amacı onkoloji hemşirelerinde algılanan stres, iletişim becerileri ve psikolojik semptomlar arasındaki ilişkiyi incelemektir. Yöntem: Çalışma İstanbul'da onkoloji birimlerinde çalışan 102 hemşireyle gerçekleştirilmiştir. Veriler Bilgi Formu, Algılanan Stres Ölçeği (ASÖ), İletişim Becerilerini Değerlendirme Ölçeği (İBDÖ) ve Kısa Semptom Envanteri (KSE) kullanılarak toplanmış ve tanımlayıcı istatistiksel analiz ve sperman korelasyon analizi kullanılarak değerlendirilmiştir. Bulgular: Hemşirelerin ASÖ puan ortalaması 16.85 (SD=6.08), İBDÖ puan ortalaması 73.34 (SD=23.28) ve KSE puan ortalaması 32.68 (SD=33.13) bulunmuştur. Hemşirelerin %84.3'ü öfkeli ve ajite hastalarla iletişimde güçlük yaşadıklarını ifade etmiştir. ASÖ ile İBDÖ arasında (r=-0.28; p<0.01) ve ASÖ ile KSE toplam puan (r=0.50; p<0.01) ve alt boyutları arasında pozitif bir korelasyon saptanmıştır. Sonuç: Onkoloji birimlerinde çalışan hemşirelerin iletişim becerilerini güçlendirmek ve algıladıkları stres düzeylerine yönelik girişimde bulunmak hem hemşirelerin kendi psikolojik sağlıklarına hem de hasta ve ailelerle yaşadıkları iletişim güçlüklerini azaltmaya ve dolayısıyla sunulan hizmetin kalitesine olumlu katkıda bulunabilir. Anahtar sözcükler: onkoloji hemşiresi, iletişim, algılanan stres, psikolojik semptom ABS TRACT The relations between perceived stress, communication skills and psychological symptoms in oncology nursesObjective: This study aims to determine the correlation between perceived stress, communication skills and psychological symptoms in oncology nurses. Methods: The study was conducted in collaboration with 102 nurses working in oncology departments of hospitals in Istanbul. The data was collected through Questionnaire Form, Perceived Stress Scale (PSS), Communication Skills Assessment Scale (CSAS) and Brief Symptom Inventory (BSS). Descriptive statistical analysis and spearman correlation analysis were used to evaluate the data. Results: Nurses received 16.85 (SD=6.08) points from PSS, 73.34 (SD=23.28) points from CSAS, and lastly 32.68 (SD=33.13) points from BSI. 84.3% of the nurses reported experiencing communication problems with angry and agitated patients. There was a negative correlation between PSS and CSAS (r=-0.28; p<0.01). A positive correlation was found between PSS and BSI total scores (r=0.50; p<0.01) and all the other sub-dimensions. Conclusion: Improving communication skills of oncology nurses and the interventions for their perceived stress levels may have effects as promoting their own psychological health as well as decreasing communicational difficulties with the patients and their families; and thus, it may affect the quality of care.

Purpose This study was conducted to evaluate a stress coping course for psychological resilience among a group of university nursing students. Design and Methods This was a quantitative study that had a pretest/posttest design without a control group. Data were collected from 78 first‐year nursing students using a Stress Self‐assessment Checklist and the Psychological Resilience Questionnaire (PRQ). Findings A significant increase was determined in the subscales of self‐perception and social resources of PRQ following the course (P ≤ 0.05). Practical Implications The findings emphasized that more attention should be given to the potential role of psychological resilience in dealing with the inevitable sources of stress in the education of nursing students.

The aim of this study was to determine the effects of the psychoeducation received by the family members of the patients with first-episode schizophrenia on the expressed emotion (EE) and the family functioning of the family members. This study has a quasi-experimental design with a control group. The sample of the study was 60 family members (30 experimental -30 control) of the patients with first-episode schizophrenia. The experimental group received 9 weeks of psychoeducation as a group. EE and family functioning were assessed at the beginning and at the end of the psychoeducation program. EE criticism/hostility and over involvement-protecting-intervention levels of the family members have decreased at the end of the psychoeducation (p < 0.05). Family functioning has changed too at the end of the psychoeducation (p < 0.05), and assessed as more healthy. Consequently, early psychoeducational groups may be effective in decreasing EE level and improving the family functioning for a family member of patient with first-episode schizophrenia.

