Examining resilience and burnout in parents of children with chronic disease.

AIM: The study determines the relationship between resilience and burnout in parents of children with chronic diseases and the influencing factors. METHOD: The study was conducted with a descriptive design. The study population consisted of the parents of children with any chronic illness who applied to the pediatric outpatient clinics of a state hospital located in a province in the northeast of Turkey. The study sample consisted of 207 parents who came to the hospital between October 2020 and June 2022, who met the criteria, and agreed to participate. "Descriptive Information Form," "Family Resilience Scale (FRS)," and "Burnout Inventory (BI)" were employed to collect data. The data were analyzed using the SPSS for Windows 22 package program. RESULTS: 37.2% of the parents participating in the study were in the age group of 30-39 years, 52.2% were female, 93.2% had no other children with chronic diseases, 20.3% were diagnosed with asthma, and the duration of the diagnosis was between 1 and 4 years in 44.4%. The participants scored 130.64 ± 25.73 points in the Family Resilience Scale and 36.16 ± 7.78 points in the overall Burnout Inventory. CONCLUSION: It was determined that parents' resilience was high and their burnout was moderate. Burnout decreases as resilience increases in parents of children with chronic diseases. PRACTICE IMPLICATIONS: To strengthen family resilience and reduce parental burnout, nurses should support and provide holistic care to parents with chronically ill children.

Assessment of health literacy and quality of life in women with urinary incontinence.

PURPOSE: In studies conducted with different groups, the effects of health literacy on quality of life are evident; however, there is no study examining the effect of health literacy on quality of life in women with urinary incontinence. The research was carried out to determine the health literacy level of women with urinary incontinence complaints, evaluate their quality of life, and examine the relationship between the two. METHODS: The research was carried out as a descriptive study and conducted with 142 women with urinary incontinence complaints in an education and research hospital in Turkey between October 14 and December 30, 2020. The data were collected using the Introductory Information Form, Turkey Health Literacy Scale-32, Incontinence Quality of Life Scale. RESULTS: The THLS-32 total mean score was 28.29 ± 8.68, the IQOL total mean score was 64.35 ± 15.33. It was determined that 41.5% of the women had insufficient, 35.9% had problematic-limited, 12% had adequate and 10.6% had excellent health literacy. A positive, medium-sized statistically significant correlation was found between the TSOY-32 score and the IQOL score (r = 0.436, p < 0.001). CONCLUSIONS: Urinary incontinence has significant effects on the quality of life. It is thought that the evaluation of health literacy may be beneficial in nursing approaches to improve the quality of life of women with urinary incontinence.

Comparison of video-assisted education and traditional classroom education in pediatric cardiopulmonary resuscitation education of nursing students.

AIM: This research aimed to compare the effectiveness of traditional classroom education and video-assisted education methods used in Pediatric (CPR) education and determine students' level of satisfaction with the education methods used. METHOD: This research had a randomized, experimental, pretest-posttest design. The research was completed with 98 students (54 in the video-assisted education group and 44 in the traditional classroom education group). The traditional classroom education group received pediatric CPR education through traditional classroom education. On the other hand, the video-assisted education group watched the pediatric CPR education video prepared by the researchers. The level of knowledge of pediatric CPR, the level of pediatric CPR practice skills, and the satisfaction score of each student were evaluated. RESULTS: When the skills levels of the groups were compared, it was determined that there was no statistical difference between the test results. In both groups, the students' mean knowledge and skill scores in the first and second posttests were significantly higher than their pretest knowledge scores. The satisfaction scores of the students in both groups were similar. CONCLUSION: Both methods effectively improve students' pediatric CPR-related knowledge, skills, and satisfaction. IMPLICATIONS FOR PRACTICE: As support for traditional education, using video-assisted visual education materials that nursing students can constantly access when needed is important.

Evaluation of disease related attitudes and quality of life in children with chronic illness.

