Nursing and Midwifery

Journal of Health Sciences and Medicine

Amaç: Bu çalışmanın amacı, Türkiye'de ebelik anabilim dalı alanında yapılmış lisansüstü tezlerin incelenmesidir. Gereç ve Yöntem: Araştırma nitel bir araştırma olup veriler doküman analizi yöntemiyle toplanmıştır. Yükseköğretim Kurulu Ulusal Tez Merkezi'nde ebelik alanına kayıtlı, 2004-2017 yılları arasında yapılan 156 tez çeşitli değişkenler açısından incelenmiştir. Ulaşılan tezleri incelemek üzere araştırmacılar tarafından değişkenlerin yer aldığı bir form kullanılmıştır. Veriler sayı ve yüzde olarak ifade edilmiştir. Bulgular: Tezlerin tamamının yüksek lisans tezi olduğu, en çok tezin Ege Üniversitesi'ne (n: 29) ait olduğu, en fazla tezin 2016 yılında (n: 29) hazırlandığı, çalışılan tez konularının en çok algı, tutum, beceri, sorun ölçen (n: 33) tanımlayıcı çalışmalar (n: 71) olduğu ve tezlerde örneklem olarak en çok gebelerin (n: 54) seçildiği saptanmıştır. Sonuç: Bu araştırma ile elde edilen verilerin gelecek ebelik araştırmalarına ışık tutacağı ve yeni araştırmalar için fikir sağlayacağı düşünülmektedir.

Midwifery, the first holistic profession in the world in which "care" has always been a women-centered phenomenon. It is a socially constructed practice that has gone through many historical transitions. Many of these have involved social controversies in terms of the meaning of care, the scope of its practice, and its standardized skills. The purpose of this paper is to explore and critically examine the major transitions on midwifery during history, looking in particular at the socio-cultural circumstances that are associated with these transitions through an historical analysis. Two objectives are intended to be explored; first, identify the major "macro" socio-cultural factors that shaped different meaning of "concept of care" in midwifery. Second, identify the major "micro" socio-cultural factors that changed the scope of practice in midwifery. Two main search approaches are used to collect the retrieved data; textbooks searching, and computer searching. Textbooks searching phase aims to identify the historical knowledge gap and different views of midwifery transitions based on four historical intervals ranging from Stone Ages era to Early Modern time. Computer searching phase aims to critique the different scholarly views that focus on the major social and cultural factors that shaped the practice scope midwifery during history. During this strategy a comprehensive review of the major electronic databases of MEDLINE, PubMed, and CINAHL was conducted. Midwifery is a woman-centered phenomenon and a socially constructed practice where macro and micro socio-cultural factors played a key role in its transition over the history. Power of social organizations, consistency of civilizations, and productivity of industrialization are the major macro social factors that changed the concept of "care" in midwifery from individualized concern to holistic approach. Gender identity, social class and authority, and accessibility of formal education are the main micro socio-cultural factors that changed the practice of midwifery from un-standardized practice to advanced scientific profession.

International Journal of …, 2008

This study, which originated from the observation that the rate of participation in scientific events by nurses working in the field as well as that of academician nurses had gradually increased, was a definitive, record-scanning study made with the objective of examining the papers presented by nurses at scientific meetings between 1985 and 2003. Nursing research has become an increasingly important factor in the efforts devoted to making nursing an academic profession. The development of nursing research in different countries has been influenced by various factors. While there is a long tradition of nursing research in some other countries, the history of nursing research in Turkey is shorter. The environment of this research was formed from papers included in books and summary booklets of scientific meetings in which nurses participated between 1985 and 2003. 2,843 papers, contained in 80 scientific activity books and summary booklets, formed the sampling of the research. When the year-to-year distribution of authors who presented papers was examined, it was found that while there was an increase in the proportion of papers presented by nurses alone, by nurses and academician nurses, or by nurses and members of other disciplines, there was a decrease in the proportion of papers submitted by academician nurses. The results of this study show that nurses have contributed to the process of professionalizing nursing and are accepted by other members of the health team.

