The relationship between chronotype and food addiction: Serial mediation of social jetlag and psychological pain.

This study evaluates how food addiction is related to chronotype, social jetlag, and psychological pain. Of the participants (n = 1,035 university students), 16.6% had a morning chronotype, 25.1% had an evening chronotype, and 25.1% were clinically addicted to eating. The mean sleep durations for participants were 7.41 ± 2.18 h and 8.95 ± 3.0 h on weekdays and weekends, respectively. The mean misalignment time for social jetlag was 1.45 ± 1.5 h. Food addiction, psychological pain, and social jetlag levels were high among participants with the evening chronotype. The risk factors for food addiction included being female, having an evening chronotype, and having high body mass index levels and psychological pain. The total indirect effect of psychological pain and social jetlag on the relationship between chronotype and food addiction was 20.6%. However, the social jetlag effect is relatively minor compared to psychological pain. The significant conclusions of this study are as follows. Clinical food addiction is prevalent among students, and a strong direct correlation between chronotype and food addiction was observed. The study emphasizes the importance of being aware of chronotype and mental status in establishing a healthy diet and lifestyle.

Examining the Relationship Between Nurses' Fear of COVID-19 and Nursing Care Behavior.

OBJECTIVES: It is clear that COVID-19, and especially its highly infectious nature, has caused fear, anxiety, and worry for nurses performing active duty during the pandemic. It has thus been a matter of interest to investigate into how care behaviors have been affected by the various emotions that continue to be felt in this period. This study aimed to examine the impact of nurses' fear of COVID-19 on their nursing care behavior during the pandemic. METHODS: The data of this descriptive and cross-sectional designed study were collected from 450 nurses providing one-on-one care (at university, public, or private hospital) to COVID-19 patients from January to March 2021 and who had consented to participate in the study. A Personal Data Form, the "Caring Behaviors Inventory-24 (CBI-24)," and the "Fear of COVID-19 Scale" were used in the data collection. RESULTS: The overall mean score of the nurses on the Caring Behaviors Inventory was 5.08 ± 0.59. An examination of the subscales showed that the nurses' highest scores were in the knowledge and skills subscale, whereas they scored the lowest in the loyalty subscale. The overall mean score of the nurses on the Fear of COVID-19 Scale was 18.52 ± 5.43. A negative, significant, and very weak relationship was found between the nurses' levels of fear of coronavirus and their care behaviors ( r = -0.107, P < 0.05). CONCLUSIONS: Data show that nurses providing care to patients during the COVID-19 pandemic feared COVID-19, that their care behaviors were generally at a good level, and that the care behaviors of nurses with a high degree of fear of COVID-19 were negatively and significantly impacted.

Lawyers' beliefs about mental illnesses and their tendency to stigmatize people with mental illnesses.

PURPOSE: This descriptive study determined lawyers' beliefs about mental illnesses and their tendency to stigmatize people with mental illnesses. DESIGN AND METHODS: The sample consisted of 181 lawyers. Data were collected using a demographic characteristics form, the Beliefs toward Mental Illness Scale (BMI), and the Stigma Scale (SS). FINDINGS: Participants felt compassion, uneasiness, curiosity, and pity for people with mental illnesses. Participants had a mean BMI and SS score of 1.99 ± 0.70 and 2.19 ± 0.61, respectively. Their BMI and SS scores were moderately and positively correlated (r = 0.554) PRACTICE IMPLICATIONS: Lawyers should be informed about mental illness by courses within the context of health education in law schools' curricula. Future studies should focus on other community leaders' beliefs about mental illness and their tendency to stigmatize people with mental illnesses.

Frequency of Clinical Alarms in Intensive Care Units and Nurses' Sensitivity to Them: An Observational Study.

