Nursing and midwifery students' perceptions of the elderly in nursing homes: a metaphor analysis.

BACKGROUND: Nursing and midwifery students' perceptions and attitudes toward older adults affect their behaviours, career choices and/or the quality of care provided to older adults after graduation. This study aimed to evaluate the perceptions of second year nursing and midwifery students toward elderly people staying in nursing homes through metaphor analysis. METHODS: This qualitative study has used the phenomenological approach. The sample of the study consisted of 128 nursing and midwifery students by purposive sampling method. Students were prompted to complete a sentence to express their perceptions about the elderly living in nursing homes: 'The elderly in the nursing home is similar to … because …' Participants were required to fill in their responses in two stages, providing metaphors in the first blank and reasons for their metaphors in the second blank. RESULTS: The results indicated that five main themes and 12 sub-themes were obtained from student metaphors: (i) needing help in meeting their needs (need for care and need for love); (ii) the emotional burden of a life away from loved ones (loneliness, abandonment, and helplessness); (iii) exhaustion at the end of the road (end, loss, and unproductive); (iv) holding on to life again (friendship and beginning); and (v) post-traumatic growth (strong and experienced). CONCLUSION: Students should question how to create opportunities and increase interaction for the elderly in the age of changing and developing technology before graduation and should be trained as professional individuals who are willing for this purpose.

Analysis of dementia research trends in nursing using text mining approach.

This research aimed to analyze dementia research trends in nursing using a text mining approach. In this study, text mining approach was used to analyze the studies on dementia in the field of nursing around the world. In this study, summaries of all available publications in English between the years 1990-2023 were extracted from the database and transferred to an Excel table by using the 'Nursing' AND 'Dementia' query from the Thomson Reuters-ISI Web of Science database. According to the results of this research, a total of 21 concept groups were identified, four of which were the most important. It was determined that the most frequently used word in all of the studies obtained from the database was 'cost'. In this direction, scientific research on dementia in the field of nursing can be planned by evaluating the most frequently used concepts.

Spiritual Well-Being and Psychological Well-Being Among Hemodialysis Patients in Turkey: A Descriptive and Correlational Study.

This study aimed to determine the psychological and spiritual well-being of hemodialysis patients in Turkey. This descriptive and correlational study included 86 hemodialysis patients. Data were collected using the Spiritual Well-Being Scale and Psychological Well-Being Scale. There was a positive correlation between spiritual and psychological well-being (r = 0.315, p = 0.003). Psychological well-being and age explained 39% of total variance (F = 7.593, p = 0.001). In conclusion, there should be provided individualized spiritual care and counseling to improve the psychological well-being of hemodialysis patients.

Determination of Health Anxiety and Resilience Levels in Patients with Fibromyalgia Syndrome and Rheumatoid Arthritis During SARS-CoV-2 Pandemic: A Case-Control Study.

Background: Fibromyalgia Syndrome and Rheumatoid Arthritis are chronic diseases associated with pain. These diseases reduce the patient's quality of life and cause psychological problems. The study aimed to determine health anxiety and resilience levels in patients with fibromyalgia syndrome and rheumatoid arthritis during the severe acute respiratory syndrome coronavirus 2 pandemic. Methods: This case-control study conducted in Central Anatolia Region, Turkey, included 180 participants (60 patients with fibromyalgia syndrome, 60 patients with rheumatoid arthritis, and 60 healthy subjects). Data were collected using the Brief Resilience Scale and Health Anxiety Scale. Pain intensity was assessed using the Visual Analog Scale. Results: Resilience was significantly higher in healthy controls than in the fibromyalgia syndrome and rheumatoid arthritis groups (P < .001). Resilience was also higher in the rheumatoid arthritis group than fibromyalgia syndrome (P < .001) group. Hypersensitivity to somatic symptoms and anxiety, negative results of diseases, and total scores of Health Anxiety Scale were significantly higher in the fibromyalgia syndrome and rheumatoid arthritis groups than healthy controls (P < .001). Also, Health Anxiety Scale scores in the fibromyalgia syndrome group were higher than the rheumatoid arthritis group (P < .001). There was a very strong and negative correlation between the participants' resilience and health anxiety levels (r = -0.818, P < .001). The most important predictors of resilience were hypersensitivity to somatic symptoms and anxiety (r = -0.335, P < .001), the group (r = 0.302, P = .003), the pain intensity (r = -0.169, P = .043), and the negative consequences of the disease (r = -.149, P = .038). The hypersensitivity to somatic symptoms and anxiety, the Visual Analog Scale, and the negative consequences of the disease were negatively correlated with resilience. But there was a positive correlation between fibromyalgia syndrome and rheumatoid arthritis groups and resilience. Conclusions: Patients with fibromyalgia syndrome and rheumatoid arthritis have low resilience and high health anxiety. The interventions should be planned to increase resilience and decrease the health anxiety of patients with fibromyalgia syndrome and rheumatoid arthritis.

