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Abstract Background In recent years, limited studies have evaluated the development of cultural awareness, sensitivity, skills, communication and competence among nursing students using different models and curricula. Objectives This study aimed to evaluate the effectiveness of a new internationally developed curriculum for transcultural nursing education. Methods This mixed methods study was conducted on nursing students (n = 83) who attended a transcultural nursing course from 2021 to 2022 during the fall semester. A paired samples test was used to compare total scores, and the related-samples Wilcoxon signed-rank test was used to compare subscale scores. Results The vast majority (94.0%) of the participants mentioned Islam as their religion. Turkish was the mother tongue of 91.6% of them, while 10.8% were able to speak English and 6.0% were able to speak Kurdish fluently. The mean score for the achievement of cultural competence subdimension posttest was significantly greater (p

Objective: This study aimed to determine the severity of constipation in patients undergoing orthopedic surgery. Methods: Ethical approval was obtained. The research was conducted at a state hospital in Gaziantep between August 1 and October 14, 2022. Completed the study with 80 patients meeting the sample criteria. Data were collected using the Introductory Information Form, Constipation Severity Scale, and Postoperative Constipation Severity Determination Form. The forms were administered to patients 1 day before surgery and on the third day after surgery. The data were collected through face-to-face survey method. Responses took 5-10 minutes, and the data were analyzed using SPSS 20.0. A significance level of P < .05 was accepted. Results: The mean age of the participating patients was 42.29 ± 17.81 years, and the mean body mass index was 25.92 ± 4.42 kg/m2 . The preoperative Constipation Severity Scale mean scores were at a moderate level (30.28 ± 11.05). It was found that 78.8% of the patients had defecation within the first 3 days, and all patients passed gas within the first 3 days. When preoperative and postoperative constipation symptoms were compared, a statistically significant difference was determined (P < .05). Conclusion: It was observed that patients undergoing orthopedic surgery were unable to fully empty their bowels despite defecating.

Objective: This study was conducted to determine the opinions of nurses working in surgical intensive care units (S-ICU) about the participation of family members (FM) in the care of patients during the dying process. Materials and Methods: Ethical approval was obtained before starting the research. The study was conducted in descriptive type with 81 nurses working in the S-ICU of a training and research hospital between 15 March and 15 April 2022. The data were collected through the descriptive information form and the nurse's opinion determination form created by the researcher. STROBE checklist was used in reporting the research. A p

Abstract Background The aim of this study was to identify nursing students’ fears and emotions and to concretise the metaphors they used to describe their feelings towards the COVID-19 pandemic. Methods This study was conducted with nursing students at a foundation university between December 2021 and February 2022 using a sequential mixed methods research design. In the quantitative part of the study, 323 nursing students answered the ‘Positive and Negative Emotion Scale’ and the ‘COVID-19 Fear Scale’. In the qualitative part, students were asked to metaphorise COVID-19 with a colour and 21 in-depth interviews were conducted on the reasons for choosing this colour. Results The average age of the students participating in the study was 21.41 ± 1.97 years and 78% of them were female. It was observed that 15.8 of the students had previously tested positive for COVID-19. Most of the participants (98.5%) were vaccinated against COVID-19 and 31.9% had a relative who died due to COVID-19. When the participants were asked which colour they compared COVID-19 to, it was observed that more than half of them chose red (51.4%) among bright colours and 13% chose black among dark colours. In this study, it was determined that students who chose dark colours to describe COVID-19 had higher COVID-19 Fear and Negative Emotion Scale scores. In in-depth interviews, it was observed that students who chose dark colours were more deeply affected by the COVID-19 process, while students who chose light colours associated this period with negative emotions. Conclusion In this study, it was observed that nursing students’ feelings and thoughts about the COVID-19 period in line with their experiences affect the choice of colour in metaphorisation.

Objective: In the present systematic review, it was aimed to review the studies systematically that researched the effect of local cold application after total knee arthroplasty.Methods: The open-access full-text articles published between 2002-2023 in Turkish and English languages with prospective, randomized controlled experimental and semi-experimental control group design that researched the effects of local cold application on the operation site after total knee arthroplasty were examined to carry out a systematic review. The advanced screening method was applied using Turkish and English equivalents of the keywords ‘‘total knee arthroplasty and cold application’’, ‘‘total knee arthroplasty and cold therapy’’, ‘‘total knee arthroplasty and cold compress therapy’’, ‘‘the effect of cold therapy in total knee arthroplasty’’ separately and together in the Pubmed, Google Scholar, ScienceDirect, Cochrane, Turkish Medline, Scopus and Cinahl databases. Totally 2,233 articles were reached. 7 studies which met the sample criteria were included in the systematic review. Results: In the sample groups of the studies included in the systematic review, it was determined that cold application significantly reduced pain and swelling (P

