The image of nursing in the eyes of Generation Alpha and their parents in Türkiye: A multicenter cross-sectional survey.

BACKGROUND AND PURPOSE: Parents' views of nursing may play a key role in what kind of image their children hold of it. This study had three objectives. First, it investigated the image of nursing in the eyes of Generation Alpha and their parents. Second, it addressed whether their views affected each other. Third, it investigated factors that might affect their views. METHODS: This multicenter study adopted a descriptive correlational and cross-sectional design. The sample consisted of 1742 children and their parents (n = 3484). Data were collected using a demographic characteristics questionnaire and the Nursing Image Scale (NIS). The data were analyzed using Pearson correlation and stepwise regression analysis. RESULTS: Children, mothers, and fathers had a total NIS score of 48.76 (7.57), 42.37 (8.04), and 43.22 (8.99), respectively. Mothers' and fathers' NIS scores were positively associated with children's NIS scores (R2 = 0.286; 0.365, p < .01). Children's and their parents' negative experiences with nurses were negatively associated with their NIS scores (R2 = 0.358; 0.191; 0.155, p < .01). Children described nurses as "coolies," "maids," "machines," "devils," or "white ghosts." Their metaphors were negatively associated with their NIS scores. Almost half the participants stated that nursing was portrayed negatively in the media. CONCLUSION: Children have a more positive view of nursing, but their views are also affected by their parents' thoughts. PRACTICE IMPLICATIONS: Nurses should be professionally autonomous, promote their professional identity through the media, and interact with their colleagues to have a professional image in the eyes of children and their parents.

Investigation of nursing students' emotional states toward challenging situations in clinical practice and metaphorical perceptions of the concept of a nurse.

AIM: This study aims to determine nursing students' emotions toward the challenging situations they encounter in clinical practice and their metaphorical perceptions of the concept of a nurse. BACKGROUND: Challenging situations in clinical practice negatively affect nursing students' perceptions of the nursing profession and their professional learning and development. DESIGN: The study is based on quantitative, metaphorical and picture-drawing analysis. METHODS: The quantitative and qualitative parts of it were conducted with 200 nursing students attending their first and second years in the 2021-2022 academic year. The Draw a Picture of a Cactus Test was carried out with 30 students in clinical practice. The data were collected using the "Sociodemographic Information Form" and the "Semi-structured Interview Form". Content analysis techniques, descriptive statistics, picture analysis and psychological tests were used to evaluate the data. The study was reported based on Standards for Reporting Qualitative Research (SRQR). RESULTS: Nursing students involved in the study produced 37 metaphors related to the "concept of a nurse" and three most expressed ones were "mother, lifeguard and helper." The metaphors produced by nursing students were categorized under six roles: "caregiver, educator, supporter, researcher, administrator and therapeutic/rehabilitator". The pictures drawn by the students about the challenging situations in clinical practice and the expressions they used were associated with self-centeredness (n=21), being attentive (n=19), aggression toward peers (n=13), low motivation (n=11) and need for protection (n=11). Nursing students experienced feelings of loneliness, passivity and anxiety when navigating difficult conditions in clinical practice. CONCLUSIONS: Metaphors and picture drawing allow a unique approach to the concept of nursing and nursing students' emotional states toward challenging situations in their clinical practice.

Development of Adolescents' perceptions of the nursing image scale and evaluation of its psychometric properties: A methodological study.

BACKGROUND AND PURPOSE: It is important to assess the perception of the nursing image among adolescents, the group closest to the career decision, to enhance their view of the nursing image. This study was conducted to develop the Adolescents' Perceptions of Nursing Image Scale (APNIS) and evaluate its psychometric properties. METHOD: The study has a descriptive, cross-sectional, correlational, and methodological design. The study was conducted with 614 adolescents aged 12-18 years in Turkey between October 15, 2022, and December 15, 2022. The data were analyzed using the Kaiser-Meyer-Olkin coefficient, Barlett's test, factor analyses, Cronbach's alpha reliability coefficient, split-half analysis, item sum statistics, Hotelling's T2, and test-retest analysis. RESULTS: As a result of the explanatory factor analysis, the items on the scale were collected under six sub-dimensions, and the scale explained 62.843% of the total variance. Confirmatory factor analysis showed that the model fit was adequate. The total internal consistency Cronbach alpha value of the scale is 0.90, and the sub-dimension Cronbach alpha values are between 0.70 and 0.90. The Spearman-Brown coefficient of the scale was 0.94, the Guttman-split-half coefficient was 0.94, Hotelling's T2 value was 373.829, F = 9.510, and p < 0.001. As a result of the Tukey summability analysis, F = 0.431 and p > 0.05, the scale was found to be summable. The test-retest result of the scale was r = 0.899. CONCLUSION: The 38-item APNIS is a valid and reliable tool that assesses adolescents' perceptions of the nursing image. PRACTICE IMPLICATIONS: The scale, including universal items about the nursing image, is easy and practical to use.

