The aim of this study was to compare the efficacy of cryotherapy and chlorhexidine to oral nutrition transition time in chemotherapy-induced oral mucositis. This randomised controlled trial with random assignments to the experimental and control groups was conducted with cancer patients. Study data were collected from 90 cancer patients. The first experimental group (n = 30) received chlorhexidine mouthwash, the second experimental group (n = 30) received oral cryotherapy and the control group (n = 30) received routine care. To collect data we used the 'Mucositis Rating Index'. Changes in patients' oral mucosa in each group were checked and oral feeding transition periods were recorded. There was an important statistical difference between the times of transition to oral nutrition for patients (P < 0.01). Oral nutrition transition time of patients in the first experimental group who had applied chlorhexidine was shorter than in other groups. Following the tests, we detected a significant shortening in oral nutrition transition time of patients in first group who used chlorhexidine gargle as compared to the second group and control group. There was no significant difference between cryotherapy application and control group. In parallel with these findings, we detected that the degree of oral mucositis decreased.
Aims and ObjectivesThe COVID‐19 pandemic has caused an increase in the workload of nurses and changes in working conditions. Stress and the increase in workload during the COVID‐19 pandemic had a negative effect on nurses' intention to leave. This study aimed to determine the current rate of intention to leave the job among nurses during the COVID‐19 outbreak by conducting a rapid systematic review and meta‐analysis.Methodology/MethodsThe review procedure was conducted by the PRISMA criteria. The researchers searched PubMed and Web of Science databases for studies providing the rate of nurses' intent to leave, published until 31 December 2021. Heterogeneity was assessed using the I2 test, and publication bias was measured by Egger's test.ResultsThe estimated overall intent to leave the profession among nurses during the COVID‐19 pandemic was 31.7% (95% CI: 25%–39%) with significant heterogeneity (Q test: 188.9; p = 0.0001; I2: %95.2; Tau2: 0.225). Additionally, Egger's regression test suggested no publication bias for estimating the pooled rate of nurses' intent to leave during the COVID‐19 outbreak.No Patient or Public ContributionSince the research is a meta‐analysis study, a literature review model was used. Ethics committee approval was not obtained because the literature review did not directly affect humans and animals.ConclusionThis study showed that approximately one‐third of nurses working during the COVID‐19 pandemic had thoughts about intending to leave their job. The findings indicate the need for strategies involving precautions and solutions to minimise the psychological impacts of COVID‐19 among nurses.Relevance to Clinical PracticeIn this period when the global nurse crisis exists, it is of great importance for institutions to retain their nurse workforce. There is an urgent need to prepare nurses to cope better with COVID‐19 pandemic. Identification of risk factors for intention to leave could be a significant weapon giving nurses and healthcare systems the ability to response in a better way against the following COVID‐19 waves in the near future.
Objective The study was conducted to develop a valid and reliable measurement tool for determining the comfort perceptions of patients with oral mucositis. Method The study was carried out methodologically between April 2017 and October 2019 in outpatient chemotherapy centers and clinics in which malignant patients were treated in a university hospital and educational-research hospital in Erzurum, Turkey of the study sample comprised 380 patients who developed oral mucositis after treatment. A ‘Patient Identification Information Form,’ draft ‘Comfort Perception Scale in Oral Mucositis’ and ‘General Comfort Scale’ were used to collect the study data. Validity and reliability analyses were used when evaluating the data. Percentage, mean, independent groups t-test, Mann–Whitney U test, Kruskal–Wallis test, variance analysis and advanced analyzes were also used. Results In this study, while the face validity of the scale was obtained, the content validity index was found to be 0.62 Kaiser–Meyer–Olkin value of the scale for explanatory factor analysis was 0.94, and Bartlett’s test x2 = 9142.156 (P < 0.05). For the confirmatory factor analysis, the corrected chi-square value was 3.54, the root-mean-square error was 0.082, and the scale structure was confirmed according to these results. As a result, the scale consisted of 31 items and 2 sub-scales. Item-total correlation values ranged from 0.83 to 0.33. As a result of similar scale validity, a significant negative correlation was found between the Comfort Perception Scale in Oral Mucositis and General Comfort Scale scores (P < 0.05). Conclusion The Comfort Perception Scale in Oral Mucositis is a reliable and valid scale. In this study, it was determined that patient comfort was affected according to some variables.
Aim The aim of the present study was to determine the effect of social media-supported learning on the academic achievement of nursing students and the level of social media use in nursing education.Bacground: Social media in nursing education has an important place.Method The study had a RCT.CONSORTchecklist was used to guide the reporting of this RCT. Students were asked to fill out the necessary forms as a pre-test.The subject of parenteral drug administration was explained interactively to all students by the same instructors for a total of 12hours for3weeks.After the theoretical lesson, each skill was demonstrated by the instructor in the laboratory setting in a24-hour laboratory lesson with the demonstration method in line with the checklists.After the training was completed, the necessary forms were filled out by the students.Videos and informative images about parenteral drug applications were shared with the intervention group for 4weeks through an Instagram page that was created for social media-supported learning. Questions and answers were shared on the subject every day in the story section.The answer to the question was shared in the story section the next day with explanations.At the end of the 4th week of the training, the students were asked to fill out the necessary forms as a post-test.Results After social media-supported learning, it was found that the difference between the post-test mean scores of the nursing students in the intervention and control group was statistically significant(p < 0.001).It was also found that the average of the exam results after the training increased compared to the average of the exam results before the training and the difference between the two scores was statistically significant(p < 0.001).Conclusion It was concluded that social media-supported education had a positive effect on the academic achievements of nursing students and the level of social media use in nursing education.Relevancetoclinical practice: The use of social media in nursing education increases the permanence of education.
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