Objective: The aim of this study was to determine the effects of high-fidelity simulation and hybrid methods on the anxiety levels, knowledge, and skills of nursing students providing postoperative care to patients with cervical spinal trauma. Material and Method: This quasi-experimental, prospective, controlled study included 48 senior nursing students, who were divided into three groups (control, simulation, and hybrid). Study data were collected using the State-Trait Anxiety Inventory, knowledge forms, and skill assessment forms. Data were analyzed using the paired t-tests, two-factor MANOVA, and one-way ANOVA. Results: The results indicated significant improvements in trait anxiety and knowledge scores before and after training, as well as after the simulation application (p<0.05), for both the simulation and hybrid groups. Changes in state anxiety (F=22.365, p<0.001), trait anxiety (F=4.637, p=0.014), and knowledge scores (F=78.371, p<0.001) were significant independent of group, and within-group analyses showed that both groups benefited from the intervention. Additionally, the hybrid group achieved higher mean practice scores than the simulation group after the simulation application (t=- 2.84, p=0.008). Conclusion: Although the study found all simulation methods effective in improving knowledge, the hybrid simulation method was more effective in improving skills. Hybrid simulation methods involving standardized patients should be considered a particularly effective teaching approach in surgical nursing education to prepare nursing students for their future professional practice.

Aim: This study aimed to evaluate pain associated with the use of the Terumo band pneumatic compression device in patients undergoing transradial angiography.Materials and Methods: This descriptive study was conducted with 100 patients between October 2022 and October 2023. Data was collected using a demographic data form, the Short Form McGill Pain Questionnaire, and a Pain Assessment Form. Descriptive statistics, independent samples t-test, and ANOVA were used for data analysis.Results: The mean pain score was 6.74 ± 6.99 one hour after application of the Terumo band and 3.81 ± 4.63 one hour after removal (t = 6.716; p = 0.001).Conclusion: Patients experienced pain both during and after the application of the Terumo band. As a recommendation for nursing practice, it is suggested that nurses continue pain assessment following transradial angiography and employ evidence-based interventions such as finger exercises, hot/cold application, and elevation to manage pain.

Background With the increasing popularity of employing virtual reality simulations in nursing education comes the need for more research examining their effects on users besides learning outcomes. This study explored nursing students' perceptions of a sense of presence and experiences of cybersickness in virtual reality simulations. Method A descriptive-analytic research design was employed. Between March and July 2024, 102 second-year undergraduate nursing students participated in an immersive virtual reality simulation focused on postoperative colorectal surgery care. Data were collected using the Sociodemographic Characteristics Form, the Presence Questionnaire, and the Virtual Reality Sickness Questionnaire. Student’s t-test, Mann–Whitney U test, and Kruskal–Wallis test were used to compare variables. Results The study revealed that nursing students experienced high levels of presence and only slight symptoms of cybersickness. Additionally, a statistically significant difference was observed both between gender and the adaptation/immersion subdimension of sense of presence, and between the presence of vision problems and the disorientation subdimension of cybersickness. Conclusions Since virtual reality is anticipated to become the leading teaching method in future nursing education, and therefore to maximize its potential, efforts should focus on increasing the sense of presence and reducing cybersickness.

INTRODUCTION:Effective handover skills play a crucial role in communication between pre-hospital and hospital staff. However, nursing and paramedic students rarely have the opportunity to practice them. OBJECTIVE:Our study aimed to evaluate the effectiveness of the Situation-Background-Assessment-Recommendation (SBAR) method in emergency settings using simulation-based education for nursing and paramedic students. METHODS:We conducted a single-group quasi-experimental study involving 39 nursing and 42 paramedic students. The students' patient handover skills were evaluated through simulation-based training using a structured handover method. Data were collected using the Personal Data Form, Patient Handover Information Form, Patient Handover Skill Evaluation Form, and Video Observation and Evaluation Form. For data analysis, we used the Mann-Whitney U test, the Friedman test, the Cohen's kappa coefficient, and the Pearson correlation test. RESULTS:The knowledge scores of nursing (N) and paramedic (P) students (N: 16 [11-20]; P: 15 [10-19] pre-training) increased post-training (N: 18 [15-20]; P: 18 [10-21]), post-simulation (N: 18 [14-21]; P: 17 [13-20]), and one-month after the post-simulation (N: 18 [14-21]; P: 17 [14-20]). The group participants, 50%, received scores between 12.50 and 16.25 and acquired medium handover skills. CONCLUSION:We found that theoretical education and simulation-based applications were effective in enhancing students' knowledge level of handover processes, which are critical for patient safety, and that simulation supported their learning. It is recommended that patient handover training be conducted using simulation-based methods with different student groups, integrated into educational curricula, and updated regularly.

