The effect of a stress management program on first-year nursing students' clinical stress: A randomized controlled experimental study.

BACKGROUND: Clinical clerkships lie at the core of nursing education and are crucial for developing professional skills. However, nursing students, especially freshmen, often encounter significant stress during their clinical experiences. OBJECTIVES: This study investigated the effect of a stress management program on first-year nursing students' clinical stress levels. DESIGN: This randomized controlled experimental study adopted a pretest-posttest-follow-up test research design. SETTINGS AND PARTICIPANTS: Participants were recruited using simple randomization. The sample consisted of 64 first-year nursing students (intervention = 32; control = 32) from the nursing department of the faculty of health sciences of a university in Türkiye. METHODS: Participants were randomized into intervention and control groups. The intervention group attended a stress management program, one weekly session for five weeks (intervention). The research was conducted between 21.02.2022 and 20.05.2022. Data were collected using a personal information form, the Perceived Stress Scale, the Physio-Psycho-Social Response Scale, and the Coping Behavior Inventory. The data were collected pretest and posttest the intervention and two months follow-up test. The data were analyzed using the two-way repeated measures analysis of variance (ANOVA). RESULTS: The changes in the Perceived Stress Scale mean scores, group*time interaction, were statistically significant (p < 0.05). The results showed that the changes in the Coping Behavior Inventory "problem-solving" subscale mean scores, group*time interaction, were statistically significant (p < 0.05). The multiple comparisons showed a statistically significant difference in posttest Physio-Psycho-Social Response Scale "social behavioral symptoms" and "emotional symptoms" subscale scores between the intervention and control groups (p < 0.05). The multiple comparisons showed a statistically significant difference in posttest Coping Behavior Inventory "problem-solving" and "avoidance" subscale scores between the intervention and control groups (p < 0.05). CONCLUSION: The stress management program helps first-year nursing students experience less stress and develop problem-solving skills before they perform clinical clerkships. It also allows them to suffer from fewer emotional and social behavioral symptoms and exhibit fewer avoidance behaviors.

Evaluation of the Spiritual Care Needs of Patients with Cancer in a Chemotherapy Unit in Turkey.

This study was conducted to determine the spiritual care needs of cancer patients receiving chemotherapy. A cross-sectional descriptive design was used to analyze a total of 104 patients at a university hospital in Turkey. The data were collected using the Spiritual Care Needs Scale. The mean age of the patients participating in the study was 61.0 (10.2). It was determined that 31.7% of the patients stated that the concepts of spirituality and spiritual care are related to religion and worship. As a result, it was found that the patients receiving chemotherapy had high-spiritual care needs. The dimensions in which the spiritual needs of the patients were remarkably high were belief and spiritual practices, being in peace and security, the love and support of their relatives and being informed about health. The spiritual care need score of the patients increased significantly with marital status (p = 0.001), having children (p = 0.002), having a chronic disease (p = 0.04) and having an undergraduate/graduate level education (p = 0.01). Nurses should be aware of patient's spiritual needs, plan patient-specific spiritual care practices, conduct more studies on the effects of spiritual care on the patient and family and create guidelines for spiritual care practices in patients receiving chemotherapy in Turkey.

The effect of flipped learning on blood pressure knowledge and self-directed learning skills of first-year nursing students: A randomized controlled trial.

AIM: This study investigated the effect of flipped learning on first-year nursing students' blood pressure knowledge levels and self-directed learning skills. BACKGROUND: Flipped learning is an innovative approach that helps nursing students learn about blood pressure and how to measure how to measure blood pressure accurately. Flipped learning also promotes active and student-centered learning settings and encourages nursing students to develop self-directed skills. DESIGN: This study adopted a pretest-posttest open-label randomized controlled trial. METHOD: The sample consisted of 94 first-year nursing students randomized into experimental (n = 48) and control groups (n = 46). The experimental group participants were trained using the flipped learning model. Data were collected using a personal information form, the Blood Pressure Knowledge Test (BPKT) and the Self-Directed Learning Skills Scale (SDLSS). RESULTS: There was no significant difference in pretest BPKT scores between the experimental and control groups. However, there was a significant difference in posttest BPKT scores between the experimental and control groups (p = 0.011). Moreover, there was a significant difference between the experimental group's mean pretest, posttest and follow-up SDLSS scores (p = 0.009). CONCLUSION: The experimental group had a significantly higher mean posttest BPKT score than the pretest score. They had significantly higher mean posttest SDLSS total and "self-monitoring," "motivation," and "self-confidence" subscale scores than the pretest score.