BACKGROUND: All clinical alarms require nurses to respond even if an intervention is not needed. Nurses are expected to respond appropriately to each alarm and establish priorities among their care practices accordingly. This study was conducted to examine the number and types of clinical device alarms used in intensive care units, the duration of their activation, and nurses' degree of sensitivity to them. METHODS: This observational study was conducted in 4 intensive care units in a university hospital in Turkey. A total of 20 nurses (5 from each unit) were observed for a total of 80 hours. The alarms were categorized as valid, false, or technical. RESULTS: During the study observation period, the mean number of alarms sounding per hour per bed was 1.8. A total of 144 alarms were recorded, of which 70.8% were valid, 15.3% were false, and 13.9% were technical. The mean duration of alarm activation was 8 minutes for valid alarms, 14 minutes for false alarms, and 53 minutes for technical alarms. CONCLUSIONS: Nurses' responses to alarms differ depending on alarm type; for alarms that do not require an emergency intervention, nurses tend to respond late or not at all.

The effectiveness of scenario-based learning to develop patient safety behavior in first year nursing students.

The aim of this study was to examine the effect of scenario-based learning (SBL) compared to traditional demonstration method on the development of patient safety behavior in first year nursing students. During the 2016-2017 academic year, the Fundamentals of Nursing course curriculum contained the teaching of demonstration method (n=168). In the academic year 2017-2018 was performed with SBL method in the same context (n=183). Objective Structured Clinical Examination (OSCE) that assesses the same three skills was implemented in both academic terms to provide standardization so that students could evaluated in terms of patient safety competency. It was found that students' performance of some of the steps assessed were not consistently between the demonstration and SBL methods across the three skills. There was a statistically significant difference between demonstration method and SBL method for students' performing the skill steps related to patient safety in intramuscular injection (p<0.05) Our results suggest that the integration of SBL into the nursing skills training may be used as a method of teaching in order to the development of patient safety skills.

Examining the hand hygiene beliefs and practices of nursing students and the effectiveness of their handwashing behaviour.

AIMS AND OBJECTIVES: To examine the hand hygiene beliefs and practices of Turkish nursing students and the effectiveness of their handwashing. BACKGROUND: Handwashing is the most important part of preventing cross-infection, but there is a considerable amount of evidence that shows that the handwashing technique of nurses and nursing students is not always very effective. DESIGN/METHODS: This research was carried out in two stages and is type of descriptive, analytical and observational. The study comprised 563 students from a Faculty of Nursing. Besides evaluating the nursing students' sociodemographic data, we assessed their beliefs and hand hygiene practices using a Hand Hygiene Beliefs Scale (HHBS) and Hand Hygiene Practices Inventory (HHPI) and also used with "Derma LiteCheck" device to assess how effectively they washed their hands. The STROBE checklist was used. RESULTS: The handwashing frequency of the female students was significantly higher. The scores on both the HHBS and the HHPI were significantly higher among the female students compared to the males. The dirtiest areas of the hand were determined as nails (nail beds, beneath the nails), skin between the fingers and fingertips. CONCLUSIONS: The results of our study indicate that although student nurses have positive perceptions about hand hygiene and appear to have developed good habits, the effectiveness of their handwashing is poor. RELEVANCE TO CLINICAL PRACTICE: It is of great importance that UV light and florescent gel are made readily available both at nursing schools and in hospitals and other health institutions since these elements are useful in providing immediate visual feedback for a full assessment of handwashing behaviour.

An Examination of Turkish Nurses' Attitudes, Awareness and Practices Regarding Reproductive Health Needs of Individuals With Schizophrenia.

Aim: This study was conducted to evaluate Turkish nurses' attitudes, awareness and practices regarding reproductive health needs of individuals with schizophrenia. Method: The sample of this descriptive study consisted of 96 psychiatric nurses and 90 nurses and midwives working in family health centers who agreed to participate. The data were presented as numbers and percentages, and chi-square analyses were used to compare the groups. Findings: Although the majority of nurses stated that family planning education should be given to individuals with schizophrenia, to both genders and to both single and married patients, the proportion of those who give family planning education is only 23.5%. Of the nurses, 58.8% recommend tubal ligation as a method of family planning for individuals with schizophrenia, 39.6% of nurses think that involuntary abortion or sterilization for individuals with schizophrenia is necessary even if they do not support it culturally, and 20.3% of nurses provide sexual health counseling to individuals with schizophrenia. It appears that nurses, as members of society, do not approve of marriage or parenting by individuals with schizophrenia. Result: This study found that both nurses working in primary care and psychiatric clinics had negative attitudes towards the reproductive health of individuals with schizophrenia.

