Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Tuvalet Davranışı-Kadınların Boşaltım Davranışları Ölçeğini Türkçe'ye Uyarlama Çalışması
Adaptation of the Toileting Behaviour-Women's Elimination Behaviours Scale into Turkish
Ezgi SEYHAN AKa, Meltem MECDİ KAYDIRAKb, Aylin AYDIN SAYILANc, Ayfer ÖZBAŞa
aCerrahi Hastalıkları Hemşireliği ABD,
bDoğum, Kadın Sağlığı ve Hastalıkları Hemşireliği ABD, İstanbul Üniversitesi-Cerrahpaşa Florence Nightingale Hemşirelik Fakültesi, İstanbul, TÜRKİYE
cHemşirelik Bölümü, Kırklareli Üniversitesi Sağlık Yüksekokulu, Kırklareli, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2019;11(4):339-46
doi: 10.5336/nurses.2019-70355
Article Language: TR
Full Text
ÖZET
Amaç: Bu araştırma, Tuvalet Davranışı-Kadınların Boşaltım Davranışları (TD-KBD) Ölçeği'nin psikometrik özelliklerini incelemek ve Türk toplumuna uygunluğunu araştırmak amacıyla metodolojik olarak gerçekleştirildi. Gereç ve Yöntemler: Araştırma, İstanbul'da bir tıp fakültesi hastanesinin ve Kırklareli'nde bir devlet hastanesinin; cerrahi ve dâhiliye klinikleri, yoğun bakım, acil servis ve ameliyathanelerinde çalışan 160 hemşire ile yapıldı. Veriler tanıtıcı özellikler formu ve TD-KBD Ölçeği kullanılarak toplandı. Verilerin değerlendirilmesinde SPSS 21,0 paket programı ve LISREL 8.51 programı kullanıldı. Araştırmada TD-KBD Ölçeği'ni Türkçeye ve Türk kültürüne uyarlamak, geçerlilik ve güvenirliliğini sınamak için dil ve kapsam geçerliliği, madde analizi, açımlayıcı ve doğrulayıcı faktör analizleri ile iç tutarlılık katsayıları ve test tekrar test güvenirliliği ölçüldü. Araştırmaya başlamadan önce etik kurul ve kurum izni alındı. Bulgular: Ölçeğin kapsam geçerliliği indeksi 0,91, cronbach alfa katsayısı 0,81 olarak saptandı. Ölçeğin, madde toplam puan korelasyon katsayılarının 0,183-0,672 arasında dağılım gösterdiği belirlendi. TD-KBD Ölçeği'nin test tekrar test korelasyon değerinin 0,90 olduğu ve ayrıca iki ölçüm arasında çok yüksek güçte ve pozitif yönlü çok ileri derecede anlamlı ilişki olduğu (p<0,001) bulundu. Uygulanan doğrulayıcı faktör analizinde ise, uyum indekslerinin iyi ve kabul edilebilir uyum gösterdiği saptandı. Sonuç: TD-KBD'nin 1, 2 ve 9. maddelerinin çıkarılarak 15 soruluk formunun hemşirelerin tuvalet davranışlarını değerlendiren bir ölçek olarak kullanılabileceği belirlendi.

Anahtar Kelimeler: Geçerlilik; güvenirlilik; kadın; tuvalet davranışı
ABSTRACT
Objective: This study was conducted as methodological in order to investigate psychometric characteristics and suitability to Turkish society of the Toileting Behaviour-Women's Elimination Behaviours (TB-WEB) Scale. Material and Methods: The study was conducted by including 160 nurses working in surgery and internal diseases, intensive care and emergency departments and operating rooms of a medical faculty hospital in Istanbul and a state hospital in Kırklareli. The data were collected using the descriptive characteristics form and TB-WEB scale. The data were assessed using SPSS package version 21.0 and LISREL 8.51 program. In the study, adapting the TB-WEB scale to Turkish language and Turkish culture, language and scope validity to test the validity and reliability, item analysis, exploratory and confirmatory factor analysis with internal consistency coefficients and test-retest reliability were measured. Ethics committee and institutional permission were obtained before the study. Results: The content validity index of the scale was found to be 0.91. Cronbach alpha coefficient was 0.81. For the scale, item total score correlation coefficients ranged between 0.183-0.672. The test-retest correlation value of the TB-WEB scale was 0.90 and there was also a high powered and positive correlation between the two measurements (p<0.001). In the applied confirmatory factor analysis, the fit indices were determined good and acceptable suitability. Conclusion: It was found that the form with 15 questions of the TB-WEB scale, by removing the items 1, 2 and 9, that could be used as a scale to assess the toileting behaviours of nurses.