Turkiye Klinikleri Journal of Gynecology and Obstetrics, 2015

To evaluate effectiveness of Bakri Balloon in post-partum haemorrhage treatment. Post-partum haemorrhage is the most common cause of maternal death in the world. It is potentially fatal complication of both vaginal and caesarean deliveries. In situations where medical interventions are unsuccessful in achieving haemostasis in cases of post-partum haemorrhage, either conservative or invasive surgical therapies are needed. Ultimately hysterectomy may be required. Invasive surgical interventions are associated with co-morbidities and potential implications for future fertility. Among the more conservative interventions are intrauterine balloon tamponade such as the Bakri balloon. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : In this retrospective, observational study, records of 25 patients who were treated for post-partum haemorrhage in the Obstetrics and Gynecology Clinic of Turgut Ozal University Hospital, between January 2009 and August 2014 were examined. Frequency and efficacy of interventions were investigated in terms of haemostasis achievement without recourse to hysterectomy. R Re es su ul lt ts s: : In 12 women who underwent Bakri balloon placement, haemostasis was achieved in all patients without subsequent hysterectomy. By contrast, of 9 women who underwent arterial ligation, 77.8% required hysterectomy as opposed to 31.3% of the 16 women who did not undergo arterial ligation. Use of combinations of surgical techniques was also significantly associated with higher risk of hysterectomy when compared to single techniques. C Co on nc cl lu us si io on n: : Use of Bakri balloon is a highly effective method in achieving haemostasis in post-partum haemorrhage without necessity of hysterectomy. K Ke ey y W Wo or rd ds s: : Postpartum hemorrhage; uterine balloon tamponade Ö ÖZ ZE ET T A Am ma aç ç: : Postpartum kanama tedavisinde Bakri balonun etkinliğini değerlendirmek. Postpartum kanama dünyada doğum sonrası anne ölümlerinin en yaygın sebebidir. Hem vajinal hem de sezaryenle doğumlarda potansiyel ölümcül bir komplikasyondur. Medikal tedavilerle kanama kontrolünün başarısız olduğu postpartum kanama olgularında hem konservatif hem de invaziv cerrahi müdahaleler gereklidir. Son aşamada histerektomi gerekli olabilir. İnvaziv cerrahi müdahaleler komorbidite ve gelecekteki fertilitenin etkilenme potansiyeli ile ilişkilidir. Bakri balon gibi intrauterin balon tamponad sistemleri daha konservatif müdahaleler arasındadır. G Ge er re eç ç v ve e Y Yö ön nt te em m-l le er r: : Bu retrospektif gözlemsel çalışmada Turgut Özal Universitesi Hastanesi Kadın Hastalıkları ve Doğum kliniğinde Ocak 2009 ve Ağustos 2014 tarihleri arasında postpartum kanama nedeni ile tedavi edilen 25 hastaya ait kayıtlar incelendi. Yapılan müdahalelerin sıklığı ve histerektomiye gerek duyulmadan kanamanın durdurulması açısından müdahalelerin etkisi araştırıldı. B Bu ul lg gu ul la ar r: : Bakri balon uygulaması yapılan 12 hastanın tamamında kanama histerektomiye gerek kalmadan durduruldu. Buna karşın arteriyel ligasyon uygulanan 9 kadının %77,8'inde histerektomiye gerek duyulmuşken, arteriyel ligasyon uygulanmayan 16 kadının %31,3'ünde histerektomi gerekli olmuştur. Tek bir cerrahi uygulamaya kıyasla birden fazla cerrahi tekniğin birlikte uygulanması da yüksek histerektomi riskiyle önemli ölçüde ilişkilidir. S So on nu uç ç: : Bakri balon uygulaması histerektomi gerektirmeksizin postpartum kanamanın durdurulmasında oldukça etkili bir yöntemdir.

İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 2020

The objective of this study is to explore the midwifery and nursing students’ attitudes towards evidence-based nursing. The sample of this descriptive and cross-sectional study included 626 undergraduate students studying midwifery/nursing at a state university in the Eastern Anatolia Region of Turkey. The data were collected using the “Descriptive Form for Students” and the “Evidence-Based Nursing Attitude Questionnaire (EBNAQ).” The mean total score of the students in EBNAQ was 55.46±9.92, their mean score in the subscale “Beliefs and Expectations About Evidence-Based Nursing” was 27.24±5.87, their mean score in the subscale “Evidence-Based Practice Intention” was 13.83±3.00, and their mean score in the subscale “Sentiments on Evidence-Based Nursing” was 14.38±4.01. A significant relationship was determined between gender, academic year of study, liking the profession, doing research, duration of internet usage and duration of medical information acquisition and the mean total sco...

2023

Perinatal morbidity is defined as presence of the disease which occurs as a result of side effect influences of treatment acting either on a fetus or neonate during the first week of life. In the developing countries, the risk of perinatal morbidity is 6 times greater than in the developed countries; in the least developed countries it is over 8 times higher. High perinatal morbidity rates cause sub-optimal outcomes, which are common, and may impair subsequent developmental milestones of children or sound function of families, and might increase health care cost. The study aimed at developing strategies to reduce high perinatal morbidity. The study was conducted at the two selected tertiary hospital. A quantitative, cross sectional and descriptive research design was used. The population comprised of eighty (80) midwives allocated in neonatal intensive care and labour units. Simple random sampling was used to select 66 respondents who participated in the study. Data were collected using a pre-tested and validated self-developed questionnaire. Descriptive and inferential statistics were used to analyse data. The study revealed that shortage of staff, overcrowding of patients, and work overload of staff, lack of equipment and supplies, absenteeism, resignation and prematurity were contributory factors. The strategies aimed at reducing high perinatal morbidity are a priority for public health policies around the world. The study recommends that all midwives working in maternity and neonatal units should be upgraded in terms of the management of pregnant woman and sick neonates.

