This study comprehensively analyzed scientific publications on metabolic and bariatric surgery in adolescents, using bibliometric methods to identify thematic trends and developments in the literature. Publications indexed in Web of Science, Scopus, and PubMed as of December 4, 2025, identified through the keyword combinations “adolescent” and “bariatric surgery,” were analyzed using Biblioshiny (Bibliometrix) and VOSviewer. The dataset included 2,174 articles published between 1980 and 2025, and 62

Purpose This study investigated the effect of prewarming on early postoperative thermal comfort and shivering in adult surgical patients. Design Systematic review and meta-analysis of randomized controlled trials. Methods On March 5, 2025, a literature search was conducted across the PubMed, ScienceDirect, Scopus, Web of Science, Cochrane Central, SpringerLink, and EBSCOhost databases, covering all records up to that date, with no year restriction. Randomized controlled trials evaluating prewarming and reporting early postoperative thermal comfort and/or shivering were included. Methodological quality was assessed using the Cochrane Collaboration's risk-of-bias tool. Meta-analyses were performed in Comprehensive Meta-Analysis V2 using a random-effects model. Moderator analyses and publication bias assessments (funnel plot inspection, Orwin's fail-safe N, and trim-and-fill) were also conducted. Findings A total of 369 articles were screened; 13 studies were included in the systematic review, and 11 studies were included in the meta-analysis. In the random-effects model, the meta-analysis showed that prewarming significantly improved early postoperative thermal comfort (Hedges' g = 0.396, 95% CI 0.232 to 0.559, P < .001; n = 1,166) and reduced early postoperative shivering (Hedges' g = 0.341, 95% CI 0.214 to 0.468, P < .001; n = 1,174). In the random-effects model, between-study heterogeneity was moderate for early postoperative thermal comfort (I² = 47.24%) and low for early postoperative shivering (I² = 15.86%). Potential moderators included anesthesia type, American Society of Anesthesiologists classification, anesthesia duration, surgery type, warming method, and prewarming duration. Conclusions Prewarming is effective for improving early postoperative thermal comfort and reducing shivering in adult surgical patients.

OBJECTIVE:To examine the scientific production, publication trends, conceptual structure, and thematic evolution of nursing-related literature on spinal surgery. DESIGN:Descriptive bibliometric study. METHODS:Bibliographic data were retrieved from the Web of Science Core Collection, Scopus, and PubMed on May 22, 2026. No language or publication-year restrictions were applied. The search strategy was based on two concept clusters: spinal surgery and nursing. After duplicate removal, eligibility screening, data cleaning, and bibliographic standardization, analyses were performed using Bibliometrix/Biblioshiny and VOSviewer. Publication trends, citation indicators, productive sources, authors, institutions, countries, keyword co-occurrence, thematic mapping, and trend topics were analyzed. RESULTS:A total of 266 publications published between 1951 and 2026 were included. These publications appeared in 96 sources and involved 786 authors. The annual growth rate was 2.63%, with the highest output recorded in 2023 (n = 19). The United States led in publication output and citation impact. The literature was primarily structured around spinal fusion, nursing, lumbar vertebrae, spinal surgery, scoliosis, patient outcomes, pain, and postoperative care. Nursing assessment, patient education, and the perioperative period emerged as motor themes, while postoperative care, enhanced recovery after surgery, and nursing care represented recent trends. CONCLUSIONS:The spinal surgery nursing literature has evolved toward a patient-centered, outcome-focused, perioperative, and multidisciplinary orientation. NURSING PRACTICE IMPLICATIONS:Strengthening evidence-based perioperative assessment, patient education, pain management, postoperative monitoring, complication prevention, discharge planning, and continuity of care may improve recovery, patient safety, functional outcomes, and care coordination.