AIM: This study was conducted as a descriptive method in order to evaluate the attitudes towards illness of children with chronic diseases and their quality of life. METHOD: The population of the study consisted of children with a chronic illness who were admitted to the pediatrics outpatient clinic of a hospital located in a province in the north-east of Turkey. The sample of the study consisted of 105 children who came to the hospital between October 2020 and June 2022, who met the criteria, and whose permission was obtained from themselves and their families. The study data were collected by using the 'Introductory Information Form', the 'Pediatric Quality of Life Inventory (PedsQL) (8-12 and 13-18 years)' and the 'Child Attitude Towards Illness Scale (CATIS)'. Data were analyzed using the SPSS for Windows 22 package program. RESULTS: The mean age of the children who participated in the study was 13.90 ± 2.55 and 73.3% of them were in the adolescent age group. The average PedsQL total score of the children participating in the research was 64.59 ± 18.99 and the average CATIS total score was 3.05 ± 0.71. CONCLUSION: It was determined that as the quality of life of the children with chronic diseases in the study increased, their attitudes towards their diseases became more positive. PRACTICE IMPLICATIONS: While caring for children with chronic diseases, nurses should consider that supporting the child's quality of life positively affects the child's attitude towards the disease.

The Relationship of Females with Sexual Dysfunctions to Different Sex Positions.

The aim of this study is to determine the relationship between different sex positions and female sexual dysfunction. This comparative and descriptive study was conducted at a hospital in a province in Eastern Turkey between March 2019 - June 2019. The data were collected using the "Personal Data Form" and "Female Sexual Function Index/FSFI" via the closed envelope technique to protect the participants' privacy. The study was conducted with 184 women. Number, mean, percentage distribution, and ANOVA tests were used to evaluate the data. The total mean score of the FSFI was determined to be 18.03 ± 4.17. When examining the mean scores of the sexual function index in terms of sex position, a statistically significant difference was found between both the FSFI total score and its subscales and all positions (p = 0.00). It was observed that based on the scores of the FSFI, the women had a form of sexual dysfunction and had higher mean scores in Desire, Arousal, Lubrication, Orgasm, and Satisfaction in the overall scale of female-on-top positions, and their mean scores for pain subscale were lower.

The effect of the approach based on the Neuman Systems Model on stress and coping in women receiving intrauterine insemination treatment: A randomized controlled trial.

This randomized controlled study was conducted to determine the effect of the approach based on the Neuman Systems Model (NSM) on stress and coping in women receiving intrauterine insemination (IUI) treatment. The study participants consisted of 62 women. Data was collected using a personal information form, the COMPI Fertility Problem Stress Scale, and the COMPI Coping Strategy Scale. Women in the intervention group had lower stress levels in their personal and marital domain post-test median scores than those in the control group. Women in the intervention group also had lower active-avoidance coping method and higher meaning-based coping method post-test mean scores. The NSM-based approach is beneficial in decreasing stress and positively affects women to cope with stress. Both infertility and its treatments are stressful. Health care professionals have important responsibilities for reducing the stress of infertile women and strengthening infertile women's ability to cope. The NSM-based approach is considered to have positive effects on stress and the ability of women to cope who receive IUI treatments. In addition, IUI is a widely applied method which is used before switching to assisted reproductive techniques. If this treatment fails, the stress coping techniques learned during this treatment can be used in later treatment processes. We conducted this study to investigate the effects of the NSM-based approach on stress and coping strategies in women receiving IUI treatment.

Hospital nurses' knowledge about older patients in Turkey: a validation and comparison study.

BACKGROUND: In Turkey, nursing care in hospitals has gradually included more older patients, resulting in a need for knowledgeable geriatric nurses. It is unknown, however, whether the nursing workforce is ready for this increase. Therefore, the aim of this study is to validate the Knowledge about Older Patients Quiz (KOPQ) in the Turkish language and culture, to describe Turkish hospital nurses' knowledge about older patients, and to compare levels of knowledge between Turkish and Dutch hospital nurses. METHOD: First, the KOPQ was translated, resulting in the KOPQ-TR. Then, content validity was assessed by 10 geriatric experts using the Lynn method, a pilot test among 10 nurses was conducted, and a Rasch analysis was performed using data from 135 nurses working in two Turkish hospitals. Finally, a comparison between Turkish and Dutch nurses' levels of knowledge was performed. RESULTS: The results of the qualitative validation (i.e., content validity by experts and nurses), model fit, item reliability and the item separation index of the KOPQ-TR proved excellent, indicating good content and construct validity. However, the Person Separation Index and Person Reliability of the Rash analysis did not meet the criteria for adequate scale and psychometric validation. The levels of knowledge among Turkish nurses were significantly lower than those of Dutch nurses. CONCLUSIONS: The KOPQ-TR is promising for use in Turkey, although psychometric validation should be repeated using a better targeted sample with a larger ability variance to adequately assess the Person Separation Index and Person Reliability. Currently, education regarding care for older patients is not sufficiently represented in Turkish nursing curricula. However, the need to do so is evident, as the results demonstrate that knowledge deficits and an increase in older patients admitted to the hospital will eventually occur. International comparison and cooperation provides an opportunity to learn from other countries that currently face the challenge of an aging (hospital) population.

