AIM:To evaluate experimentally the effectiveness of Peyton's four-step teaching method compared with traditional Halsted method in teaching urinary catheterization skills to nursing students. BACKGROUND:Technological advances have also facilitated the integration of various pedagogical methods in nursing skills education. However, the implementation process supporting the development of Peyton's approach, which contributes to the acquisition of structured and complex skills, is still not sufficiently understood. DESIGN:A pre- and post-test, block blind, randomized controlled trial. METHODS:The study was conducted during the academic year with first-year nursing students (n = 217) in Türkiye. The sample consisted of 109 in the intervention group and 108 in the control group. The intervention group received training using Peyton's method, while the control group was taught using the traditional Halsted method. Data were collected using a information, satisfaction, pre- and post-test and a skill checklist. RESULTS:The intervention group's test scores increased from 55.5 to 77.7, while the control group's increased from 51.9 to 65.2. Additionally, satisfaction were higher in intervention group (6.35 ± 1.89) compared with control group (5.23 ± 2.27). The experimental group students' skill checklist average was 83.87 ± 7.28, while control group students' was 70.53 ± 9.53. The results showed that the difference between the skill checklist scores of the experimental and control groups was statistically significant (p < 0.05). CONCLUSION:Peyton's method had greater positive effect on post-test success, skill performance and satisfaction compared with the Halsted method. It is recommended to increase the use of Peyton's teaching model in nursing education.

BACKGROUND:Assessing sleep quality in detail is of critical importance, as sleep disturbances in myocardial infarction survivors not only impair quality of life but may also influence recurrence risk and overall prognosis. AIM:This study was planned to evaluate the sleep quality of patients with Myocardial Infarction hospitalized in the intensive care unit. STUDY DESIGN:An explanatory sequential mixed methods design was used. In the quantitative phase, a cross-sectional design was utilized, while the qualitative phase was conducted using a descriptive approach. The study's quantitative and qualitative components were carried out with patients hospitalized in the intensive care unit between June 01 and October 01, 2023. The Patient Information Form, Richard Campbell Sleep Questionnaire, and Semi-structured Interview Form were data collection tools. Descriptive statistics, normality tests, and the Mann-Whitney U test were used to analyze the quantitative data, and the Cronbach's alpha coefficient was calculated to determine the scale's reliability. In the qualitative phase, content analysis was employed. Reported according to STROBE and COREQ. RESULTS:The median Richard Campbell Sleep Questionnaire score was 66.6 (IQR = 25.83-78.33). The quantitative analyses did not reveal any statistically significant associations. Three main themes were identified in the qualitative section. These themes are "poor sleep quality", "normal sleep quality", and "good sleep quality". CONCLUSIONS:The qualitative phase of the study shed light on the 'why' behind the quantitative findings. Overall, patients with poor sleep quality were influenced by multiple factors, those with normal sleep quality focused on specific needs, and good sleepers reported consistently high sleep quality both in the Intensive Care Unit and daily life. RELEVANCE TO CLINICAL PRACTICE:For quality sleep in intensive care units, nurses should provide noise control, increase patients' privacy, and make arrangements to enable them to maintain their sleep habits.

