Experiences of nurses providing care to hospitalized patients with acute mania in Türkiye: A phenomenological study.

The main purpose of this study was to determine the experiences of nurses who care for hospitalized patients experiencing an acute manic episode. This qualitative study was carried out with 15 nurses working in a psychiatric ward in Türkiye. Data were collected through semi-structured in-depth individual interviews and focus-group interviews in which the face-to-face interview technique was used. Two main themes emerged from the analysis of the qualitative data: (1) the difficulties experienced and (2) the most effective elements of care. Under the first main theme, the following sub-themes emerged: difficulties in setting boundaries, safety concerns, difficulties in managing the patient's demands, inability to choose the appropriate word(s), and the "emotional whirlwind" experienced. The second main theme, on the other hand, included the following sub-themes: meeting basic needs, ensuring treatment compliance, encouragement to engage in physical activity, and having a sufficient number of qualified personnel. The study revealed that the nurses had difficulties in caring for their manic patients. On the basis of these results, it is recommended that nurses be given counseling and training on setting boundaries, ensuring safety, managing the patient's demands, coping with their own emotions, and communicating better. In addition, the study identified the importance of nursing interventions to meet patients' basic needs, encourage them to engage in physical activity, and ensure treatment compliance, and the importance of there being an adequate number of qualified personnel. These results may help students and other nurses in terms of assessing and setting priorities in cases needing acute psychiatric care.

Cancer Patients: Forgiveness, Discomfort Intolerance and Psychiatric Symptoms.

Objectives: Cancer patients try to find answers in the light of their individual experiences and if they cannot adapt in line with the answers, various psychiatric symptoms may occur. There are studies supporting that "forgiveness" helps reduce the emotional burden of patients with cancer in their ability to discomfort intolerance of the disease, find meaning in the life. The aim of this study is to evaluate forgiveness, discomfort intolerance, and psychiatric symptoms in cancer patients. Methods: The data of this study, which was conducted with 208 cancer patients receiving outpatient chemotherapy treatment, Personal Information Form was collected with Heartland Forgiveness Scale, Brief Symptom Inventory, and Discomfort Intolerance Scale. Result: It has been determined that cancer patients have a high level of forgiveness, a moderate tolerance to tolerate discomfort, and enable low level of occurrence of psychiatric symptoms. As the level of self-forgiveness and forgiveness of patients increases, the incidence of psychiatric symptoms decreases. Conclusion: In line with the findings, it can be thought that the high level of forgiveness of cancer patients towards their illness allows them to experience less psychiatric symptoms and increase their tolerance to the disorder. Awareness of both patients and healthcare personnel can be increased by preparing training programs that address forgiveness in individuals diagnosed with cancer in healthcare institutions.

Does the smartphone use affect the determination of daily goals: A nursing students' example?

PURPOSE: To examine how the risky use of smartphone in nursing students affects their daily goals. DESIGN AND METHODS: A total of 419 nursing students participated in this study. A Descriptive Data Form, Smartphone Addiction Scale-Short Version, and Daily Goals Scale were used to collect the data. FINDINGS: According to our study results; students who are afraid of forgetting or losing their phone have a higher risk of being smartphone addiction. As the risks of students' smartphone addiction increase, their daily goal setting levels decreased. PRACTICE IMPLICATIONS: The risky use of smartphone effects negatively daily goals setting. Education and counseling programs that will prevent the risky use of smartphones and the associated risk of addiction should be provided for nursing students.

Resilience in nurses in terms of perceived social support, job satisfaction and certain variables.

AIM: This study investigated the resilience of nurses, the factors that contribute to resilience, and its relationship with perceptions of social support and job satisfaction. BACKGROUND: Resilience plays an important role in how nurses cope with work-related stressors. METHODS: A descriptive study was conducted with 242 nurses working at three public hospitals in Turkey. Data were collected using a descriptive data form, the Resilience Scale for Adults (RSA), the Multidimensional Scale of Perceived Social Support (MSPSS) and the Minnesota Job Satisfaction Scale (MJSS). RESULTS: Nurses' mean scores on the RSA, MSPSS, and MJSS were 99.80 ± 4.43, 66.66 ± 13.30, and 3.31 ± 0.72, respectively. Statistically significant relationships were detected between resilience and five factors: age, gender, mother's educational level, work experience and working hours (p < 0.05). A statistically significant positive correlation was also observed between MJSS score and both total RSA and family support subscale scores (p < 0.05). CONCLUSION: The resilience, perceived social support, and job satisfaction of participating nurses were moderate. Significant factors in their resilience were age, gender, mother's educational level, work experience, working hours, perceived social support and job satisfaction. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers can use the results to plan interventions that improve resilience among nurses.

Turkish Version of the Student Nurse Stress Index: Validity and Reliability.

PURPOSE: This study aimed to adapt the Student Nurse Stress Index (SNSI) for the Turkish nursing students and investigate its psychometric properties. METHODS: Research was conducted with 152 volunteer female students who attended a university college in Ankara, Turkey. Test-retest reliability was investigated for the scale internal consistency (Cronbach α) and stability. Also, content validity and construct validity of the SNSI were assessed. In order to determine the construct validity of SNSI, Uygulamali Çok Degiskenli Istatistiksel Yöntemler and confirmatory factor analysis was conducted. RESULTS: The Turkish version of SNSI with 15 items comprised four factors (academic load, clinical concerns, personal problems, interface worries). The content validity index (CVI) score was .97. Factor loadings of Turkish version of SNSI varied between .532 and .868. The "personal problems" subscale explained 19.01% of the variance; "clinical concerns" explained 18.51%; "interface worries" explained 15.32%; "academic load" explained 14.14%. The total variance explained was 66.99%. CFA results (χ2/SD, GFI, CFI, TLI, IFI, RMSEA and SRMR) were acceptable and in good agreement. The internal consistency coefficient of the SNSI was .86. CONCLUSION: Results showed that the SNSI had a satisfactory level of reliability and validity in nursing students in Turkey. Multicenter studies including nursing students from different nursing schools are recommended for the SNSI to be generalized.

The impact of using standardized patients in psychiatric cases on the levels of motivation and perceived learning of the nursing students.

BACKGROUND: The use of standardized patients is not very common in psychiatric nursing education and there has been no study conducted in Turkey. AIM: This study evaluated the impact of using standardized patients in psychiatric cases on the levels of motivation and perceived learning of the nursing students. DESIGN: This manuscript addressed the quantitative aspect of a doctoral thesis study in which both quantitative and qualitative methods were used. A pre-test and post-test were employed in the quantitative analysis in a randomized and controlled study design. RESULTS: The motivation scores, and interim and post-test scores for perceived learning were higher in the experimental group compared to pre-test scores and the scores of the control group. The students in the experimental group reported that they felt more competent about practical training in clinical psychiatry, as well as in performing interviews with patients having mental problems, and reported less anxiety about performing an interview when compared to students in the control group. CONCLUSION: It is considered that the inclusion of standardized patient methodology in the nursing education curriculum in order to improve the knowledge level and skills of students would be beneficial in the training of mental health nurses.

The Effects and Stigma of Mental Illness in Turkey.

This study was planned to determine internalized stigma of patients who were monitored in the psychiatry clinics due to mental problems. It was determined that there was significant difference between the patients' mean internalized stigma total scores between subscale scores and their gender, job, the place that the patient was raised in, educational status, working status, income level, the period spent after the diagnosis, hospitalization status, the hospital monitoring the patient and the diagnosis. It is suggested that counseling services should be planned in order to identify negative impact of the factors that influence coping with internalized stigma.