Determining the healthy lifestyle behaviors and e-health literacy levels in adolescents.

OBJECTIVE: The aim of this study is to determine the healthy lifestyle behaviors and e-health literacy levels of adolescents. METHOD: A descriptive research design was used in this study. It was conducted with a total of 390 students in the Faculty of Health Sciences. The data were collected using a personal information form, the Healthy Lifestyle Behaviors Scale II and the e-Health Literacy Scale for Adolescents. For data analysis, descriptive analyses, t-test, variance, Kruskal-Wallis, the Mann-Whitney U and Pearson Correlation tests were used. Necessary approvals were obtained to conduct this study. RESULTS: The present study found that the e-Health Literacy Scale mean score of adolescents was 27.51 and their HLBS-II mean score was 129.01. A positive significant relationship was found between the e-health literacy and healthy lifestyle behavior in adolescents. CONCLUSION: This study emphasizes the importance of e-health literacy in developing nursing procedures designed to increase the healthy lifestyle behaviors of adolescents.

Determination of Attitude and Stress Levels of Midwives, Nurses and Physicians Working in Obstetrics and Gynecology Clinics Regarding COVID-19 Pandemic.

BACKGROUND: This study aimed to determine the attitude and stress levels of midwives, nurses and physicians working in gynecology and obstetrics clinics towards the COVID-19 pandemic. SUBJECTS AND METHODS: This descriptive and cross-sectional study was conducted with 134 healthcare workers in obstetrics and gynecology clinics. The Personal Information Form, the Attitude form for the COVID-19 pandemic and the Perceived Stress Scale were used for collecting the data. RESULTS: It was found that the total average score of the healthcare workers' attitude scale was 55.61±5.97. The total score average of healthcare workers on the perceived stress scale was found to be 28.28±7.43. CONCLUSION: It was determined that the attitudes of healthcare professionals towards the COVID-19 pandemic and the perceived stress for the COVID-19 pandemic were at moderate levels.

Determining the healthy lifestyle behaviors and e-health literacy levels in adolescents / Determinando os comportamentos de estilo de vida saudáveis e os níveis de letramento e-Saúde em adolescentes / La determinación de los hábitos de vida y el nivel de alfabetización e-Salud en adolescentes

ABSTRACT Objective The aim of this study is to determine the healthy lifestyle behaviors and e-health literacy levels of adolescents. Method A descriptive research design was used in this study. It was conducted with a total of 390 students in the Faculty of Health Sciences. The data were collected using a personal information form, the Healthy Lifestyle Behaviors Scale II and the e-Health Literacy Scale for Adolescents. For data analysis, descriptive analyses, t-test, variance, Kruskal-Wallis, the Mann-Whitney U and Pearson Correlation tests were used. Necessary approvals were obtained to conduct this study. Results The present study found that the e-Health Literacy Scale mean score of adolescents was 27.51 and their HLBS-II mean score was 129.01. A positive significant relationship was found between the e-health literacy and healthy lifestyle behavior in adolescents. Conclusion This study emphasizes the importance of e-health literacy in developing nursing procedures designed to increase the healthy lifestyle behaviors of adolescents.