Spiritual Care Needs of Patients with Urinary Incontinence and Affecting Factors: A Cross-Sectional Descriptive Study in Turkey.

This study was conducted to determine the spiritual care needs of patients with urinary incontinence and various influencing factors. Determining the spiritual care needs of individuals with urinary incontinence may make patients feel more hopeful, peaceful, and stronger. It can also encourage individuals towards positive health behaviors, and can help nurses in choosing appropriate coping methods. A descriptive and cross sectional study was conducted with 220 patients with urinary incontinence who applied to the urology outpatient clinic of a university hospital in Turkey. In the study, data were collected using the descriptive features form, the incontinence severity index, and the Spiritual Care Needs Inventory. Kruskal-Wallis test and Mann-Whitney U test were used to evaluate the data. This study is reported following the STROBE recommendations. In this study, mean scores of the patients' spiritual care needs scale and the severity of incontinence, age, gender, and the effect of urinary incontinence on daily life, determined that there was a statistically significant difference between the state of being disturbed by urinary incontinence, the state of performing religious rituals regularly, the state of incontinence affecting religious rituals, the importance of religious beliefs in daily life, and the level of defining spirituality (p < 0.05). In this study, it was determined that the spiritual care need scores of the patients with urinary incontinence were above the medium level, and the sub-dimension scores of meaning and hope, caring, and respect were high. In this context, it is very important to consider the spiritual care needs of patients with urinary incontinence problems.

Spiritual Care Competence of Nurses.

Background Health care has become more patient centered, and spiritual care has become more critical during the past several decades because researchers have identified associations between met spiritual needs and positive health outcomes. This study investigated nurses' spiritual care competence. Method A cross-sectional, descriptive research design was used. The study sample consisted of 201 nurses of a training and research hospital. Data were collected using a sociodemographic characteristics questionnaire and the Spiritual Care Competence Scale (SCCS). Results The participants had a mean age of 27.62 ± 5.28 years. They had a mean SCCS score of 3.88 ± 0.50. Three factors affected participants' spiritual care competence. First, head nurses had a higher mean SCCS score than nurses (4.16 ± 0.26 vs. 3.87 ± 0.50). Second, participants who met patients' spiritual care needs had a higher mean SCCS score than those who could not (4.02 ± 0.54 vs. 3.09 ± 1.12). Third, participants who could diagnose patients for spiritual care had a higher mean SCCS score than those who could not (p < .05). Conclusion These nurses had above-average spiritual care competence. Universities and health care institutions should provide nurses with training to help them develop spiritual care competence. [J Contin Educ Nurs. 2022;53(5):225-231.].

Determining digital burnout in nursing students: A descriptive research study.

BACKGROUND: Nursing students have been spending much more time on digital platforms for educational purposes since the onset of the COVID-19 pandemic. However, prolonged screen time can cause digital burnout. This paper investigated digital burnout levels in nursing students. DESIGN: This was a descriptive study. SETTINGS: The study population consisted of 443 nursing students of the faculty of health sciences of a university in the 2020-2021 academic year. The sample consisted of 361 nursing students who agreed to participate in the study and filled out the data collection forms. Participants were recruited using convenience sampling. The participation rate was 81.5%. PARTICIPANTS: First-, second-, third-, and fourth-year nursing students. METHODS: Data were collected using a descriptive characteristics questionnaire and the Digital Burnout Scale (DBS). The data were analyzed using number, percentage, and mean (minimum, maximum) and the student t-test, One way ANOVA, Kruskal-Wallis test, and Mann-Whitney U test. RESULTS: Participants had a total DBS score of 72.28 ± 18.92. They had a mean DBS "digital aging," "digital deprivation," and "emotional exhaustion" subscale score of 37.57 ± 10.02, 15.66 ± 5.89, and 19.54 ± 5.60, respectively. Participants who spent more than five hours a day online had higher DBS scores than those who spent less than five hours a day online (p < 0.05). Participants who were always stressed out had higher DBS scores than those who were sometimes or never stressed out (p < 0.05). CONCLUSION: Participants had above-average digital burnout levels, which were affected by the average time spent online per day, stress level, physical and psychological health, and economic status. The curriculum should teach nursing students how and how much to use digital media.