Objective: The aim of this study was to evaluate the sleep perceptions and factors influencing sleep during the early postoperative period in patients who underwent coronary artery bypass graft (CABG) surgery. Materials and Methods: This descriptive study included 92 volunteer patients who underwent CABG surgery between September 1, 2019, and February 1, 2020. Data were collected using the 2nd, 3rd, 4th Richards-Campbell sleep questionnaire (RCSQ) and a postoperative sleep-affecting factors form. The study was reported using the STROBE checklist. Statistical significance was set at p0.05). During the postoperative period, patients reported that factors such as pain, frequent medical interventions, fear of sudden deterioration of their condition, fear of death, and being away from home in an unfamiliar environment had a significant impact on their sleep. Conclusion: The mean RCSQ scores of patients who underwent CABG surgery were found to be very poor on the second and third days postoperatively and worsened on the fourth day.

ObjectiveThe aim of this study is to determine the steps of a training program utilizing Head-Mounted Display (HMD) based Virtual Reality Technology to enhance nursing students’ skills in surgical hand scrubbing, wearing surgical cap and surgical mask, gowning and gloving, and to evaluate students’ perceptions toward the program.MethodsThe study aimed to investigate the potential applications of HMD-Based Virtual Reality Technology in Surgical Hand Scrubbing, Wearing Surgical Cap and Surgical Mask, Gowning and Gloving Program for nursing students, as well as students’ perceptions toward this technology. The research was conducted with a focus group consisting of second-year nursing students in Osmaniye/Turkey, between January and June 2022, and the training program was implemented in five stages: Analysis, Design, Development, Implementation, and Evaluation. The program was evaluated with a focus group of nursing students. Focus group discussions were conducted to provide insights into students’ experiences, feedback, and perceptions of the program.ResultsA vast majority of participants (92.5%) reported feeling fully immersed in the operating room environment during the virtual reality (VR) experience. Notably, all students acknowledged the potential of HMD-Based Virtual Reality Technology to enrich their understanding of surgical hand scrubbing, wearing surgical cap and surgical mask, gowning and gloving procedures, surpassing conventional instructional models. While many participants found the experience exhilarating (85.1%), a considerable portion reported a decline in engagement after repeated exposures (88.8%). Overall, participants welcomed the integration of VR technology into education, expressing optimism about its capacity to facilitate additional instructional modules (74.4%). Moreover, they conveyed satisfaction with the opportunity to engage with the VR application, emphasizing its significant educational value (81.4%).ConclusionBased on these findings, we can suggest that virtual reality technology has the potential to have an impact on nursing students’ education. The majority of students expressing a sense of presence in the operating room highlights the value of this method in education. However, the reported boredom after repeated experiences by most participants underscores the importance of diversifying the program and introducing innovative approaches to keep students engaged.

Abstract Background Several educational activities in nursing schools worldwide have been implemented to promote transcultural nursing and cultural competence. Despite the diversity of their experiences and outcomes, the available evidence has not been systematically reviewed and reinterpreted. This study aimed to review and reinterpret all rigorous qualitative evidence available, providing an opportunity to understand how students learn transcultural nursing and assisting faculties, researchers, managers, and practitioners in designing new interventions to improve transcultural training. Methods A meta-synthesis was conducted to review and integrate qualitative studies of these phenomena. English, Spanish and Portuguese articles were searched in Pubmed and Scopus databases. Only peer-reviewed journals in which qualitative approaches were used were included. Quality was assessed using the CASP qualitative version checklist. The metasynthesis technique proposed by Noblit and Hare was used to analyse the data. Results Twenty-nine studies were included in the analysis. Most studies used phenomenological approaches that were conducted in Australia and the United States of America, with international internships being the most popular learning method. The data revealed one central theme, “From learning opportunity to conscious multidimensional change,” and six subthemes. The transcultural nursing learning experience is not a simple or linear process. Instead, it appears to be a complex process formed by the interaction between a) self-awareness, b) reflective thinking, c) Cultural Encounters, d) cultural skills, e) Cultural Desire, and f) Cultural Knowledge. Conclusions Transcultural nursing learning is a multifaceted process that arises from specific learning opportunities. This process is still to evolving. Therefore, specific educational strategies should be implemented to encourage attitudinal change and promote reflective thinking.

