BackgroundThis study's aim was to compare the efficacy of normal saline (NS) with that of antiseptic solution in early peristomal skin care after percutaneous endoscopic gastrostomy placement in terms of peristomal infection incidence.MethodsThis was a randomized controlled double‐blind study conducted at a university hospital between December 2019 and April 2021. All patients who underwent percutaneous endoscopic gastrostomy and met the inclusion and exclusion criteria were included in the study. The study population consisted of 64 patients randomized to group 1: NS (n = 31) and group 2: 0.1% polyhexamethylene biguanide and 0.1% betaine (PHMB‐B; n = 33). Daily peristomal skin care was performed for 7 days, starting 24 h after insertion. Peristomal skin was evaluated by two blinded investigators before each dressing, and findings were recorded. Data analysis was performed with descriptive statistics; chi‐square analysis; and exact, Shapiro‐Wilk, Mann‐Whitney U, and Cochran Q tests.ResultsThere was no statistically significant difference between the groups in terms of peristomal infection rates (group 1: 12.9%, group 2: 9.07%; P > 0.05). Redness increased from day 4 in group 1 and day 5 in group 2, and exudate increased from day 5 in both groups. There is a statistical difference in the number of patients between the days when redness and exudate appear and increase.ConclusionBoth NS and PHMB‐B solutions can be preferred in peristomal care. However, NS may be the first choice for early peristomal care that does not show signs of infection, because it is not irritating and allergic and is cost‐effective.

BackgroundBecause patients diagnosed with brain death in intensive care units constitute a potential cadaveric donor group for organ transplantation, intensive care units are potential donor sources. Nurses who closely monitor the patient collaborate with medical personnel in the recognition and early diagnosis of brain death. Nurses also have an important role in supporting the patient's family. Therefore, it is very important for nurses to know the diagnostic criteria for brain death.AimThe aim of this study was to compare the effectiveness of theoretical education and video‐assisted education in equipping intensive care nurses to recognize brain death.Study DesignA randomized, experimental study was conducted between February and May 2020 with a total of 50 intensive care nurses, split into 25 in the video‐assisted training group and 25 in the theoretical training group. In study, intensive care nurses were given a theoretical training and video‐assisted training on brain death criteria. One group was trained theoretically and the other group used a video showing criteria for brainstem reflexes (pupil assessment, spontaneous breathing, corneal reflex, retching and coughing assessments) and deep tendon reflexes in a simulated patient, supported by animation. The data were collected before, immediately after and 3 months after the training using the Brain Death Criteria Knowledge Test, the Brain Death Case Test, and the Training Effectiveness Evaluation Form. The independent samples t‐test, Mann–Whitney U test, Friedman test, Wilcoxon test, and Chi‐square test were used for statistical analysis of data.ResultsIt was found that the knowledge scores of both groups immediately after training and 3 months after training were higher than before the training (p < .001). However, the post‐training knowledge scores of the video‐assisted training group were significantly higher than those of the theoretical training group (p = .011).ConclusionsTo enable intensive care nurses to identify brain death, video‐assisted training with a simulated patient is recommended, as is repeating the training at regular intervals.Relevance to Clinical PracticeThe simulated patient video‐assisted training method can be used for in‐service training to provide intensive care nurses with the ability to identify brain death. The training may be repeated at regular intervals (e.g., every 3 months) to increase nurse recall.

The aim of this study is to examine the effect of music on pain management of patients who underwent cranial-surgery for primary brain tumors. This research is a randomized controlled trial. The study sample consisted of a total of 52 participants, 26 in the music group and 26 in the control group, between March-November 2019. The routine analgesic protocol of the clinic was applied to all participants within the scope of the first and second interventions. In the first intervention, in addition to the paracetamol infusion, the participants in the music group were listened to the music according to their choice with an Mp3 player for 30 minutes. Participants in the control group were taken to 30 rest periods following the same analgesic treatment. In the second intervention three hours later, in addition to the nonsteroidal anti-inflammatory drug infusion, the music group was listened to the same music. Control group was taken to rest period after analgesic treatment. Hemodynamic parameters, pain scores, state anxiety scores and, need for additional rescue analgesic were recorded before and after the interventions. Descriptive statistics and test statistics were used in the analysis of the data. It was determined that anxiety scores decreased after both interventions and pain scores decreased more after the second intervention in the music group compared to the control group (p