BACKGROUND:The use of structured decision-making tools is highly important in reducing subjectivity in physical restraint decisions. AIM:The aim of this study was to observationally compare the effectiveness of two decision-making tools in making physical restraint decisions. STUDY DESIGN:This descriptive, cross-sectional and observational comparative study. The study included patients hospitalised in the intensive care unit (ICU). Each included patient was assessed twice-daily (morning and evening) by one observer using the Restraint Decision Tree (RDT) and another observer using the Restraint Decision Wheel (RDW). Between-group differences were examined using Mann-Whitney U and Kruskal-Wallis H tests, with post hoc comparisons presented through letter-based notations adjacent to medians. RESULTS:In total, 105 patients were included. In the morning, patients were assessed with RDT vs. RDW as not restraint: 71% vs. 72.4%, as mitted/alternative: 20% vs. 21.9% and restraint: 9% vs. 5.7%. In the evening, patients were assessed with RDT vs. RDW as not restraint: 68.6% vs. 72.4%, as mitted/alternative: 18.1% vs. 22.9%, and restraint: 13.3% vs. 4.8%. Significant differences in total Glasgow Coma Scale scores were observed in both morning and evening assessments of the RDT and in the evening assessment of the RDW (p < 0.05). Moreover, a highly significant difference was found between prior restraint history and both morning and evening assessments of the RDT and the RDW (p < 0.001). CONCLUSIONS:Both decision-making tools can be implemented by nurses in ICUs. The patient's level of consciousness and previous history of physical restraint are critical parameters affecting the restraint situation. RELEVANCE TO CLINICAL PRACTICE:The widespread use of evidence-based, validated and objective decision-making tools can support restraint decisions in ICUs. Considering factors such as delirium and level of consciousness in physical restraint decisions may promote patient-centred clinical practice.

This study aimed to determine the relationship between smoking cessation success predictions and motivation levels among healthcare personnel. Healthcare personnel play a crucial role in both preventing smoking initiation and promoting smoking cessation. This descriptive and correlational study was conducted with 267 actively smoking healthcare personnel working at a training and research hospital. The study identified a weak but statistically significant positive association between smoking cessation success predictions and motivation levels among healthcare personnel. Data were collected through face-to-face interviews using a personal information form, the Smoking Cessation Success Prediction Scale (SCSPS), and the Adult Motivation Scale (AMS). Descriptive statistics, correlation, and comparative analyses were performed using SPSS version 21. Differences in motivation levels were observed according to certain demographic and professional characteristics. These findings suggest that motivation may be related to healthcare professionals’ perceptions regarding smoking cessation success. In this context, facilitating access to professional smoking cessation services within institutions and including tobacco control topics in in-service training programs may support cessation efforts among healthcare personnel.

The study was aimed to evaluate the effect of the care package prepared in accordance with the algorithm in the intensive care unit on the prevention of pressure injuries. Pressure injuries are frequently encountered in intensive care units and negatively affect the treatment process and recovery. The study was planned a retrospective and quasi-experimental design. The study consisted of two stages. First; development of the care package, nursing education for the use of the developed care package, and implementation of the care package. Second; to evaluate the effectiveness of the care package by comparing the incidence of pressure injuries in the intervention group (December 2019-April 2020) and the control group (May-September 2019) in the pre-study period. The study was conducted with a total of 80 patients hospitalised in the general intensive care unit. The control group (n = 40) was selected retrospectively and had the same characteristics as the intervention group (n = 40). The findings revealed that the proportion of individuals who developed a pressure injury was higher in the control group as of the 7th day. Pressure injuries developed in 8.52 ± 3.24 days in the control group and 11.00 ± 2.21 days in the intervention group (p < 0.05). The incidence rate of pressure injuries was calculated to be 30.43

AIM: The study aimed to validate and assess the reliability of the Ventilator-Associated Pneumonia Preventive Behavior Measurement Tool in a Turkish sample. METHODS: This cross-sectional, methodological study included 273 intensive care nurses between December 2022 and February 2023. Confirmatory and exploratory factor analyses, as well as reliability analyses, were conducted using SPSS 26 and AMOS 24. Descriptive information and the Ventilator- Associated Pneumonia Preventive Behavior Measurement Tool were used to measure validity and reliability. RESULTS: Exploratory factor analysis reduced the 17-item scale to 12 items. The Kaiser-Meyer-Olkin value was 0.757, and Bartlett's test of sphericity was significant (χ2= 445.2, p < .001), indicating good construct validity for measuring ventilator-associated pneumonia prevention behaviors. The cronbach alpha of the scale was obtained as 0.745. CONCLUSION: The Ventilator-Associated Pneumonia Preventive Behavior Measurement Tool is a valid and reliable instrument for the Turkish sample.

