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.
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.
Aims and objectives:To determine the effect of position change that is applied after percutaneous coronary intervention on vital signs, back pain and vascular complications. Background:In order to minimise the post procedural complications, patients are restricted to prolonged bed rest that is always accompanied by back pain and haemodynamic instability.Design: Randomised-controlled quasi-experimental study. Methods: The study sample chosen for this study included 200 patients who visited a hospital in Turkey between July 2014-November 2014. Patients were divided into two groups by randomisation. Patients in the control group (CG, n = 100) were put in a supine position, in which the head of the bed (HOB) was elevated to 15°, the patient's leg on the side of the intervention was kept straight and immobile; positional change was applied to patients in the experimental group (EG, n = 100).Results: After the procedure in the EG, the systolic blood pressure (T4-T6), the rate of postprocedural vascular complications (1%) and the back pain scores were significantly lower (between T5-T6) than the CG, also, the back pain was the lowest level in the standard fowler's position in the 6th hr wherein the HOB was elevated by 45-60°. Conclusions:It was found that systolic blood pressure and back pain were at the lowest levels in the standard fowler's position in the 6th hr after the procedure when the HOB was elevated 45-60° and the result was clinically significant and the position change decreased back pain without causing any vascular complications.
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