Giriş: Diyabetli bireylerde en yaygın morbidite ve mortalite nedeni diyabetik nöropati ve/veya periferik arter hastalığının sonucu olan ayak ülserleridir. Diyabetik ayak ülserleri (DAÜ), tüm travmatik olmayan alt ekstremite ampütasyonlarının %85’ini oluşturmaktadır. DAÜ, yaşam kalitesinin düşmesine, erken ölüm riskinin artmasına, aile ve sağlık sistemi üzerinde mali yüke neden olduğu için son yıllarda çalışmaların odak noktalarından biri olmuştur. Ancak, tüm bu araştırmaları bir arada analiz eden bibliyometrik bir çalışmaya rastlanılmamıştır. Yöntemler: İngilizce yayınlar için Pubmed veri tabanında “diyabetic food ulser and nursing” anahtar kelimeleri, Türkçe yayınlar için ise Google Akademik veri tabanında “Diyabetik ayak ülseri ve hemşirelik” anahtar kelimeleri ile arama yapılmıştır. Toplam 857 çalışma incelenmiş olup, 118 orijinal araştırma bibliyometrik çalışmaya dahil edilmiştir. Çalışmalar, yıllara göre yayın sayıları, yayın türleri ile kavram-konu yönelimleri bağlamında analiz edilmiştir. Bulgular: Makalelerin yıllara göre dağılımı incelendiğinde; 1986-2005 yılları arasında 9, 2006-2015 yılları arasında 33, 2016-2021 yılları arasında 76 araştırma yayınlanmıştır. Araştırmalar, türleri açısından incelendiğinde; sistematik derleme ve meta-analiz türünde 52, deneysel dizaynda 42, gözlemsel 23 ve metodolojik dizaynda bir araştırma bulunmaktadır. Araştırmaların kavram-konu yönelimi analizinde; DAÜ’ne ilişkin özellikler, DAÜ’li hastaların yönetimi, DAÜ’de kullanılan kılavuzlar, ölçüm araçları, sınıflandırma sistemleri ve DAÜ’de tedavi yöntemleri olmak üzere dört kategori altında toplanmıştır. Sonuç: DAÜ konusunda hemşireler tarafından yapılan araştırmaların sayısının giderek arttığı ve bu araştırmalarda DAÜ’nün önlenmesinden tedavisine kadar, tüm süreçte hemşirenin önemli rollerinin olduğu görülmektedir.

Bu çalışmanın amacı, COVID-19 sürecinde uzaktan eğitimle yürütülen Cerrahi Hastalıkları Hemşireliği Klinik Uygulama Eğitiminde vakaya dayalı öğrenme yöntemi kullanılmasına ilişkin deneyimlerin paylaşılması ve sonuçlarının değerlendirilmesidir. Retrospektif ve tanımlayıcı nitelikteki bu çalışma, Cerrahi Hastalıkları Hemşireliği dersine devam eden ikinci sınıf öğrencileriyle yürütülmüştür. Uzaktan eğitim yönteminde öğrencilere iki vaka sunulmuş ve bu vakalara dayalı bakım planı hazırlamaları istenmiştir. Öğrencilerin, uzaktan eğitimle yürütülen vakaya dayalı öğrenme yöntemi uygulamasında başarı notlarının ve memnuniyetlerinin yüksek olduğu belirlenmiştir. Bu çalışma sonuçlarına göre; vakaya dayalı öğrenme yönteminin uzaktan eğitim sürecinde cerrahi hastalıkları hemşireliği uygulama eğitiminde kullanılmasını, yüz yüze eğitimde ise eğitimin destekçisi olarak yer alması önerilmektedir.