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This study aimed to determine the effect of incontinence after radical prostatectomy on quality of life and level of frailty. It is a descriptive study conducted with 107 radical prostatectomy patients who were hospitalized in the Urology Clinic of a training and research hospital in Istanbul between March–August 2021, and met the inclusion criteria. Data were collected using the Patient Identification Form, the International Consultation on Incontinence Questionnaire – Male Lower Urinary Tract Symptoms (ICIQ‐MLUTS), and the Edmonton Frail Scale (EFS). The mean fragility score of the patients was 7.82 ± 2.63, and 27% of them were 'Mildly Frail' and 25.2% were 'Moderately Frail'. The ICIQ‐MLUTS voiding complaints sub‐dimension score of the patients was 8.62 ± 3.48, and the voiding complaints bother score was found to be 24.8 ± 9.85. The ICIQ‐MLUTS storage complaints sub‐dimension score was 12.13 ± 3.05, and the storage complaints bother score was 36.25 ± 9.02. The ICIQ‐MLUTS daytime urinary frequency subdimension score was 2.35 ± 0.93, and the daytime urinary frequency bother score was 6.94 ± 2.17. The ICIQ‐MLUTS nocturnal urinary frequency sub‐dimension score was 2.79 ± 0.88, and the nocturnal urinary frequency discomfort level score was found to be 7.37 ± 2.19. In this study, it was observed that patients' complaints regarding lower urinary tract symptoms and their quality of life were at a moderate level and the frailty levels increased with the increasing severity of incontinence symptoms after radical prostatectomy. [ABSTRACT FROM AUTHOR]

Objective: This research was planned in order to evaluate the attitudes of nurses and nursing students towards evidence-based nursing practices. Today, factors such as the management of information, the change in health care needs and preferences, and the prolongation of life have necessitated the use of evidence-based practices in nursing. This research was planned as a descriptive study. Methods: This study was conducted with nurses and intern nursing students. Data were collected with the Introductory Information Form and the Evidence-based Nursing Attitude Questionnaire (EBNAQ). Data were analyzed by number, percentage, Mann-Whitney U test, Kruskal-Wallis test and t test. Results: The mean score of EBNAQ was 61.25±8.105 for nurses and 61.94± 7.763 for students; The difference between the scores of the two groups was not significant (t=-.522; p=0.602). Sub-dimension mean scores of nurses and students were 29.19+0.352 and 29.56+0.524 for beliefs and expectations towards EBN, 15.60+0.218 and 15.70+0.371 for, intention of conduct towards EBN, 16.46+0.233 and 16.68+0.437 for feelings towards EBN, respectively. It was found that the place of duty, reading professional publications regularly, participation in scientific meetings, membership in professional associations, conducting research were crucial among the nurses, whereas gender factor affected the scores of EBNAQ in students (p <.05). Conclusions: EBNAQ scores of students and nurses were found to be good and there was no difference between the mean scores of nurses and students. Although the level of Evidence-Based Practice (EBP) belief is high in nurses and students, the intention to practice is at a lower level. The EBP attitude of female nursing students is more positive than that of males. Reading professional publications regularly, participating in scientific meetings and in clinical research activities improve the evidence-based nursing practice attitude in nurses. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to evaluate the effect of a perioperative pelvic floor muscle training program on urinary incontinence symptoms and the quality of life of patients after radical prostatectomy. Methods: This single-center, parallel-group, randomized, controlled study was conducted with a total of 60 patients undergoing open radical prostatectomy in a training and research hospital in Turkey. Patients were randomly assigned to the pelvic floor muscle training group (n = 30) and the control group (n = 30). The data were collected by face-to-face and phone interviews following surgery at seven days after removal of the urethral catheter (baseline) and 3 months using the Patient Information Form, the International Consultation on Incontinence Questionnaire Short Form and the International Consultation on Incontinence Questionnaire for Male Lower Urinary Tract Symptoms. Descriptive statistics, Chi-square test, Independent-samples t -test, and paired-samples test were used to analyze the data. Primary and secondary endpoints were the differences between groups in terms of both scale scores after 3 months. Findings: After 3 months, Incontinence Questionnaire Short Form scores (P < 0.001) and "voiding, incontinence, frequency, nocturia" symptoms scores (P < 0.001) were significantly lower in the pelvic floor muscle training group, and quality of life scores were higher than in the control group (P < 0.001). Conclusion: According to this study, the perioperative pelvic floor muscle training program was effective on patients' urinary incontinence symptoms and quality of life 3 months after radical prostatectomy. Evidence-based practices should be used for patients to alleviate common urinary symptoms and to accelerate the recovery of urinary continence. [ABSTRACT FROM AUTHOR]

