Coaches Deserve the Care and Attention They Are Nurturing in Others: exploring co-active life coaches' perspectives on professional practise and self-care during the COVID-19 pandemic

Helping professionals promote self-care amongst their clients: a proactive practise that enhances personal well-being. Yet, many struggle to engage in self-care personally which can lead to adverse health consequences and burnout. To date, little is known about helping professionals' views on self-care as it relates to personal and professional practise: especially during a worldwide pandemic where the demand for health-oriented services is amplified. Certified Professional Co-Active Coaches (CPCCs) are poised to offer unique insights into this phenomenon given their inherent focus on enriching client well-being. The purpose of this descriptive study was to explore CPCCs' experiences related to coaching practise and self-care during the COVID-19 pandemic. Semi-structured interviews were used, and data were analysed using an inductive approach. Twelve CPCCs (10 = female) participated. Four main themes emerged: a shift in practise;changes in clients;personal self-care practises;and professional self-care practises. Therapeutic empathy and setting emotional boundaries were identified as valuable coaching strategies. Participants also highlighted the need for intentional self-care routines to care effectively for themselves and others. Taken together, these findings may be transferable to other helping professionals, training bodies, and clients through an enhanced understanding of self-care during times of crises. [ FROM AUTHOR] Copyright of Coaching: An International Journal of Theory, Research & Practice is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Determinants of Self-Care Behavior among Pregnant Women during COVID-19 Pandemic in Isfahan, Iran, According to Extended Parallel Process Model

Background: Due to the prevalence of coronavirus infection in Iran and the greater susceptibility of pregnant women to the disease, this study aimed to investigate the predictors of pregnant women's self-care behavior in coronavirus disease-2019 (COVID-19) epidemic using the Extended Parallel Process Model (EPPM). Methods: This cross-sectional descriptive study was conducted on 309 pregnant women in Isfahan City, Iran. The samples were selected using two-stage cluster sampling method from 14 health centers in Isfahan City. In order to collect data, participants completed a researcher-made questionnaire based on EPPM constructs online. The collected data were analyzed using Spearman correlation coefficient and hierarchical linear regression tests via SPSS software. Findings: The mean age of the participants was 29.00 ± 6.25 years. Overall, the four variables of "perceived sensitivity, perceived severity, self-efficacy, and response efficiency” constituted about 44% of the total variance of protective behaviors in pregnant women (adjusted R2 = 0.42%, P = 0.030). Among them, the constructs of self-efficacy (β = 0.41) and response efficiency (β = 0.15) had the greatest power in predicting self-care behavior (P < 0.050). Conclusion: Self-efficacy and response efficiency constructs have been the main determinants of self-care behaviors of pregnant women during COVID-19 disease. Therefore, in order to promote self-care behaviors in pregnant women, more emphasis can be placed on strategies of improving the mentioned constructs. © 2023, Isfahan University of Medical Sciences(IUMS). All rights reserved.

Healing the healer: Recipes of self-care

The idea of self-care has been a central theme more recently with the advent of the COVID-19 pandemic. Many people are seeking ways of existing that are about caring for self and others. As drama therapists and artists, the need for us to practise this care with and for others is even more important as we carry the burdens of stories and trauma of our clients. Drama therapy as a mental health modality is suited to address and offer strategies of what care and self-care especially for practitioners might look like. But what exactly are the traits of self-care and how does it link to our ethical caring practice of therapy and theatre-making? In this article, we argue that self-care needs to be redeemed from the individual focus and to be more about community. We offer recipes as performances of communal creation and a model of self-care that occurs with and for others. These recipes are meditations inspired by encounters with ourselves, our loved ones and our past. The article is presented in recipes and conversation form to emphasize the idea that caring cannot occur in isolation outside of others. We look at the moral imperative of rituals of care that have existed in our lives and how these can be brought to the fore to become shared knowledge. We share our experiences of growing up in a community of women who also practise kindness and love. We hope the techniques suggested deepen the existing conversation on centralizing Black women's knowledge systems and healing practices within the drama therapy canon. We do not assume to speak for all Black women everywhere in the world;we write to centre our experiences as Black women who are drama therapists who are accountable to other women. We encourage readers to create their own recipes of what community-centred self-care practices might look like. © 2023 Intellect Ltd Article. English language.

