Aim This research was carried out so as to reveal the relationships between the anxiety state of nurses, their critical thinking disposition, and decision‐making strategies. Methods Survey forms and scales that were related to demographic attributes, anxiety, critical thinking and decision‐making were used in this research. The sampling was formed with 326 nurses who were selected by using the random sampling method. The data were collected between November, 2014 and January, 2015 via a Descriptive Information Form, the California Critical Thinking Disposition Inventory, State–Trait Anxiety Inventory, and Decision‐Making Strategies Scale. Results Of the nurses, 91.4% were discovered to have low critical thinking disposition levels. The nurses’ scores in analytics, open‐mindedness, and curiosity were higher, compared to the other categories. As for decision‐making, independent decision‐making was the most commonly used strategy. There was a poor positive relationship between the age of the nurses and their points of independent decision‐making and intuitive decision‐making. It was detected that age and open‐mindedness affected the total points of independent decision‐making, intuitive decision‐making, and rational decision‐making. Conclusion The critical thinking training of nurses affects their rational decision‐making levels and their age affects independent, intuitive, and rational decision‐making. Systematicity affects only indecision in a negative way, whereas open‐mindedness negatively affects intuitive decision‐making, rational decision‐making, and indecision. Anxiety negatively affects independent decision‐making, whereas it affects indecision strategy positively. The working style of nurses does not affect their decision‐making strategies. Indecision strategy is negatively predicted by open‐mindedness, systematicity, and self‐confidence and it is positively predicted by anxiety.
Bir üniversite hastanesindeki hemşirelerde iş-aile çatışması ile örgütsel sessizlik ve sosyal destek algısı arasındaki ilişkiler H emşire sayısında yetersizlik dünya genelinde günden güne artan bir sorundur. İş-aile çatışmasının, hemşirelerin hemşire olarak çalışmaya devam etmesini etkileyen altı değişkenden (iş-aile çatışması, özerklik algıları, işe bağlılık, birey için çalışmanın önemi, iş yerinde kişilerarası ilişkiler, süpervizör-ast ilişkisi) biri olduğu bildirilmiştir. [1] Rol teorisine göre iş-aile çatışması, iş ve aile alanlarındaki rol baskısının karşılıklı olarak bazı açılardan uyumsuz olduğu bir rol çatışması biçimidir. [2] Rol teorisine göre, bireylerin çoklu rolleri vardır ve her bir rolde geçirilen zaman sınırlıdır. Rollerin birinde harcanan zamanın artması diğer rollere ayrılan zamanı azalttığı için roller arası ça-tışma olasılığı vardır. Kişiler iş ve ailedeki birçok rol nedeniyle iş aile yaşamını dengeleyemez, bir rolü üstlendiğinde diğer rolleri yerine getirmede zorluk yaşar. [3] Rol Gerginlik teorisine göre ise, iş ve aile alanlarındaki sorumluluklar sınırlı miktardaki zaman, fiziksel enerji ve psikolojik kaynaklar için rekabet ederler. Bir rolde yaşanan talepler, başka bir rolde yaşanan taleplerden uzak durarak zaman ve enerjiyi alır. [2,4] Rol teorisine dayanan çaprazlama (crossover) etkisine göre de insanların işyerinde yaşadıkları koşullar aile içinde stres oluşmasını/yaşanmasını, aile içinde yaşanan koşullar da iş yerinde başkalarında stres oluşmasını etkileyebilir. İş-aile çatışmasının hem bireye, hem Amaç: Bu araştırmada hemşirelerin iş-aile çatışmasına örgütsel sessizlik ve algıladıkları sosyal desteğin etkisinin saptanması amaçlanmıştır. Gereç ve Yöntem: Kesitsel tanımlayıcı çalışmada, örneklem İstanbul'da bir üniversite hastanesinde çalışan randomize seçilen 329 hemşireyi içermektedir. Veriler anketler yardımıyla toplanmıştır Araştırmada Örgütsel Sessizlik Nedenleri Ölçeği, MSPSS (Çok boyutlu Algılanan Sosyal Destek Ölçeği), İAÇTÖ (İş-Aile Yaşamı Çatışması Ölçeği) ve Kişisel Bilgi Formu kullanılmıştır. Değişkenler arasındaki korelasyon analizinde Pearson Korelasyon Analizi ve Spearman Korelasyon Analizi, İAÇTÖ ve İAÇ (İş Yaşamından Kaynaklanan İş-Aile Çatışması) ile AİÇ (Aile Yaşamından Kaynaklanan Aile-İş Çatışması) alt boyutlarına etki eden faktörlerin analizinde Lineer Regresyon Analizi (Backward) kullanıldı. Anlamlılık p<0.01 ve p<0.05 düzeylerinde değerlendirildi. Bulgular: Araştırmaya katılan hemşirelerin %49.2'si 30 yaşından genç, %95.7'si kadın, %64.4'ü lisans mezunu, %56.8'i bekardır. Hemşireler İAÇ'yi daha fazla algılamaktadırlar. Hemşirelerin Sessizlik davranışı ile Hemşirelerin İAÇ, AİÇ ve Toplam İş Aile Çatışmaları arasında ise, pozitif yönlü, İAÇTÖ ile MSPSS puanları arasında genel olarak negatif yönlü zayıf ilişki vardır. MSPSS ve Örgütsel Sessizlik, İAÇTÖ puanlarını etkilemektedir. Modele alınan bağımsız değişkenlerin AİÇ'ye etkisi %19, İAÇ'ye etkisi %7,7 İAÇTÖ'e etkisi %13 oranında saptanmıştır. Sonuç: Hemşirelerin sosyal destek algısısını artırıcı, örgütsel sessizlik...
