View clinical trials related to Nursing.
Filter by:Background: During the curricular practices of the Bachelor's Degree in Nursing, students are prepared to carry out an adequate transition process to the professional role. The success of this preparation depends, to a large extent, on preceptorship. In this sense, it is important that practice tutors are motivated and feel competent to teach in the clinical setting. Despite this, no studies have been found that implement and evaluate an intervention to improve nurses' perceptions of preceptorship of undergraduate nursing students. Purpose: To evaluate the preliminary efficacy of a coaching programme to improve nurses' perceptions of preceptorship of undergraduate nursing students. Specifically, the aim is to determine the impact of the programme on nurses' perceived involvement, motivation, satisfaction, barriers and commitment to clinical mentoring. Method: An exploratory pre-post quasi-experimental pilot study. Fifteen nurses, the total population of nurses working in the medical-surgical ward, with at least 1 year of experience in the preceptorship of students, will be recruited in June 2022. All the nurses will receive an intervention based on coaching. The strategies of this program consisted of five 6-hour sessions using case studies and role-playing simulations to work on their motivation to develop their teaching role in the preceptorship of undergraduate nursing students and debriefing and a 4-hour booster session seven months later. The IMSOC (involvement, motivation, satisfaction, obstacles and commitment) instrument was used to assess outcomes. The primary outcome was the difference in the median of nurses' involvement, motivation, satisfaction, barriers and commitment in preceptorship students pre and post-intervention (between T0-T1 and T0-T2). Changes within nurses were analyzed using the Wilcoxon test for related samples.
Today, rapidly developing technology needs to be integrated into teaching environments and reconstructed teaching environments. When virtual reality applications, which are among the popular and innovative technologies, are examined, it is seen that participants are used in many areas of education. In this randomized controlled study, it was aimed to evaluate the impact of stoma care education by designing a serious game based web application that enables nursing students to gain skills and practice in psychomotor applications. The universe of the study will be students enrolled in the Surgical Diseases Nursing course in the spring semester of the 2020-2021 academic year at the Faculty of Health Sciences, Gümüşhane University. Students will be divided into two groups as control and experiment by randomization method. The data will be collected through introductory features form, 'Stoma Care Information Form', 'Stoma Care Skill Checklist' and Computer System Usability Survey. In the first stage of the study, the students will be given a 'Stoma Care Information Form' (first knowledge). 'Stoma Care Information Form' (second information) and 'Stoma Care Skill Checklist' will be applied after completing the theoretical lesson of stoma care and group work in the laboratory of students in the experimental and control groups. Unlike the control group, of students in the experimental group; A serious game-based web application on stoma care prepared as a support for formal education will be installed. After four weeks of the students attending formal education, 'Stoma Care Information Form' (third knowledge) and 'Stoma Care Skill Checklist' (second skill) will be applied. In the experiment and control group, two weeks later, the "Stoma Care Information Form" (fourth information) and "Stoma Care Skill Checklist" (third skill) will be applied again to test the permanence of the methods. Skill measurements of students will be made with an objective structured clinical exam. The results obtained after the application will be analyzed and the impact of serious game based web application on stoma care education will be determined
ABSTRACT The Effect of the Training on Adaptation to Treatment Provided to Hemodialysis Patients According to the Neuman Systems Theory on Self-Esteem and Perceived Social Support Aim: The present study was conducted to determine the effect of the training provided to hemodialysis patients according to Neuman Systems Theory on self-esteem and perceived social support in pretest-posttest comparison semi-experimental fashion. Material and Method: The study population consisted of 108 individuals. The sampling consisted of 84 subjects, 42 of whom constituted the Study Group and 42 of whom constituted the Control Group. The study was conducted in two dialysis centers between 15.04.2017 and 15.10.2017. In the study, the data were collected with Patient Identification Form, Neuman Systems Evaluation Form, Coopersmith Self-Esteem Inventory, Social Support Perceived from Family and Friends Scale and Hemodialysis Stressor Scale. In the Study Group, the training was repeated to the individuals with the training book "Let Us Learn Hemodialysis", which was prepared by the researcher, after the one-to-one training in houses in line with the Neuman Systems Model. SPSS 20 program was used to evaluate the data. Descriptive statistical methods (number, percentage), chi-square test, paired t test were used to evaluate the data.
This research; The aim of this study was to evaluate the effect of the pre-procedural education given to the patients undergoing coronary angiography on the anxiety level and vital signs of the patients.
This study aimed to examine the efficacy of a blended learning programme in enhancing the communication skill competence and self-efficacy of final-year nursing students in conducting clinical handovers.
