Investigation of predictor factors of the nursing students attitudes toward parents' participation in care.

PURPOSE: A positive attitude toward family-centered care practices should be developed in undergraduate education. This study aimed to investigate nursing students' attitudes toward parental participation in child patient care and the factors that influence it. DESIGN AND METHODS: This study was a descriptive cross-sectional study. The study data were collected from the nursing department of a university located in the west of Turkey. The study was conducted with 260 nursing students. The descriptive Features Form, Family-Centered Care Practices Form, and Parental Participation Attitude Scale were used in data collection. RESULTS: The students' average parental participation attitude in care scores was at a moderate level. It has been determined that gender, hospitalization experience, education on family-centered care, and support from instructors in family-centered care practices had a positive effect on the student's attitudes toward parental participation in care (p < 0.05). The regression analysis showed gender and family-centered care education as predictors of student' attitudes toward parent participation in care. CONCLUSIONS: It was found that students' attitudes toward parental participation in the care of child patients were at an indecision level and not at the desired grade, and it was affected by gender, hospitalization experience, education, and instructor support. PRACTICE IMPLICATIONS: The development of family-centered care practices should begin in nursing education. It is recommended that detailed attention be given to topics related to family-centered care in nursing education, and seminars be organized on this subject. Thus, nursing students can both develop a positive attitude toward family-centered care and learn to work together with the family.

Investigation of the relationship between disasters and sleep problems in adolescents.

This study was conducted to determine relationship between disasters and sleep problems in adolescents. In this descriptive and cross-sectional study, 407 adolescents aged 10-18 years were included. The data were collected with Descriptive Characteristics Form, Disaster Fear Form, and Bergen Insomnia Scale. 86.5% of the adolescents had experienced at least one disaster. It was found that 67.3% of adolescents experienced sleep problems after disasters. A positive correlation was found between the mean scores of Fear Disaster Form and Bergen Insomnia Scale. In addition, mean Bergen Insomnia Scale scores of adolescents who experienced earthquakes, pandemic disease, traffic accidents, and floods were statistically higher than those who did not (p < 0.05). By screening for sleep problems in adolescents who have experienced disasters and planning and implementing appropriate interventions, adolescents who are already at risk for sleep problems can develop healthy sleep habits and prevent physiological, mental, and cognitive problems due to sleep problems.

The Effects of COVID-19 Phobia on Abuse of Children by Parents.

BACKGROUND: This study aims to determine the effect of parents' levels of COVID-19 phobia on the risk of abuse and neglect towards their children. SUBJECTS AND METHODS: A total of 472 parents, who have children between the ages of 0-18, who use social media and volunteer to participate in the research, were included in the study. The sociodemographic information form, Corona Virus 19 Phobia Scale (C19P-S), and Abuse Awareness Scale-Parent Form were used to collect the study's data. RESULTS: 57.9% of the parents participating in the study were female, and the mean age was 42.08±10.33. It was found that 55.9% of the participants continued to go to the workplace during the COVID-19 pandemic. While 12% of the parents were treated for COVID-19, 21.4% were quarantined. The average C19P-S score of the parents was found to be 50.2. The mean score of the sub-dimensions of the scale varies between 8.4 and 18.5. The average score of the parents from the Abuse Awareness Scale-Parent Form was 55.4. A positive correlation was found between the Abuse Awareness Scale-Parent Form and the C19P-S score averages. CONCLUSION: The findings have shown that the family's risk of children being exposed to abuse and neglect increases due to the negativities experienced during the pandemic period.

Investigation of the Effects of Restrictions Applied on Children During COVID-19 Pandemic.

