Ezgi Seyhan Ak

Background: Malignant hyperthermia is a rare but life-threatening perioperative emergency requiring prompt recognition and coordinated management. This national cross-sectional study evaluated operating room nurses’ knowledge of malignant hyperthermia and its management in Türkiye and examined factors associated with knowledge. Methods: Operating room nurses working in public, training and research, university and private hospitals completed an online questionnaire comprising demographic and professional characteristics and a 20-item knowledge test. Results: Knowledge was stronger for clinical manifestations, treatment principles, post-dantrolene monitoring and the importance of written protocols, whereas gaps were concentrated in crisis management, cooling measures and multidisciplinary team responsibilities. Previous malignant hyperthermia education was associated with greater knowledge, while professional experience alone was not. Conclusion: Targeted continuing education, multidisciplinary simulation and accessible institutional protocols may strengthen preparedness for malignant hyperthermia crises.

Aim: Urinary tract infections (UTIs) are among the most common bacterial infections, particularly in women, with significant implications for quality of life and healthcare costs. This systematic review and meta‐analysis aimed to evaluate the efficacy and safety of Canephron N in preventing UTIs, comparing its effects to antibiotics and assessing its potential as an antibiotic‐sparing alternative. Methods: We conducted a comprehensive literature search across multiple databases (Embase, PubMed, Cochrane, Web of Science, and ClinicalTrials.gov ) up to July 2025, following PRISMA guidelines. Risk of bias was assessed using Cochrane RoB 2 for RCTs and ROBINS‐I for non‐randomized studies. Meta‐analyses were performed using random‐effects models, with outcomes including bacteriuria presence, Acute Cystitis Symptom Scores (ACSS), and adverse events. Heterogeneity was quantified via the I ² statistic. Results: From 246 initially identified records, 12 studies (eight RCTs, three observational, one retrospective; n = 3821 patients) were included. Canephron N demonstrated non‐inferiority to antibiotics in reducing UTI recurrence (6‐month rates: 8.9% vs. 17.8%) and symptom severity (ACSS reduction: −1.9 to −2.3 points). Pooled analyses revealed significant difference in bacteriuria clearance (RR: 1.34, 95% CI: 1.20–1.48, p < 0.0001) and no significant adverse events (RR: 0.90, 95% CI: 0.69–1.18, p = 0.43), though gastrointestinal events were less frequent with Canephron (4.8% vs. 7.1%). Heterogeneity was moderate (I ² = 72% for bacteriuria outcomes), attributed to variability in study designs and comparators. Conclusion: Canephron N is an effective and safe alternative to antibiotics for preventing uncomplicated UTIs, with comparable symptom relief and a lower ecological impact.

Purpose: This study aims to examine the associations between different dimensions of technostress and patient safety attitudes among healthcare professionals working in operating room settings. Design/methodology/approach: A cross-sectional, correlational design was used. Data were collected from nurses and physicians working in operating rooms using an introductory information form, the Technostress Creators Scale and the Safety Attitudes Questionnaire–Operating Room. Descriptive statistics, the Pearson correlation analysis and multiple linear regression analysis were performed to examine associations and identify predictors within the regression model. Hierarchical regression analysis further demonstrated that technostress dimensions substantially increased the explanatory power of the model beyond demographic and professional variables. Findings: Correlation analyses showed that techno-overload and techno-invasion were negatively associated with safety attitudes and their subdomains. In contrast, techno-complexity demonstrated a positive association with overall safety attitudes. In the multivariable regression model, techno-complexity emerged as the strongest predictor within the model, while techno-overload, technology-related stress experienced during surgery and operating room experience were also significantly associated with safety attitudes. Techno-invasion did not remain a significant predictor after controlling for other variables. Originality/value: The findings suggest that technostress dimensions are differentially associated with patient safety attitudes in operating room environments. Workload-related technostressors were associated with less favorable safety attitudes, whereas techno-complexity showed a more nuanced pattern that should be interpreted cautiously. Given the cross-sectional and self-reported nature of the data, the results should not be construed as causal. Nevertheless, the study contributes to the growing literature on technostress and safety culture by offering insights into human–technology interaction in technology-intensive perioperative settings.

