The effect of solution-focused approaches on adolescents' peer bullying skills: A quasi-experimental study.

PURPOSE: To determine the effect of solution-focused approaches on adolescents' coping skills with peer bullying. DESIGN AND METHODS: A quasiexperimental design was used. The sample consisted of 68 adolescents. Using solution- focused approaches group were held with the intervention cohort. These were six sessions focused on improving participants' ability to cope with bullying. The data on the impact of the solution-focused approaches were collected using the Personal Information Form and the Adolescent Peer Relationship Instrument (APRI). RESULTS: After the solution-focused approaches, the scores on components of the APRI (bullying and victimization) were significantly lower in the intervention group (p < .05). PRACTICE IIMPLICATIONS: A solution-focused group approach can be used by nurses to address the issue of peer bullying in schools.

Effectiveness of the PLISSIT model for solving the sexual problems of patients with stoma.

AIMS AND OBJECTIVES: This study was carried out to assess the effectiveness of the PLISSIT model in solving sexual problems of individuals with stoma. BACKGROUND: Creating a stoma due to intestinal cancer may prolong the life expectancy of individuals. However, the problems resulting from stoma may cause significant changes in an individual's life and adversely affect relations with family members and social and sexual life. DESIGN: Experimental. METHODS: The study consisted of individuals with stoma, living in Ankara. The sample consisted of 60 patients. The case group consisted of 30 patients living in Ankara; and the control group consisted of 30 patients living outside Ankara. In data collection, a questionnaire form, the PLISSIT model intervention plan and Golombok-Rust Inventory of Sexual Satisfaction (GRISS) were used. The individuals in the case group were paid eight home visits. During these visits, sexual problems of individuals with stoma were assessed and solutions sought under the guidance of the PLISSIT model intervention plan. RESULTS: Increase of mean scores of Golombok-Rust Inventory of Sexual Satisfaction and subgroups before evaluating the sexual problems by the PLISSIT model and the sixth week scores which the sexual activity is anticipated to start have been observed, but after evaluating the sexual problems by using the model, the mean scores decreased. It was determined that negative effects of concerns related to sexual life; some physical and emotional features and physiological problems have been observed and difference between the groups is significant (p < 0.05). CONCLUSIONS: As a result, it can be claimed that decreasing sexual problems can be accomplished by using the PLISSIT model. RELEVANCE TO CLINICAL PRACTICE: People with stoma can meet sexual problems. However, nurses experience some difficulties while handling sexual problems. It is thought that an intervention plan prepared within the framework of the PLISSIT model will guide nurses in solving sexual problems of individuals with stoma and providing integrated care and help individuals to express their sexual problems.