Background: It is stated that high ethical sensitivity positively affects the quality of nursing care. However, the relationship between nursing care quality and ethical sensitivity has not been clearly demonstrated in researches. Aim: This study was carried out to determine the relationship between surgical nurses’ care behaviors and their ethical sensitivity. Method: The sample of this cross-sectional, descriptive-correlational study consists of 308 nurses who worked at the surgical departments in four Turkish hospitals. The data were collected using the “Nurse Description Form” developed by the researcher, “Caring Behaviours Inventory-24” and “Ethical Sensitivity Questionnaire.” Data were evaluated by the Mann Whitney U test, Kruskal Wallis one-way analysis of variance and Spearman correlation analysis. Ethical considerations: The study was approved by the ethics committee. Verbal and written consent was received from the nurses. Results: It was found in the study that nurses’ Caring Behaviours Inventory-24 total score median was 5.25 (4.83–5.58), nurses’ perception level of caring quality was high, median of Ethical Sensitivity Questionnaire total score was 89.00 (75.00–101.00) and nurses’ ethical sensitivity was moderate. A negative significant relation was found between nurses’ Caring Behaviours Inventory-24 total score and Ethical Sensitivity Questionnaire total score (r = -0.162; p = 0.009). A negative relation was also detected between nurses’ working period at the current clinic and providing benefit (r = -0.147; p = 0.012), holistic approach (r = -0.139; p = 0.018) and orientation (r = -0.175; p = 0.003) scores of Ethical Sensitivity Questionnaire sub-scales. Conclusion: Nurses’ perception levels of caring quality were high and their ethical sensitivity levels were moderate. It was found out that nurses’ ethical sensitivity increased together with their perception of caring quality, and as their working period at the current clinic increased, the ethical sensitivity also increased in terms of the sub-scales of providing benefit, holistic approach, and orientation. The factors that adversely affect the quality of nursing care and ethical sensitivity should be examined and attempts should be made to improve the working environment.
ÖzObjective: In Obesity Hypoventilation syndrome (OHS), pulmonary hypertension (PH) is an important morbidity and mortality reason compared to pure Obstructive Sleep Apnea syndrome (OSAS). However, few studies are available in the literature about this subject. For this reason, we evaluated OHS and pure OSAS cases in our study from the point of right heart-related echocardiographic parameters and PH. Materials and Methods: Obese [body mass index (BMI) >30 kg/m 2 ] cases diagnosed by polysomnography were included in the study. The subjects were divided to two groups as OHS and pure OSAS. OHS criteria were defined as obesity (BMI >30 kg/m 2 ) and for another reason unexplained (neuromuscular, chest wall, restrictive or obstructive pulmonary diseases) daytime hypercapnia (PaCO 2 >45 mmHg). Patients with severe hypothyroidism, renal and heart insufficiency, cardiac drug anamnesis were not included in the study. Transthoracic echocardiography was performed to all cases and those with left-heart pathology were excluded from the study. Systolic pulmonary artery pressure (PABs) >35 mmHg was accepted as PH. Results: Of the 115 cases studied (mean age: 49.3±10.6/year, female/ male: 53/62, BMI: 40.5±6.1 kg/m 2 ), 70 were pure OSAS and 45 were OHS. In the OHS group, PABs, right ventricular diameter and pulmonary velocities were significantly higher than the pure OSAS group (p=0.002, p=0.015, p=0.012, respectively). The frequency of PH in OHS was significantly higher than group with pure OSAS (48.8% vs. 17.1%, p<0.001). In the overall group, there was a positive correlation between PABs value and apnea-hypopnea index, OSAS phase, oxygen desaturation index, SpO 2 <90% elapsed time, and OHS presence (r=0. ) ve başka bir nedenle açıklanamayan (nöromüsküler hastalık, göğüs duvarı patolojileri, restriktif ve obstrüktif akciğer hastalıkları gibi) gündüz hiperkapnisi (PaCO 2 >45 mmHg) olarak tanımlanmıştır. Ciddi hipotiroidi, böbrek ve kalp yetmezliği, kardiyak ilaç anamnezi olanlar çalışmaya dahil edilmedi. Olgulara transtorasik ekokardiyografi yapıldı ve sol kalp patolojisi olanlar çalışma dışı bırakıldı. Sistolik pulmoner arter basıncı (PABs) >35 mmHg olması, PH olarak kabul edildi. Bulgular: Çalışmaya alınan 115 olgunun (ortalama yaş: 49,3±10,6/ yıl, kadın/erkek: 53/62, VKİ: 40,5±6,1 kg/m 2 ) 70'i saf OUAS, 45'i OHS idi. OHS grubunda PABs, sağ ventrikül çapı ve pulmoner velosite saf OUAS grubuna göre anlamlı olarak daha yüksekti (p=0,002, p=0,015, p=0,012). OHS grubunda, PH sıklığı saf OUAS grubuna göre anlamlı olarak daha fazlaydı (%48,8 ve %17,1, p<0,001). Genel grupta, PABs değeri ile apne-hipopne indeksi, OUAS ağırlığı, oksijen desaturasyon indeksi, SpO 2 <%90 geçen süre ve OHS varlığı arasında pozitif korelasyon vardı (sırasıyla; r=0,307, p=0,001; r=0,259, p=0,005; r=0,405, p<0,001; r=0,162, p<0,001; r=0,305 p=0,001). PABs ile ortalama ve minimum SpO 2 arasında negatif korelasyon vardı (sırasıyla r=-0,404, p<0,001; r=-0,344, p<0,001). Sonuç: OHS olgularında; PABs, sağ ventrikül çapı ve pulmoner velosite ve PH sı...
