This randomized‐controlled trial aimed to investigate the effect of bed exercises on postoperative anxiety, pain, early ambulation and mobilization. This study was conducted with a randomized‐controlled trial design and in the general surgical clinic of a research and training hospital. A total of 120 patients (60 in the experimental group and 60 in the control group) scheduled for major abdominal surgery took part in the study. The data were collected using a patient information form, the Anxiety Specific to Surgery Questionnaire and the Visual Analog Scale through face‐to‐face interviews. The patients in the experimental group performed 15‐min bed exercises on the day of their operation, as well as on the postoperative first and second days, and the control group underwent only the routinely performed procedures in the clinic. The data were analysed using descriptive statistics, analysis of variance and t ‐tests. The sample of our study included major abdominal surgery patients. Ambulation was achieved at a mean time of 4 h earlier in the experimental group. On the postoperative first and second days, the patients in the experimental group had mean mobilization durations that were approximately 2 h longer compared with the patients in the control group. Moreover, the postoperative pain and anxiety levels of the patients in the experimental group were significantly lower than those of the patients in the control group ( p < 0.05). We recommend that bed exercises be performed to lower anxiety and pain severity, achieve early ambulation and increase the duration of mobilization among patients following major abdominal surgery.

Background: In this meta-analysis, we aimed to investigate the effect of cold application on chest tube removal-related pain compared to conventional analgesic care. Methods: A systematic review and meta-analysis were conducted (PROSPERO, 2021: CRD42020179867). We searched studies in PubMed, Ovid-LWW, Scopus, Taylor & Francis, Science Direct, EBSCO, Google Scholar, Medline Complete, Cochrane Library and ULAKBIM databases and grey literature for this study. We included the articles published from January 2009 to December 2019. We limited the language to Turkish and English and the design to randomized-controlled trials. All studies were reviewed by two independent researchers. Meta-analysis was performed using the Comprehensive Meta-Analysis version 3.3 software. Heterogeneity was investigated by meta-regression. Results: A total of 2,462 records were identified, of which 16 studies were included in a random model meta-analysis. The cold application was used in combination with a pharmacological agent in six studies and alone in 13 studies. All patients were older than 16 years and they had at least one chest tube. Cold application was found to be effective in relieving pain during chest tube removal (d=-1.265). Conclusion: The use of a non-pharmacological method such as cold application is helpful to reduce pain or reduce painkiller doses during chest tube removal. Its use is recommended, as it is effective, easy to use, and cost-effective without any side effects.

Objective: In this study, we aimed to determine post-traumatic growth and depression levels in renal transplant recipients and the relationship between these two variables. Design and Methods: The study was conducted with a descriptive, cross-sectional, and correlational design. The data for the study were collected at the organ transplant unit of a research and training hospital located in the west of Turkey. The sample of the study included 122 kidney transplant recipients (n = 122). A Sociodemographic Information Form, the Post-Traumatic Growth (PTG) Inventory, and the Beck Depression Inventory (BDI) were employed to collect data. In the analyses of the data, descriptive statistics, ANOVA, an independent-samples t-test, post hoc tests, and Pearson correlation tests were used. Results: As the ages of the renal transplant recipients increased, their depression scores decreased, while their PTG scores increased. Higher depression levels were identified in the female participants compared to the male participants and in those with a low income compared to other income groups. The lowest PTG levels were found in the recipients who received their kidney transplants from third-degree relatives. Age, gender, economic status, and time of transplant were predictors of depression. The identity of the donor was the most significant predictor of PTG (62% explanation rate). A strong and inverse correlation was found between depression and PTG (p < 0.05). Conclusions: Post-traumatic growth was found to decrease depression. However, while poor economic status led to depression, high economic status did not lead to a significant change in PTG. As education levels increased, PTG decreased, but education status did not have any significant effect on depression. On the other hand, there was a negative correlation between PTG and depression. The results obtained in this study are valuable and important in terms of understanding depression better and determining PTG as a significant factor that could alleviate it.