Knowing the attitudes and beliefs of midwifery students toward breast cancer and breast self-examination (BSE) practice may reduce breast cancer-related deaths by increasing breast cancer awareness. This study was conducted to examine the attitudes and beliefs of midwifery students toward breast cancer and the BSE practice. The study was conducted with 160 midwifery students at Istanbul University as a descriptive, cross-sectional study. Data were collected by a part of Champion's Health Belief Model Scale and a self-administered questionnaire. The descriptive characteristics were given as frequencies and percentages. The evaluation was done with Kruskal-Wallis test, a non-parametric test. It has been observed 70.0 % among midwifery students have knowledge of breast cancer. 90.0 % of midwifery students know about BSE, however only 14.4 % among them practice BSE regularly every month. The benefit, barrier and confidence sub-dimension scores were positively associated with BSE practice regularity (p ≤ 0.05). It has been determined that more than half of midwifery students have knowledge about breast cancer and BSE, and that only a fraction of those with knowledge about BSE practice BSE regularly every month. The perceived seriousness of breast cancer and knowledge about breast cancer affect the ability of individuals to perform BSE, initiating BSE and continuing to practice BSE for early diagnosis of breast cancer. The results from the study provide the midwifery students awareness of breast cancer and BSE both for themselves and for the women for whom they take responsibility.
Using research results in nursing practices and basing nursing practices to evidence have been viewed as an important factor in increasing care quality. The aim of this research was to identify the barriers arising from utilizing research findings perceived by nurses. The research was conducted with participation of 748 nurses. The study is descriptive in nature, and the 'Barriers Scale' and a question form developed by the researchers were used as data collection instruments. The data were gathered through face-to-face interviews after the necessary permissions were taken. A total of 54.3% of the nurses are ≤ 30 years old, and 49.6% of them are graduates of high school-foundation degree. The nurses (63.8%) indicated the most important barrier as 'there is not enough time to read about research at work'. According to the results of this study, providing the nurses with both financial and information support after graduation is an important factor in facilitating research and using research results. Depending on the results of our study, we recommend that the number of publications in nursing and the opportunities of access to these publications be increased, and there should be more management support for research, and nurses should be provided with time.
Background The use of empathy in problem solving and communication is a focus of nursing practice and is of great significance in raising the quality of patient care. Purpose The purposes of this study are to investigate the relationship between problem solving and empathy among operating room nurses and to explore the factors that relate to these two competencies. Methods This is a cross-sectional, descriptive study. Study data were gathered using a personal information form, the Interpersonal Problem Solving Inventory, and the Basic Empathy Scale (N = 80). Descriptive and comparative statistics were employed to evaluate the study data. Results Age, marital status, and career length were not found to affect the subscale scores of cognitive empathy (p > .05). A negative correlation was found between the subscale scores for “diffidence” and “cognitive empathy.” Moreover, the emotional empathy scores of the graduate nurses were higher than those of the master's/doctorate degree nurses to a degree that approached significance (p = .078). Furthermore, emotional empathy levels were found to decrease as the scores for insistent/persistent approach, lack of self-confidence, and educational level increased (p < .05). The descriptive characteristics of the participating nurses were found not to affect their problem-solving skills. Conclusions/Implications for Practice Problem solving is a focus of nursing practice and of great importance for raising the quality of patient care. Constructive problem-solving skills affect cognitive empathy skills. Educational level and career length were found to relate negatively and level of self-confidence was found to relate positively with level of cognitive empathy. Finally, lower empathy scores were associated with difficult working conditions in operating rooms, intense stress, and high levels of potential stress-driven conflicts between workers in work settings.
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