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BACKGROUND: This study aims to determine the effect of virtual reality glasses application on pain, anxiety, and patient satisfaction during a transrectal prostate biopsy. MATERIALS AND METHODS: The study was conducted with pre-tests, post-tests, and a control group, using a randomized controlled experimental research design. A total of 70 patients (35 in the intervention group and 35 in the control group) were included in the study. The intervention group watched a video with virtual reality glasses during the biopsy process. A Descriptive Information Form, State-Trait Anxiety Inventory (STAI-I, STAI-II), Scale of Patient Perception of Hospital Experience with Nursing Care (PPHEN), and Visual Analog Scale for Pain (VAS) were used for data collection. To evaluate the data, numbers, percentages, mean, standard deviation, chi-square, paired sample t test, independent samples t test, regression analysis, and Cronbach's alpha Reliability Coefficient were used. RESULTS: There was no significant difference between the groups in terms of descriptive and clinical characteristics (p > .05). The mean VAS and STAI post-test scores of the patients in the intervention group were lower than the control group, and the difference between them was statistically significant (p < .05). The mean PPHEN post-test scores of the patients in the intervention group were significantly higher than those in the control group (p < .05). CONCLUSION: The application of virtual reality glasses during a transrectal prostate biopsy significantly reduced the level of pain and anxiety and increased patient satisfaction.

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AIM: The study aimed to determine the pain, sleep disturbance, and smoking among patients with Covid-19 who were presented to emergency departments. METHOD: This descriptive research was conducted between November 2020 and December 2021. The study population comprised 400 patients with COVID-19 who were presented to emergency departments at Ataturk University Research Hospital and Erzurum City Hospital and who agreed to participate in the study. The data were collected by the researcher via face-to-face interviews. Personal Information Form, Fagerström Test for Nicotine Dependence, Insomnia Severity Index, and McGill Pain Scale Short Form were used to collect the data. Descriptive statistics were presented as number, percentage, mean, and standard deviation. Parametric and nonparametric methods (t-test, Kruskal-Wallis Variance, Mann-Whitney U test, and Analysis of Variance (ANOVA) were used to compare variables between the groups. Ethical approval was obtained from the relevant authority prior to data collection and oral consent was obtained from all patients. RESULTS: It was determined that 52.5% of the patients were smokers; 24% of the smokers reported a decrease in smoking after being diagnosed with COVID-19. Nicotine addiction was found to be higher in men, tradesmen, and patients aged 55-64 years. McGill pain scale emotional sub-dimension scores were higher in women, whereas the sensory sub-dimension scores were higher in married patients. McGill pain scale total scores were higher in women, unemployed patients, and those with chronic diseases. Insomnia severity index was higher in women, smokers, and patients in the age group of 65-75 years. CONCLUSION: According to the results of the present study, pain, smoking, and sleep disorders in patients diagnosed with COVID-19 were affected by socio-demographic characteristics.

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PURPOSE: The present research was conducted to reveal the impact of abdominal massage on enteral nutrition-induced ventilator-associated pneumonia and the gastrointestinal system in mechanically ventilated patients. MATERIALS AND METHODS: The present research is a prospective, randomized, controlled clinical trial. This study was completed with 63 patients (31 in the experimental group and 32 in the control group). Data collection was performed using a patient information form, a patient follow-up form, and the Bristol Stool Scale. After patients were under mechanical ventilation for 48 hours, the data collection tools were filled out twice a day for 3 days by visiting the mechanical ventilation patients. The experimental group received 15 minutes of abdominal massage twice a day before nursing care was delivered in the morning and the evening. RESULTS: According to the intergroup evaluations, the experimental group had lower gastric residual volume and abdominal distension, types of stool closer to normal, and higher defecation frequency. Differences between the groups were statistically significant (P < .05). In accordance with the intragroup evaluations, the experimental group had lower gastric residual volume, abdominal distension, and ventilator-associated pneumonia. The difference between the groups was revealed to be statistically significant (P < .05). CONCLUSION: Abdominal massage reduces ventilator-associated pneumonia development to a statistically significant degree. Furthermore, it decreases gastric residual volume and abdominal distension, causes stools to be closer to the normal/ideal stool, increases defecation frequency, and regulates bowel movements and excretion (P < .05).