Effect of Storytelling Technique on the Attitudes of Nursing Students Toward Death.

This study was conducted to determine the effect of the storytelling technique on the attitudes of nursing students toward death as a mixed research design. The study sample consisted of 94 senior students attending the nursing department of a university in Turkey. Quantitative data were collected by using the introductory characteristics form and the Death Attitude Profile-Revised, while qualitative data were collected through focus group interviews with the semistructured interview form. The data were analyzed according to number, percentage, Wilcoxon test, paired samples ttest, and descriptive analysis method. The mean Death Attitude Profile-Revised Scale score of the students before receiving the relevant education was 4.17 ± 0.21. This score increased to 4.25 ± 0.24 after the students received the education and the difference was found to be statistically significant (p < .05). In the qualitative section of the study, the data obtained from the attitudes of the students toward death were coded, and four themes were determined. The qualitative data obtained from the focus group interviews with the participating students were presented under four themes: the contribution of the storytelling technique to learning, the effect of the storytelling technique on the attitude toward death, thoughts about the storytelling technique, and contribution of the course to knowledge, skills and attitude in giving care to the dying patient. As a result of the study, explaining the subject of death with the storytelling technique was determined to positively affect the attitudes of the students toward death.

An Investigation of Pain Beliefs, Pain Coping, and Spiritual Well-Being in Surgical Patients.

This study investigated pain beliefs, pain coping, and spiritual well-being in surgical patients. The study adopted a cross-sectional, descriptive, and correlational research design. The sample consisted of 213 voluntary patients admitted to a surgery clinic between April and November 2019. Data were collected using a demographic characteristics questionnaire, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale-12 item (FACIT-Sp-12), the Pain Beliefs Questionnaire (PBQ), and the Pain Coping Questionnaire (PCQ). Number, percentage, mean, and Spearman's correlation were used for analysis. Participants had a total FACIT-Sp-12 score of 25.99 ± 8.43. They had a mean PBQ "organic beliefs" and "psychological beliefs" subscale score of 4.44 ± 0.64 and 4.96 ± 0.68, respectively. They had a mean PCQ "self-management," "helplessness," "conscious coping attempts," and "medical remedies" subscale score of 15.83 ± 6.15, 9.41 ± 4.63, 8.72 ± 3.66, and 7.46 ± 5.33, respectively. Spiritual well-being was weakly and positively (r = 0.445, p < 0.000) correlated with self-management and moderately and negatively correlated (r = - 0.528, p < 0.000) with helplessness. Participants with higher organic and psychological beliefs had lower spiritual well-being. The results indicate that nurses should evaluate both pain and spiritual well-being in patients.

Correlation Between Spiritual Well-being and Quality of Life in Patients With Urinary Incontinence: A Cross-sectional Descriptive Study.

Urinary incontinence (UI) increases the risk of medical complications and psychosocial, physical, and emotional problems. PURPOSE: This cross-sectional descriptive study investigated the correlation between spiritual well-being (SWB) and quality of life (QOL) in patients with UI. METHODS: Patients with UI visiting an outpatient urology clinic of a university hospital in Turkey were invited to participate. Data were collected using the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being 12 Item Scale (FACIT-Sp-12) (range 0-48 with higher scores indicating better SWB) and the Incontinence Quality of Life Questionnaire (I-QOL) (range 0-100 with higher scores indicating better QOL). RESULTS: The sample consisted of 383 patients. Most were female (235; 61%), had completed high school (169; 44%), had experienced UI for an average of 3.54 years (SD 3.44), and were between 21 and 92 years of age (mean 52.7; SD 14). The mean I-QOL score was 65.31 ± 19.71 with subscores ranging from a low of 59.69 for social embarrassment to a high of 71.44 for psychosocial impact. The average FACIT-Sp-12 score was 28.00 ± 6.08. Overall I-QOL and FACIT-Sp-12 scores were weakly positively correlated (r = .235). CON- CLUSION: In this study both QOL and SWB scores were good; higher UI-specific QOL scores and some subscores were asso-ciated with higher SWB scores and subscores. Incontinence QOL should be determined together with SWB in patients with UI.