PURPOSE: The objective of this study was to determine the effects of restrictions that have been imposed during the COVID-19 pandemic, and contact with a COVID-19 positive individual on children and the practices adopted by parents to help their children cope with these effects. DESIGN AND METHODS: The data for this descriptive study were collected through social media platforms. The study included 464 parents who have children between the ages of 3 and 18, use social media, and are willing to participate in the study. The Parent and Child Descriptive Characteristics Form, Assessment Form for Pandemic Effects, and Form of Parent's Practices for Children during the Pandemic were used to collect the study data. RESULTS: It was determined that the screen time of the children increased and their physical activity decreased during the restrictions. Following the restrictions imposed during the COVID-19 pandemic, the children's body weight increased by an average of 3.87 ± 2.28 kg, and according to parents, most of the children were more tense, stressed, and angrier. A statistically significant relationship was found between having had contact with an individual diagnosed with COVID-19 and compliance with regular, balanced nutrition and hygiene rules in children (p < 0.05), as well as between having been quarantined and compliance with hygiene rules in children (p < 0.05). PRACTICE IMPLICATIONS: Despite the relatively low case and mortality rates in children, the COVID-19 pandemic has been a significant health problem for children. From the study, it was determined that the COVID-19 pandemic affects the physical and psychological health of children.

Developing the Scale of Parental Participation in Care: Neonatal Intensive Care Unit and Examining the Scale's Psychometric Properties.

OBJECTIVES: The purpose of this study was to develop the Scale of Parental Participation in Care: Neonatal Intensive Care Unit and to examine the Scale's psychometric properties. METHODS: The draft scale' items were created through relevant literature reviews, focus group interviews with nurses, and content validity evaluations by experts. Study data were collected in the neonatal intensive care unit of a public hospital in Turkey from June 2019 to February 2020. The study participants were comprised of 205 parents with an infant in the neonatal intensive care unit. The Scale's content validity and construct validity were evaluated to determine the validity of the scale. Cronbach's alpha coefficient, item-total score correlations, and intraclass correlation were calculated to evaluate the Scale's reliability. RESULTS: Content validity index values of the draft form of the scale ranged from 0.93 to 1.00. The final scale consisted of 18 items. From the exploratory factor analysis, it was found that the scale structure comprised a single factor that accounted for 51.92% of the total variance. Concerning the reliability of the Scale, it was calculated that Cronbach's alpha level was 0.93; item total correlations ranged from 0.48 to 0.78; intraclass correlation level was 1.000. CONCLUSION: It was found that the Parental Participation in Care Scale: Neonatal Intensive Care Unit was valid and reliable in this sample.

Effects of two different positions on stress, pain and feeding tolerance of preterm infants during tube feeding.

AIMS: This study aims to investigate the effects of semi-elevated right lateral and semi-elevated supine positions on feeding tolerance, stress severity and pain levels among premature infants during tube feeding. METHODS: This was a randomized cross-over clinical trial. A total of 34 premature infants who were fed via orogastric tube were included in this study. Feeding tolerance was assessed by abdominal circumference measurements and checking gastric residuals; this assessment was single blinded. Physiological values were evaluated before, during and after tube feeding. The stress severity and pain levels of the infants were also evaluated independently by the researchers before, during and after tube feeding. A significance level of .05 was accepted for all statistical analyses. RESULTS: There were no difference between infants' vital signs, stress and pain scores according to feeding positions before tube feeding (p > .05). By feeding positions, a statistically significant difference was found between infants' vital signs, abdominal circumference and gastric residuals of infants during tube feeding. Pain and stress levels of infants were found to be significantly higher in the semi-elevated supine position during tube feeding (p < .05). CONCLUSIONS: Use of the semi-elevated right lateral position during tube feeding was found to have a more helpful effect in reducing stress and pain among premature infants when compared with the use of the semi-elevated supine position.

Psychometric Properties of the Turkish Version of the Developmental Support Competency Scale for Nurses (DSCS-N).