This study investigates the usability of artificial intelligence and machine learning techniques to predict individuals' levels of self-sensitivity and compassion. As self-sensitivity and compassion significantly affect individuals' ability to cope with stress, this study aims to develop models to help effectively measure these psychosocial variables. The research covers Gaussian Process Regression (GPR), Neural Network Regression (Net), and Support Vector Machine (SVM) Regression models. The data were collected using the self-sensitivity and compassion scales, and MAPE, MAE, SE, MSE, RMSE, R, and R2 values were used as performance evaluation criteria for each model. The findings show that the GPR model provides highly accurate predictions for both scale types. The Net and SVM models also provided effective predictions, but GPR performed the best overall. Artificial intelligence and machine learning-based models have emerged as practical tools for predicting self-sensitivity and compassion scores. The GPR model is particularly notable for its high prediction accuracy. These findings offer important applications in nursing practice and the design of psychosocial interventions.

PURPOSE:This study aimed to compare the effect of povidone iodine (PI) and chlorhexidine gluconate (CG) shower groups on the healing process in cesarean section operations. DESIGN:Randomized controlled trial. METHODS:Patients were recruited from Gynecology and Obstetrics Hospital in Turkey between February and May 2021. In total, 102 pregnant women were scheduled for elective cesareans. They were randomly divided into PI group (A), CG group (B), and CG shower group (C) operated by three gynecology and obstetrics physicians. During the data collection, a demographics form, an incision site evaluation form, a visual analog scale (VAS), and a postpartum comfort questionnaire (PPCQ) were used. Data from the in-house blinding study to avoid bias and follow-up of the women were done for 7-day duration following postnatal to assess postoperative comfort, pain, and wound complications. FINDINGS:The VAS, pain, erythema, warm, edema, discharge, and wound opening were statistically evaluated at the incision site with 3 measurements for each of the groups. There was a significant difference in the CG groups (2 and 3) (VAS P < .000, erythema P < .05, and edema P < .05). The mean PPCQ score was higher in the CG groups (2 and 3) and showed a significant difference compared with the PI group (P < .000). CONCLUSIONS:Due to the antiseptic and nonirritating properties of CG, showering 6 hours before the operation contributed to the wound healing process according to the incision site evaluation form and to a corresponding increased PPCQ level of the mother in the postoperative period.

PURPOSE:To compare the effects of nonpharmacological interventions on pain, fear, satisfaction, and duration of peripheral intravenous catheterization (PIC) in children. DESIGN:A randomized controlled trial. MATERIALS AND METHODS:The study was conducted in a training and research hospital in northwest Türkiye between October 2023 and March 2024 with 90 patients, ages 5-12. Children were divided into three groups using a simple randomization method: (1) palm stimulator (n = 30), (2) cartoon (n = 30), and (3) control (n = 30). The child, parent, and observer assessed the children's pain and fear levels before, during, and after PIC. After PIC, the children's and parents' satisfaction was evaluated. RESULTS:The average age of the children was 7.81 ± 2.62. The pain scores recorded for the intervention groups before, during, and one minute after the PIC were significantly lower than those of the control group. The fear scores reported by the children during the PIC were as follows: 1.26 ± 1.50 in the palm stimulator group, 1.33 ± 1.32 in the cartoon group, and 2.76 ± 1.38 in the control group, indicating a statistically significant difference between the groups. However, there was no significant difference in the satisfaction scores of children and parents across the groups. Additionally, the duration of the PIC was the shortest in the control group. CONCLUSIONS:The use of palm stimulators and cartoons as nonpharmacological methods in pain intervention for children significantly reduced pain levels before, during, and after procedures. This study, which included evaluations by children, parents, and observer, found that the palm stimulator impacted pain and fear levels comparable to watching a familiar cartoon. Although there was no difference in overall procedure satisfaction between the groups, the satisfaction score for the palm stimulator was notably higher. CLINICAL IMPLICATIONS:The palm stimulator and cartoon film methods can reduce pain and fear during PIC in children. These methods significantly reduced the pain and fear of our participants during PIC. THE CLINICAL TRIAL REGISTRATION NUMBER:NCT06772259.