The Sociocultural and Economic Barriers to Self-Care Culture for COVID-19 Control in Developing Societies: The Case of Iran

There are natural and unnatural problems for human beings. Communicable and incommunicable diseases are common issues in human life. The prevalence of COVID-19 since December 2019 is an ongoing and mysterious danger, and its control is a critical concern. According to the traits and dangerous consequences of COVID-19, self-care plays an inevitable role in its control. This chapter has reviewed the sociocultural and economic barriers to self-care for COVID-19 control in developing societies with an emphasis on Iran. Using the documentary method, databases about concepts, research, theories, and economic, social, and cultural indexes were reviewed. The most used databases were PubMed, Magiran, Noormags, Google Scholar, Sid, Iran Statistic Center, Trading Economics, and World Meters. Reviewing data on life expectancy, mortality, and other indexes among developed and less developed societies, the most barriers for developing societies such as Iran were introduced. Findings showed that the most important barriers are short-term (economic factors), medium-term (social factors), and long-term (cultural factors) barriers. In each time/subject period, two levels, micro and macro, are presented. The macro-economic barriers are economic poverty, economic recession, and inflation. The micro-economic barriers are malnutrition, lack of financial ability to use health-care facilities, lack of living facilities, and the work time in epidemiological conditions. The macro-social barriers are social inequality, lack of attention to prevention, weakness of social organization, and family size in less developed areas while the micro-social barriers are a weakness of education and socialization, and unstable job conditions. The macro-cultural barriers are fate-orientation, weakness of preventive insight, application of common beliefs, low social trust, social traps, and traditional habitus in health care while the micro-cultural barriers are poverty of knowledge and living awareness, self-medication belief, self-healthy imagination, misunderstanding of disease risks, social indifference, and social irresponsibility. As a result, cultural factors are the most important barriers to the self-care culture for the control of pandemic diseases such as COVID-19. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Explanation of Factors Affecting Self-care and Diabetes Management During the COVID-19 Pandemic: A Qualitative Study.

Introduction: Adopting diabetes self-care behaviors to control blood glucose is essential, but adherence to them has been challenged due to restrictions related to Covid-19. These restrictions have negatively impacted the psychosocial condition of individuals with diabetes, which could lead to poor self-care. Accordingly, this study aimed to explore the experiences of individuals with type 2 diabetes regarding self-care behaviors and diabetes management during the COVID-19 pandemic. Material(s) and Method(s): This qualitative study was conducted using conventional content analysis, the data of which were collected through interviews with people over 18 years of age with type 2 diabetes who were selected from the Endocrinology Clinic of Erfan Hospital in Tehran. Using telephone and WhatsApp, semi-structured interviews were conducted with 20 participants (15 women). Content analysis was done using the constant comparative method, and the open and axial coding method was applied. The data were manually coded, and the main themes and categories emerged from data. Result(s): Two main themes emerged from the data: 1) challenges and limitations toward diabetes self-care and 2) facilitators of efficient self-care. Challenges and limitations included 4 sub-themes: Inevitable lifestyle changes, psychosocial problems, limited/lack of access to health care services and medication, and adverse physical effects. Facilitators had 2 sub-themes: improved individual capability and maintaining social interaction. Conclusion(s): Our findings indicated that inevitable lifestyle changes, limited access to health care, and adverse psychosocial consequences were the most critical challenges for diabetes management during the COVID-19 pandemic. Improving stress management skills and effective coping strategies can facilitate the adoption of self-care behaviors.Copyright © 2022, Research Institute for Endocrine Sciences. All rights reserved.

COVID-19 Pandemic: attitudes-facilities as a mediator between self-care and mental wellness among medical science interns

Objective To determine in health sciences interns if self-care is a factor whose direct effect on mental wellness is mediated by attitudes and facilities during internship, during the second wave of the COVID-19 pandemic. Method Cross-sectional, multivariate correlational research. 174 interns participated during the COVID-19 pandemic, selected by convenience sampling;three self-report scales were applied. Results Among the health sciences interns, being a woman, having a family member at home infected with COVID-19, and having an unfavorable general health status perception are risk factors that are likely to have a negative state of mental wellness (1.9>OR<3.9);while self-care together with attitudes and facilities during the internship are protective factors to counteract the existence of a negative state of mental wellness (OR<1;p<0.05). The structural regression model shows that self-care variables such as attitudes adopted, and facilities experienced by students in the internship have direct effects on mental wellness;likewise, attitudes and facilities play a mediating role between self-care and mental wellness (CFI=0.96;TLI=0.95;RMSEA and SRMR<0.08). The model as a whole explains 50.7% of the variability of mental wellness. Conclusion Self-care is a factor whose direct effect on mental wellness is mediated by attitudes and facilities in internship during the second wave of the COVID-19 pandemic in 2021. © 2022, Universidad Nacional de Colombia. All rights reserved.