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PURPOSE: The purpose of this study was to identify the factors predictive of postoperative nausea and vomiting (PONV) after laparoscopic cholecystectomy. DESIGN: This is a descriptive, cross-sectional study. METHODS: In total, 172 patients completed the study. "The Questionnaire Form," "Visual Analog Scale," "Nausea Scale," and "Anxiety Specific to Surgery Questionnaire" created by the researchers were used for data collection. FINDINGS: At the second postoperative hour, 55.8% of the patients had nausea, 20.3% had vomiting and 75% had severe pain. The severity of nausea, vomiting, and pain decreased with time. Age, gender, smoking, motion sickness, postoperative pain, opioid use, preoperative fasting time, time of first postoperative fluid intake and preoperative anxiety score were found to be among the factors predictive of PONV (P < .05). CONCLUSIONS: High rates of postoperative nausea and vomiting were recorded.  The factors predictive of PONV can be evaluated in the preoperative period, and PONV can be controlled with early interventions and treatment of patients in the risk group.

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PURPOSE: This study aims to develop the Perioperative Privacy Scale and test its validity and reliability. DESIGN: This is a methodological study. METHODS: This study was conducted with 298 patients who were hospitalized in surgical clinics in a university hospital, met the inclusion criteria, and agreed to participate in the study. The data were collected using a personal information form and the Perioperative Privacy Scale developed by the researchers. This methodological study was conducted between August 2019 and March 2020. The items of the scale were determined after a literature review and qualitative interviews with the patients. The draft version created to test the scale's content and face validity was reviewed by 11 experts (faculty members). Six items were omitted from the 37-item pool and revisions were made based on the experts' opinions and recommendations. Data analysis was conducted using the content validity index specially for content validity, and exploratory and confirmatory factor analyses for construct validity. Reliability was assessed using Cronbach's Alpha, Spearman Brown, and Guttman's coefficients. FINDINGS: The content validity index of the 16-item scale was 0.87. The scale explained 63.37% of the total variance and consists of 3 subscales. The scale's Kaiser-Meyer-Olkin value was 0.89, Bartlett's test was χ2 = 3834.2 (P < .05), and Anti-Image Correlation was between 0.74 and 0.97. The goodness of fit values showed that the scale was acceptable. Items and subscales were related with the scale and a three-factor structure was confirmed. Spearman-Brown was 0.87, Guttman Split-Half was 0.87, and Cronbach Alpha was 0.92 for the entire scale. CONCLUSIONS: The Perioperative Privacy Scale is a short scale consisting of 16 items. It can be used in descriptive and experimental studies to assess the thoughts of inpatients in surgical clinics regarding privacy.

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AIMS AND OBJECTIVES: This study aimed to determine the relationship of nurses' psychological well-being with their coronaphobia and work-life balance during the COVID-19 pandemic. BACKGROUND: COVID-19 is a global life-threatening disease. The COVID-19 pandemic negatively affects nurses' mental health. No studies have been conducted to determine the factors that affect nurses' psychological well-being during the COVID-19 pandemic in Turkey. If nurses' psychological well-being is impaired during the COVID-19 pandemic, the quality of nursing care and the nurses' performance may be negatively affected. DESIGN: This is a descriptive, correlational and cross-sectional study. The Strengthening the Reporting of Observational studies in Epidemiology (STROBE) reporting guideline checklist for cross-sectional studies was used for reporting in this study. METHODS: The study population consisted of the nurses working in a Health Application and Research Center in Turkey. Data were collected using Google forms between June-August 2020. The study sample consisted of 295 nurses who voluntarily agreed to participate in the study and used social media tools. The data were collected using a Sociodemographic Characteristics Form, the COVID-19 Phobia Scale (C19P-S), the Work-Life Balance (WLB) Scale and the Psychological Well-Being (PWB) Scale. The factors that affect psychological well-being were determined using the stepwise multiple linear regression analysis. RESULTS: The nurses' work-life balance and psychological well-being were negatively affected during the COVID-19 pandemic. Their COVID-19 phobia was mild-to-moderate level. The nurses' psychological well-being was significantly affected by the variable of neglecting life the most, followed by coronaphobia and work-life balance, which explain 75% of the variance. CONCLUSIONS: This study shows that coronaphobia experienced by nurses and work-life balance was related to their psychological well-being during the COVID-19 pandemic. Managers should take measures (regulating the working hours) to decrease nurses' COVID-19 phobia (education, counselling or psychotherapy) and work-life imbalance. RELEVANCE TO CLINICAL PRACTICE: Nurses' peers, managers and organisations need to take into account nurses' negative emotions and behaviours and organise training programmes to help them overcome their fears, communicate clearly and provide for their basic needs. Organisations, including managers and nurses, must recognise the distress being experienced by their nurses and create safe environments in which to have significant conversations. Nurses' mental health can be screened regularly by multidisciplinary teams, psychological support can be provided when required, and working hours can be regulated through appropriate shifts and breaks that will ensure work-life balance during and after the COVID-19 pandemic. Nurses receiving emotional support from their families and friends (via chatting and sharing troubles) can also contribute positively. These measures and regulations will positively affect nurses' psychological well-being and contribute to an increase in the quality of care and nurses' performance.

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