Background: During the COVID‐19 pandemic, intensive care nurses may experience ethical issues related to fear of transmission, limited resources, and increased workload. Nurses' moral sensitivity and courage may have a role in dealing with these problems. Aim: The purpose of this study was to assess intensive care nurses' moral sensitivity and moral courage during the COVID‐19 pandemic. Design: Descriptive cross‐sectional survey. Methods: A total of 362 nurses working in the intensive care units of pandemic hospitals in Turkey participated in the study between January and March 2021. Data were obtained using a personal information form, the Moral Sensitivity Questionnaire, and the Nurses' Moral Courage Scale. A link to the online data collection tools was sent to the management of participating institutions, who forwarded it to nurses. Reporting followed the CHERRIES guidelines. Results: In this study, the response rate of nurses was 89%. The nurses' total mean moral sensitivity score was 90.70 ± 28.89 and their mean moral courage score was 82.08 ± 13.51. A weak inverse correlation was found between the nurses' moral sensitivity and moral courage scores (r = −.176, p =.001). Total moral sensitivity score differed significantly according to years of Intensive care unit (ICU) experience (p =.007). Total moral courage scores increased significantly with education level (p =.012), years of nursing experience (p =.016), and willingness to work in the ICU (p <.001). Conclusion: The study suggests that nurses working in the intensive care unit during the pandemic had moderate moral sensitivity and high levels of moral courage. Nurses' sociodemographic characteristics and ICU work conditions may affect their moral sensitivity and moral courage. Relevance to Clinical Practice: The results of this study can help guide efforts to improve moral courage and sensitivity and address ethical issues among ICU nurses. [ABSTRACT FROM AUTHOR]

Background: Understanding the frailty levels of older patients undergoing surgery and chemotherapy will contribute to timely and reliable care practices and improve care outcomes. Aims: To determine the frailty of cancer patients who received chemotherapy treatment after surgery. Methods: This descriptive study included 192 Turkish patients aged over 60 years who received chemotherapy after surgery for cancer. Data were collected using a patient survey and the Edmonton Frailty Scale. Results: The average age of the participants was 66.3±5.3 years. Around 40% (40.6%) of the sample were diagnosed with breast cancer. The Edmonton Frailty Scale score of the group was 6.6 (SD±3.7). A quarter of the sample (22.9%) were at risk of frailty. Frailty levels were higher in older individuals with gastrointestinal cancers and other cancer groups compared with patients with breast cancer (p<0.001); patients with additional chronic diseases other than cancer (p=0.004); and in those with a history of falling and hospitalisation in the past year (p<0.001). Conclusions: Older patients with gastrointestinal cancer, additional chronic disease and a history of falling and hospitalisation within the past year should be evaluated closely for frailty before and during chemotherapy. It is crucial to consider the patient's vulnerability when making care and treatment decisions for older patients with cancer. Understanding the frailty levels of older patients who undergo surgery and receive chemotherapy can help health professionals to decide on timely and reliable care practices and improve care outcomes. [ABSTRACT FROM AUTHOR]

It is well-known that preoperative education has a positive effect on patient recovery. The study was conducted to evaluate the impact of structured education given by a multidisciplinary team (surgeon, anesthesiologist, and nurse) on pain, anxiety, and activities of daily living in patients undergoing laparoscopic cholecystectomy. This randomized controlled study was conducted with 60 patients undergoing elective laparoscopic cholecystectomy in a training and research hospital in Turkey between March and August 2019. The participants were divided into two equal groups. Verbal structured education and written documents were given to the education group before surgery by a multidisciplinary team. The control group had the routine education. Data were collected using a Patient Information Form, the State Anxiety Inventory, a Visual Analog Scale, and the Barthel Index for Activities of Daily Living. The mean ages of the education group and control group were 47.7 SD 9.55 years and 50.63 SD 10.50 years. The majority (66.7%) of the patients were women. A statistically significant difference was found between the education and control groups in terms of postoperative pain, anxiety, and activities of daily living (p = 0.01, p < 0.001, p < 0.001, respectively). It was found that structured education given by a multidisciplinary team to patients undergoing surgery had a positive effect on pain, anxiety, and activities of daily living. [ABSTRACT FROM AUTHOR]