Design as the Mediator of New Social Health Culture. Towards a Co-benefits Model

The COVID-19 pandemic accelerated the need for change, raising questions about the current approach to health. The re-definition of the role of health and well-being towards an interdisciplinary approach is knowledge-driven and technology-enabled and the focus of innovation is shifting from the treatment of disease to prediction and prevention. The new model of the ‘co-benefit belt' through design activates a process of systemic improvement and extends beyond the digital, pursuing the logic of interaction. The role of Design as a mediator is emphasized, lending itself to emergency situations, to the design of protection devices by implementing multifunctional and shared protection dynamics, intervening in rethinking the universe of devices with Human Centered Design approaches, optimizing methods and processes. The case study presented describes the development of the research project funded by the Campania Region, "Smart&Safe”. Design for new individual protection devices”, among the initiatives to fight against Covid-19. The research proposes an update in the redesign of individual Personal Protective Equipment (PPE), to explore a new dimension of the project that highlights the transition to an Individual and Intelligent Protection System (IIPS), reflecting on the various levels of safety faced during health emergencies. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

The Artificial Intelligence in Teledermatology: A Narrative Review on Opportunities, Perspectives, and Bottlenecks.

Artificial intelligence (AI) is recently seeing significant advances in teledermatology (TD), also thanks to the developments that have taken place during the COVID-19 pandemic. In the last two years, there was an important development of studies that focused on opportunities, perspectives, and problems in this field. The topic is very important because the telemedicine and AI applied to dermatology have the opportunity to improve both the quality of healthcare for citizens and the workflow of healthcare professionals. This study conducted an overview on the opportunities, the perspectives, and the problems related to the integration of TD with AI. The methodology of this review, following a standardized checklist, was based on: (I) a search of PubMed and Scopus and (II) an eligibility assessment, using parameters with five levels of score. The outcome highlighted that applications of this integration have been identified in various skin pathologies and in quality control, both in eHealth and mHealth. Many of these applications are based on Apps used by citizens in mHealth for self-care with new opportunities but also open questions. A generalized enthusiasm has been registered regarding the opportunities and general perspectives on improving the quality of care, optimizing the healthcare processes, minimizing costs, reducing the stress in the healthcare facilities, and in making citizens, now at the center, more satisfied. However, critical issues have emerged related to: (a) the need to improve the process of diffusion of the Apps in the hands of citizens, with better design, validation, standardization, and cybersecurity; (b) the need for better attention paid to medico-legal and ethical issues; and (c) the need for the stabilization of international and national regulations. Targeted agreement initiatives, such as position statements, guidelines, and/or consensus initiatives, are needed to ensure a better result for all, along with the design of both specific plans and shared workflows.

Associations between depression, fear of COVID-19 infection and students' self-care measures used during the first wave of the pandemic.

BACKGROUND: COVID-19 lockdown resulted in the closure of schools with associated problems. The aim of this study was to determine the associations between depression, fear of contracting COVID-19 infection and the use of self-care measures by college students during the first wave of the COVID-19 pandemic. METHODS: This was a cross-sectional study that collected data from undergraduate and postgraduate college students 18 years and older from 152 countries between June and December 2020. Study participants were recruited through crowdsourcing using various social media platforms including Facebook, Twitter, and Instagram, WhatsApp groups and emails to participants in the collaborators' networks. The dependent variables were fear of contracting COVID-19 and depression while the independent variable was students' self-care measures. Multivariable logistic regression models were conducted to assess the associations between the dependent and independent variables. RESULTS: Of the 2840 respondents, 1305 (46.0%) had fears of contracting COVID-19 and 599 (21.1%) reported depression. The most common self-care measures were phone calls with friends/family (60.1%) and video chat (52.8%). Learning a new skill was significantly associated with higher odds of fear of contracting COVID-19 (AOR = 1.669) and lower odds of having depression (AOR = 0.684). Talking to friends/family through video chat (AOR = 0.809) was significantly associated with lower odds of feeling depressed while spending time with pets (AOR = 1.470) and taking breaks from the news/social media (AOR = 1.242) were significantly associated with higher odds of feeling depressed. Students from lower middle-income countries (AOR = 0.330) had significantly lower odds of feeling depressed than students from low-income countries. CONCLUSION: Self-care strategies involving social interactions were associated with less depression. Coping strategies with more cognitive demands may significantly reduce the risk of fear of COVID-19. Special attention needs to be given to students in low-income countries who have higher odds of depression during the pandemic than students from other countries.