This study was designed to determine the care burden, health anxiety and depression levels of caregivers of patients with oncological surgery and the relationship between these variables. A descriptive and correlational study was conducted with 162 caregivers of patients who underwent surgery due to cancer. Data were collected using “Caregiver Identification Form”, “The Zarit Caregiver Burden Scale”, “The Beck Depression Inventory”, and “The Health Anxiety Inventory”. The caregivers had moderate and severe levels of caregiver burden (51.79 ± 13.53), depression (17.27 ± 9.58), and health anxiety (26.44 ± 8.93). There was a statistically significant positive weak relationship between the caregivers' health anxiety caregiver burden and depression levels. It was determined that the caregivers of the patients also have needs like the patients. It is necessary to understand what the caregiver is going through at every stage of the cancer patient's treatment process. Planning a holistic care that includes the patient's caregivers will improve the well‐being of the caregiver while also contributing to the development of the well‐being of the patient receiving care.

Objective: The aim of this study was to determine the relationship between work, life satisfaction levels, and teamwork attitudes of intensive care nurses who work in a public hospital in Turkey. Methods: This was a descriptive and correlational study. The sample consisted of nurses working in intensive care units. Tools used to collect data were the “Sociodemographic Question Form,” “Nurse Job Satisfaction Scale” “Life Satisfaction Scale” and “Teamwork Attitudes Questionnaire” were used to collect the data. Results: A total of 217 nurses participated. In the study were a mean age of 35.32 ± 7.70. Most, 78.2% of the participants (n=170) were female, 65.90% (n=143) were graduates, 67.70% (n=147) were married, and 62.7% (n=136) had children. In this study, the LSS, NJSS, and T-TAQ scores for Intensive Care Nurses (ICNs) were determined to be 14.21 ± 4.28, 84.34 ± 16.71, and 99.11 ± 21.48, respectively. The respondents reported moderate and high scores on all three scales, and these scores positively correlated at the same time. Conclusion: In this study, which explores the interrelationships among these three distinct domains, is unusual in this regard. There was a positive correlation between the scores on the LSS, NJSS and T-TAQ in this study. It was determined that there was a positive relationship between LSS, NJSS and T-TAQ. Each scale score affects the scores of other scales. In our study, it can be said that ICNs' job satisfaction, life satisfaction and teamwork attitude levels are at medium level and above. Academicians, chief nurses, institution managers, and health system managers play important roles in the satisfaction of nurses whose satisfaction level is high.

The operating room is a work environment where nurses perform high-risk and complex procedures, requiring situational awareness, focus, information sharing, and effective communication skills. Therefore, a positive work environment that impacts the quality of work life is critical for nurses to provide quality and safe care. The research aimed to examine the correlation between quality of work life and distractions in nurses working in the operating room (OR). A descriptive, cross-sectional correlational design was employed. The sample consisted of 152 operating room nurses recruited using the snowball sampling method. Data were collected using demographicinformation form, the Quality of Nursing Work Life Scale (QNWLS), and the Disruptions in Surgery Index (DiSI). All statistical analyses were performed using IBM SPSS Statistics (v21.0) and PROCESS v3.5. Descriptive statistics, group comparisons (t-test, Kruskal–Wallis with Bonferroni correction), and Pearson correlation analyses were conducted. Moderation effects examined via bootstrapped (5,000 resamples) Model 1 analyses at a 95% confidence level, considering p < 0.05 as statistically significant. The three sub-dimensions reported as most frequently causing distracting were coordination, situational awareness (48.39%), individual skills, performance and personality (48.30%), and team and organisational interruptions (47.70%). All attention distraction frequency subdimensions were positively correlated with each other at moderate and high levels (p < 0.01). With the exception of the patient-related interruptions subscale (p > 0.05), all other subscales and total frequency score demonstrated weak but statistically significant negative correlations with the QNWLS total score (p < 0.01). Age, gender, education level, and years of work experience did not have a significant moderating effect (p > 0.05). The results underscore the potential relevance of distracting factors in relation to nurses’ work-life quality and suggest that institutional strategies aimed at managing intraoperative disruptions may be beneficial, while warranting further investigation through longitudinal or experimental designs.