Patient satisfaction with nursing is an important indicator of the quality of the nursing services. This study used The Patient Perception of Hospital Experience With Nursing (PPHEN) scale (Dozier, Kitzman, Ingersol, Holmberg, & Schultz, 2001) to determine the nursing care perception of patients in a Turkish tertiary care hospital. The study design was descriptive comparative and used convenience sampling. In total, 566 patients volunteered to take part in the study. The patient satisfaction level with nursing was found to be below average; patient satisfaction showed no meaningful differences between genders, marital status, or the clinics where the patient was hospitalized, but significantly higher levels of satisfaction were found with higher levels of education, younger age, higher incomes, and being employed. Overall, the patients considered that nursing care needs improvement, especially in terms of the provision of information and psychosocial support.

The objective of this study was to investigate nurses' communications with patients, particularly regarding getting accurate and truthful information about their medical diagnosis and prognosis. This survey research involved 166 nurses and 435 patients at the Osmangazi University Hospital, Turkey. Although 90% of the nurses said that patients should be informed about their diagnosis, only 66% of the patients said they wanted to be told this information. For those who wanted to be informed, how they should be informed is also discussed.

Holistic care philosophy, acknowledging the existence of a very close relationship between body, mind and soul (spirit) and focusing on individualism, emphasize that every dimension of human is distinctive and unique as well as they are also connected to each other. While integrity value is defined as an important concept for personal development and health; providing treatment and healing by holistic approach extends to Hippocrates, the founder of medicine. It is emphasized in this philosophy that holistic approach is important for individuals and as well as physical ailments, spiritual effects of illness need to be investigated. Spirituality, one of the components of the holistic approach, takes "belonging to the community" into account. Spirituality is concerned with "growth," and it is the essence of existence and congenital according to this approach. It is an instinctive (genetous) awareness for helping someone else. Individual's perception of his own spirituality increases his inner peace and personal satisfaction. Health-care professionals should have environment and proximity, capable of offering holistic medical care services, for understanding patient's sociocultural and psychological situation as well as being closely acquainted with patient's family and life environment. Because this concept is individualistic, and an aspect of human arising from his multidimensional experiences. Undoubtedly, during these applications, it is also important to show the respect for autonomy of thought and belief basically in the context of principle of "not harming." If it is acted responsibly in fulfillment of this approach, a good level of medical discipline, spirituality and science integration will be reached. The studies to be performed in this field will offer new opportunities for understanding the great mysteries of life and medicine better and for development of medical care services.

BACKGROUNDThere is increasing recognition of the importance of obtaining children’s reports of their health, but significant challenges remain in accomplishing these goals in a systematic, community-based approach.OBJECTIVESThe aim of study was to evaluate the validity and reliability of the culturally adapted Turkish version of the “Child Health and Illness Profile – Child Edition (CHIP-CE) (6–11) for children 6 to 11 years of age.DESIGNCross-sectional analytical study conducted at Eskisehir Osmangazi University, Faculty of Medicine, Department of Pediatrics, Eskisehir, Turkey.SETTINGChildren’s health and diseases clinic.PATIENTS AND METHODSFor the purpose of this study, face-to-face interviews were conducted with inpatients (children aged between 6 and 11 years staying in the hospital) and healthy children (children aged between 6 and 11 years attending a private elementary school in the spring semester of 2010–2011). The Turkish version of CHIP-CE (6–11) was administered after the original version of CHIP-CE in English was translated into Turkish, and then back translated into English. All steps in the cultural adaptation process were undertaken meticulously by an expert committee. Confirmatory factor analysis (CFA) was conducted to test construct validity. The Cronbach’s alpha and item-total correlations were used to evaluate internal consistency for reliability testing.MAIN OUTCOME MEASURESDomain scores on the CHIP-CE questionnaire, Cronbach’s alpha and item-total correlations.RESULTSThe Turkish version of CHIP-CE (6–11) was administered to 235 children, including 109 (46.4%) girls and 126 (53.6%) boys receiving inpatient treatment in the hospital, and 194 healthy children, including 89 (45.9%) girls and 105 (54.1%) boys. The mean (standard deviation) age was 6.9 (1.6) years in the group of children receiving inpatient treatment, and 9.2 (1.6) years in the healthy children. In the reliability testing of the CHIP-CE form, Cronbach’s alpha was 0.79 in children receiving inpatient treatment, and 0.80 in healthy children. These values indicate excellent reliability. The CFA measurement model produced results consistent with standards: χ2=185.76 df=160 P=.07986 RMSEA=0.026 in the children receiving inpatient treatment, and χ2=180.20 df=109 P=.00002 RMSEA=0.058 in healthy children.CONCLUSIONCHIP-CE proved to be a reliable and valid measurement instrument for children receiving treatment for various diseases and healthy children. The internal consistency of the Turkish version of CHIP-CE is acceptable.LIMITATIONSThe sample, although large and diverse, was self-selected and does not represent the population of children in Turkey.