Media Parenting Scale for School-Aged Children (MEPA-20): Psychometric Properties of the Turkish Version.

BACKGROUND AND PURPOSE: Media parenting refers to the strategies and behaviors parents use to interact with their children regarding the amount, content, and context of screen use. Children's media/screen use is a significant indicator of media parenting practices. Therefore, this study aimed to determine the psychometric properties of the Turkish version of the Media Parenting Scale for School-Aged Children (MEPA-20). METHODS: This methodological study involved 524 parents with children aged 6-10 and was conducted between October 15, 2022, and February 15, 2023. In the data analysis, the Content Validity Index, Explanatory and Confirmatory Factor Analyses, Cronbach's alpha, Test-retest reliability, Hotelling T2 test, and item-total score correlation were used. The test-retest reliability analysis of the Turkish version of MEPA-20 was performed with 30 parents after 4 weeks. RESULTS: MEPA-20 consists of 20 items and three sub-dimensions (active, restrictive, and over-protective mediation). The MEPA-20 Turkish version and its three factors were found to indicate acceptable levels of internal consistency and reliability. The three-factor construct validity of the MEPA-20 Turkish version determined with Explanatory Factor Analyses was successfully confirmed with Confirmatory Factor Analysis. CONCLUSION: The MEPA-20 is a valid and reliable tool for assessing the media parenting practices of parents of children aged 6-10 years in the Turkish population. PRACTICE IMPLICATIONS: Based on the impact of media parenting practices on child and family health, nurses should raise awareness and support parents regarding children's healthy screen use.

Investigation of fathers' metaphors regarding child sexual abuse in Turkey: A metaphor study.

BACKGROUND AND PURPOSE: This study was designed to determine the perceptions of fathers about child sexual abuse in Turkey using metaphors to facilitate understanding of child sexual abuse. METHODS: The study was conducted as a qualitative study based on metaphor analysis. The data were collected from 164 Turkish fathers in Turkey between August 2022 and September 2022 using a descriptive information form for fathers and a semi-structured interview form exploring fathers' perceptions of child sexual abuse. The semi-structured interview form included metaphor statements like "Child sexual abuse is like....... because .......", and "Child sexual abuse reminds me of the color....... because .......". The data were analyzed using the content analysis technique. The study was reported based on Standards for Reporting Qualitative Research (SRQR). RESULTS: According to the results, 77.4% of the fathers had knowledge about protecting their children from sexual abuse, 40.9% got this information from the internet, and only 11.1% educated their children about sexual abuse. Seventy three percent of the fathers were afraid of confusing their children while educating them. The fathers involved in the study used 20 metaphors related to "child sexual abuse" and "the color evoked by child sexual abuse". The metaphors created by the fathers were analyzed under six categories: "emotions, feeling inadequate, punishment method, abuser, child concept, and uncertainty". CONCLUSION: Based on the results of the study, fathers had common feelings and emphasize the same concepts about child sexual abuse. PRACTICE IMPLICATIONS: Metaphors provide a unique approach to identifying fathers' conceptual images of child sexual abuse.

Attitudes of parents in the role of a father in Turkey toward child sex education and their sexual communication with their children.

BACKGROUND AND PURPOSE: The study aimed to evaluate the attitudes of parents in the role of a father in Turkey toward child sex education and their sexual communication with their children. METHODS: This descriptive and cross-sectional study was conducted with the fathers of children in the pediatric outpatient clinic at a state hospital between December 30, 2021, and April 15, 2022. The study was reported based on STROBE. The data were collected from 297 fathers using the Descriptive Information Form, the Attitudes Scale Toward Sex education (ASTSE), and the Sexual Communication Scale for Parents(SCSP). RESULTS: Sample statistics demonstrate that 67.7% of the participants did not receive sex education in their childhood, and 57.4% stated that their children received sex education only from their mothers. Higher attitudes toward sexual education were found in the fathers with a university or higher education degree (χ2 = 15.396; p < 0.01), and those giving sex education to their children (χ2 = 18.388;p < 0.001). Higher total scores were obtained on the sexual communication scale by fathers with university and higher education degrees (χ2 = 12.898;p < 0.01) and those who received sex education in their childhood (t = 2.330;p = 0.021). There is a highly significant positive correlation between the mean scores of the role of a parent subscale of the ASTSE and the mean total score of the SCSP (r = 0.81;p < 0.001). CONCLUSIONS: There is a positive correlation between fathers' parental role attitudes toward sex education and their sexual communication with their children. PRACTICE IMPLICATIONS: Supporting fathers' sexual communication with their children can positively affect fathers' attitudes and communication toward sex education.