Aim: This study aimed to determine the relationship between the perception of nursing care quality and the satisfaction level of patients hospitalized in surgical services. Method: The sample of this descriptive, correlational study comprised 224 patients who were hospitalized and had undergone surgical intervention. A patient information form, the Caring Behaviour Inventory-24 and the Newcastle Satisfaction Scale from Nursing Care Scale were used to collect the data. The data were evaluated by number, percentage, mean, standard deviation, Mann-Whitney U Test, Kruskal-Wallis Test, and correlation analysis. Results: Of the patients, the mean age was 55.28±18.05 years, the length of hospitalization was 8.10±13.35 days, 62.5% were male, and 43.3% were primary school graduates. The care behaviors score of patients was found to be 4.87 (3.95-5.37), and the nursing care satisfaction score was 71.5 (57.00-82.75). A significant positive correlation was found between the total score of the patients' care scale and the total score of nursing care satisfaction (p <0.05). There was a significant negative correlation between age and educational status of patients and the total score of satisfaction, commitment, care behaviors and satisfaction total score (p <0.05). Female patients' knowledge-skills sub-dimension score was high, and there was a statistically significant difference between gender and the knowledge-skill sub-dimension (p <0.05). ÖZ Amaç: Araştırmanın amacı, cerrahi servislerinde yatan hastaların hemşirelik bakım kalitesi algılamaları ile memnuniyet durumları arasındaki ilişkiyi belirlemektir. Yöntem: Tanımlayıcı-ilişki arayıcı tipte yapılan araştırmanın örneklemini bir üniversite hastanesinde yatan ve cerrahi girişim uygulanan 224 hasta oluşturdu. Araştırmada verileri toplamak amacıyla "Hasta Tanıtım Formu", "Bakım Davranışları Ölçeği-24 (BDÖ-24)" ve "Newcastle Hemşirelik Bakımı Memnuniyet Ölçeği" (NHBMÖ) kullanıldı. Veriler sayı, yüzde, ortalama, standart sapma, Mann Whitney U Testi, Kruskal Wallis Testi ve korelasyon analizi ile değerlendirildi.
Introduction:The level of physical activity in older people decreases due to the changes in the musculoskeletal system that occurs during ageing. In older people, sleep depth and night-time sleep duration decrease as well as the level of physical activity, the sleep quality in elderly changes negatively due to the need for and pattern of sleep. Objective: This study was conducted to examine the relationship between physical activity levels and sleep quality among individuals over 65 years of age. Material and Method: This descriptive study was conducted between 15th September and 30th November 2016 at the internal medicine department. The data were collected using a sociodemographic characteristics questionnaire, International Physical Activity Questionnaire (IPAQ) and Pittsburgh Sleep Quality Index (PSQI). The data were evaluated using number, percentage, chisquare and correlation analysis. Findings: Of the elderly participated in the study, 56.2% were female, 29.9% had a normal weight, 66.4% suffered from poor sleep quality and 54% were inactive. When sociodemographic characteristics and physical activity levels (PAL) were compared, it was seen that 46.3% of those with normal weight and 57.3% of overweight participants were inactive and a statistical significance (p <0.05) was found. A weak negative relationship was detected between the IPAQ and PSQI scores of the elderly (r=-0.178, p<0.05). Conclusion:In our study, it was determined that the body mass index, falling experience and the presence of a disease that has been diagnosed affect the level of physical activity among older individuals. It was seen that inactive older individuals have good sleep quality.
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