Abstract Background A clear need for the development of new comprehensive, reliable, sensitive and valid measurement tools to adequately asses the cultural competence and cultural sensitivity of nursing students exists. This study aimed to develop a new measurement tool to assess the nursing students’ cultural competence and sensitivity. Methods This cross-sectional, instrument development study’s first phase included postgraduate nursing students (n = 60) for the piloting study, and the second one included undergraduate nursing students (n = 459) for the main survey. This study used two data collection forms: The Student Descriptive Information Form and the Better and Effective Nursing Education for Improving Transcultural Nursing Skills Cultural Competence and Cultural Sensitivity Assessment Tool (BENEFITS-CCCSAT) draft. The content validity index was calculated using the Davis method. Cronbach’s α coefficient and the item total correlation were calculated during the reliability analysis. The Kaiser-Meyer-Olkin (KMO) coefficient test, Bartlett significance test, and explanatory factor analysis (EFA) were used to evaluate the validity of the assessment tool. Results Scale validity and reliability analyses showed that the BENEFITS-CCCSAT included 26 items and five sub-dimensions: respect for cultural diversity; culturally sensitive communication; achieving cultural competence; challenges and barriers in providing culturally competent care; and perceived meaning of cultural care. Conclusion The BENEFITS-CCCSAT appears to be a valid and reliable instrument for measuring the cultural sensitivity and cultural competence of nursing students. This can be of great use, especially before attending clinical areas, and can offer both students and faculty reliable information to promote reflective and critical thinking, especially in areas where improvement is needed.

Objective:The Coronavirus disease-2019 (COVID-19) pandemic process that the whole world is facing has revealed the importance of a strong immune systemandsleep in fighting diseases. The aim of this study was to determine the effect of the pandemic process on the sleeping habits of nursing students.Materials and Methods:This descriptive study was conducted online with 203 volunteer undergraduate students studying at the university nursing department between 20-25 May 2021. Data were collected through the Introductory Information Form, Sleep Assessment Form. This form was composed of questions including consecutive periods such as sleep time, sleep and wake-up time, and time to fall asleep, etc. p

Aim: The aim of the study was to evaluate nursesʼ knowledge of protective precautions and their experiences of various factors during the Covid-19 pandemic. Design: A descriptive cross-sectional study. Methods: In this descriptive cross-sectional study, the snowball method was selected for sampling to access nurses (n = 392) serving in the fight against the Covid-19 infection nationwide. The online data collection form had two parts: a sociodemographic form and a second part including 25 items on institutional protective measures, personal protective measures, and nursing care. Results: Most of the nurses caring for patients with Covid-19 were well-informed about institutional, personal, and patient protective precautions. The scores of female nurses, married nurses and those with children were higher. Multiple regression analysis revealed that in-service training, working in a clinic, and having colleagues diagnosed with Covid-19 positively affected knowledge, while having 0-5 years of professional experience negatively affected knowledge. Conclusion: This study may enlighten medical authorities and policymakers in their efforts to promote the quality of care delivered to patients with Covid-19 and the quality of working conditions of healthcare providers.