PURPOSE: Developmental care is considered an important component of development and health promotion of premature infants, however, studies regarding assessment of nurses' competency of developmental care are inadequate. This study is designed to determine the psychometric properties of the Turkish version of the Developmental Support Competency Scale for Nurses (DSCS-N). DESIGN AND METHODS: This methodological study includes 140 nurses working at a tertiary level neonatal intensive care unit (NICU). Data were collected using the Nurse Introductory Form and Developmental Support Competency Scale for Nurses. The scale was assessed in terms of language and content validity, construct validity, internal consistency and time invariance. RESULTS: The scale consisted of 19 items and six subscales. In the confirmatory analysis, which is a validity analysis, it was found that the scale's factor loadings ranged between 0.27 and 0.92, and the ratio of chi-square to degrees of freedom was 1.64. Other fit indices (CFI = 0.96, NFI = 0.92, NNFI = 0.95) were at desirable levels. Cronbach's alpha coefficient was found to be 0.90. According to item analysis results, item-total correlations ranged between 0.26 and 0.66. It was found that nurses' responses to the scale items at two different times were consistent and did not change over time (p > 0.05). CONCLUSIONS: DSCS-N is a valid and reliable scale for measuring Turkish nurses' competency of developmental support. PRACTICE IMPLICATIONS: DSCS-N can be used as a tool contributing to the implementation of developmental care. The scale can help nurses working in neonatal intensive care units to determine their competency of developmental care.

Attitudes towards gossip and patient privacy among paediatric nurses.

BACKGROUND: Nurses providing 24-h care for the primary caregiver role have a number of significant roles to play in potential problems or conflicts associated with patient privacy and confidentiality. RESEARCH OBJECTIVES: The objective of the study is to determine the prevailing attitudes towards gossip and the patient privacy practices of nurses working in paediatric units. RESEARCH DESIGN: A descriptive and cross-sectional design was used. A Descriptive Characteristics Form, a Gossip and Rumour Attitude Scale and a Patient Privacy Scale were used to collect data. PARTICIPANTS AND RESEARCH CONTEXT: A total of 112 paediatric nurses working in Turkey were included in the study. The response rate was 79.43%. ETHICAL CONSIDERATIONS: Permission to conduct the study was obtained from the university's ethics committee. The participants were informed of the aim of the study, and voluntary participation, anonymous response and confidentiality were explained to them. FINDINGS: It was observed that nurses who had a higher education level, who were educated about patient privacy and who had read the patient rights regulations were more concerned about patient privacy. Negative correlations were found between the attitudes towards gossiping and the average scores on the patient confidentiality scale. Nurses who negatively defined gossip were more concerned about patient confidentiality. DISCUSSION: Privacy is important for securing and protecting the personal, physical and psychological things that are important and special for patients. It is argued that obstacles to maintaining the privacy of hospitalized children and adolescents are a tolerant attitude towards gossiping, a lack of education about patient privacy and insufficient information about patient's rights regulations and the Convention on the Rights of the Child. CONCLUSION: A nurse's knowledge about the provision of patient confidentiality affects their privacy practices. For this reason, regular training sessions are recommended in hospitals.

Effects of Swaddled and Sponge Bathing Methods on Signs of Stress and Pain in Premature Newborns: Implications for Evidence-Based Practice.

AIMS: To determine the effects of sponge baths and swaddled bathing on premature infants' vital signs, oxygen saturation levels, crying times, pain, and stress levels. METHODS: This study was a clinical trial with a crossover design. Data were conducted in the neonatal intensive care unit of a public hospital in Denizli, Turkey. A total of 35 premature infants, who were born at 33-37 weeks gestation with a birth weight <1,500 g, were enrolled in the study. Two bathing methods were applied at 3-day intervals. Vital signs and oxygen saturation levels were measured before and at minutes 1, 5, 15, 30 after bathing. Infants' bathing was video recorded to assess pain and stress behaviors. The pain and stress behaviors of infants were evaluated by independent observers. A significance level of .05 was used for all statistical analyses. RESULTS: There were statistically significant differences between bathing methods on vital signs, oxygen saturation levels, and crying times. Levels of stress and pain according to bathing type were significantly higher in the sponge bath condition (p < .05). LINKING EVIDENCE TO ACTION: Swaddled bathing has a positive effect on the infant's vital signs, oxygen saturation levels, crying time, and level of stress and pain compared to the sponge bath condition. Swaddled bathing is a harmless and safe nursing practice.