Background: The operating room is a high-risk clinical environment in which, beyond technical skills, non-technical competencies, such as communication and collaboration, situational awareness, initiative and advocacy, accountability, cognitive agility, professional autonomy and identity, and emotional resilience, are increasingly critical for ensuring patient safety and maintaining workflow continuity. Aim: This study aimed to identify emerging competency expectations for operating room nursing (ORN) from the perspectives of surgeons and operating room nurses. Methods: This qualitative descriptive study was conducted in Türkiye between December 1, 2024 and May 31, 2025. A total of 27 surgeons and 30 operating room nurses from six hospitals in the city centers of two provinces participated in the study. Data were collected through semi-structured, in-depth interviews and analyzed using content analysis. Results: Five themes emerged: operational flow and efficiency; professional development and standards; professional autonomy and identity; cognitive and mental skills; and emotional and motivational characteristics. Participants emphasized that non-technical competencies, including communication and collaboration, situational awareness, initiative and advocacy, accountability, and the ability to minimize errors under stress, are increasingly essential for ensuring patient safety and maintaining workflow continuity. Conclusion: Compared with existing operating room (OR) nursing competency frameworks, the findings highlight cross-cutting competencies, including autonomy, professional identity, cognitive flexibility, and emotional resilience, that support technical performance, effective teamwork, and patient safety. Although the findings are not broadly generalizable, they have important implications for competency-based education, competency assessment, mentoring, and initiatives to strengthen patient safety culture.

BACKGROUND:Alarm fatigue is a challenge for nurses and patients. Also, feasible strategies to reduce/manage alarm fatigue are still unclear. AIM:This study aimed to identify adult intensive care nurses' alarm fatigue levels and strategies to reduce alarm fatigue. DESIGN:A convergent parallel design was employed. METHOD:The study was conducted between January and June 2022 in adult intensive care units of a university hospital, with 67 nurses in the quantitative phase and 14 in the qualitative phase. Quantitative data were collected using a personal information form, the Satisfaction Visual Analog Scale and the Nurses' Alarm Fatigue Questionnaire. Qualitative data were collected using a semi-structured interview form. Descriptive analyses, Mann-Whitney U, Kruskal-Wallis and Multiple Linear Regression analysis were used to evaluate quantitative data. The inductive content analysis method was utilised to evaluate qualitative data. The STROBE and COREQ checklists were employed to report the study. RESULTS:In the quantitative phase, increased intensive care unit working hours, available alarm management support for managing alarms, and increased satisfaction level were negatively associated with alarm fatigue. Three main themes ("building an alarm management culture", "safe care environment" and "improving the features of alarm equipment/devices") and 10 sub-themes were elicited from interview data about the reduction of alarm fatigue. CONCLUSIONS:In the study, adult intensive care nurses' alarm fatigue levels and strategies to reduce fatigue were revealed. These strategies should be applied to reduce alarm fatigue in intensive care units. IMPLICATIONS FOR PRACTICE:Healthcare providers should develop and implement proactive strategies through effective organisational management to prevent and reduce alarm fatigue so that an alarm management culture can be built, employee satisfaction can be increased, a safe care environment can be provided, and the features of alarm devices can be improved. REPORTING METHOD:The study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) and Consolidated Criteria for Reporting Qualitative Research (COREQ) checklists. PATIENT CONTRIBUTIONS:No patient or public contribution. TRIAL REGISTRATION:ClinicalTrials.gov identifier: NCT05163340.

OBJECTIVE:This study examined the perceptions of operating room nurses about perioperative competency and the views of the surgical team on factors that facilitate competency acquisition. DESIGN:A convergent, parallel, mixed-methods study design was used, wherein quantitative and qualitative data were collected simultaneously, analyzed independently, and then integrated during interpretation to provide a comprehensive understanding of the phenomenon. SETTING AND PARTICIPANTS:The study was conducted between March and August 2020 in 17 university, public, and private hospitals across three cities. The quantitative phase included 224 operating room nurses, while the qualitative phase involved 54 surgical team members, including surgeons, anesthesiologists, and technicians. METHODS:Quantitative data were collected using the Perceived Perioperative Competence Scale, and qualitative data were obtained through semi-structured interviews. Data were integrated during interpretation, wherein the findings were compared and contrasted to identify areas of confirmation, expansion, or discrepancy. The STROBE, COREQ, and GRAMMS checklists were employed in reporting the study. RESULTS:The quantitative findings indicated high perceived perioperative competency among nurses, influenced by institutional and experiential factors. The qualitative analysis revealed three main themes influencing competency development: individual characteristics (motivation and desire to learn), institutional structures (management support and team harmony), and structured training programs. The integrated findings confirmed that formal mentoring and supportive environments enhance competency acquisition. CONCLUSION:The acquisition of competency in operating room nursing can be strengthened through structured institutional mentoring systems, a supportive organizational culture, and comprehensive training. These findings support the design of targeted interventions at both the individual and institutional levels to improve perioperative nursing practice.