Amaç: Basınca bağlı yaralar, hastaların hastanede kalış süresini uzatarak prognozlarını olumsuz etkiler ve yaşam kalitelerini düşürür. Ayrıca, hemşirelerin iş yükünü artırarak hastalara, ailelere ve sağlık kuruluşlarına ciddi bir yük getirir. Yüksek risk altındaki hastaların doğru tanımlanması ve uygun önlemlerin alınması, basınç yaralarının insidansını ve etkisini azaltmanın en etkili yoludur. Bu çalışmanın amacı, yoğun bakım hemşirelerinin basınç ülseri bilgi düzeylerinin bakım davranışlarına etkisini belirlemektir.Yöntemler: Ocak-Mart 2024 tarihleri arasında bir eğitim ve araştırma hastanesinde çalışan 143 hemşire ile kesitsel ve ilişki arayıcı nitelikte bir araştırma yapıldı. Veri toplama araçları olarak "Tanıtıcı Bilgi Formu", "Basınç Ülseri Bilgi Düzeyi Değerlendirme Aracı 2.0-Güncellenmiş Versiyon (PUKAT 2.0-T)" ve "Basınç Yaralanması Önleme Bakım Davranışları Yeterliği Değerlendirme Aracı (BYÖBD)" kullanıldı. Veriler, tanımlayıcı analizler ve değişkenler arasındaki ilişkiler için regresyon analizi ile incelendi.Bulgular: Hemşirelerin yaş ortalaması 28,46±4,52 olup, %80,4'ü lisans ve lisansüstü eğitimlidir. Meslekte çalışma süresi ortalaması 5,93±4,39 yıl, yoğun bakımda çalışma süresi ortalaması 4,18±2,89 yıldır. Hemşirelerin %95,8'i basınç ülserinin önlenmesi ve bakımının hemşirenin sorumluluğunda olduğunu düşünmektedir. %53,8'i bakımını yeterli bulurken, %72,7'si çok sayıda hastaya basınç ülseri bakımı vermiştir. Hemşirelerin basınç yaralarını önleme bilgi düzeyinin düşük, ancak bakım davranışlarının iyi düzeyde olduğu bulunmuştur. Teorik bilgi düzeyi ile pratik uygulama yeterlilikleri arasında pozitif yönde düşük bir ilişki olduğu saptanmıştır (p

Virtual reality and haptic systems offer interactive learning opportunities by enabling students to apply knowledge in a safe and controlled environment. Haptic systems, consisting of wearable modules with tactile sensors, provide realistic touch feedback when worn on the hands and fingertips, thereby enhancing the practice of psychomotor skills. This study aimed to develop and evaluate a multi-skill (physical assessment, vital signs, blood sugar measurement, oxygen therapy, aspiration and nasogastric catheter application, and subcutaneous injection) and haptic-supported virtual reality simulation designed for nursing education. The study was conducted as a three-phase methodological design focusing on the development and integration of a haptic-supported virtual reality simulation for nursing education. In phase one, scenarios were developed, a virtual reality training environment was created using the Unity Game Engine, and a haptic device was designed and integrated into the environment. In phase two, software was developed to link the virtual models with the sensor systems, and scenario steps were implemented using gamification. In phase three, the virtual reality simulation environment was evaluated with 20 nursing students using the Presence Questionnaire. Presence Questionnaire is the subjective measurement of the level of immersiveness in 3D virtual environments. The participants had a mean age of 22.6 ± 7 years, 55