Implementing capnography into practice for respiratory monitoring during sedation is considered a high priority by leading authorities in Canada and internationally. The Canadian Anesthesiologists' Society's position statement recommends that capnography should be available wherever moderate or deep sedation is used. The Academy of Medical Royal Colleges (UK) Standard and Guidance report on Safe Sedation Practice for Healthcare Procedures noted that while capnography is not a mandated practice, providers should consider implementing capnography as a long term goal. These recommendations are in place because sedated patients who are not monitored with capnography have frequent undetected, and therefore untreated, respiratory depression. Of note, though, these guidelines do not provide specific recommendations for how capnography should be implemented for nurse-administered sedation. The aim of this study is to determine if smart alarm guided treatment of respiratory depression using the Integrated Pulmonary Index is an effective way to implement capnography during nurse-administered sedation. The primary outcome is the number of seconds in an alert condition state without an intervention being applied. The IPI is intended to reduce the cognitive burden of synthesizing multiple sources of physiological monitoring input and hence lowering the threshold for triggering intervention by clinicians to support respiration. The primary outcome directly measures this concept by quantifying the time taken for an alert to trigger an intervention. Higher values of the primary outcome will result from either a problem state that should have triggered an intervention but did not, or an 'inappropriate' alert (i.e. an alert that was not important enough to warrant immediate intervention.)
Almost half of the patients diagnosed with COVID-19 pneumonia develop ARDS and most of these patients are treated in the intensive care unit. In the management of COVID-19 ARDS, prone position is applied to improve physiological parameters by facilitating better distribution of tidal volume and drainage of secretions. It has been reported that awake patients in COVID clinics could not adapt their prone position due to anxiety . Jiang et al (2020) reported that awake patients may not tolerate the prone position and may experience anxiety due to posture habits and discomfort. It was determined that anxiety developed on the second day of hospitalization in the intensive care unit, state anxiety was associated with trait anxiety and pain, and anxiety was low in patients receiving mental health care/treatment . And also not to change position himself of patient in prone position due to care equipment etc it can cause loss of self-control and anxiety. Twelve-sixteen hour prone position recommendation for clinical improvement, positioning difficulties in patients who cannot position themselves may also trigger anxiety in awake patients It has been suggested that music therapy may be effective in reducing anxiety related to weaning from mechanical ventilation in COVID-19 patients. Music therapy intervention in ICU has been tested in sessions of at least 30 minutes, 1-30 days, with options such as western music, classical Chinese music, nature-based music. In the study of Chu and Zhang (2021), it was shown that the recovery time for tomography findings, the number of days of hospital stay and the rates of transfer to the intensive care unit were lower in the patient group who received holistic mode including traditional Chinese medicine, music therapy, and emotional support in COVID-19 patients. Studies evaluating the effectiveness of music therapy alone in the COVID-19 intensive care process could not be reached. It is thought that music therapy applied in the prone position in the COVID-19 intensive care unit will reduce the anxiety of the patients, adapt to the prone position and improve their clinical parameters.
This study aims to determine whether parental involvement during venipuncture reduces venipuncture pain and anxiety in children with cancer.
Colonoscopy is an endoscopic procedure for diagnosing colon diseases. Patients should be prepared 2-5 days in advance for this procedure and intestinal cleansing should be provided. This is a difficult process and does not admit mistakes. The adequacy of the patient's pre-preparation for this process increases the chances of success. For preliminary preparation, it is recommended to train the patient and reinforce the trainings by phone. Education given to the patient; It contributes positively to patient outcomes, the workload of healthcare personnel in the institution, and costs. Therefore, this study has been planned.
This project is designed to determine the experiences of nurses working in healthcare organizations in the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic and their approaches to problems experienced in qualitative design and from these results, a web-based education model is prepared for the effective management of nursing services, to increase the knowledge and skills of manager nurses. It was carried out in a quasi-experimental design. In the qualitative phase of the study, 28 people nurses were included (14 manager nurses and 14 nurses), and 61 nurse managers, including 30 intervention and 31 control group, participated in the randomized controlled quasi-experimental quantitative phase. Qualitative data were analyzed using the "Interview Form" through an in-depth interview method; Experimental data were collected via a pre- and post-questionnaire from nine web-based training videos. Qualitative data were analyzed in the MAXQDA 2020 program, and experimental data were analyzed in the Statistical Package for the Social Sciences (SPSS) 21.0 package program. Findings obtained from the qualitative stage; The problems regarding the institution's general management, the problems and approaches experienced by the nurses, and the problems and approaches experienced by the manager nurses were evaluated under three main themes. A pre-test / post-test questionnaire was applied to the intervention and control groups created due to the analysis of qualitative data.