The effect of medication adherence on psychosocial adjustment to body weight, image, and self-esteem in patients with schizophrenia.

PURPOSE: The present study aimed to evaluate the effect of medication adherence on psychosocial adjustment to body weight, image, and self-esteem in patients with schizophrenia. DESIGN AND METHODS: This cross-sectional and correlational study consisted of 154 patients with schizophrenia registered in a Community Mental Health Center. FINDINGS: The patients had moderate psychosocial adjustment to body weight, image, and self-esteem, and 56.5% had poor medication adherence. There was a significant positive correlation between participants' medication adherence and psychosocial adjustment to body weight, image, and self-esteem. PRACTICE IMPLICATIONS: Psychiatric nurses should support patients regarding medication adherence, and psychosocial adjustment to body weight, image, and self-esteem.

The effects of irrational romantic relationship beliefs and experiences in close relationships on dating violence of nursing and midwifery students.

PURPOSE: This study aimed to investigate the effects of irrational romantic relationship beliefs and experiences in close relationships on dating violence of nursing and midwifery students. METHODS: This was a descriptive, correlational study. The study was conducted with 261 nursing and midwifery students in a university located in northeastern Turkey. RESULTS: A negative and moderate correlation was found between students' dating violence with the use of social time and different thinking (p < 0.01). Anxious attachment (ß = -3.241), secure attachment (ß = -3.119), use of social time (ß = -0.252), and different thinking (ß = -2.788) were predictors of dating violence (p < 0.01). PRACTICE IMPLICATIONS: Nursing and midwifery students exposed to dating violence should be applied psychosocial interventions including motivational interviewing and cognitive-behavioral therapy.

The Relationship between Alexithymia, Psychological Well-Being and Religious Coping in Fibromyalgia Patients in Turkey.

This study aimed to investigate the relationship between alexithymia, psychological well-being, and religious coping in fibromyalgia patients. This study was planned as a descriptive and cross-sectional research design. The sample consisted of 175 fibromyalgia patients. Data were collected using the Toronto Alexithymia Scale-20, the Psychological Well-being Scale, and the Religious Coping Scale. Data were analyzed by Pearson's correlation test and Multiple Linear Regression analysis. A negative correlation was found between alexithymia and negative religious coping (r = - 0.377, p = 0.000). A positive correlation was found between psychological well-being and negative religious coping (r = 0.364, p = 0.000). The alexithymia was predicted by psychological well-being level (ß = - 0.629), positive (ß = 0.170) and negative (ß = - 0.216) religious coping levels (p < 0.05). Negative and positive religious coping strategies can affect psychological well-being and expressive thinking in patients with FMS.

The relationship between nursing students' digital and smartphone addiction levels and nomophobia: A descriptive, correlational study.

PURPOSE: This study aimed to investigate the relationship between nursing students' digital addiction and smartphone addiction levels and nomophobia. METHODS: This is a descriptive, correlational study. It was conducted with 215 nursing students in a university located in northeastern Turkey. RESULTS: A positive and moderate correlation was found between students' nomophobia levels with smartphone addiction and digital addiction levels (p < 0.05). Analysis of the regression coefficients determined that smartphone addiction (ß = 0.765; p < 0.01) had a significant positive effect on nomophobia. PRACTICE IMPLICATIONS: In conclusion, nursing students should seek professional psychological help in developing health and life behaviors, such as sports, healthy eating, and sleep, to reduce nomophobia.