ÖzSağlıkta bütüncül yaklaşım bireyin fi ziksel, zihinsel, ruhsal, sosyal ve manevi açıdan bir bütün olarak değerlendirilme esasına dayanır. Bireyin sağlığını koruyabilmesi için fi ziksel, ruhsal, sosyal ve manevi açıdan sağlığının değerlendirilmesi gerekmektedir. Spiritualite; bireyin kendisi ve diğer insanlarla ilişkisini, evrendeki yerini, yaşamın anlamını anlama ve kabul etme çabasıdır. Aynı zamanda yaşam boyu kazanılan bilgilerin bir sonucudur. Spiritualite yaşamın amacını oluşturan ve bireye anlamlı gelen unsurları içerir. Spirituel boyut sağlıkla ilişkili dinamikler, tutum ve davranışlar üzerinde güçlü etkisi bulunmasından dolayı holistik bakım felsefesinin "temel unsuru" olarak görülmektedir. Spiritüel bakım; bireyin duygusal ihtiyaçları başta olmak üzere, fi ziksel ve ruhsal olarak yaşadığı sıkıntılarla baş etmesinde inançların, (her zaman tanrı ile ilişkilendirilmeyen) bireysel öğrenme ve kendini gerçekleştirme yaklaşımlarının tedavi sürecine dahil edilmesidir. Yoğun bakım üniteleri fi ziksel durumu ağır olan hastaların monitör ile izlenerek yaşam fonksiyonlarının desteklendiği, özel tedavi yöntemlerinin uygulandığı, karmaşık cihazların bulunduğu ve önemli ölçüde dikkat gerektiren bölümlerdir.Yoğun bakım ünitesine yatırılma hasta kadar aile üyelerinin de yaşam biçimlerini olumsuz yönde etkilemektedir. Sağlık profesyonelleri, tedavi ve bakım için birey hakkında veri toplarken bütüncül bakış açısını benimsemeli, kolay gözlemlenen fi ziksel sorunlarla birlikte sosyal, psikolojik ve spiritüel gereksinimler konusunda da bilgi almalıdır. ( Sakarya Tıp Dergisi 2018, 8(2):170-175 ) Anahtar Kelimeler Yoğun Bakım; Spiritualite; Spiritüel bakım AbstractThe holistic approach to health is based on the principle of the individual being evaluated as a whole in terms of physical, mental, spiritual, social and spiritual. In order to protect the health of the individual, physical, mental, social and spiritual health needs to be assessed. Spirituality; it is the effort of the individual to understand and accept the relationship with himself and other people, his place in the world, the meaning of life. At the same time, it is a result of the information that has been acquired for life. Spirituality contains the elements that make up the purpose of life and are meaningful to the individual. The spiritual dimension is seen as a "fundamental element" of the holistic care philosophy because of its strong infl uence on health-related dynamics, attitudes and behaviors. Spiritual care; beliefs, individual learning and self-realization approaches (which are not always associated with God) are included in the treatment process when the individual copes with physical and mental stresses, especially emotional needs. Intensive care units are those in which patients with severe physical conditions are monitored with monitors to support their life function, special treatment methods are applied, complex devices are present, and signifi cant attention is required.Admission to intensive care unit affects the life style of the family membe...