Clinical Oncology Nursing: Will You Leave or Stay?

Anyone who works in clinical oncology care sees it, experiences it, or feels it on a daily basis: a real or perceived shortage of nurses and, specifically, experienced clinical oncology nurses.

TF-CBT Training Augmented with a Self-Care Focus: Understanding Facilitators and Barriers to Treatment Implementation.

Clinicians working with youth exposed to trauma may be at increased risk for experiencing elevated levels of stress and symptoms of secondary traumatic stress, which can negatively impact clinician wellbeing and ultimately contribute to reduced access to quality care for clients. An innovative Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) training incorporating self-care practices (i.e., Practice What You Preach; PWYP) was developed to help facilitate the implementation of TF-CBT and to enhance clinicians' coping and decrease stress. The primary purpose of this study was to determine whether the PWYP-augmented training met three Objectives: (1) increase clinicians' feelings of TF-CBT competency; (2) improve clinicians' coping abilities/reduce clinicians' stress; and (3) increase clinicians' insight into the benefits and/or challenges clients may experience in treatment. An exploratory aim was also developed to identify additional facilitators and barriers of TF-CBT implementation. The written reflections of 86 community-based clinicians who participated in the PWYP-augmented TF-CBT training were examined using qualitative methods. The majority of clinicians indicated increased feelings of competency and improved coping abilities and/or stress levels; almost half mentioned increased insight into clients' experiences. The most frequently mentioned additional facilitators were related to elements of the TF-CBT treatment model. Anxiety/self-doubt was the barrier most frequently mentioned, though all clinicians who mentioned this barrier indicated it lessened or resolved over the course of the training. Incorporating self-care strategies into trainings may serve as a facilitator for TF-CBT implementation by enhancing the competency and well-being of clinicians. The additional insights into barriers and facilitators can be used to further improve the PWYP initiative and future training and implementation efforts.

Explanation of Factors Affecting Self-care and Diabetes Management During the COVID-19 Pandemic: A Qualitative Study

Introduction: Adopting diabetes self-care behaviors to control blood glucose is essential, but adherence to them has been challenged due to restrictions related to Covid-19. These restrictions have negatively impacted the psychosocial condition of individuals with diabetes, which could lead to poor self-care. Accordingly, this study aimed to explore the experiences of individuals with type 2 diabetes regarding self-care behaviors and diabetes management during the COVID-19 pandemic. Material(s) and Method(s): This qualitative study was conducted using conventional content analysis, the data of which were collected through interviews with people over 18 years of age with type 2 diabetes who were selected from the Endocrinology Clinic of Erfan Hospital in Tehran. Using telephone and WhatsApp, semi-structured interviews were conducted with 20 participants (15 women). Content analysis was done using the constant comparative method, and the open and axial coding method was applied. The data were manually coded, and the main themes and categories emerged from data. Result(s): Two main themes emerged from the data: 1) challenges and limitations toward diabetes self-care and 2) facilitators of efficient self-care. Challenges and limitations included 4 sub-themes: Inevitable lifestyle changes, psychosocial problems, limited/lack of access to health care services and medication, and adverse physical effects. Facilitators had 2 sub-themes: improved individual capability and maintaining social interaction. Conclusion(s): Our findings indicated that inevitable lifestyle changes, limited access to health care, and adverse psychosocial consequences were the most critical challenges for diabetes management during the COVID-19 pandemic. Improving stress management skills and effective coping strategies can facilitate the adoption of self-care behaviors.Copyright © 2022, Research Institute for Endocrine Sciences. All rights reserved.