The relationship between moral sensitivity and medical errors attitude in nursing students.

The aim of this descriptive and correlational study was to determine the relationship between nursing students' moral sensitivity and attitudes towards medical errors. The study sample consisted of 309 fourth graders of the school of nursing of a university. Data were collected using a Descriptive characteristics form, the Moral Sensitivity Questionnaire (MSQ) and the Medical Errors Attitude Scale (MEAS). Participants had a mean MSQ and MEAS score of 91.31 ± 21.29 and 3.77 ± 0.44, respectively. There was a negative correlation between MEAS and MSQ scores, indicating that the higher the moral sensitivity, the higher the participants' awareness of medical errors and error reporting. It is, therefore, recommended that students be offered moral education based on different teaching methods to help them develop positive attitudes towards medical errors.

Investigation of Nursing Students' Attitudes Towards Death and Their Perceptions of Spirituality and Spiritual Care.

Nurses are responsible for meeting the care needs of dying patients and their families, including their physical, psychological, emotional and spiritual assessment and care. The aim of this descriptive study was to investigate nursing students' attitudes towards death and their perceptions of spirituality and spiritual care. The study sample consisted of 237 second-, third- and fourth-grade nursing students. Data were collected using a "Personal Information Form", the "Spirituality and Spiritual Care Rating Scale (SSCRS)" and "Death Attitude Profile-Revised (DAP-R)". Number, percentage, mean, standard deviation and Spearman's correlation analysis were used for analysis. Participants stated that they had witnessed death before (73.8%), that spiritual care of dying patients and their families should be given special importance (93.7%) and that they feel incompetent in providing spiritual care (86.1%). Participants had a mean SSCRS score of 3.45 ± 0.43. They had the highest and lowest scores on the DAP-R subscales of "fear of death" (4.48 ± 0.83) and neutral acceptance (3.71 ± 1.21), respectively, indicating that they have a high fear of death and above average perceptions of spirituality and spiritual care. It is recommended that different teaching methods be integrated into the curriculum to help nursing students develop more positive attitudes towards death and improve their perceptions of spiritual care.

The impact of forensic nursing course on students' knowledge level on forensic evidence.

The study is designed as quasi experimental including pre-test and post-test. The sample of the study is consisted of 98 students who are taking the Forensic Nursing course in the second year of the School of Nursing at a university. The mean score obtained from the test on the knowledge of forensic evidence before the training was 23.63 ±â€¯5.24 while the mean score after the training was 33.32 ±â€¯4.54. A statistically significant difference was found when the average scores of the students were compared before and after the course of forensic nursing. It was revealed that the course of forensic nursing taken by the students has a positive effect on the knowledge of forensic evidence of students and increases their knowledge level. The results suggest to add a course of forensic nursing as an elective or mandatory course to the curriculum of nursing programs and disseminate the postgraduate education on forensic nursing.

Influence of Palliative Care Training on Last-Year Nursing Department Students' Perception on Regarding Spirituality and Spiritual Care: A Single-Group Pretest-Posttest Intervention Study.

Spiritual care is a part of integrated care and should not be considered as a separate aspect of palliative care. Spirituality is seen as a requirement that must be met for all patients. The aim of this study is to determine the influence of palliative care on the perception levels of student nurses regarding spirituality and spiritual care. The research was carried out as a single-group pretest-posttest intervention study. The study was conducted with 70 student nurses. Data were collected via personal information form and spirituality and spiritual care grading scale (SSCGS). Frequency, percentage, average, standard deviation, paired sample t-test and Wilcoxon test were used to analyze the data. 55.7% of the students who participated in research stated that they had never heard of spiritual care, and 81.4% of the students stated that they had not obtained any information regarding spiritual care. The point average of the student nurses related to SSCGS was found to be 3.27 ± 0.21 before training and 3.35 ± 0.22 after training. The difference between the total point averages of the student nurses pre- and posttraining was found to be statistically significant (p < 0.05).As a result of the research, the perception of the student nurses regarding spirituality and spiritual support was found to be above the middle and increased significantly after the training. In accordance with these results, it is suggested that spiritual care training should be included more into nursing education.