RESUMO Objetivo O objetivo deste estudo é determinar os comportamentos de estilo de vida saudáveis e os níveis de letramento e-Saúde de adolescentes. Método Um desenho de pesquisa descritivo foi utilizado neste estudo. Foi realizado com um total de 390 alunos da Faculdade de Ciências da Saúde. Os dados foram coletados por meio de um formulário de informações pessoais, a Healthy Lifestyle Behaviors Scale II e a e-Health Literacy Scale for Adolescents. Para a análise dos dados, foram utilizadas análises descritivas, teste t, variância, Kruskal-Wallis, Mann-Whitney U e testes de correlação de Pearson. As aprovações necessárias foram obtidas para conduzir este estudo. Resultados O presente estudo constatou que o escore médio dos adolescentes da e-Health Literacy Scale foi de 27,51 e o escore médio da HLBS-II foram de 129,01. Uma relação positiva significativa foi encontrada entre o letramento e-Saúde e o comportamento de estilo de vida saudável em adolescentes. Conclusão Este estudo enfatiza a importância do letramento em e-Saúde no desenvolvimento de procedimentos de enfermagem que visam aumentar os comportamentos de estilo de vida saudáveis dos adolescentes.

RESUMEN Objetivo El objetivo de este estudio es determinar los hábitos de vida saludables y los niveles de alfabetización e-Salud en los adolescentes. Método En este estudio se utilizó un diseño de investigación descriptivo. Se realizó con un total de 390 estudiantes de la Facultad de Ciencias de la Salud. Los datos se recopilaron mediante un formulario de información personal, la Healthy Lifestyle Behaviors Scale II y la e-Health Literacy Scale for Adolescents. Para el análisis de datos se utilizaron análisis descriptivos, t-test, varianza, Kruskal-Wallis, la U de Mann-Whitney y las pruebas de Correlación de Pearson. Se obtuvieron las aprobaciones necesarias para realizar este estudio. Resultados El presente estudio encontró que la puntuación media de la e-Health Literacy Scale de los adolescentes fue de 27,51 y la puntuación media de la HLBS-II fue de 129,01. Se encontró una relación positiva significativa entre la alfabetización en e-Salud y el comportamiento de estilo de vida saludable en los adolescentes. Conclusión Este estudio enfatiza la importancia de la alfabetización en e-Salud en el desarrollo de procedimientos de enfermería diseñados para aumentar los comportamientos de estilo de vida saludable de los adolescentes.

VALIDITY AND RELIABILITY OF THE NICU PARENTAL BELIEFS SCALE FOR PARENTS IN TURKEY.

This methodological study was conducted for Turkish adaptation of the Neonatal Intensive Care Unit Parental Beliefs Scale (NICU PBS). The study sample consisted of 136 mothers and 97 fathers who had agreed to participate in the study. Turkish linguists were consulted to test the linguistic validity of the scale. Explanatory factor analysis was performed for construct validity of the scale, which indicated that the 18 items in the scale had a three-factor structure, explaining a maximum of 70.24% of total variance. Considering factor loadings, the factor load values ranged from 0.614 to 0.806. Concerning reliability of the scale, the item-total score correlation values were found to be 0.54-0.78, and the Cronbach's alpha was 0.90. Accordingly, the Turkish version of NICU PBS can be considered valid and reliable.

Determination of the life quality and self-care ability of the mothers in post-partum period.

OBJECTIVE: To determine the life quality and self-care ability of mothers in the post-partum period. . METHODS: This descriptive study was conducted at a family health centre based in Kars Province of Turkey from May to September 2015, and comprised mothers who were in the post-partum period. Personal information form, maternal post-partum quality of life questionnaire and self-care ability scale were used to collect data. SPSS was used for data analysis. RESULTS: There were 290 participants with a mean age of 26.81±6.21 years (range: 16-45 years). Mean scores for sub-dimensions in the maternal post-partum quality of life questionnaire were recorded at 19.00±6.23 for affinity/family/friend, 21.05±6.10 for socio-economic, 20.79±5.97 for spouse, 20.56±6.23 for health, and 19.86±6.21 for psychological/baby. The total maternal post-partum quality of life mean score was 20.17±5.51. The mean score for the self-care ability scale was 84.56±21.39. CONCLUSIONS: The self-care ability and post-partum life quality were substantially affected by educational status, economic condition, family type and post-partum week.

Sexual and Reproductive Health Education Needs, Gender Roles Attitudes and Acceptance of Couple Violence According to Engaged Men and Women.