Ensuring an Attuned Workforce: Individual and Systemic Factors Impacting Trauma Professionals

While vicarious trauma from hearing traumatic material when working with clients has long been recognised, the concept that much vicarious trauma stems from systemic challenges, and work conditions, is a more recent development. There has been a willingness to recognise the toll on individuals of client stories, however this has allowed organisations to minimise other aspects of the work that are also impactful. Never has this been truer than in the last two years with the Covid-19 pandemic, when workers have experienced their own sense of risk at work, alongside a sense of possible expendability from their organisations. Workers may have felt obliged to keep meeting client need, whilst managing their own personal distress or worry. The article explores areas that contribute to vicarious, work-related trauma, other than hearing the narratives of those who have experienced trauma themselves. Individual and organisational practices, such as organisational culture;variability of the workload;conditions of the work environment;access to professional development;and the provision of quality supervision. The impact of each will be considered, with the aim not just to avoid vicarious trauma or burnout, but to proactively address issues that may impair the functioning of an integrated and fully cognisant professional.

Public health nursing perspectives on resiliency during COVID-19

Public health nurses are leaving the workforce, and few studies exist that examine resiliency perspectives among this specialty, community-focused population of frontline nurses. The COVID-19 pandemic created an unprecedented era in public health worldwide. The researcher used a quantitative research design to explore public health nursing viewpoints on resiliency during the pandemic. The quantitative approach aids in understanding the complexities of nursing resilience and needs during the pandemic, implications for the development of supportive interventions, and public health policies for future programming. This study is significant in that it gives a platform to public health nurses on the frontline who have been overshadowed in previous studies. The study utilized an online Survey Monkey evaluation tool which included: the Mindful Self-Care Scale (33-Item), the Resilience Scale (14-Item), and a researcher-designed questionnaire (22-Item). Findings from the study include a positive correlation identified between public health nurse self-care practices and resilience, specifically self compassion and purpose. Age was the only demographic variable significant in relation to job satisfaction, specifically age group 31-45 years of age. A positive correlation was identified between Job Satisfaction and QOL Home and Work. Resiliency could not predict or explain public health nurse job satisfaction and/or risk for attrition. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Self-care and Standard Precaution Observance in Intensive Care Nurses during COVID 19

Aims Self-care behaviors and standard precautions are important for maintaining nurses' health. This research aimed to evaluate the relationship between nurses' self-care and standard precaution observance in intensive care unit during COVID-19. Instruments & Methods This descriptive-analytical research was conducted on the ICU nurses at Mashhad University of Medical Sciences. A total of 140 nurses were included in the research through convenience sampling. The data were collected using demographic survey questions, Self-Care Inventory-Revised (SCI-R), and Compliance with Standard Precautions Scale (CSPS). Findings The greatest self-care means among the participants was in the professional dimension (40.1±4.41), and the lowest means of self-care was in the psychological dimension (26.97±3.55). The highest and lowest score of standard precautions was 20 and 3, respectively. The average precaution observance was 13.99±2.931. There was a positive and significant correlation between self-care and observance of standard precautions of nurses (r=0.224;p=0.008). © 2023, Tarbiat Modares University. All rights reserved.

The effects of contactless Dohsa-hou on outpatients with schizophrenia during the Coronavirus Pandemic

Dohsa-hou therapists assist clients through physical contact, however, this is not advisable during the coronavirus pandemic;instead, contactless Dohsa-hou is safer and more secure. In this study, we examined the possibilities of applying contactless Dohsa-hou for outpatients with schizophrenia as a self-care method and its effects on them. We administered the program 7 times for 8 outpatients with schizophrenia in a psychiatric rehabilitation center. Thereafter, they underwent a voluntary implementation period for two to three weeks at home. The results suggest ed that the contactless Dohsa-hou improved self-existence of mind and body (d = 0.83) notably, and slightly improved sense of independence (d = 0.49), balance of mind and body (d = 0.21), irritability and anger (d = 0.23), well-being (d = 0.39), and third-party evaluation (d = 0.29). Therefore, the study showed that contactless Doh sa-hou can stabilize the physical and mental state, even when conducted under the self-restraint period during the pandemic. This study may provide helpful information in implementing contactless Dohsa-hou for outpatients with schizophrenia amid the coronavirus pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

COVID-19 pandemic, medical attention, and self-care of patients with type 2 diabetes at a Peru-based hospital: An analytical cross-sectional study

Background: To determine the association between coronavirus disease-2019 (COVID-19), medical attention and self-care of patients with type 2 diabetes (T2DM) at the Archbishop Loayza National Hospital. Methods: This analytical cross-sectional study, involved interviewing 181 T2DM patients and recording their actions regarding three aspects–self-care measures, medical care, and spending on medicines–before and during the pandemic. The relationships between the variables were established using descriptive and analytical statistics. Results: During the pandemic, self-care decreased to 37%;26% had access to medical care. Patients in the provinces experienced better self-care (Lima: 35%;Provinces: 61%;p=0.002). Patients with comorbidities also took good care of themselves (with comorbidities: 41%;without comorbidities: 29%;p=0.036). Conclusions: COVID-19 had a negative influence on T2DM patients regarding self-care and medical care. One out of four patients received medical care. Additionally, being outside Lima and having comorbidities were associated with better self-care during the pandemic.