2018

Introduction: The nursing process is defined as a standard of care; however, its implementation in actual clinical settings is very limited, which reduces the quality of care. Objective: To determine the barriers to the implementation of the nursing process from the viewpoint of the faculty members, nursing managers, nurses, and nursing students of the Mashhad University of Medical Sciences. Materials and Methods: This analytical cross-sectional study was carried out in 2014 on 90 nursing lecturers and students of the Mashhad Nursing and Midwifery Faculty, and 134 nurses and nursing managers of the educational hospitals of the Mashhad University of Medical Sciences. The participants were selected by the convenient sampling method using a research-oriented questionnaire (validity and reliability confirmed) to investigate the barriers to the implementation of the nursing process. The data was analyzed by using descriptive statistics (mean±SD, and absolute and relative frequencies), on...

2020

Antenatal care is essential to prevent both maternal and neonatal deaths. Nonetheless, there is a lack of evidence on antenatal care of women whose childbirths were carried out at home with the help of untrained family members. The purpose of this study was to explore antenatal visits of the women who had unassisted home births. This study used a qualitative research design. The study was conducted in Siak, Kampar and Pelalawan regencies of Riau Province, Indonesia. Around 23 respondents were recruited using purposive sampling. Data were analyzed manually using thematic analysis. The study findings showed that women who had unassisted home births sought antenatal care from private practice midwives. The women did antenatal visits once merely to obtain information about their birth due dates. This study findings give us an understanding of antenatal care of women with unassisted home births. These findings are essential for making appropriate and relevant health policies to improve a...

Cukurova Medical Journal, 2019

This study was carried out to identify the effect of postpartum afterpain on breastfeeding self-efficacy. Materials and Methods: This was a descriptive study. The sample consisted of 376 postnatal women who met the criteria for participation in the study. The participants were administered the Personal Information Form, The Short-Form McGill Pain Questionnaire, The Short-Form Breastfeeding Self-Efficacy Scale. Results: The mean total score received from the breastfeeding self-efficacy by the postpartum women was found to be 36.88±8.54 (min:14, max:70). The mean scores of the sensory and affective pain, total pain intensity, and visual analoque scale were found to be 33.53±4.18 (min:0, max:45), 2.60±1.39 (min:0, max:5), 6.23±1.91 (min:0, max:10), respectively. In this study, the breastfeeding self-efficacy was found to be higher in the women who were 35 years and over, found their social support adequate, planned their current pregnancy, received prenatal care, expressed their willingness to breastfeed, had no breastfeeding problem. The selfefficacy of breastfeeding is low for women who experienced postpartum abdominal pain, who described the frequency of pain as 'continuous, continuous and constant', and who stated that they needed analgesia. A statistically significant negative correlation was determined between the postpartum women's breastfeeding selfefficacy scores and their postpartum afterpain scores. The postpartum women with afterpain were found to have low levels of breastfeeding self-efficacy. Conclusion: Postpartum pain negatively affects breastfeeding self-efficacy. Controlling pain contributes to the effective implementation of the breastfeeding process. Amaç: Bu çalışma, postpartum ağrının emzirme özyeterliliği üzerine etkisini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Bu tanımlayıcı bir çalışmadır. Örnekleme, araştırmaya katılım kriterlerini karşılayan 376 postpartum kadın alınmıştır. Veriler, Kişisel Bilgi Formu, McGill Ağrı Anketi, Emzirme Öz-Yeterlilik Ölçeği ile toplanmıştır. Bulgular: Doğum sonrası kadınların emzirmenin öz yeterliliği toplam puan ortalaması 36.88 ± 8.54 olarak bulunmuştur (min: 14, max: 70). Kadınların duyusal ve afektif ağrı, toplam ağrı şiddeti ve görsel analog ölçek puan ortalamaları sırasıyla 33.53 ± 4.18 (min:0, max:45), 2.60 ± 1.39 (min: 0, max: 5), 6.23 ± 1.91 (min: 0, max: 10)'dir. 35 yaş ve üzerinde olan, sosyal desteklerini yeterli bulan, mevcut gebeliği planlı, prenatal bakım alan, emzirme konusunda "istekli" olduğunu ifade eden, anne sütü ve emzirme ile ilişkili kendi bilgi düzeyini "yeterli" bulan, emzirme problemi yaşamayan kadınların emzirme özyeterliliği yüksekti. Ağrı yerini "abdominal bölge" olarak tanımlayan, ağrı sıklığını "devamlı, sürekli, sabit" olarak tanımlayan, analjezi uygulamasına gereksinim duyduğunu ifade eden kadınların emzirme özyeterliliği düşük bulunmuştur. Postpartum kadınların emzirme özyeterliliği ile postpartum ağrı yaşama durumları arasında negatif bir korelasyon olduğu, ağrı şiddeti arttıkça emzirme özyeterliliğinin azaldığı belirlenmiştir. Sonuç: Postpartum ağrı, emzirme özyeterliliğini negatif yönde etkilemektedir. Ağrının kontrol altına alınması, emzirme sürecinin etkili şekilde gerçekleştirilmesine katkı sağlar.