The Effect of Mindfulness-Based Psychosocial Skills Training on Functioning and Insight Level in Patients with Schizophrenia.

This study aims to determine the effect of mindfulness-based psychosocial skills training (MBPST) on the functional recovery and insight level in patients with schizophrenia. In this study, 40 patients with schizophrenia registered in the Aksaray Community Mental Health Centre were divided into two groups: the intervention group (n = 20) and the non-intervention group (n = 20). The Functional Recovery Scale in Schizophrenia (FRSS) and the Beck Cognitive Insight Scale (BCIS) were measured at preintervention and postintervention. The posttest mean scores of FRSS and BCIS of the intervention group were statistically higher than the non-intervention group (p < 0.05). The MBPST program improved functional recovery and cognitive insight in schizophrenia. In line with these results, it has been recommended that MBPST program should be provided along with medical treatment in Community Mental Health Centres.

Effect of executive music therapy on state and trait anxiety levels of patients in a psychiatric ward: A quasi-experimental study.

AIM: This quasi-experimental study aimed to assess the effect of executive music therapy (EMT) on the state and trait anxiety levels of patients with psychiatric disorders. DESIGN AND METHODS: The study sample consisted of 64 patients who were hospitalized in a psychiatric ward in Giresun, Turkey between January and April 2019. FINDINGS: This study showed that EMT decreased the state anxiety levels of inpatients with psychiatric disorders (P < .05). However, the treatment caused no effect on trait anxiety levels (P > .05). PRACTICE IMPLICATIONS: In line with these results, we recommend that EMT should be included in therapeutic nursing interventions in psychiatric ward.

Opinions of staff working in workplace-violence-related units on violence against nurses: A qualitative study.

The aim of this study was to assess the opinions of staff working in workplace-violence related units on violence against nurses. A qualitative and descriptive design was used. The participants were seven nurses, one biologist, and one social worker who agreed to attend an interview and worked in employee rights unit or occupational health and safety unit. Data were collected from June to December 2017. The interviews were analyzed with content analysis. Four main themes were identified, and the themes were the following: (1) risk factors; (2) reporting of violence; (3) consequences of violence; and (4) prevention and control. In summary, factors related to the patient, the nurse, and the physical structure of the hospital were determined.

State anxiety levels of nurses providing care to patients with COVID-19 in Turkey.

PURPOSE: This study investigates the state anxiety levels of nurses providing care to patients with coronavirus disease-2019 (COVID-19) in Turkey. DESIGN AND METHODS: This cross-sectional study is based on the COVID-19 pandemic situation. The State-Trait Anxiety Inventory was used to collect the study data. FINDINGS: Nurses' state anxiety levels were high (51.51 ± 9.94). Participants evaluated for state anxiety were female; who were married; worked in intensive care units; were service nurses, having more professional experiences; and experienced hand irritation (p < 0.05). PRACTICE IMPLICATIONS: The mental health of nurses providing primary care to patients with COVID-19 should be evaluated in the long term.

The effect of sociodemographic factors on anxiety, depression, and perceived social support in patients with internal medicine and surgical problems.

PURPOSE: This study aimed to determine the effect of sociodemographic factors on anxiety, depression, and perceived social support in patients with internal medicine and surgical problems. DESIGN AND METHODS: The study comprised 522 patients who were hospitalized at the internal medicine and surgical clinics of the training and research hospital of a university. FINDINGS: Of all the patients, 27% were at the risk of anxiety and 51.7% at the risk of depression. Sociodemographic characteristics, health-related issues, and disease characteristics, besides hospitalization-related matters, affected anxiety, depression, and social support levels of patients. PRACTICE IMPLICATIONS: It was determined that more than half of the patients were at the risk of depression. Perceived social support is essential to reduce the risk of anxiety and depression.

The impact of side effects on schizophrenia and bipolar disorder patients' adherence to prescribed medical therapy.