Background: Patient safety culture is a globally studied subject as it plays a significant role in preventing and reducing errors. There is limited mixed-method research into the in-depth investigation of intern nurses' views on patient safety in hospital settings and the factors affecting it. Objective: This study was conducted to determine intern nursing students' perceptions of patient safety culture and their experiences with exploring factors affecting the safety of care in hospital settings. Design and methods: A convergent mixed-method design was used. The study group was selected using the purposive sampling method. STROBE and COREQ checklists were followed. The quantitative phase was descriptive and correlational, and the qualitative phase was phenomenological. Quantitative data were collected using a "Personal Information Form" and "Patient Safety Culture Scale" and qualitative data using a "SemiStructured Interview Form." Mean +/- standard deviation, median (min-max), frequency, percentage values, Shapiro-Wilk, and Mann-Whitney U tests were employed to evaluate quantitative data. The inductive content analysis method was used to analyze qualitative data. Setting and participants: The study consisted of intern nursing students from a university in the 2020-2021 academic year. The quantitative phase of the research was conducted with 38 and the qualitative phase with nine intern nursing students. In the qualitative phase, the saturation point was taken as a basis. Results: In the study, nursing students' perceptions of patient safety culture were high (3.24 +/- 0.49; min = 1.88 and max = 4). The results of the qualitative data analysis indicated that the factors affecting patient safety in hospital settings consisted of three themes, namely "health professionals, care environment, and patients and caregivers" and nine subthemes. Conclusions: Intern nursing students had high perceptions of patient safety culture and had highly significant experiences with the factors affecting safe care in hospital settings.

PurposeOne of the methods for maintaining perioperative normothermia is prewarming. This study was conducted to investigate the effect of a preoperative prewarming intervention on perioperative body temperature.DesignSystematic review and meta-analysis.MethodsA literature review was conducted using PubMed, CINAHL, Cochrane Central, Science Direct, Springer Link, Scopus, Web of Science, and Ovid databases. Randomized controlled trials that investigate the effect of prewarming on body temperature in the prevention of perioperative hypothermia were included. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement guidelines. Methodological quality was assessed using the Cochrane Collaboration “risk of bias” tool. Meta-analysis was performed with Comprehensive Meta-Analysis, version 2. Moderator analysis and publication bias assessment were performed. Funnel plots were analyzed using Orwin's fail-safe N, Trim, and Fill test method to investigate the source of heterogeneity.FindingsA total of 907 studies were found. The systematic review included 27 studies. Of these, 23 were included in the intraoperative meta-analysis, and 16 were included in the postoperative meta-analysis. According to the meta-analysis results, the prewarming intervention was effective in maintaining normothermia in the intraoperative (Hedge's g = 0.972, 95% confidence intervaI = 0.674 to 1.270) and postoperative (Hedge's g = 0.818, 95% confidence intervaI = 0.520 to 1.114) periods.ConclusionsThe findings of this systematic review and meta-analysis showed that preoperative prewarming played a significant role in providing and maintaining perioperative normothermia.

