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Pozycja Determinants of distress levels in high-risk pregnant women – cross-sectional study(Publishing Office of the University of Rzeszow, 2024-03) Kara, Pınar; Nazik, Evşen; Çerçer, ZehraIntroduction and aim. Global and national care recommendations indicate that women with high-risk pregnancies should receive personalized and qualified care during this period. This study was conducted to determine the distress levels in high-risk pregnant women and affecting factors. Material and methods. The cross-sectional this study was conducted with total of 416 high-risk pregnant women who met the inclusion criteria in the obstetrics clinic of a training and research hospital. The study data were collected with data collection form and “Tilburg Pregnancy Distress Scale (TPDS).” Results. The mean TPDS total score of high-risk pregnant women was 18.25±6.85. It was found that planning pregnancy, gravida, and diagnosis of gestational hypertension, systemic diseases, and gestational diabetes in the present pregnancy was asso ciated with pregnancy-specific distress (p<0.05; β=0.291, β=0.158, β=0.272, β=0.137, β=0.116, respectively). Conclusion. It is advised that health professionals assess the distress levels of high-risk pregnant women and give personalized care during prenatal period.Pozycja From ground zero of the pandemic – nurses’ stories via Photovoice(Publishing Office of the University of Rzeszow, 2023-03) Çetin, İbrahim; Türkben Polat, Hilal ; Burucu, Rukiye; Cantekin, IşınIntroduction and aim. With the ongoing COVID-19 pandemic, healthcare workers continue to work selflessly and intensively despite many occupational hazards. Although various studies have been carried out to evaluate the experiences of nurses who play an important role in the fight against the pandemic and the effects thereof, qualitative studies carried out using the photovoice technique are very limited. The aim of this study was to evaluate the experiences of nurses working during the COVID-19 pandemic and show the impact that COVID-19 has had on nurses’ work and daily life using creative photographic data. Material and methods. This qualitative study employed a participatory action research design, and photovoice technique was used. Research data were collected from nurses working in COVID-19 clinics of various hospitals between May and September 2021. Data analysis was performed via a phenomenological interpretation method. Results. Five themes emerged from the data: (1) burnout, (2) anxiety, (3) social isolation, (4) emphasis on professional value, and (5) the value of life. Each theme was presented with representative photographic and written narratives provided by the participants. Conclusion. The findings of this study suggest that nurses experience problems such as burnout, anxiety, and social isolation. All the participants associated these problems with the negative effects of the COVID-19 pandemic on work and daily life. On the other hand, the participants emphasized professional value and the value of life despite all the negativities and risks.Pozycja Nursing care for symptoms seen in patients undergoing palliative surgery – a retrospective study(Publishing Office of the University of Rzeszow, 2023-09) Uçar, Özge; Çelik, Sevim; Karahan, Elif; Altıntaş, SibelIntroduction and aim. Palliative care is an approach to improve the quality of life of patients and their families facing problems associated with life-threatening illnesses or old age, to manage their pain, distress, and other symptoms, improving their quality of life, and providing psychological support. This study was designed to identify the care practices planned by nurses for the health issues of palliative surgical patients. Material and methods. This is a retrospective, cross-sectional, descriptive study. The data was collected from digital records of the two state hospitals in the Western Black Sea Region of Turkey between January 2019 and January 2020. The research was completed with a total of 391 data of patients undergoing palliative surgery. Frequency and percentage distributions were used in descriptive statistics. Results. The frequency of symptoms observed in patients were determined as cough and sputum (81.8%), dehydration (73.9%), dyspnea (71.9%), fatigue (49.9%), loss of appetite-weight (49.9%), insomnia (44%), pain (37.6%), nausea (29.2%), and constipation (23.8%). The planned nursing diagnoses for these symptoms were identified as risk for falls, imbalanced nutrition, risk for impaired skin integrity, risk for infection, risk for aspiration, deficient knowledge, risk for impaired respiratory function, constipation, ineffective airway clearance, pain, risk for deficient fluid volume, sleep deprivation, impaired gas exchange respectively. Conclusion. This study highlights the insufficient planning of nursing care for the symptoms of palliative surgical patients receiving palliative care in our country. Therefore, it is recommended that palliative care nurses be supported with in-service training on appropriate care planning topics.