PURPOSE: Our study aims to investigate how antipsychotic drugs' side effects impact schizophrenia and bipolar disorder patients and how this affects their adherence to prescribed medical therapy. DESIGN AND METHODS: The study sample consists of 47 bipolar disorder and 45 schizophrenic patients. Data were collected using the Medication Adherence Rating Scale (MARS) and Liverpool University Neuroleptic Side Effect Rating Scale (LUNSERS). FINDINGS: The mean total LUNSERS scores showed that bipolar disorder patients had more significant side effects compared with schizophrenic patients (P < .05). There was a moderate negative correlation between the mean MARS scores and mean LUNSERS scores of bipolar disorder patients (P < .05). PRACTICE IMPLICATIONS: Nursing care actions and strategies should be planned and implemented to promote adherence to treatment.

The effects of group mindfulness-based cognitive therapy in nursing students: A quasi-experimental study.

BACKGROUND: Academic and clinical stressors are experienced by most nursing students enrolled in a nursing education program. The students who cannot effectively deal with these stressors experience stress, anxiety and depression. OBJECTIVE: The aim of this study was to determine the effects of group mindfulness-based cognitive therapy on mindfulness, depression, anxiety, and stress levels in nursing students. DESIGN: This quasi-experimental study was carried out using a nonrandomized control group pre-test, post-test, and follow up design. SETTING: Department of Nursing, Faculty of Health Sciences, University of Aksaray, Turkey. PARTICIPANTS: Eighty-two second-year undergraduate university nursing students. METHODS: The group mindfulness-based cognitive therapy program was conducted with the experimental group. The Mindful Attention Awareness Scale (MAAS) and The Depression, Anxiety and Stress Scale (DASS) were measured at pre- and post- intervention, and at a 4-months follow-up. RESULTS: The post-test mean scores of MAAS of the experimental group were statistically higher than the control group (p = .006). When the mean scores obtained in the pre-test, post-test and follow-up measurements were compared, the mean scores of MAAS increased (p = .000) and stress scores decreased significantly in the experimental group (p = .004). CONCLUSION: A group mindfulness-based cognitive therapy program conducted with nursing students had an effect on students' mindful attention awareness and stress levels. These study results indicate that this program can be used to reduce the levels of stress in nursing students.

The effect of mentoring program on adjustment to university and ways of coping with stress in nursing students: A quasi-experimental study.

BACKGROUND: Mentoring programs are effective in improving some characteristics related to university adaptation, such as increasing student satisfaction, gaining social skills and effective communication, reducing stress and anxiety, and improving cognitive and psychomotor skills as well as academic performance. OBJECTIVE: The aim of this study was to determine the effect of mentoring program on adjustment to university and ways of coping with stress in nursing students. DESIGN: This quasi-experimental study was carried out using a nonrandomized control group pretest and posttest design. SETTING: The study was conducted at a university school of nursing in Turkey. PARTICIPANTS: Ninety-one first-year undergraduate nursing students were included in the study. METHODS: The 8-week peer mentoring program was conducted with the experimental group. The Adjustment to University Scale (AUS) and The Ways of Coping Inventory (WCI) were measured at preintervention and postintervention. RESULTS: The posttest mean scores of AUS of the experimental group were statistically higher than the control group (p < .05). The posttest mean scores of optimistic and seeking social support approaches of the experimental group were also statistically higher than the control group (p < .05). Mentoring program had an effect on self-confident, optimistic, seeking social support, submissive, and helpless approaches in the experimental group (p < .05). CONCLUSION: Mentoring program had a positive effect on adjustment to university and ways of coping with stress in nursing students. These study results indicate that this program can be used to increase the adjustment to university and ways of coping with stress in nursing students.

Relationship between depression, anxiety, cognitive distortions, and psychological well-being among nursing students.

PURPOSE: The aim of this study was to determine the relationship between depression, anxiety, cognitive distortions, and psychological well-being among nursing students. DESIGN AND METHODS: This descriptive, correlational, cross-sectional study was conducted with 330 nursing students. Data were collected using the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), the Cognitive Distortion Scale (CDS), and the Psychological Well-being Scale (PWBS). FINDINGS: The PWBS negatively correlated with the BDI, BAI, and CDS (P < .05). Preoccupation with danger was the strongest predictor, followed by hopelessness, self-blame, total CDS and BDI (P < .05). PRACTICE IMPLICATIONS: Nursing students should be evaluated for psychological well-being to prevent psychiatric symptoms such as anxiety and depression.