Aromaterapi, bitkisel uçucu yağların kullanımıyla fiziksel ve psikolojik iyilik halini desteklemeyi amaçlayan tamamlayıcı bir tedavi yöntemidir. Cerrahi bakım sürecinde, hastaların yaşadığı anksiyete, ağrı, bulantı ve uyku problemlerinin yönetiminde aromaterapi etkili bir destek sağlayabilir. Özellikle lavanta, nane, limon ve zencefil gibi uçucu yağların inhalasyon ya da masaj yoluyla kullanımı, hastaların cerrahi öncesi ve sonrası yaşadığı semptomları hafifletmeye yardımcı olmaktadır. Literatürde aromaterapinin ameliyat öncesi dönemde anksiyeteyi, ameliyat sonrası dönemde ağrı algısını azalttığı bununla birlikte mide bulantısı gibi sık görülen yan etkilerin hafifletilmesinde de etkili olduğu bildirilmektedir. Bu yöntem cerrahi hemşireliğine entegre edildiğinde, invaziv olmayan, düşük maliyetli ve kolay uygulanabilir olması nedeniyle tercih edilmektedir. Ancak, aromaterapinin etkili ve güvenli kullanımı için hasta bireyselliği göz önünde bulundurulmalı ve profesyonel rehberlik sağlanmalıdır. Aromaterapi cerrahi bakımda hasta konforunu artıran tamamlayıcı bir uygulama olarak değer kazanmaktadır. Aromatherapy is a complementary treatment method that aims to support physical and psychological well-being through the use of plant essential oils. Aromatherapy can provide effective support in the management of anxiety, pain, nausea and sleep problems experienced by patients during surgical care. In particular, the use of essential oils such as lavender, mint, lemon and ginger via inhalation or massage helps to alleviate the symptoms experienced by patients before and after surgery. It is reported in the literature that aromatherapy reduces anxiety in the preoperative period and pain perception in the postoperative period, and is also effective in alleviating common side effects such as nausea. When this method is integrated into surgical nursing care, it is preferred because it is non-invasive, low-cost and easy to apply. However, for the effective and safe use of aromatherapy, patient individuality should be taken into consideration and professional guidance should be provided. Aromatherapy is gaining value as a complementary application that increases patient comfort in surgical care.

Background and Purpose: Orthopedic surgery often results in temporary or permanent mobility limitations, affecting patients’ ability to perform activities of daily living and shaping their perception of safety. Assessing patient-perceived safety is critical for improving clinical care and reducing preventable harm. This article aims to translate, culturally adapt, and evaluate the psychometric properties of the self-perceived safety of orthopedic postsurgery inpatients scale (SPSOPSIS) for use in the Turkish population. Methods: A total of 221 orthopedic postsurgery inpatients from a university hospital participated. The scale was translated and culturally adapted following established guidelines. Content validity was assessed through expert evaluation (content validity index = .89). Internal consistency, test–retest reliability, and construct validity were examined. Exploratory factor analysis (EFA) with varimax rotation was conducted to verify the factor structure. Data were collected via face-to-face interviews on the second postoperative day. Results: The Turkish version of the SPSOPSIS demonstrated excellent internal consistency (Cronbach’s α = .94) and strong temporal stability (Kappa = .89). Item–total correlations ranged from .68 to .99. EFA confirmed a six-factor structure consistent with the original scale, explaining 79.96% of the total variance. All items were retained, confirming the instrument’s suitability for use in the Turkish context. Conclusion: The Turkish SPSOPSIS is a valid and reliable instrument for assessing postoperative orthopedic patients’ perceptions of safety. It can support nursing practice by identifying patient-centered safety risks, guiding clinical interventions, and strengthening nursing education on patient safety awareness. Future studies should evaluate its applicability across diverse health care settings and surgical populations to enhance generalizability.

Objective: This study aims to examine the effect of sociotelism and digital dementia on patient caring behaviors of nursing students. Material and Methods: A cross-sectional study was conducted with 285 nursing students.. Data were collected by face-to-face interview method using "Descriptive Characteristics Form", " Phubbing Scale, Digital Dementia Assessment Form", "Caring Behaviors Inventory-24" to determine the demographic and individual characteristics of the students. Results: The total score of the Phubbing Scale was 28.39±6.0 and the total score of the Caring Behaviors Inventory was 4.84±0.67. It was determined that there was a significant correlation between Phubbing Scale phone obsession subscale and all other subscale and total scores of the Caring Behaviors Inventory except for the commitment subscale scores. Conclusion: In the study, it was determined that the students did not have sociotelism (phubbing) addiction according to their scores on the sociotelism scale; they rarely experienced forgetfulness, had difficulty in clinical practice due to forgetfulness, had loss of concentration due to the use of technological devices, and had difficulty in memorising drug and human names. The students' scores on the Care Behavior Inventory were found to be above average. It was found that the sociotelism status of the students affected their caring behaviors. This study demonstrates the importance of improving the patient caring behaviors of nursing students, who are the future nurses.