Self-Care Activities by Patients with Chronic Cardiovascular Morbidities: Explanatory Sequential Facility-Based Mixed Method Study in West Bengal, India

Background: Chronic cardiovascular morbidities are major public health concern. The objective was to assess awareness and practice of selfcare activities among patients with chronic cardiovascular morbidity in Burdwan Medical College (BMC) and to explore constraints in selfcare practice. Materials & Methods: A facility-based, explanatory sequential, mixed-method study was conducted in Cardiology super-specialty outpatient department of BMC, West Bengal. A calculated sample of 185 patients with chronic cardiovascular morbidity were selected randomly;interviewed with predesigned, pretested schedule (adapted from H-SCALE) for quantitative component. For qualitative component, eight study participants, selected purposively, were interviewed with In-depth-interview guide. Multivariable logistic regression was done to find out predictors of selfcare practice. Thematic inductive analysis was done to explore constraints. Results: 73% study participants were aware about overall selfcare practices;43.8% performed satisfactory overall selfcare practice. Below secondary level educational status [AOR:0.412, 95% CI (0.178-0.956)] and lower & lower-middle socioeconomic status [AOR:0.063, 95% CI (0.017-0.230)] were found to create negative influence on favourable self-care practice. Thematic analysis revealed false belief, lack of motivation, lack of proper knowledge, emotional disturbances and Covid-19 pandemic impact as major constraints in selfcare practice. Conclusion: Selfcare awareness & practice both are low. Interventions are needed to ensure healthy lifestyle of patients. © 2023 National Journal of Community Medicine.

Self-Care Performance of Pregnant Women in Preventing COVID-19 Infection and Its Relationship with Perceived Stress.

Objective: To determine the status of self-care performance of pregnant women in the prevention of COVID-19 disease and its relationship with perceived stress during the epidemic period of this disease. Method : This cross-sectional study was performed on 228 pregnant women who referred to the health centers in Tabriz, Iran, for prenatal care. They were selected by cluster sampling. Data collection tools included questionnaires about Demographic-Social Characteristics, the Self-Care Performance Questionnaire and Cohen's Perceived Stress Scale. Spearman correlation test was used to examine the correlation between self-care performance and perceived stress in bivariate and multivariate analyses. Also, multivariate linear regression was used, with control of demographic-social and obstetric characteristics as possible confounders. Results: The median (25-75 percentiles) self-care performance score of participants was 0.71 (0.65-0.76), from the achievable range of 20-80, and its mean (± SD) perceived stress score was 25.5 (± 5.6), from the achievable range of 0-56. The Spearman's rank correlation test results showed a significant inverse correlation between perceived stress and self-care performance scores (r = -0.13; P = 0.041). According to multivariate linear regression test, the variables of self-care performance, education, spouse's education and number of family members were the predictors of perceived stress in pregnant women during the COVID-19 epidemic. Conclusion: According to the results of the present study, self-care performance of pregnant women in prevention of the COVID-19 disease was good and their stress was moderate. There was a significant inverse correlation between self-care performance and perceived stress that could indicate the high value and importance of the fetus for the mother and her strict adherence to health protocols to prevent COVID-19, which also leads to calming and reduced perceived stress.

Qualitative analysis of university counselors' online counseling experiences during the COVID-19 pandemic.

This study aimed to reflect on counselors' experiences and the adaptation processes in university counseling centers during the COVID-19 pandemic. Accordingly, 15 counselors and psychologists working at different counseling centers were reached and interviewed. Thematic analysis showed that participants had to adapt to changes brought by the pandemic to continue their services. The adaptation of counseling centers to online practices showed differences according to administrative decisions and technical capacities. As a result of the urgent need to continue providing psychological help, participants moved to online practices, which caused professional and social life changes. Participant attitudes to online counseling were mainly positive. Since students had to move back to their family homes during the pandemic, limited confidentiality was the main problem aside from technological glitches in online sessions. Counselors encountered personal and professional challenges as a result of the ongoing counseling sessions and listed the self-care activities they used.