Problematic media use and psychological adaptation in children in the COVID-19 pandemic: A descriptive cross-sectional study.

PURPOSE: This study was conducted to determine the problematic media use and psychological adaptation levels of children. DESIGN AND METHODS: Parents of 685 children living in Turkey participated in the descriptive cross-sectional design study. Descriptive Characteristics Form, Problematic Media Use Measure and Hacettepe Psychological Adaptation Scale were used to collect research data. RESULTS: Problematic media use of the children is moderate. The COVID-19 pandemic increased the time spent in front of the screen in the majority of children. Psychological adaptation problem was determined in approximately one-third of children. Male gender and screen time spent affect problematic media use and psychological adaptation levels of children. CONCLUSIONS: The COVID-19 pandemic increased the problematic media use and psychological adaptation problems of children. PRACTICE IMPLICATIONS: It is recommended that nurses guide parents to limit children's screen time and to plan interventions to solve their psychological adaptation problems.

Determination of the Spiritual Support Perceptions of Students at a Vocational School of Health Services in Turkey.

This descriptive and cross-sectional study aimed to determine the spiritual support perceptions of students (n = 606) at the Vocational School of Health Services at a university in Turkey in the academic year of 2019-2020. A Personal Information Form and the Spiritual Support Perception Scale were used to collect their data. The data evaluated descriptive analyses, the Kolmogorov-Smirnov test, the Mann-Whitney U test and Kruskal-Wallis test. The mean age of the participants was 19.85 ± 1.78 years, 68.5% of them were female, 34.7% were students at the clinical laboratory techniques department, and 57.4% were first-year students. The mean Spiritual Support Perception Scale score of the participants was 50.08 ± 9.93, which was above average.

Pediatric emergency nurses' workplace violence experiences: A qualitative study.

INTRODUCTION: Workplace violence is a crucial problem experienced by health workers who serve at the emergency service. The identification of emergency nurses' workplace experiences is of importance to the prevention of violence and the development of solutions. PURPOSE: This study was performed to identify the workplace violence experiences of the nurses working for the pediatric emergency units. METHOD: A total of 20 nurses who experienced violence at the emergency service participated in the study that was conducted as qualitative research. The data were collected with the semi-structured interview form and were evaluated by using thematic analysis. RESULTS: Five themes, namely, "the characteristics of violence", "the causes of violence", "the approach during/after the violence", "the consequences of the violence for the person", and the "consequences of the violence for the profession", were identified. Nurses stated that they often experienced verbal violence due to patient relatives' unmet expectations, the failure of patient relatives to understand treatments and practices, and the heavy workload, they endeavored to eliminate violence by trying to communicate with perpetrators of the violence, calling the security staff, and reporting the violence to their managers, and they were individually and professionally affected by the violence. CONCLUSION: Nurses are negatively affected by workplace violence. Pediatric emergency nurses should be supported with training programs and policies to be developed for the prevention and solution of violence.

Impact of Training Based on Orem's Theory on Self-Care Agency and Quality of Life in Patients With Coronary Artery Disease.

BACKGROUND: Coronary artery disease (CAD) is a primary cause of death worldwide. CAD negatively affects individuals because it reduces their functional skills and self-care abilities and disrupts quality of life. PURPOSE: This study was designed to assess the impact of a training program based on Orem's self-care deficit nursing theory (SCDNT) on self-care abilities and quality of life in patients with CAD. METHODS: This study was conducted using a randomized, controlled, pretest/posttest experimental design. One hundred two patients with CAD were divided evenly into either the intervention or control group, with sample randomization based on gender, age, low-density lipoprotein cholesterol level, and Self-Care Agency Scale scores. For both groups, interviews were conducted in two sessions held, respectively, at the hospital and at home. Study data were collected using the patient information form, Self-Care Agency Scale, MacNew Heart Disease Health-Related Quality of Life Questionnaire (MacNew), Quality of Life Questionnaire (15D), and training booklet. RESULTS: A highly significant difference was found between the two groups in terms of the average posttest scores on the Self-Care Agency Scale, MacNew, and 15D. For the intervention group, the posttest scores on the Self-Care Agency Scale, MacNew, and 15D were significantly higher than the pretest scores, whereas average pretest and posttest scores on these measures were similar for the control group. CONCLUSIONS: The training program developed in this study based on Orem's SCDNT improved self-care agency as well as disease-specific and overall quality of life in patients with CAD. Nurses should pay attention to the CAD-related educational level of patients when teaching them how to live with their disease. Moreover, nurses should use Orem's SCDNT to strengthen the self-care agency of these patients to increase quality of life and the effectiveness of related education efforts. Finally, medical institutions and governments should develop appropriate education policies for patients at risk of CAD and for those with CAD.