Keywords: Validity; reliability; woman; toileting behaviour
REFERENCES:
  1. Milsom I, Abrams P, Cardozo L, Roberts RG, Thuroff J, Wein AJ. How widespread are the symptoms of an overactive bladderand how are they managed? A population-based prevalence study. BJU Int. 2001;87(9):760-6. [Crossref]  [PubMed] 
  2. Stewart WF, Van Rooyen JB, Cundiff GW, Abrams P, Herzog AR, Corey R, et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003;20(6):327-36.
  3. Norby B, Nordling J, Mortensen S. Lower urinary tract symptoms in the Danish population: a population-based study of symptom prevalence, health-care seeking behaviour and prevalence of treatment in elderly males andfemales. Eur Urol. 2005;47(6):817-23. [Crossref]  [PubMed] 
  4. Homma Y, Yamaguchi O, Hayashi K. Epidemiologic survey of lower urinary tract symptoms in Japan. Urology. 2006;68(3):560-4. [Crossref]  [PubMed] 
  5. Irwin DE, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006;50(6):1306-14. [Crossref]  [PubMed] 
  6. Coyne KS, Sexton CC, Thompson CL, Milsom I, Irwin D, Kopp ZS, et al. The prevalence of lower urinary tract symptoms (LUTS) inthe USA, the UK andSweden: results from the Epidemiology of LUTS (EpiLUTS) study. BJU Int. 2009;104(3):352-60. [Crossref]  [PubMed] 
  7. Wang YH, Chen SH, Jou HJ, Tsao LI. Doing the best to control: the experiences of Taiwanese women with lower urinary tract symptoms. Nurs Res. 2011;60(1):66-72. [Crossref]  [PubMed] 
  8. Gokkaya C, Oztekin C, Doluoglu O, Guzel O, Ersahin V, Ozden C, et al. Validation of Turkish version of Bristol female lower urinary tract symptom index. Journal of Clinical and Analytical Medicine 2012;3(4):415-8. [Crossref] 
  9. Wang K, Palmer MH. Women's toileting behaviour related to urinary elimination: concept analysis. J Adv Nurs. 2010;66(8):1874-84. [Crossref]  [PubMed] 
  10. Sjogren J, Malmberg L, Stenzelius K. Toileting behavior and urinary tract symptoms among younger women. Int Urogynecol J. 2017;28(11):1677-84. [Crossref]  [PubMed]  [PMC] 
  11. Wan X, Wu C, Xu D, Huang L, Wang K. Toileting behaviours and lower urinary tract symptoms among female nurses: a cross-sectional questionnaire survey. Int J Nurs Stud. 2017;65:1-7. [Crossref]  [PubMed] 
  12. Tannenbaum C. Associations between urinary symptoms and sexual health in older adults. Clin Geriatr Med. 2015;31(4):581-90. [Crossref]  [PubMed] 
  13. Bilge C, Beji NK. [Life quality scales used for evaluating urinar symptoms in women]. J Female Funct Urol. 2015;5:1-2.
  14. Perera J, Kirthinanda DS, Wijeratne S, Wickramarachchi TK. Descriptive cross sectional study on prevalence, perceptions, predisposing factors and health seeking behaviour of women with stress urinary incontinence. BMC Womens Health. 2014;14:78. [Crossref]  [PubMed]  [PMC] 
  15. Liao YM, Dougherty MC, Boyington AR, Lynn MR, Palmer MH. Developing and validating a Chinese instrument to measure lower urinary tract symptoms among employed women in Taiwan. Nurs Outlook. 2006;54(6):353-61. [Crossref]  [PubMed] 
  16. Liu Y, Wang K, Palmer MH. Reliability and validity of the Chinese version of women's toileting behavior scale in community-dwelling women with urinary incontinence. In Neurourology and Urodynamics. 2012;31(6):760.
  17. Esin MN. [Data collection methods and tools & reliability and validity of data collection tools]. Erdogan S, Nahcivan N, Esin MN, editorler. Hemsirelikte Arastirma Kitabi. 1. Baski. Istanbul: Nobel Tip Kitabevi; 2014. p.193-233.
  18. Top ED, Ertem G. [Stress urinary incontinence and pelvic organ prolapse: a case report]. Izmir Katip Celebi University Faculty of Health Sciences Journal. 2018;3(2):43-6.
  19. Xu D, Cheng R, Ma A, Zhao M, Wang K. Toileting behaviors and overactive bladder in patients with type 2 diabetes: a cross-sectional study in China. BMC Urol. 2017;17(1):42. [Crossref]  [PubMed]  [PMC] 
  20. Ural A, Kilic I. [Scientific research process and data analysis with spss] Bilimsel Arastirma Sureci ve SPSS ile Veri Analizi. Diger Analizler. 4. Baski. Ankara: Detay Yayincilik; 2013. p.275-85.
  21. Celik HE, Yilmaz V. ?Structural equation modeling with LISREL 9.1? LISREL 9.1 ile Yapisal Esitlik Modellemesi. 1. Baski. Ankara: Ani Yayincilik; 2013. p.43-51.
  22. Karagoz Y, Kosterelioglu I. [Developing evaluation scale of communication skills with factor analysis]. Dumlupinar University Journal of Social Sciences. 2008;21:81-98.
  23. BuyukOzturk O, Cakmak EK, Akgun OK, Kara-deniz S, Demirel F. [Data Collection]. Bilimsel Arastirma Yontemleri. 11. Baski. Ankara: Pegem Akademi; 2012. p.101-72.
  24. Wang K, Palmer MH. Development andvalidation of an instrument to assesswomen's toileting behavior related to urinaryelimination. Nurs Res. 2011;60(3):158-64. [Crossref]  [PubMed] 
  25. Erdogan S, Nahcivan N, Esin MN. [Research, process, application and critical in nursing]. Hemsirelikte Arastirma, Surec, Uygulama ve Kritik. 1. Baski. Istanbul: Nobel Tip Kitapevleri; 2014. p.195-230.
  26. Ercan I, Kan I. [Reliability and validity of scales]. Journal of Uludag University Medical Faculty. 2004;30(3):211-6.
  27. Sencan H. [Reliability]. Sosyal ve Davranissal olcumlerde Guvenirlik ve Gecerlik. 1. Baski. Ankara: Seckin Yayincilik; 2005. p.7-36.
  28. Erefe I. [Nursing research, principles, processes and methods. The nature of data collection tools]. Publication of Research and Development in Nursing. 2002;1:169-88.

.: Up To Date

.: Process List

Login



Contact


Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com