INTRODUCTION:Circumcision has been practised in almost every region of the world throughout human history for cultural, social, religious, and medical reasons. Although it is generally considered a simple procedure, studies have shown that parents of circumcised children often experience high levels of fear, anxiety, and worry during the process. OBJECTIVE:This study aimed to determine the effect of tele-nursing services provided to parents of circumcised children after discharge on their anxiety levels and satisfaction with care. MATERIALS AND METHODS:This parallel-design, quasi-experimental study was conducted between November 2022 and July 2023 with 108 parents (54 in the intervention group and 54 in the control group) whose children had undergone circumcision. Participants were assigned to groups using the block randomisation method. The intervention group received tele-nursing follow-up after discharge, while the control group received routine discharge information only. Data collection tools included the participant information form, Beck Anxiety Scale, PedsQL Health Care Parental Satisfaction Scale, tele-nursing education content, and telephone counselling follow-up form. Data were analysed using non-parametric tests such as the chi-square, Mann-Whitney U, and Wilcoxon tests, with statistical significance set at p < 0.05. RESULTS:The final measurement of anxiety scores indicated that parents in the intervention group had significantly lower anxiety than those in the control group (Z = -5.206, p = 0.000). Similarly, the final parental care satisfaction scores were significantly higher in the intervention group than in the control group (Z = -4.957, p = 0.000). CONCLUSION:These findings demonstrate that tele-nursing services provided to parents of circumcised children after discharge effectively reduced parental anxiety and increased satisfaction with care. It is recommended that clinical nurses be supported and encouraged to provide tele-nursing services to maintain continuity of postoperative care, particularly for follow-up and education after surgical procedures.

Mothers closely follow the complex process due to the burning of their children. Caring for and supporting the child can pose various challenges for mothers. With the phenomenological method, this study was conducted to investigate mothers' experiences staying with their children in the pediatric burn intensive care unit. Twelve mothers participated in the study. The semistructured face-to-face interviews obtained data. After each interview, the research team transcribed the interviews verbatim. Interpretive Phenomenological Analysis was used to analyze the data. The experiences of the mothers were classified in four contexts as a result of the interpretative phenomenological analysis; "first reactions to burn trauma" related to the awareness that the child has been burned, "being a mother in the burn intensive care unit" related to caring for the child as a companion in the burn intensive care unit, "coping" related to how they cope with the problems throughout the whole process, and "requirements" regarding the subjects it needs in the process. It was determined that mothers went through a physically and emotionally challenging process from the beginning of the burn trauma and throughout the intensive care unit. During this challenging process, it was observed that mothers could not use effective coping methods and did not receive the necessary professional support. In line with these results, it is recommended that psychological support programs be applied to the mothers and that care focused on the needs of the mothers should be provided.