Üriner sistem hastalıkları arasında yaşam kalitesi açısından olumsuz etkileri olan kronik mesane ağrısı; semptomların süresi, şiddeti, bireylerin sosyal yaşantıdan uzaklaşması, tedavi sürecine uyum sağlama açısından bakım yönetimi gerektirmektedir. Etiyolojisi tam olarak bilinmemekle beraber, interstisyel sistit/mesane ağrısı sendromu ve kronik prostatit/kronik pelvik ağrı sendromu gibi ürolojik ağrı durumlarını da içinde barındırmaktadır. Bireye özgü olarak tanı ve tedavi süreci değişkenlik göstermektedir. Günümüzde çeşitli farmakolojik ve nonfarmakolojik yöntemler tedavi seçenekleri arasındadır. Semptomlar ve tedavi uygulamalarının bireyin yaşam kalitesine etkilerini belirlemek bakımın yönetiminde önemli bir yere sahiptir. Bireye özgü olarak yaşam kalitesini arttırmaya yönelik uygulamalar planlanmalıdır. Bu derlemede, güncel kılavuzlar, yayınlar ve kanıta dayalı öneriler doğrultusunda kronik mesane ağrısının tanımlanması, fizyopatolojisi, tanı yöntemleri ve yaşam kalitesine etkileri özetlenmiştir.

Aim This study aimed to explore robotic surgical nurses’ perceptions and experiences of artificial intelligence (AI) and to reveal their views on its impact on professional roles and care processes. Methods A qualitative research design using thematic analysis was employed. Data were collected through face-to-face interviews with 13 robotic surgical nurses between September and December 2024. Data analysis was conducted in six steps using thematic analysis. The Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines were followed. Results Four main themes emerged from the analysis: (1) The effects of AI on robotic surgical nursing, (2) AI from the perspective of robotic surgical nurses, (3) The impact of AI on patients, and (4) The process of adapting to AI. Participants stated that AI could facilitate care processes and improve patient safety; however, they expressed concerns that it may not adequately address the subjective aspects of care, such as human touch and empathy. Conclusions While robotic surgical nurses generally view AI positively as a supportive tool, they are concerned that the technology may overshadow professional roles and reduce the quality of human-centered care. Ongoing training and institutional support were emphasized as key to facilitating adaptation to AI.

Üriner sistem enfeksiyonları (ÜSE), üriner sistemin bir veya birden fazla bölgesinde mikroorganizmaların üremesi ve enfeksiyona neden olması durumudur. Üriner sistem enfeksiyonları, gelişmiş ve gelişmekte olan tüm ülkelerde önemli bir sağlık sorunu oluşturmakta ve bu durum tanı, tedavi maliyetlerinin artmasına, yaşam kalitesinin düşmesine, ölüm oranlarının artmasına ve iş gücü kayıplarına yol açarak ciddi bir sağlık sorunu haline gelmektedir. Bu nedenle, enfeksiyonların önlenmesi için etkenlerin, risk faktörlerinin ve önleme yöntemlerinin bilinmesi büyük önem taşımaktadır. Hemşirelik bakımı, bu tür enfeksiyonların yönetiminde kritik bir rol oynamakta; hastalara doğru hijyen uygulamaları, antibiyotik kullanımı ve düzenli idrara çıkma gibi önemli uygulamalar hakkında bilgi verilmesi, enfeksiyonların önlenebilmesi için yaşamsal öneme sahiptir. Urinary tract infections (UTI) are the growth of microorganisms in one or more areas of the urinary system and cause infection. Urinary tract infections constitute a significant health problem in all developed and developing countries, and this situation leads to increased diagnosis and treatment costs, decreased quality of life, increased mortality rates and workforce losses, thus becoming a serious health problem. Therefore, it is of great importance to know the factors, risk factors and prevention methods to prevent infections. Nursing care plays a critical role in the management of such infections; informing patients about important practices such as proper hygiene practices, antibiotic use and regular urination is of vital importance to prevent infections.