This descriptive study was aimed to evaluate the attitudes of the engaged men and women who are of legal age to marry towards gender roles and acceptance of couple violence, and determine their sexual/reproductive health education needs. It was conducted in two marriage registry offices in Ankara, Turkey. The study sample consisted of 740 participants. Data were collected by using semi-structured form, Gender Roles Attitude Scale and Acceptance of Couple Violence Scale. It was found that the engaged couples had educational needs concerning sexual/reproductive health; socio-demographic characteristics such as gender, age, education, residence, and income level created significant differences in the attitudes related to accepting gender roles and violence; and having an egalitarian attitude towards gender roles decreased the rate of accepting violence between the couples. Results indicate that premarital counseling is a promising strategy to support engaged couples' sexual/reproductive health needs, and increase their awareness about gender based couple violence in communities.

Anger and depression levels of mothers with premature infants in the neonatal Intensive Care Unit.

BACKGROUND: The aim of this study to examine to anger and depression levels of mothers who having a premature infant in the NICU and factors affecting it. METHODS: This descriptive study was performed in the level I and II units of NICU at three state hospitals in Turkey. The data was collected with a demographic questionnaire, "Beck Depression Inventory" and "Anger Expression Scale". Descriptive statistics, parametric and nonparametric statistical tests and Pearson correlation were used in data analyses. RESULTS: Mothers whose infants are under care in NICU have moderate depression. It is also determined that mothers' educational level, income level and gender of infants were found to be statistically significant (P<0.05). A positively relationship between depression and trait anger scores and statistically significant. A negatively relationship existed between depression and anger-control scores for the mothers and statistically significant (P<0.05). CONCLUSIONS: Due to the results of research, recommended that mothers who are at risk of depression and anger in the NICU evaluated by nurses and these nurses to develop their consulting roles.

The Effect of Spiritual Care on Stress Levels of Mothers in NICU.

Hospitalization of an infant is a difficult situation for the family, and parents require support from the health care team during this difficult time. The aim of this study was to investigate the effect of spiritual care on levels of stress in mothers with infants in a neonatal intensive care unit. This spiritual care study was performed by comparing control and spiritual care pre- and posttest groups. The study population included 62 mothers. The Mother-Baby Introductory Information Form and the Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) were used for data collection. Prior to spiritual care, no significant difference was found between the mothers' PSS:NICU scores, whereas following spiritual care, there was a significant difference between PSS:NICU scores of the mothers, in favor of the spiritual care group ( p < .05). Findings indicate that nurses should be aware and consider the spiritual needs of mothers and must identify and meet these needs.

Effects of Covering the Eyes versus Playing Intrauterine Sounds on Premature Infants' Pain and Physiological Parameters during Venipuncture.

BACKGROUND: There is a need to assess the impact of initiatives to reduce exposure to environmental light and sound in preterm infants undergoing painful interventions in neonatal intensive care units. OBJECTIVES: In this study, we aimed to identify the effect of covering the eyes and playing the intrauterine ambient sounds on premature infants' pain and physiological parameters during venipuncture. METHODS: This was a randomized controlled trial. Ninety-four preterm infants were randomly divided into three groups: intrauterine sounds (n=32), covered eyes (n=32), and control (n=30) groups. Data were collected on the Preterm Infant Information Form, Preterm Infant Follow-up Form, and Neonatal Infant Pain Scale (NIPS), used to assess pain. RESULTS: A significant difference was found between the intervention and control groups' NIPS score after venipuncture, which was primarily due to covered eyes' group. No significant difference was found between the intervention and control groups' NIPS score during venipuncture. In addition, no significant difference was found between the intervention and control groups of infants physiological parameters before, during, and after venipuncture. The practice of covering preterm infants' eyes during venipuncture positively affected their pain scores after venipuncture. CLINICAL IMPLICATIONS: The effect of covering the eyes and playing the intrauterine ambient sounds in preterm infants may be recommended as simple, safe, and supportive stimuli that facilitate positive effects during painful procedures.

Effects of Having Preterm Infants Smell Amniotic Fluid, Mother's Milk, and Mother's Odor During Heel Stick Procedure on Pain, Physiological Parameters, and Crying Duration.