Depression in health college students: relationship factors and sleep quality.

This research was conducted to determine depression symptom frequency in health sciences students (n = 445), to investigate sleep quality and some related factors. In this study of the students approximately one fifth of the students showed depressive symptom. Students with poor academic performance, poor economic status, smoking or alcohol use, chronic illness or mental problems are more likely to experience depression. As sleep quality deteriorates, the level of depression also increases. The risk of depressive symptoms in students with poor sleep quality was 3.28 times.

Examination of sacral tissue oxygen saturation among immobile patients.

AIMS AND OBJECTIVES: To explore the effect of immobility on sacral tissue oxygen saturation in patients lying on a supporting surface in supine position. BACKGROUND: Guidelines in regard to preventing pressure ulcers recommend that patients lying on a standard bed should change their positions every 2 hr and that patients on a supporting surface should change their positions every 4 hr. But there is no strong evidence that justifies this practice. DESIGN: Quasi-experimental. METHODS: Data for the research were collected over the period October 2014-March 2015 at Anesthesiology and Reanimation and Neurosurgery Clinic Intensive Care Units. A total of 46 patients matching the research criteria were left in the supine position for 4 hr without having a position change, during which time sacral tissue oxygen saturation was measured every hour on the hour. Sacral tissue oxygen saturation was measured with the InSpectra Tissue Oxygenation Monitor. RESULTS: Mean sacral tissue oxygen saturation was 73.4% at baseline and was then measured as 74.9% at the first hour, 72.3% at the second hour, 71.9% at the third hour and 71.9% at the fourth hour. The changes observed between measuring times were not found to be statistically significant (p = .09). CONCLUSIONS: No statistically significant differences were found between sacral tissue oxygen saturation values recorded over a period of 4 hr in immobile patients lying on a supporting surface in the supine position. However, it was observed that sacral tissue oxygen saturation values did not change significantly depending upon the type of supporting surface that was being used. RELEVANCE TO CLINICAL PRACTICE: The study outcome supports changing the position of a patient lying on a supporting surface every 4 hr and provides evidence that justifies the recommendation made in the guidelines.

Assessment of individualized nursing care in hospitalized patients in a university hospital in Turkey.

AIM: This study was planned to evaluate the perceptions of individualised nursing care of hospitalised patients in an orthopaedics and traumatology clinic. BACKGROUND: Nurses who have adopted the individualised care approach are aware that their patients are unique individuals in their own right and plan their programme of care together with the patient, taking into consideration the patient's own experiences, behaviour, thoughts and perceptions. METHOD: The sample in this cross-sectional study consisted of 151 patients. Patients' awareness and perception about individualised nursing care was evaluated using an Individualised Care Scale. RESULT: The mean score of the study population in the Individualised Care Scale-A section was 3.41 ± 1.23; the mean score in the Individualised Care Scale-B section was 3.72 ± 1.15. No significant association was found between Individualised Care Scale and the subscales in terms of the patients' gender, age, education, employment, the presence of a history of hospitalisation, the existence of a chronic illness and self-sufficiency. CONCLUSION: Patients had lower levels of awareness and perception about nursing actions designed to support patients' individuality in their personal life situations. IMPLICATIONS FOR NURSING MANAGEMENT: In order for nursing care to be wholly individualised, nurses should not overlook patients' individuality in their personal life situations.

Evaluation of oxygen saturation values in different body positions in healthy individuals.

