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Greene E, Austin G, Henneman A. Adverse childhood experiences among doctor of pharmacy students. CURRENTS IN PHARMACY TEACHING & LEARNING 2024; 16:327-334. [PMID: 38480066 DOI: 10.1016/j.cptl.2024.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 02/27/2024] [Accepted: 03/03/2024] [Indexed: 04/22/2024]
Abstract
OBJECTIVE Adverse Childhood Experiences (ACEs) have demonstrated negative impact on physical, emotional, and cognitive health outcomes. This study aimed to assess prevalence of ACEs among Doctor of Pharmacy (PharmD) students, and their associations with mental health, substance use, academic performance, and sleep patterns. METHODS A cross-sectional survey was conducted on PharmD students at a private University. ACE scores, mental health history, substance use, academic performance, and sleep habits were self-reported. Descriptive statistics and chi-square tests were used for analysis. RESULTS From 54 participants across all cohorts of students in the curriculum (response rate: 19%), 48% reported ≥4 ACEs. A majority of students reported having been diagnosed with or sought treatment for depression (56%) or anxiety (67%), while 42.9% reported a history of contemplating suicide. Participants with ACE scores of ≥4 were more likely to have sought treatment for depression, any mental health condition, contemplated suicide, or used alcohol for mental health purposes. No differences in academic performance based on ACE scores were found. CONCLUSION High numbers of ACEs were common and linked to mental illness, suicidality, and use of alcohol for mental health purposes. While no direct academic impact was found in this small sample size, adopting a trauma-informed approach is crucial to supporting student well-being. Further research in this area is needed to optimize interventions to support academic and professional success among students with ≥4 ACEs.
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Affiliation(s)
- Elisa Greene
- Belmont University College of Pharmacy and Health Sciences, 1900 Belmont Blvd, Nashville, TN 37212, United States of America.
| | - Gary Austin
- Belmont University College of Pharmacy and Health Sciences, 1900 Belmont Blvd, Nashville, TN 37212, United States of America.
| | - Amy Henneman
- Belmont University College of Pharmacy and Health Sciences, 1900 Belmont Blvd, Nashville, TN 37212, United States of America; Department of Integrated Medical Education, Belmont University Thomas F. Frist, Jr. College of Medicine, 1900 Belmont Blvd, Nashville, TN 37212, United States of America.
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Schimmels J, Schneider J. Trauma Informed Care for Nursing Action Bachelor of Science in Nursing Course. J Nurs Educ 2024; 63:233-240. [PMID: 38581710 DOI: 10.3928/01484834-20240207-06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/08/2024]
Abstract
BACKGROUND Nurses commonly experience psychological trauma with high risk for a host of mental health concerns such as suicide, depression, anxiety, and substance use disorders, as well as high rates of burnout and moral injury. Despite rigorous academic preparation, baccalaureate nursing education curricula lack content on the widespread effects of trauma. METHOD Using a trauma informed care (TIC) model, an innovative course called Trauma Informed Care for Nursing Action (TIC4NA) was created. RESULTS This course allows students to safely explore the profession of nursing to transform their learning about trauma related to patient care, the nursing community, and society. CONCLUSION TIC curriculum delivery offers supportive strategies to mitigate negative outcomes during nursing school. This content could have positive effects on nurse and nursing student retention as well as mitigating a barrage of negative outcomes for individual nurses and the nursing profession. [J Nurs Educ. 2024;63(4):233-240.].
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Song C, Yao L, Chen H, Zhang J, Liu L. The relationship between adverse childhood experiences and depressive symptoms in rural left-behind adolescents: A cross-sectional survey. Heliyon 2024; 10:e26587. [PMID: 38420482 PMCID: PMC10900995 DOI: 10.1016/j.heliyon.2024.e26587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 02/09/2024] [Accepted: 02/15/2024] [Indexed: 03/02/2024] Open
Abstract
Objective We assessed the current status of depressive symptoms and the associated factors in rural left-behind adolescents. Moreover, we investigated the relationship between adverse childhood experiences and depressive symptoms. Methods Students from two rural junior high schools in Huaihua City were enrolled from July to September 2022. Before distributing the questionnaires, guardians of the students were contacted, and consent was obtained from the students themselves. The questionnaires were filled out anonymously and collected on-site. Results The prevalence of depressive symptoms among the 325 left-behind teenagers was 23.40%; the rate of emotional abuse in adverse childhood experiences was 17.50%, physical abuse was 15.70%, sexual abuse was 9.50%, emotional neglect was 24.60%, while physical neglect was 27.70%. The five dimensions of adverse childhood experiences were associated with depressive symptoms (r = 0.597, 0.395, 0.410, 0.498, 0.741, p < 0.01). Conclusions Depressive symptoms were common among rural left-behind adolescents. Adverse childhood experiences were associated with depressive symptoms in rural left-behind adolescents. Occurrence of adverse childhood experiences should be reduced to improve on depressive symptoms.
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Affiliation(s)
- Caini Song
- Department of Nursing, Hunan Normal University, Changsha, 410013, Hunan Province, China
| | - Libo Yao
- Minimally Invasive Surgery Center, The First Hospital of Changsha, Changsha, 410005, Hunan Province, China
| | - Huisu Chen
- Department of Nursing, Hunan Normal University, Changsha, 410013, Hunan Province, China
| | - Jingyi Zhang
- Department of Nursing, Hunan Normal University, Changsha, 410013, Hunan Province, China
| | - Lihua Liu
- Department of Nursing, Hunan Normal University, