Aim The present study aimed to determine conflict‐resolution styles of nurse managers working in hospitals where organisational conflicts are common, and factors affecting their styles. Background When conflicts and/or administrative problems are encountered at different levels of nursing services, nurse managers’ communication skills and approaches play a key role in problem solving. Methods This study was conducted in Sivas, a province in the eastern part of Turkey. The study sample involved 116 nurse managers working in inpatient institutions. Data were collected with the Sociodemographic Characteristics Questionnaire and the Rahim Organizational Conflict Inventory. Results Of the conflict‐management styles, the one preferred by the participating nurse managers was collaborating, followed by compromising, avoiding, competing, and accommodating. However, age, educational background, length of service, and managerial experience were effective in determining the style of conflict resolution. Conclusion It was concluded that nurse managers preferred the collaborating style to manage conflicts because it is a positive and effective conflict‐management style, and that a variety of variables played a role in their decision to adopt this style. Implications for nursing management Conflicts have an adverse effect on the productivity, morale, and patient care of all the health care team, which might lead to a rapid turnover of employees or dissatisfaction. Using conflict‐resolution strategies in the workplace will help maintain a healthy work environment.

No abstract

SUMMARYObjective: Blood group is a classification of human blood based on the antigenic types on the surface of red blood cells (erythrocytes). ABO and Rh blood group systems are widely used in our country and in the world. We aim to determine distribution of the ABO and Rh blood groups in our region using the results of blood group tests studied by the blood/transfusion center of Cumhuriyet University Hospital in our study. Method: The blood groups of 99.207 subjects were examined based on data obtained blood/transfusion center admitted to the in our hospital between January 2009 and December 2013 in a five-year period as retrospectively. The blood groups was determined using tube agglutination method, microcolon method and microplate automatic blood group method in EDTA-containing blood samples and the weak D was studied in subjects with Rh factor negative. Subjects are evaluated only once for blood group during the study period. Repeated examples belong to the same individuals were excluded from the study. Results: The rates of the blood groups were determined as 43.8% A, 31.8% O, 16.4% B and 8.0% AB according to the results of our region in the study period. In addition, 87% of subjects was Rh positive and 13% was Rh negative. Most common blood group was A Rh positive (37.9%) while the least common type was AB Rh negative (1%) in our region. Conclusion: Blood is vital for the human body. Blood groups may vary between regions. Therefore, regional data must be determined and to be updated with specific time intervals. Distribution of blood groups in our blood/transfusion center is compatible with distribution of blood groups in Turkey. In addition, statistics of blood group distribution should be reviewed and critical level of blood group stock should be determined by the authorites of blood/transfusion center. Keywords: AB0 blood group system, Rh factor, Sivas.

Amaç: Bu alışmanın amacı, port kateter bakımında kullanılan heparinin kateter içerisindeki etkinlik süresinin belirlenmesidir. Gereç ve Yöntem: Çalışma, tek gruplu ön test-son test desende yapılmıştır. Çalışmanın evrenini; Ekim 2019 - Ekim 2020 tarihleri arasında bir üniversite hastanesinin ayaktan kemoterapi ünitesine port kateter bakımı için başvuran 56 kanser hastası oluşturmuştur. Çalışma süresi içinde 13 hasta çalışma dışı bırakılmış ve çalışma 43 hasta ile tamamlanmıştır. Port kateter bakımı heparin/salin (100IU/ml) ile yapıldıktan sonra, port kateter bakımı sonrası üçüncü ve altıncı hafta sonunda, port kateter içinden aspire edilen örneklerdeki heparin/salin miktarları karşılaştırılmıştır. Hazırlanan ilk heparin/salin (100IU/ml) miktarı ön test l değeri olarak kabul edilmiş olup, üçüncü ve altıncı hafta sonunda ölçülen heparin/salin miktarları son test olarak değerlendirilmiştir. Çalışmamızın verileri, GraphPad Prism7 paket programı kullanılarak yapılmıştır. Gruplar arasındaki farklılıkların belirlenmesinde One Way ANOVA ve çoklu karşılaştırmalarda Dunnett’s çoklu karşılaştırma testi, demografik verilerin incelenmesinde tanımlayıcı istatistikler ve frekans tabloları kullanılmıştır. Bulgular: Hastaların 20’si (%46,5) erkek, 23’ü (%53,5) kadındır. Port kateter kullanım süresi ortalama 4,62±2,69 yıldır. Kronik hastalığı bulunan bireylerin %35,3’ünde (n=6) hipertansiyon, %35,3’ünde (n=6) diyabetes mellitus bulunmaktadır ve hastaların %20,9’u (n=9) antikoagülan ilaç kullanmaktadır. Port kateter bakımı sonrasında üçüncü hafta heparin derişimleri (ortalama: 55,72 IU/ml) anlamlı bir azalış göstermezken, altıncı hafta heparin derişimleri (ortalama: 39,75 IU/ml) anlamlı oranda düşüş göstermiştir. Sonuç: Venöz port kateter bakımında kullanılan heparinin etkinliğinin altıncı haftanın sonunda devam ettiği ve port bakımının altı haftada bir yapılmasının uygun olduğu önerilebilir.

No abstract