AIMS AND OBJECTIVES: The research was conducted to evaluate oxygen saturation values measured in healthy individuals in different body positions. BACKGROUND: Changes in position affect ventilation-perfusion rates, oxygen transport and lung volume in normal lungs. There have been few studies and not enough information about which positioning of a healthy individual can increase oxygenation. DESIGN: A descriptive study. METHODS: A sample of 103 healthy individuals with no chronic disease, anaemia or pain was included in the research. Individuals were positioned in five different positions: sitting upright, supine position, prone position, lying on the left side and lying on the right side. Oxygen saturation and pulse rates were then measured and recorded after the individuals held each position for ten minutes. RESULTS: It was found that the average oxygen saturation value when measured while sitting in an upright position in a chair was significantly higher than that measured when the individual was lying on the right or left side of the body. Oxygen saturation values measured in the five different body positions were significantly higher in women, in individuals below the age of 35, in those with Body Mass Indexes of below 25 kg/m(2), and in nonsmokers. CONCLUSION: All of the oxygen saturation values measured in the five different body positions were in the normal range. Although oxygen saturation values were within the normal range in the five different body positions, post hoc analysis showed that the best oxygenation was in the 'sitting upright' position while the lowest oxygenation was in the supine position. RELEVANCE TO CLINICAL PRACTICE: Based on the results of this research, it can be concluded that the differences among oxygen saturation values according to the different body positions were statistically significant.

Is the ventrogluteal site suitable for intramuscular injections in children under the age of three?

AIM: This study was conducted to determine whether the ventrogluteal site could be used for intramuscular injections in children under the age of 3 and to compare the subcutaneous and muscle layer thickness at the anterolateral, deltoid and ventrogluteal site in the different age groups and in both sexes. BACKGROUND: Although recent literature has reported that the ventrogluteal area can be an alternative site for intramuscular injections in children ≤12 months of age, little research-based evidence has been found for the use of the ventrogluteal site in infants and toddlers. DESIGN: A descriptive study which took place between November 2013-August 2014. METHOD: A total of 142 children between the ages of 1-36 months were selected by random sampling and ultrasound measurements were made of subcutaneous and muscle thicknesses in the anterolateral, deltoid and ventrogluteal areas. Measurements were analysed using one-way anova and independent samples t-test. RESULTS: The subcutaneous tissue thicknesses in the deltoid, anterolateral and ventrogluteal areas in children between 1-12 months old (n = 56) were 5·20, 6·62 and 7·26 mm respectively, while in children between 13-24 months old (n = 42), these measurements were 4·35, 6·72 and 7·98 mm; in children between 25-36 months old (n = 44), the measurements were 5·92, 7·97 and 13·5 mm. The muscle thicknesses in the deltoid, anterolateral and ventrogluteal areas in children 1- 12 months old were 5·86, 9·10 and 8·17 respectively, while in children between 13-24 months old, the measurements were 7·71, 12·92 and 17·32 mm; in children 25-36 months old, the measurements were 9·28, 18·81 and 19·62 mm. CONCLUSION: This study found that the muscle in the ventrogluteal site is adequately developed, even in infants between the ages of 1-12 months and that in particular, in children 12-36 months old, the ventrogluteal site is even thicker than the anterolateral.

Factors affecting age of onset of menopause and determination of quality of life in menopause.

Menopause is a process in the climacteric period, characterized by a reduction in ovarian activity, a fall in the fertility rate, and a range of symptoms including irregular menstruation intervals. Most women enter menopause in their 40s, but this can vary from one individual to another. Although there are many factors affecting the age of menopause onset, there is no general agreement on them. Studies have shown many factors to affect the age of menopause, such as the mother's age at menopause, the age at menarche, gestational age, use of oral contraceptives, irregular menstrual cycle, number of pregnancies, body mass index, use of tobacco and alcohol, physical activity, unilateral oophorectomy, serum lead levels, consumption of polyunsaturated fat, socioeconomic status and educational level. During this period, hormonal and biochemical changes give rise to various symptoms in the woman's body. In menopause period, physical, psychological, social and sexual changes have a negative effect on quality of life in women. Recently, different measures have been used to assess women's quality of life in this period of change. The purpose of this review was to examine the factors affecting the onset age of menopause and the measures of quality of life related to menopause.