Elif Akyüz

Aim: The challenges nurses faced during the pandemic may have influenced nursing students' choices and attitudes toward the profession. This descriptive-comparative study compared the choices and attitudes toward the nursing profession of students who chose nursing profession before and during the pandemic. Material and Methods: The study was conducted at a university during the spring semester of the 2021–2022 academic year. Participants (n=365) included 201 students who chose the profession during the pandemic and 164 who chose it before the pandemic. Data were collected using the Nursing Student Data Collection Form developed by the researchers and the Attitude Scale for the Nursing Profession. Descriptive and comparative statistics were used in data analysis. Results: This study found that students who chose the nursing profession during the pandemic demonstrated more positive attitudes toward the field than those who chose it before the pandemic. Key factors influencing their choice and attitudes included voluntarily selecting nursing, prior knowledge about the profession, and having a relative who is a nurse. Conclusion: Understanding pandemics’ influence on the nursing profession can help develop strategies and professional precautions for future pandemics.

The purpose of this systematic review was to present the current state of the science related to healthcare students’ outcomes associated with virtual reality effects on cybersickness and sense of presence. Results of the database searches of MEDLINE/PubMed, Scopus, ISI Web of Science, CINAHL, and Cochrane identified 101 articles. Seven articles were isolated for inclusion in this review. The primary search terms were “healthcare students,” “virtual reality,” “cybersickness,” and “sense of presence.” The studies were published between 2016 and 2020 and were conducted in Israel, the United States, the United Kingdom, Singapore, Belgium, and Brazil. The research design was quasi-experimental in six studies and experimental design in one study. Interventions were mostly carried out with nursing, medical, and dental students. Three studies used immersive virtual reality simulation with a head-mounted display, while the others used non-immersive three-dimensional visuals. According to the results, students perceived a high sense of presence and a low level of cybersickness in virtual reality simulations. There is limited robust research exploring healthcare students’ outcomes related to virtual reality on cybersickness and sense of presence.

Mahremiyet kavramı birçok disiplinde kullanılmakta ve sağlık hizmetlerinde önemli kavramlardan biri olarak kabul edilmektedir. Mahremiyet, bir kişinin toplumdan gönüllü ve geçici olarak fiziksel veya psikolojik yollarla uzaklaşması, benliği üzerindeki kişisel kontrolü, kendi başına kalabileceği özel alana sahip olması ve kişisel bilgilerin korunmasını sağlaması olarak tanımlanabilir. Sağlık hizmetinin doğası gereği sağlık profesyonelleri hastaya fiziksel, sosyal ve psikolojik yönden yakın temas hâlinde çalışmakta, hastanın özel anlarına şahit olmakta ve hastaya ait her türlü bilgiye ulaşabilmektedir. Hastaların, hastane ortamında mahremiyet gereksinimleri yüksek olarak değerlendirilmektedir. Fiziksel olarak hastane ortamının ise bireyin kendi fiziksel ve sosyal çevresinden farklı özellikleri vardır. Ayrıca hastaneler, bireyin kişisel kontrolünü sürdürmekte zorlandığı bir ortamdır. Hastane ortamında bireylerin mahremiyet kaybına neden olabilecek birçok faktör bulunmaktadır. Literatürde hastanelerde gerçekleşen mahremiyet ihlalleri bildirilmektedir. Bu ihlaller arasında hem fiziksel olarak diğerlerinin görmesine neden olabilecek uygulamalar ile hem de bireye ait bilgilerin ifşasına neden olabilecek uygulamalar yer almaktadır. Hastaların çoğunlukla bildirdikleri mahremiyet ihlalleri arasında; tıbbi uygulamalar sırasında hastanın vücudunun başkalarının görebilecek şekilde uygulama yapılması, gereksiz sağlık personellerinin tedavi ve bakım sürecine dâhil edilmesi, hastaya ait bilgi ve fotoğrafların sosyal medyada paylaşılması, izinsiz hastanın kişisel alanına müdahale edilmesi yer almaktadır. Hastanın mahremiyetinin sağlanması ve sürdürülmesinde sağlık çalışanları bireyin mahremiyet tercihlerini göz önünde bulundurarak, maksimum özen göstermesi gerekmektedir. Bu geleneksel derlemede, hastanelerde mahremiyet ihlallerine yönelik literatür incelenmiştir.

PURPOSE: The aim of this study was to determine ostomy patients' experiences and opinions on protection of privacy during treatment and care. DESIGN: Mixed-methods, descriptive correlational study. SAMPLE AND SETTING: The study sample comprised 80 patients with an ostomy receiving treatment and care in a university hospital in Turkey. METHODS: Data were collected using a form developed by the researchers based on literature review. The survey consisted of statements that examined demographic characteristics, experiences, and opinions of patients with an ostomy. RESULTS: For participants, 64.8% (n = 35/54) defined privacy from a physical dimension, 64.1% (n = 25/39) suffered from ostomy-related psychosocial discomfort, 48.7% experienced ostomy-related discomfort mostly during nursing care (n = 19/39), 48.7% (n = 39/80) were uncomfortable when their ostomy was seen by others, Approximately 56.3% (n = 45/80) thought that they disturbed other patients and their families during ostomy care, and 46.3% (n = 37/80) stated that healthcare professionals discussed information about their ostomy when other patients and their families were present. In addition, 21.3% (n = 17/80) opined that the physical conditions of patient rooms failed to provide privacy. Analysis revealed no significant relationship between education levels and reading the Patient Rights Regulation (P = .129). Analysis also found no significant relationships between age (P = .086), marital status (P = .382), educational background (P = .143), hospitalization experience (P = .427), and satisfaction with perceptions of privacy when receiving ostomy care. CONCLUSION: Patients with an ostomy reported physical and psychosocial problems concerning privacy, felt uncomfortable about the way information on their ostomy was discussed, and thought that physical conditions were not suitable for ostomy care. We recommend that healthcare professionals be provided with more training on psychosocial problems and privacy for patients with ostomy and that institutional policies and procedures be developed to address patients' problems.