Amaç: Bu çalışmada, ameliyat öncesi hastaların oral sıvı/besin alımının kısıtlanması konusunda hemşirelerin bilgi, tutum ve uygulamalarının güncel rehberlere uygunluğu araştırıldı. Yöntem: Tanımlayıcı tipteki araştırma, Ağustos-Eylül 2019 tarihleri arasında Bitlis Devlet Hastanesi ve Bitlis/Tatvan Devlet Hastanesi’nde yapıldı. Araştırmanın evrenini cerrahi kliniklerde çalışan tüm hemşireler (N:55), örneklemini ise araştırmaya katılmayı kabul eden 51 hemşire oluşturdu. Verilerin toplanmasında anket formu kullanıldı ve SPSS 20.0 paket programında tanımlayıcı istatistiksel yöntemler kullanılarak analiz edildi. Bulgular: Hemşirelerin %66,7’si kadın, yaş ortalaması 27,39±4.5, %80,4’ü lisans mezunudur. Meslekte çalışma süresi ortalama 4,21±3,61, çalıştıkları serviste ise ortalama 1,82±1,5 yıldır. Hemşirelerin tamamı hastalara aç kalma gerekçesini açıkladıklarını, %96,1’i kliniklerde gece 12’den sonra oral alımın kesildiğini belirtmiştir. %96,1’i hastaların 8 saatten fazla aç kaldığını düşünmesine rağmen %49’u gece 12’den sonra aç bırakma prosedürünü doğru bulduğunu belirtmiştir. ‘Ameliyat öncesi hastaların aç bırakılma sebebi nedir?’, ‘Hastalar ameliyattan önce hafif yemekleri ne zamana kadar yiyebilirler?’, ‘Hastalar ameliyattan önce berrak sıvıları (su, meyve suyu, çay ve kahve) ne zamana kadar alabilirler?’, ‘Hastalar ameliyattan önce süt, süt ürünleri, sütlü kahve, bebek maması gibi besinleri ne zamana kadar alabilirler?’ ve ‘Bebek hastalar ameliyattan önce anne sütünü ne zamana kadar alabilirler?’ sorularına doğru cevap verenlerin oranı sırasıyla; %76,5, %13,7, %3,9, %13,7 ve %25,5 şeklindeydi. Sonuç: Hemşirelerin, oral alımın kesilmesi konusunda çoğunlukla geleneksel yaklaşımı uyguladığı görüldü. Ameliyat öncesi açlık konusunda bilgi düzeylerinin ve uygulamalarının güncel rehberlere uygunluğunun düşük olduğu saptandı. Konuyla ilgili daha geniş çaplı çalışmaların yapılması faydalı olacaktır. Ayrıca multidisipliner bir anlayışla rehberlerin gözden geçirilmesi ve uygulamaya yönelik kanıta dayalı protokollerin geliştirilmesi gerekmektedir.

Background: Nursing is a practice-based professional profession that requires integrating theoretical knowledge harmoniously with the ability to apply it. Therefore, it is important to determine the learning styles of the students in order to plan appropriate teaching methods, use and evaluate various learning methods and materials in order to ensure optimal learning in nursing education. Aim: The aim of this study is to determine the learning styles of nursing students. Methodology: This descriptive study was conducted with 236 volunteer students studying in the nursing department of a foundation university in the 2019-2020 academic year. Data were collected online using the Introductory Information Form and the Learning Styles Inventory. In the IBM SPSS 25 Versions New York package program descriptive analyses were evaluated with Independent Samples t test and One Way ANOVA test. P<0.05 was accepted as statistical significance level. Results: It was determined that 80.1% of the nursing students were female, 49.2% were first grade and their mean age was 21.19±1.35. It was found that 52.1% of the students had a predominantly visual learning style. It was determined that male students had a predominantly kinesthetic learning style compared to female students (p<0.05), and fourth-grade students had a higher percentage of auditory learning style than other classes (p<0.05). Conclusions: It was determined that nursing students mainly have a visual learning style. For a more effective learning environment, students' needs and learning style(s) should be known. The study can be repeated in a larger sample and in line with the experiences gained in distance education. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of the study was to determine the life experiences and health-related quality of life (HRQOL) of patients living with a urostomy., Design: Cross-sectional descriptive study., Subjects and Setting: This prospective and descriptive study was carried out in a research and training hospital in Gaziantep, Turkey; data were collected from May 2009 to September 2011. Twenty-four participants had undergone a urostomy operation at least 4 months before study participation., Methods: A form querying pertinent demographic and clinical information, combined with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QoL Q-C30) was used for data collection. Data collection forms were sent to the patients via mail in closed envelopes. The Mann-Whitney U, the Kruskal Wallis, and Wilcoxon signed rank tests were used for the comparative statistics; statistical significance was accepted when P values were <.05., Results: The mean age of the 24 participants was 63.45 ± 6.33 years (mean ± SD; range, 49-72 years). The average time since surgery was 9.83 ± 2.34 months (range, 4-18 months). Most respondents stated that their urostomy affected their dressing habits (83.4%), sleep patterns (91.7%), family life (91.7%), participation in social activities (91.7%), and occupation (75.0%). All participants reported problems with psychological health and sexual activity following urostomy surgery. Analysis of EORTC QoLQ-C3 scores revealed that general wellness, functional condition, and symptomatic condition mean scores were lower than population-based norms associated with this instrument (54.16 ± 15.29, 44.07 ± 9.62, and 64.31 ± 12.56, respectively)., Conclusions: Creation of a urostomy affected the patients' lifestyle and HRQOL negatively. Determining the patients' experiences, problems, and the change in HRQOL may provide assistance in designing appropriate nursing approaches to alleviate problems adapting to a urostomy.