Amaç: Cerrahi birimlerde çalışan hemşirelerin mesane kateterizasyonunu sonlandırmadan önce mesane jimnastiği yaptırma durumlarını ve bu uygulamayla ilgili bilgi düzeylerini belirlemektir. Gereç ve Yöntemler: Araştırma bir devlet hastanesi ve bir üniversite hastanesinde çalışan 82 cerrahi hemşiresi ile Temmuz 2022-Ocak 2023 tarihleri arasında tanımlayıcı kesitsel tipte yapılmıştır. Araştırma postoperatif mesane kateterizasyonun sık yapıldığı cerrahi birimlerde (genel cerrahi servisi, ortopedi servisi, kadın doğum servisi, anestezi ve reanimasyon yoğun bakım üniteleri) yapılmıştır. Veri toplama aracı olarak sosyodemografik veri formu, mesane jimnastiği uygulama ve bilgi formu kullanılmıştır. Formların uygulaması 15-20 dakika sürmüştür. Verilerin anlamlılık düzeyi p

The purpose of this systematic review was to present the current state of the science related to healthcare students’ outcomes associated with virtual reality effects on cybersickness and sense of presence. Results of the database searches of MEDLINE/PubMed, Scopus, ISI Web of Science, CINAHL, and Cochrane identified 101 articles. Seven articles were isolated for inclusion in this review. The primary search terms were “healthcare students,” “virtual reality,” “cybersickness,” and “sense of presence.” The studies were published between 2016 and 2020 and were conducted in Israel, the United States, the United Kingdom, Singapore, Belgium, and Brazil. The research design was quasi-experimental in six studies and experimental design in one study. Interventions were mostly carried out with nursing, medical, and dental students. Three studies used immersive virtual reality simulation with a head-mounted display, while the others used non-immersive three-dimensional visuals. According to the results, students perceived a high sense of presence and a low level of cybersickness in virtual reality simulations. There is limited robust research exploring healthcare students’ outcomes related to virtual reality on cybersickness and sense of presence.

CCardiovascular diseases contribute to the deaths of millions of individuals each year. Among these diseases, coronary artery disease stands out as a condition that requires urgent treatment and can lead to sudden death. Coronary angiography remains the gold standard for the diagnosis and treatment of coronary artery disease, benefiting from advancements in science and technology. In recent years, there has been a growing emphasis on the use of the radial artery for coronary artery disease diagnosis and treatment within the field of coronary angiography. Compared to femoral and brachial arteries, the radial artery offers several advantages in accessing the coronary vessels. Nurses, as integral members of the multidisciplinary healthcare system, play a crucial role in all stages of the process, from pre-transradial angiography to the procedure itself and post-procedure care, contributing to the quality of patient care and the healthcare system. This review aims to elucidate the roles of nurses in the increasingly utilized transradial angiography method worldwide and provide an overview of perioperative nursing care based on the latest literature.

PURPOSE This study established the Turkish validity and reliability of the Nursing Professional Pride Scale (NPPS). DESIGN AND METHODS The study was a descriptive and cross-sectional conducted in Turkey. The sample consisted of 301 nurses with at least one year of work experience. Data were collected online between August and September 2020 and analyzed using the SPSS 25.0 and LISREL 8.80. Confirmatory factor analysis, linguistic and content validity, and reliability analyses were performed. FINDINGS The Turkish version of the Nursing Professional Pride Scale (NPPS-TR) had a content validity index of 0.95 and Cronbach's alpha of 0.89 and a five-factor structure with acceptable psychometric properties (χ2 /df = 2.85, RMSEA = 0.079, CFI = 0.92, SRMR = 0.08). PRACTICE IMPLICATIONS The NPPS-TR is a valid and reliable measure of professional pride in Turkish nurses.

Caring for burn patients is both physically and emotionally exhausting for nurses. Each nurse can experience different emotions and make different senses of these experiences. This study was conducted to determine the experiences of nurses who care for burn patients. The study conducted as an exploratory-descriptive qualitative study. Six nurses participated in the study who work in the burn units of a university hospital. Data were obtained by the semistructured face-to-face interviews. The transcription of audio records from interviews was performed, and these transcriptions were analyzed using the thematic analysis method. Codes and subthemes were extracted and the main themes were reached. These themes were gathered under two contexts and reported. Under the context of experience, the themes of “emotional challenge,” “physical difficulties,” and “psychological difficulties,” and nine subthemes were created. Under the context of coping, the themes of “coping methods” and “motivation” as well as eight subthemes, were created under these themes. It was found that nurses who provide care to burn patients face emotional and physical difficulties; however, they do not have effective coping methods and adequate support. The biggest source of support for nurses was again seen to be nurses. In line with these results, it is important that nurses experienced in burn care support junior nurses, nurses who work in such clinics are allowed to use coping mechanisms, and professional support should be provided to these nurses.