Background: Physical and emotional conditions of patients treated in an intensive care unit (ICU) may be adversely affected by environmental stressors. Aims and objectives: The aim of this study was to investigate the relationship between patients' anxiety and depression levels and environmental stressors in the ICU. Design: This was a descriptive cross‐sectional study. Methods: The study was conducted between June 2018 and April 2019 with 150 patients treated in the ICUs of a training and research hospital. Patient information form and ICU environmental stressors and hospital anxiety and depression scales were used for data collection. Descriptive statistics, t‐test, one‐way analysis of variance, and Pearson's correlation coefficient were used to evaluate the data. Results: The mean hospital anxiety score of the patients in ICUs was 11.1 ± 2.7, and 77.3% of patients were at risk for anxiety (10‐point cut‐off). The mean hospital depression score was 10.6 ± 3.3, and 94% of patients were at risk for depression (7‐point cut‐off). The mean score of environmental stressors was 123.9 ± 13.1. A moderate positive correlation between hospital anxiety and hospital depression (r =.63, P <.001) and a weak negative correlation between environmental stressors and hospital anxiety (r = −.24, P =.003) were found. However, no significant correlation between environmental stressors and hospital depression was found (r = −.13, P =.12). Conclusion: According to this study, the environmental stressors in the ICU were high, and the patients were at risk of anxiety and depression. The depression levels of the patients increased along with their anxiety levels. As environmental stressors increased, hospital anxiety levels of the patients decreased. However, there was no significant relationship between environmental stressors and patients' hospital depression levels. Relevance to clinical practice: Environmental stressors in ICUs are high, and the patients in the ICUs are at risk of anxiety and depression. [ABSTRACT FROM AUTHOR]

Background: In order to help employees in the workplace work efficiently and effectively within the team, nurse managers should have leadership behaviours that will increase the motivation of nurses. Aim: The aim of this study was to investigate the effect of leadership behaviours of nurse managers on work motivation of nurses. Method: This descriptive study was conducted with 153 nurses in total working in surgical (n=82) and internal (n=71) units of a training and research hospital in Istanbul between January and February 2019. The data of the study was collected with Individual Information Form, Leadership Behaviour Scale and Nurses' Work Motivation Scale. For data analysis, descriptive statistics, Independent Sample T-test, One Way Analysis of Variance, Mann Whitney U test, Kruskal Wallis test and Spearman's correlation test were used. Results: The mean age of the nurses participating in the study was found as 26.68±4.54. It was determined that 53.6% of the nurses have voluntarily chosen their profession, 86.3% liked their job and 96.7% were affected by the leadership behaviours of the nurse managers. For the qualities a nurse manager should obtain, 98% of the nurses stated that they should value the thoughts of the employees in the team and 96.7% of the nurses claimed that they should direct the team and should treat everyone equally. It was found that the mean scores of leadership behaviour (4.15±0.47) and work motivation (66.06±6.14) perceived by the nurses participating in the study from the nurse managers were high. There is a moderate, significant and positive relationship between managers' leadership behaviour and nurses' work motivation (r=0,504, p<0,001). Conclusion: According to the results of this study, leadership behaviours and work motivation levels of nurse managers are quite high. A positive increasing in managers' leadership behaviours increases the work motivation of the nurses. [ABSTRACT FROM AUTHOR]

Objective: this study aimed at evaluating the perceptions of Nursing students from public universities in three European Union countries on mental health and clinical learning environments, a topic that has been rarely investigated in the literature. Method: data collection took place using a demographic data form, the Clinical Learning Environment, Supervision and Nurse Teacher Scale, and the Mental Health Continuum Short Form. A total of 571 participants from Turkey, Lithuania and Portugal were included in the study. Results: there was a significant difference among the three groups regarding clinical learning environment and mental health status (p<.001). Supervision was the most valued element. The Portuguese students presented the highest mean in the Mental Health Continuum Short Form and Clinical Learning Environment, Supervision and Nurse Teacher Scale scores (p<.001). Age, gender and mental health were effective in the Clinical Learning Environment, Supervision and Nurse Teacher Scale scores. Conclusion: the results indicated that the Mental Health Continuum Short Form and Clinical Learning Environment, Supervision and Nurse Teacher Scale scores obtained by the Portuguese Nursing students were higher. It was also revealed that the students' perceptions on the clinical learning environment were affected by age and gender, and that their perceptions on mental health were influenced by the Clinical Learning Environment, Supervision and Nurse Teacher scale scores. [ABSTRACT FROM AUTHOR]