Determining the Side Effects of Covid-19 (Sinovac) Vaccination on Nurses; an Independent Descriptive StudyABSTRACT Objective: It is important to protect nurses fighting against the COVID-19 pandemic through vaccination. This study aims to determine the incidence rate of side effects experienced by nurses after their COVID-19 (Sinovac) vaccination and relevant factors. Methods: This is a descriptive design study. The sample of the study included 355 nurses who received the Sinovac COVID-19 vaccine in Turkey and who agreed to participate in the study. Data were collected using a questionnaire which was written by the researchers and gathered information on the nurses' sociodemographic and professional characteristics, health status, habits, and vaccine complications. Results: The study included 355 nurses, of which 82.3% were female. Their median age was 35.42±9.67, and their mean BMI was 24.87±4.54. The most common local side effect experienced after the vaccination was pain (54.6%) while the most common systemic effects were fatigue (39.2%) and headache (34.1%). Pain, among local side effects, was significantly higher among male nurses (p= 0.001) and those who worked more than 40 hours a week (p= 0.001). The systemic side effect of fatigue was experienced at a higher rate among nurses who were diagnosed with COVID-19 before their vaccination (p=0.004), those who drank alcohol (p=0.028), and those who worked more than 40 hours a week (p=0.012). The systemic side effect of fever was more common among nurses with chronic conditions (p=0.037). Conclusions: The most common systemic side effect experienced after the COVID-19 vaccination was reported as fatigue and the most common local side effect was pain. Considering the relevant factors that affected the incidence rates of side effects, it would be suitable to plan the weekly working hours of nurses no longer than 40 hours. It can be recommended to conduct more randomized controlled studies to determine what else weekly working hours affect among nurses.

Recent evidence suggests that patients with fibromyalgia (FM) have increased oxidative stress, inflammation, endothelial dysfunction and autonomic dysfunction. These factors are also shown to be responsible for increased urinary albumin and protein excretion and deranged circadian blood pressure (BP). However, no study has examined the 24-h urinary albumin excretion (UAE), 24-h urinary protein excretion (UPE) and 24-h ambulatory BP measurements in FM patients. The sociodemographic, laboratory parameters, depressive symptoms, sleep problems and 24-h ambulatory BPs were measured for all patients. Diagnosis of FM was based on the criteria for the classification of FM by the American College of Rheumatology. After diagnosis of FM, these patients underwent to complete the Fibromyalgia Impact Questionnaire (FIQ). In total, 30 patients with FM and 61 patients without FM were included. Among FM patients, the average number of tender points was 13.1 ± 1.57 and the mean FIQ score was 57.9 ± 8.86. The number of tender points did not show any correlation with office and ambulatory BPs. There were also no correlations between the number of tender points, UPE and UAE. The stepwise linear regression did not show any relation between UPE and FM. However, 24-h UAE was independently correlated with office systolic BP (P 0.008) and the presence of FM (P 0.045). The logistic regression analysis revealed no association between FM and non-dipping status. We suggest that circadian blood pressure and UPE are not independently associated with FM. However, UAE was related with the presence of FM. Studies are needed to confirm our findings and to highlight pathophysiologic mechanisms.

AIM This study aimed to evaluate students’ views and suggestions about case-based learning. METHOD : The research was planned by using qualitative method of phenomenological type. Case-based learning was integrated into the nursing process and implemented in four sessions, and then, students’ views and suggestions were collected. In the interview, a semi-structured interview form was used, in-depth interviews were made, and the data were evaluated by qualitative data analysis. Phenomelogical approach of Colazzi was used in the analyzes and Huberman method was applied. The COREQ was used to analyze and report the qualitative data. The sample consisted of second-year students in the nursing department of a public university in Anatolia in the academic year 2017-2018. Participants attended the case-based learning program. A focus group interview was conducted with 10 of the participants. RESULTS Participants are 10 students with a mean age of 19.86 ± 0.78 years. A total of 65 opinions and suggestions were presented during the focus group meeting. These were grouped under two main and seven sub-themes. Participants had positive views on the program and gave practical suggestions. CONCLUSION Case-based learning integrated into the nursing process is a practical nursing method that helps students learn and understand the nursing process better and approach patients from a holistic perspective.

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