A scale-development study: Exploration of intensive-care nurses' attitudes towards futile treatments.

The study was conducted to determine the validity and reliability of the tool used to assess nurses' attitudes towards futility, and to explore intensive-care nurses' attitudes towards futility. Principal components analysis revealed that 18item scale was made up of four subdimensions that assess Identifying(beliefs), Decision-Making, Ethical Principles and Law, and Dilemma and Responsibilities related to futile treatments. The internal consistency of the scale was in the acceptable range, with a total Cronbach's alpha value of 0.72. Overall the results of study suggest that scale can be used as a valid and reliable assessment tool to assess nurses' attitudes towards futility.

An evaluation of the effectiveness of a planned training program for nurses on administering intramuscular injections into the ventrogluteal site.

BACKGROUND: Nurses commonly use the dorsogluteal area for administering intramuscular injections. Since the dorsogluteal area has the potential of leading to serious complications, the ventrogluteal area is recommended as the best alternative. OBJECTIVE: This study was carried out to determine the level of knowledge nurses have about the ventrogluteal site and the effects of the training provided in this context. METHOD AND DESIGN: The study was of quasi-experimental design with a single group based on a pre-test/post-test time sequence and was conducted with 81 nurses who consented to participate in the research at a University Hospital. Data in the research were collected with a questionnaire on the identifying features of the nurses and a questionnaire that contained statements about the ventrogluteal area. RESULTS: The results of the study revealed that before the training, 76.5% of the nurses most commonly used the dorsogluteal area and 7.4% the ventrogluteal region. Four months after the training, however, it was found that the rate of nurses using the dorsogluteal area had fallen (48.1%) while the rate of using the ventrogluteal site rose (34.6%). It was seen that there was a significant difference between the nurses' pre-training and post-training knowledge scores and their scores four months after the training. CONCLUSION: It was concluded that the training offered the nurses about the ventrogluteal area had a positive impact on their knowledge and practices and that the nurses came away from the training with raised awareness about the subject and an increased level of knowledge.

Turkish Nurses' Attitudes and Practices Regarding Oral Care.

PURPOSE: This study was conducted to determine the attitudes and practices of nurses working in intensive care units of four different hospitals regarding oral care. METHODS: One hundred eighty-five nurses who worked in adult intensive care units comprised the sample of this cross-sectional descriptive study. CONCLUSION: It can be said that intensive care nurses perform oral care without an oral care protocol and assessment guideline, and that the methods and frequency of oral care and solutions and tools used for oral care differ from one institution to another. IMPLICATIONS FOR NURSING PRACTICE: The results emphasized the need for continuing training in this area.

Differences in health promoting lifestyle behavior of health management students based upon early diagnosis coverage in a cancer course.

BACKGROUND: This is a descriptive study to determine whether coursework that is focused on early diagnosis in cancer makes a difference in self-reported health promoting lifestyle behavior of students who study health management. MATERIALS AND METHODS: The population of the study consisted of a sample of 104 students enrolled in the Department of Health Management at the Faculty of Health in Kirikkale University in Turkey. Forty- eight students enrolled in a course called "Early Diagnosis of Cancer" and fifty-six did not take this course. Demographic information was collected and the "Health Promotion Life-Style Profile (HPLP) " was used to collect health promotion data. Frequency and descriptive statistics including one-way ANOVA, Mann-Whitney U test, Kruskal Wallis tests were used to evaluate data. RESULTS: The HPLP mean score of the students was found to be 127.5±17.45. The highest mean score was observed for self-fulfillment and health responsibility, while the lowest was for diet and exercise sub-scales. It was found that certain variables were effective in developing health promoting lifestyle behaviors such as choosing this job voluntarily, working status of father and participation in social activity (p<0.05). In conclusion, it was found that the students had moderate levels of health promoting lifestyle behavior and they should be supported in terms of diet and exercise.