OBJECTIVE: The study aims to assess effects of having preterm infants smell amniotic fluid, mother's milk, and mother's odor during heel stick procedure on pain, physiological parameters, and crying duration. MATERIALS AND METHODS: The study was a randomized controlled experimental research. The population of the study was made up of preterm infants receiving treatment and care at a neonatal intensive care unit, where the study was conducted between January 2015 and March 2016. The study was performed with 85 preterm infants who met the selection criteria. Infants were randomized into four groups: amniotic fluid, mother's milk, mother's odor, and control group. Data obtained were analyzed by percentage distributions, means, standard deviation, chi-square test, Kruskal-Wallis, and Dunnett's test. RESULTS: While no significant difference was found between the groups in terms of total preterm infant pain profile score before, during, and after the heel stick procedure (p > 0.05), a significant difference was found in terms of SO2 values (p < 0.05) and the difference was caused by the amniotic fluid group. Although no significant difference was found between the groups in terms of crying duration (p > 0.05), the amniotic fluid group had the lowest score, followed by the mother's milk group, the mother's odor group, and the control group. CONCLUSIONS: Amniotic fluid, mother's milk, and mother's odor were not effective in preterm infants during painful procedures.

Supporting of the Fathers to Visit Their Infants in Neonatal Intensive Care Unit Decreases Their Stress Level: A Pretest-Posttest Quasi-Experimental Study.

It is known that fathers whose infants are hospitalized in NICUs (Neonatal Intensive Care Units) are severely stressed. This study was conducted for the purpose of determining the effect of supporting and visiting infants in NICUs on stress levels of Turkish fathers. This was a pretest-posttest quasi-experimental study. The population of the study consisted of 47 fathers who had their infants receiving treatment in NICU at a state hospital in the eastern Turkey and agreed to participate in the study. The data were collected by using "Father-Infant Introductory Information Form" and "Parental Stressor Scale: Neonatal Intensive Care Unit, PSS:NICU". When comparing the PSS:NICU total mean scores of the fathers before and after interventions; it was determined that their mean scores were higher before visits compared to those obtained after interventions and the difference between them was significant at advanced level. It was found that the fathers visiting and supporting their infants in NICUs had the decreased stress levels. It is a useful nursing intervention to support fathers to visit their babies in NICUs and establish environments where they could spend time with their babies.

Spirituality and spiritual care: a descriptive survey of nursing practices in Turkey.

BACKGROUND: Nurses' spiritual care practices have been shown to affect patients' well-being, therefore understanding nurses' spiritual care perceptions and their practices. AIM: The aim of this paper is to investigate the nurses' views to practising spiritual care. METHODS: A descriptive survey of 193 nurses was conducted at a general hospital in Turkey. Data was collected using a demographic questionnaire and The Spirituality and Spiritual Care Rating Scale (SSCRS). FINDINGS: The findings of this study revealed that older nurses (p<.05); married (p<.001); higher levels of education (p<.05); work experience (p<.05); worked longer hours (p<.05); received education in spiritual care (p<.001); working in medical departments (p<.05) all tended to score higher on the SSCRS. CONCLUSION: Our research findings suggest that there is a lack of knowledge and general confusion regarding Turkish nurses perceptions and practices related to spiritual care.

Effect of flick application on pain level and duration of crying during infant vaccination.

BACKGROUND: The aim of the research is to determine the effect of flick application to reduce pain on pain level and duration of crying during vaccination. METHOD: This research was carried out on one-month-old babies in a family health center between March and June 2015. The babies coming for the second dose of Hepatitis B vaccine were divided into experiment and control groups. The babies in experiment group were flicked just before they were vaccinated. On the other hand, the babies in control group were vaccinated in usual way, with no other application. The pain level of babies in both groups was determined using "Neonatal Infant Pain Scale". In addition, babies' duration of crying was recorded. RESULTS: In the study, it was detected that there was not a significant difference between pain score averages of babies in experiment and control groups (p > 0.05) before the application, however a significant difference in pain score average was detected during the application (p < 0.01) and after the application (p < 0.001). Babies' duration of crying was compared and it was determined that babies in experiment group cried for shorter period, but no relevance was found (p > 0.05). CONCLUSIONS: Flick application at vaccination area could be used to reduce pain during vaccination at babies.