Psikiyatri kliniğinde çalışan hemşirelerin psikiyatri hemşiresinin rollerine ilişkin görüşleri Amaç: Bu çalışma, psikiyatri kliniklerinde çalışan hemşirelerin psikiyatri hemşiresinin rollerine ilişkin görüşlerinin belirlenmesi amacıyla gerçekleştirilmiştir. Yöntem: Tanımlayıcı tipte olan bu çalışma, Ocak 2011 ile Mayıs 2011 tarihleri arasında yapılmıştır. Çalışmada örneklem seçimine gidilmemiş, çalışmayı kabul eden 195 hemşire örneklemi oluşturmuştur. Veriler araştırmacılar tarafından oluşturulan 4 açık uçlu, toplam 27 sorudan oluşan anket formu ile toplanmıştır. Çalışma verileri tanımlayıcı istatistiksel analizlerle değerlendirilmiştir. Bulgular: Araştırmaya katılan hemşirelerin %80.4'ü kadındır ve yaş ortalaması 34.27±1.19'dur. Psikiyatri kliniklerinde çalışan hemşireler, klinikte yaptıkları temel girişimlerin, %76.8'inin psikofarmakolojik tedavi, %52.6'sının gözlem, %41.8'inin hastaların öz bakımını sağlamak olduğunu belirtmişler ve terapötik iletişim, atölye/uğraş terapisi ve bireysel/grup terapileri gibi girişimleri daha az yaptıklarını çoğunlukla evrak işleri ile uğraştıklarını ifade etmişlerdir. Sonuç: Çalışma kapsamındaki hemşirelerin tamamına yakını (%96.4) rol ve sorumluluklarının net olmadığını, yasalarda da yer almadığını düşündüklerini ifade etmişlerdir. Çalışma bulguları sonucunda psikiyatri hemşirelerinin rollerinin ve yetkilerinin net olarak tanımlanması gerektiği söylenebilir.

Background:Wellbeing is one’s evaluation and judgment of one’s life. It consists of 3 dimensions: positive affectivity, negative affectivity, and life satisfaction.Objectives:This study aimed to compare the subjective wellbeing and positive future expectations between working and nonworking adolescents.Patients and Methods:The study was designed as descriptive and comparative. The study sample consisted of 420 working and 482 nonworking adolescents (n = 902) aged 15 - 20 years, who were randomly recruited from two occupational education centers in Istanbul, Turkey and two high schools (formal educations) in the same district.Results:Adolescent subjective wellbeing scale (ASWS) total mean (SD) scores for working adolescents and nonworking adolescents were 48.76 (9.50) and 49.72 (8.01), respectively. In addition, positive future expectations scale (PFES) total mean (SD) scores for working adolescents and nonworking adolescents were 18.71 (4.50) and 19.06 (3.49), respectively. In this study, no significant difference was found between the general wellbeing (scale total median score) scores of the working and nonworking adolescent groups (Z = 1.01, P = 0.315). However, significant differences were found in the family relations satisfaction (Z = 3.23, P = 0.002) and relations with significant others (Z = 2.85, P = 0.004) subscales of the ASWS.Conclusions:A positive relationship was found between adolescent subjective wellbeing and positive future expectations. It was found that nonworking adolescents scored higher on the dimensions of “family relations” and “relations with significant others” of subjective wellbeing compared to those dimensions in working adolescents.

İnternetle ilişkili sorunların her yaş grubunda yaygınlaştığı ve özellikle internet bağımlılığı için risk gruplarından birinin çocuk ve ergenler olduğu bilinmektedir. Bu çalışma ortaokul öğrencisi ergenlerde depresif belirtiler ve internet bağımlılığının ilişkisinin incelenmesi amacıyla yapılmıştır.

Objectives: Epidemiological studies show that 5-48% of children and adolescents often experience somatic complaints. This study investigated somatic symptoms in secondary school students and the attitudes of their parents. Methods: This descriptive study involved 699 secondary school students at three state and five private schools in Kadikoy from October 2013-February 2014. The data were collected using an information form, Child Somatization Inventory and Parent Attitude Scale and were analyzed using descriptive statistical analysis, Pearson correlation analysis and the t-test. Results: The average age of the students was 12.93±1.06. Of the students, 49.9% were female, and 35.3% were in private schools. A significant difference (t=3.53, p=.002) was found based on the type of school attended with private school students seen more frequently with somatic symptoms (private X=13.0±1.25; state X=10.0±9.5). There were also differences according to the type of school attended in parental attitude-control/monitoring (t=4.43; p=.003), and in the psychological autonomy subscale (t=2.71, p=.040). Private school students' perception of their parents' attitude were more controlling/supervisory than the public school students (control/supervision; private X=15.3±5.1; public X=13.8±4.0) and allowing less psychological autonomy than them (private X=26.7±4.5; states X=27.6±4.3). Parental tolerance was significantly associated with somatic symptoms (t=4.695, p=.001), and students who perceived their parents as tolerant had more somatic symptoms (X=14: 31±11.86). Conclusion: This study shows that parental attitudes and somatic symptoms vary as to the type of school. Students had more somatic symptoms when they perceived their parents as tolerant/permitting of those somatic symptoms.