Spiritual care is vital for holistic care and dying with dignity. The aim of this study was to determine nurses' perceptions of spiritual care and their attitudes toward dying with dignity. This study was conducted with 289 nurses working at a public hospital. Results showed three things. First, spiritual care perceptions and attitudes toward dying with dignity were more positive in female participants than in male participants. Second, there was a correlation between participants' education levels and their perceptions of spiritual care. Third, there was also a correlation between participants' attitudes toward dying with dignity and their perceptions of spiritual care.
Objective: Physical restraints are used in intensive care units (ICUs) to prevent patients from harming themselves. In this study, we identified the physical restraint practices of nurses in ICUs and investigated their knowledge on this subject and factors affecting their decisions to use restraints. Material and Methods:This was a descriptive and cross-sectional study. The sample group consisted of nurses (n=101) who worked in the ICUs of a university hospital and a state hospital in Edirne. Data were collected using the "Questionnaire Form," which included working life and demographic characteristics of the nurses, and "Attitudes, Levels of Knowledge, and Practices of Staff Regarding the Physical Restraint Questionnaire." Data were evaluated using percentages, arithmetic means, percentages, and Mann-Whitney U and Kruskal-Wallis tests using IBM SPSS Statistics 21.0.Results: It was found that 62.4% of the nurses did not receive training on the use of physical restraints and that 81.2% of them practiced using physical restraints if required. The mean score of knowledge, attitude, and practice of the nurses on physical restraint use were 7.6±1.6, 30.4±4.2, and 36.8±3.7, respectively. A relationship was found between the knowledge score on physical restraint use and education on physical restraints (p=0.02) and between the attitude score on physical restraint use and the nurses' education degree (p=0.03). A statistical difference was found between the working units (p=0.002) and education on the use of physical restraints (p=0.000). This study found that only 38.6% of the nurses always used physical restraints on a physician's order. Conclusion:We found that although a majority of nurses working in ICUs did not receive training on the use of physical restraints, the level of knowledge on nurses' use of physical restraints and their attitudes to practice restraint use was positive. However, nurses' practice on the use of physical restraints on the order of the physician and the approval of enlightenment were not to the desired level during the practice of physical restraint use. It would be useful to focus on the responsibilities of nurses in relation to the topic of in-service training to be organized on the use of physical restraints. Bulgular: Bu çalışmada, hemşirelerin %62,4'ünün fiziksel kısıtlama uygulaması ile ilgili eğitim almadıkları, %81,2'sinin gerektiğinde hastalarına fiziksel kısıtlama uyguladıkları belirlendi. Hemşirelerin fiziksel kısıtlama kullanımına ilişkin bilgi puanı ortalaması 7,6±1,6, tutum puanı ortalaması 30,4±4,2 ve uygulama puanı ortalaması 36,8±3,7 olarak bulundu. Katılımcıların fiziksel tespit edici kullanımına ilişkin bilgi puanlarının fiziksel tespit uygulaması ile ilgili eğitim alma durumuna göre (p=0,02), tutum puanlarının eğitim durumlarına göre (p=0,03), uygulama puanlarının ise çalışı-lan birim (p=0,002) ve fiziksel tespit uygulaması ile ilgili eğitim alma durumuna göre (p=0,000) farklılık gösterdiği bulundu. Çalışmada, hemşirelerin sadece %38,6'sının fiziksel kısıtlamayı her zaman...
This study was conducted to examine the importance of the concept of a good death and the contributing factors from the perspectives of family caregivers of advanced cancer patients. This descriptive and cross-sectional study, conducted with 182 family caregivers, were collected using a questionnaire form and the “Good Death Scale”. The number and percentage distribution, multiple linear regression were used evaluation of data. The total score of the Good Death Scale was 62.65 ± 4.60. The factors contributing to the importance of the concept of a good death were determined as the presence of chronic disease; the type of treatment given to the patient; the presence of another family member who was previously diagnosed with cancer; the presence of a family member who has died of cancer and previously caregiving to a terminally ill family member. This study revealed that the concept of a good death is seen as very important.
Bu çalışma, hemşirelik öğrencilerinin etik duyarlılık düzeyleri ile mesleki değerlerin önemine ilişkin görüşlerini belirlemek ve aralarındaki ilişkiyi incelenmek amacıyla yürütüldü. YÖNTEM: Tanımlayıcı nitelikteki araştırmanın evrenini, bir devlet üniversitesinin sağlık bilimleri fakültesi hemşirelik bölümünde okuyan birinci, ikinci, üçüncü ve dördüncü sınıf öğrencileri (N=512) oluşturdu. Araştırmaya katılmayı gönüllü olarak kabul eden 334 öğrenci çalışmanın örneklemini oluşturdu. Veriler öğrencilerin sosyodemografik özelliklerini ve mesleki değerlerin önemine ilişkin algılarını içeren sorulardan oluşan anket formu ile Ahlaki Duyarlılık Ölçeği kullanılarak toplandı. BULGULAR: Çalışmaya katılan öğrencilerin yaş ortalaması 20,5±1,57 olup, %4,7'si birinci sınıf öğrencisiydi. Öğrencilerin %69,8'i mesleği isteyerek seçmiş, %54,5'i klinik uygulamalar sırasında etik ikilem ile karşılaşmış. Öğrencilerin ahlaki duyarlılık ölçeği toplam puan ortalaması 76±16,05 olup, ölçekten alınan puanlar öğrencilerin cinsiyeti ve sınıfına göre istatistiksel olarak anlamlı farklılık göstermektedir (p<0,05). Öğrencilerin son derece önemli olduğunu düşündükleri ilk üç mesleki değer sırasıyla doğruluk (%58,4), eşitlik (%57,5) ve özgürlük (%53,6) oldu. Öğrencilerin estetik değere verdikleri önem derecesi ile ahlaki duyarlılık ölçeği puanları arasında istatistiksel olarak anlamlı farklılık vardı (p<0,05). SONUÇ: Hemşirelik öğrencilerinin etik duyarlılıkları yüksek olup, doğruluk, eşitlik ve özgürlük gibi mesleki değerlere yüksek düzeyde önem vermişlerdir.
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