Eğitimlerinin önemli bir bölümünü klinik ortamlarda gerçekleştiren hemşirelik öğrencilerinin, uygulamalarda eğiticilerden beklentilerinin derinlemesine incelenmesi, öğrenme ortamlarının iyileştirilmesi ve mesleki bilincin geliştirilmesinde önemli bir ihtiyaçtır. Bu araştırma, klinik ortamlarda intörn hemşire öğrencilerin eğiticilerden beklentilerini incelemek amacıyla yapılmıştır. Çalışma, Akdeniz Üniversitesi Hastanesi’nde klinik uygulamaya çıkan ve bu kalitatif araştırmaya gönüllü yedi intörn hemşirelik öğrencisi ile gerçekleştirilmiştir. Veriler yarı yapılandırılmış derinlemesine bireysel görüşmeler yoluyla çevrimiçi olarak toplanmıştır. Tüm görüşmeler kelimesi kelimesine tam anlamıyla yazıya dökülmüş ve tekrarlı okumalarla içerik analizi yöntemi kullanılarak değerlendirilmiştir. Verilerin analizinde “güvenli öğretim ortamı yaratma” ve “öğrenme kaynağı olarak bireyler” olmak üzere iki ana tema elde edilmiştir. Katılımcıların klinik ortamlarda güvenli öğretim ortamı yaratma teması dört ve öğrenme kaynağı olarak bireyler ise beş alt temadan oluşmaktadır. Bu çalışmada intörn hemşirelik öğrencilerinin, klinik ortamlardaki öğretici kaynak algıları ve güvenli öğrenme ortamının özelliklerine ilişkin görüşleri ön plana çıkmıştır.

Hemşirelik kuram ve modellerinin temel amacı, hemşirelik biliminin gelişmesini sağlamaktır. Hemşirelik eğitiminde kuram ve model kullanımı hemşirelerin ortak bir dile sahip olması noktasında oldukça önemlidir. Hemşirelik kuram ve modellerine temellendirilen hemşirelik eğitimi hemşirelik felsefesini anlayan, kendi rollerini benimseyen, bireyi bütüncül değerlendirebilen hemşireler yetiştirilmesini, eğitimin niteliğinin artmasını, bilgilerin daha kolay entegre edilmesi ve öğrenilmesini olanaklı kılacak, hemşire öğrenciye problem çözme becerisi kazandıracak ve hemşirelik bilgisini artıracaktır. Bu çalışma, hemşirelik kuram ve modellerinin hemşirelik eğitiminin nitelik ve standardizasyonunu artıracak, hemşirelik eğitiminde öğrencinin bilgisini geliştirebilmek ve ilerletebilmek için kullanabilecek metot ve yaklaşımlardan biri olduğunun önemine vurgu yapmak amacıyla yapılmıştır.

Farkli dinlerin; hastalik, kayip, olme ve agit zamanlarinda destek saglayabilecek ve onemli olabilecek inanclari, ogretileri ve uygulamalari mevcuttur. Ornegin Islamiyette, maddi dunya sadece bir testtir ve bir sonraki dunyaya giden bir yoldur. Eger bir hasta komadaysa, yuzunun kibleye dogru cevrilmesi tercih edilir. Kisi oldugunde gozleri kapanir ve ailesi tarafindan dualar okunur. Hristiyanlikta, hastanin kutsal yaglarla kutsanmasi, kotuluklerden arinmasi ve kuvvetlenmesi icin yapilmaktadir. Dini torenler guc ve merhamet kaynagidir. Yahudilikte, kisinin hastaliginin iyiles- tirilmesinin mumkun olmadigi durumlarda, pek cok haham yasam destek unitelerinin, suni hidrasyon ve beslenme unitelerinin cekilmesine izin verebilir. Olume yakinken, hastanin kendisine dua edilir ve Tanri’dan af dilenir. Hinduizmde, reenkarnasyona olan inanc yaygindir ve bundan dolayi bu durum Hindularin yasam sonu tercihlerini nasil yapacaklarini etkilemektedir. Budistlerde meditasyon uygulamasi, saglikli olmayi ve iyilesmeyi tesvik eder. Budistler, olumu bir gecis olarak gordukleri icin dogal olum surecini desteklerler. Yasam sonu donemde saglik bakim profesyonelleri; hastanin ve ailesinin dini ve manevi inanclarini dikkate almali ve hasta ve ailesiyle inanclari, ayinleri ve gelenekleri hakkinda konusmali ve bu uygulamalari ‘eger hasta isterse’ klinik bakimla birlestirmelidir

Saglik Calisanlarinin Karsilastiklari Is Kazalari Ve Egitimin Is Kazalarini Azaltma Durumuna Etkisi