Background The clinical education process, which is essential for nursing education, must be carried out by contributing to students' ethical values and self-regulated learning situations. Aim The study was conducted to evaluate the relationship between self-regulated learning situations and the ethical problems experienced by nursing students in clinical teaching and to determine their views. Methods This study used a mixed-method design with 371 nursing students. Data were collected using the Socio-Demographic Data Form, the Self-Regulated Learning Scale in Clinical Nursing Practice, and The Scale of Ethical Problems in Clinical Teaching in Nursing. The qualitative part was completed with 67 students who reported ethical issues. Results There was a weak, positive, and significant relationship between self-regulated learning in clinical practice and ethical problems in clinical teaching. Qualitative data were analyzed in two themes: "Team members with ethical problems" and "Ethical violation principles". Conclusions It was determined that nursing students experienced fewer ethical problems in clinical teaching as their self-regulated learning level increased. They also reported ethical problems within the team and that the most common violations were patient autonomy and respect for the individual.

The study was carried out to determine the effect of the application of the Urinary Infections and Incontinence Prevention Care Package (UII-PCP) on incontinence and infections in female patients. This was an experimental pilot study with nonrandomized application and a control group design. The study was conducted with 52 female patients in the adult ICU. A patient identification form and patient follow-up form were completed with the intervention and control groups, and the Overactive Bladder Questionnaire (OAB-V8) was completed with both of the groups on the day of discharge and 1 month after discharge. The incidence of catheter-associated urinary tract infections (CA-UTI) symptoms after catheterization was significantly higher in the intervention group (42.3%) compared to the control group (15.4%; p < 0.05). Although there were signs of CA-UTI in the intervention group, no significant correlation was found with the urine culture growth results (p < 0.05). UI and CA-UTI status when applying UII-PCP were examined, and no significant results were identified. However, since this represents the first study on this topic, further studies are warranted.

Amaç: Yoğun Bakım Ağız Bakımı Frekans Değerlendirme Ölçeği (ICOCFAS)’nin palyatif bakım ünitesinde yatan hastalarda kullanılması amacıyla planlanmıştır. Gereç ve Yöntem: Araştırma tanımlayıcı ve kesitsel nitelikte, palyatif bakım ünitesinde yatan hastalar ile yapılmıştır. Araştırmaya, katılmayı kabul eden 70 hasta dahil edilmiş, veriler tanılama formu ve ICOCFAS kullanılarak aynı araştırmacı tarafından bir hafta ara ile değerlendirilmiştir. İlk değerlendirmede aldığı puana göre ağız bakım sıklığına karar verilmiş olup, son değerlendirmede ile karşılaştırılmıştır. Bulgular: Araştırmaya katılan hastaların yaş ortalaması 64.5, %68,6’sı erkek ve %74,3’ ilköğretim mezunudur. Paranteral beslenen hastalarda her iki ölçümde de ICOCFAS puanı anlamlı derecede daha yüksek bulunmuştur (p

Background Nurses often experience compassion fatigue as a result of exposure to chronic work-related stress. It is thought that nurses' mindfulness levels and patience attitudes might be effective on compassion fatigue. Aim Therefore, in this study, it is aimed to examine the relationship between nurses' compassion fatigue, mindfulness levels and patience levels. Methods The study was carried out in a descriptive and relation-seeking type and was completed with the participation of 469 nurses. Data Form of Demographic and Professional Characteristics, Compassion Fatigue-Short Scale, Mindful Attention Awareness Scale and The Patience Scale were used as data collection tools. Findings As a result of the research, it was determined that there was a relationship between the mindfulness and patience levels of nurses and compassion fatigue. As the mindfulness and patience levels of nurses increase, compassion fatigue decreases (p < 0.05). As the mindfulness levels of the nurses increase, their patience levels increase as well (p < 0.05). Conclusions/implications for practice Accordingly, it is recommended to increase the level of patience and reduce compassion fatigue by applying interventions that will increase the mindfulness levels of nurses.