The concept of pain inventory for children: The reliability and validity study of the Turkish version.

BACKGROUND AND PURPOSE: Pain experiences in childhood are very likely to be reflected in adulthood. The early evaluation of the concept of pain in children may eventually lead to. better patient outcomes in the future. Therefore, we aimed to culturally and developmentally adapt the Concept of Pain Inventory for Children (COPI) for Turkish children. METHODS: This descriptive, correlational study was conducted with 239 post-operative children aged 8-12 years between June and December 2021. The research adhered to COSMIN guidelines. The data were collected using a descriptive information form and the COPI. Factor analysis, Cronbach's alpha, and item-total score analysis were used for the data analysis. RESULTS: The resulting unidimensional scale consists of 12 items in Turkish. The scale explained 65% of the total variance. The exploratory factor analysis showed that the factor loadings of items ranged from 0.64 to 0.91. The confirmatory factor analysis showed that the factor loadings of items ranged from 0.66 to 0.92. Goodness of fit indexes were found to be as follows: Normed Fit Index >0.90; Incremental Fit Index >0.90; Comparative Fit Index >0.90; and the Root Mean Square Error of Approximation <0.08. The total Cronbach's alpha coefficient of the scale was 0.78 (reliable). CONCLUSIONS: The 12-item Turkish translation of the COPI was deemed valid and reliable in 8-12-year-old children in a post-operative setting. PRACTICE IMPLICATIONS: Evaluation of children's pain concepts during childhood may contribute to the identification of conceptual gaps for pain science education.

The image of nursing among nursing and other healthcare professional university students: A mixed-method study.

AIM: This study had three objectives: (1) determining the image of nursing in the eyes of undergraduate health sciences students; (2) identifying factors affecting that image; and (3) evaluating students' views and experiences regarding that image. BACKGROUND: If healthcare students perceive nursing positively, it may result in directing future generations to nursing, and improving nursing, and reducing the need for nurses. DESIGN: This study adopted an explanatory sequential design with participant selection variant. The design involved data collection in two consecutive phases. METHODS: A mixed-method design using quantitative data and qualitative interviews was used. In the quantitative phase, a descriptive and cross-sectional research method was used. The qualitative phase was based on phenomenological research. The quantitative portion was performed with 1556 participants in their second, third or fourth year during the 2019-2020 academic year. Students were from the nursing, emergency and disaster management, nutrition and dietetics, occupational health and safety, health management, and social work departments. The qualitative portion was performed with 29 participant volunteers. Participants were interviewed on the phone. The data were collected using an introductory information form, a nursing image scale, and semi-structured interviews. The quantitative data were analyzed using descriptive statistics and the independent-samples t-test, Mann-Whitney U test, one-way ANOVA, and stepwise linear regression. The quantitative data were analyzed using thematic analysis. RESULTS: There were significant relationships between participants' nursing image scale total scores and their department (p < 0.001), education year (p = 0.014), age (p = 0.032) and desire to recommend the nursing profession (p < 0.001). Nursing image scale total score was significantly higher in nursing departments than in other departments. Second-year participants and 18-20-year-olds had higher total scores than fourth-year participants and 21-23-year-olds, respectively, and those who would recommend the nursing profession had higher total scores than those who would not recommend it (p < 0.05). Analysis of the qualitative data produced six main themes: perceptions of the nursing profession, perceived nursing figure, nurse knowledge, relationship with healthcare professionals, reason for preference and job gender. CONCLUSION: This study employed a mixed-method design involving both quantitative and qualitative stages. The results highlighted the image of nursing and its significance in the eyes of prospective healthcare professionals. Detecting nursing image early can increase professional training and improve the professional image of nursing. We should take into account the factors that negatively affect the image of nursing to plan nursing education better in the future.