This study aimed to examine the effects of holistic nursing competence on work engagement, self-reflection and insight in nurses. This descriptive and cross-sectional study was conducted with 309 nurses working in Turkey. Data were collected using the "Descriptive Information Form", "Holistic Nursing Competence Scale (HNCS)", "Utrecht Work Engagement Scale (UWES)", and "Self-Reflection and Insight Scale (SRIS)". Pearson correlation analysis and multiple linear regression analysis were used to analyze the data. We found that the HNCS had a moderate positive relationship (r=0.411, p<0.05) with the UWES, and a weak positive relationship (r = 0.324, p <0.05) with the SRIS. In the model established by multiple regression analysis, the effect of the HNCS, age, marital status, position, and performing the profession willingly on work engagement explained 33.7% of the variance. In another established model, the effect of the HNCS, gender, and having children on self-reflection and insight explained 11.5% of the variance. Our findings revealed the effect of holistic competence on nurses' positive attitudes about their work engagement and self-reflection in practice. We recommended developing awareness-based programs for nurses to increase their holistic nursing competence.

Background: Factors affecting intercultural sensitivity and care are becoming an increasingly important issue due to ethnic diversity. Nurses play a crucial role in care and therefore should keep up with this trend and improve their intercultural sensitivity. Objective and design: This descriptive cross-sectional study investigated the effects of ethnocentrism and moral sensitivity on intercultural sensitivity in nursing students. Methods and participants: Data were collected using a demographic characteristics questionnaire and the Intercultural Sensitivity Scale, Generalized Ethnocentrism Scale, and Moral Sensitivity Scale. The sample consisted of 1343 nursing students. The Pearson correlation coefficient was used to determine correlations between scale scores. Multiple linear regression was used to determine the effects of ethnocentrism, moral sensitivity, and demographic characteristics on intercultural sensitivity. Results: Intercultural sensitivity was found to be negatively correlated with ethnocentrism and positively correlated with moral sensitivity. Ethnocentrism predicted intercultural sensitivity more than moral sensitivity. Ethnocentrism and moral sensitivity explained 16.8% of the total variance of intercultural sensitivity. However, ethnocentrism affected intercultural sensitivity more than moral sensitivity did (beta = -0.406). Conclusion: Nursing education should adopt strategies to reduce ethnocentrism by helping students develop cultural competence and intercultural sensitivity. Such education can equip nurses to provide higher quality care to patients of different cultural backgrounds.

Objective: It is thought that nursing students are not willing to participate in the complex care of dying patients. The aim of the study was to determine feelings, thoughts, and attitudes of nursing students regarding the care of dying patients. Material and Methods: A partially mixed concurrent dominant status design was used in the study. Focus group interviews were conducted to determine nursing students' feelings about and views of the care of dying patients. Five focus group interviews were conducted at the qualitative data collection stage. Frommelt Attitudes Toward Care of the Dying Scale was used to measure attitudes. Results: Four themes were identified in the qualitative data analysis: (1) feelings experienced while caring dying patients; (2) difficulties encountered while providing care to dying patients; (3) strategies of coping with the difficulties and (4) reasons for feeling incompetent in the care of dying patients. Nursing students reported they experienced intense sadness, desperation, and incompetence in the care of dying patients. The most common reasons for feeling incompetent were lack of experience, knowledge, and skill. Nursing students' mean total score on the Frommelt Attitudes Toward Care of the Dying Scale was 92.83±18.15. Conclusion: Nursing students were seen to have positive approach in the caring for dying patients, although they experienced difficulties and were often unable to cope with the situation. Nursing education curriculum for the care of dying patients should be included current training methods such as simulation and case-based learning to improve experience, confidence and competence of nursing students.