Objective: The difficult situation of countries' health systems during the pandemic has once again revealed the key position of nurses. The research was conducted to examine the burnout experienced by nurses during the pandemic and its impact on their quality of life. Material and Methods: The research was designed as a crosssectional study, between October 2020 and March 2021 in a hospital in Türkiye. The data of the research was conducted with 250 nurses and collected using the ''descriptive ınformation form'', ''Maslach Burnout Scale'' and ''Professional Quality of Life Scale'' prepared by the researchers. Comparative analyzes (independent samples t-test and OneWay analysis of variance test-Tukey and Tamhane tests) were used to determine the differentiating features. Correlation and regression analysis were used to determine the effectiveness of the scales. Results: It was determined that there was a statistically significant negative relationship between the predictive power of nurses' Maslach Burnout Scale level on the Professional Quality of Life Scale. The independent variables had a 30% significant effect on the dependent variable. It can be said that the emotional exhaustion and depersonalization sub-dimension, which is the sub-dimension of the Maslach Burnout Scale, and the compassion fatigue sub-dimension of the quality of life scale for employees, explain the total variance. Conclusion: In the study, it was determined that the quality of life decreased as the burnout of the nurses working in a hospital during the pandemic process increased.

BACKGROUND:The debriefing phase is the simulation phase where performance improves and learning occurs. AIM:This study examined the effects of the learning conversation (LC)-based, 3D (defusing, discovering and deepening) model-based and unstructured debriefing methods on satisfaction and debriefing experience after in-situ simulation among intensive care unit (ICU) nurses. STUDY DESIGN:In this randomized controlled experimental study, three debriefing methods were compared, according to which 119 ICU nurses were divided into the following groups: LC group (n = 38), 3D group (n = 40) and control group (n = 41). In- situ simulation was performed with an intensive care patient scenario. p < .05 was considered statistically significant. RESULTS:The total Debriefing Experience Scale-Experience with Debriefing part scores were 89.76 ± 8.10 in the LC group, 88.90 ± 8.70 in the 3D group and 88.29 ± 7.28 in the control group. No significant difference was found in debriefing experience and satisfaction between the groups (p > .05), but a significant difference was observed in the LC group. The groups showed a homogeneous distribution regarding participant characteristics. CONCLUSION:Debriefing experience and satisfaction do not differ between the methods. RELEVANCE TO CLINICAL PRACTICE:Implementation of the simulation in the ICU in - situ with ICU nurses is beneficial in obtaining a fidelity experience. Performing the debriefing application after simulation in line with the model supports the International Nursing Association for Clinical Simulation and Learning (INACSL) debriefing standards.

BACKGROUND:Ethical decision-making education in nursing can be taught effectively by combining different teaching models that support the visualisation of taught concepts and integrating theory into practice.OBJECTIVES:The study aims to examine the effect of flipped and jigsaw learning models on ethical decision-making and ethical sensitivity in nursing.RESEARCH DESIGN:We used a nested mixed design. A pretest-posttest single-group quasi-experimental design was used in the quantitative part, and a case study method was used in the qualitative part.PARTICIPANTS AND RESEARCH CONTEXT:This study was conducted in fall semester with second-year nursing students who studied an ethics course for the first time, using two different collaborative learning models. In the quantitative part, ethical dilemma and ethical sensitivity scales were made as pre-test with 117 and post-test with 128 students. In the qualitative part, a semi-structured three focus group interviews was conducted with 16 students.ETHICAL CONSIDERATIONS:After obtaining the approval of the University's ethics committee, the study was carried out after obtaining participants' informed written and verbal consent.FINDINGS:Students' perspectives changed positively after training. This was related to six cases in section A of the Ethical Dilemma Scale. In part B, Practical Consideration (PC) and Principled Thinking (PT) mean scores were similar, showing no significant difference. For Familiarity in section C, it was determined that 68.4% of students in the pre-test and 77.3% in the post-test were familiar with similar dilemmas. The ethical sensitivity scale's total scores were in a similar range. In the qualitative stage, ethical decision-making, ethical sensitivity, ethical dilemma and the improvement process were obtained as a theme.CONCLUSIONS:There was an increase in the level of ethical sensitivity and familiarity with ethical dilemmas of nursing students after education. Flipped and jigsaw learning models can be used for nursing ethics courses.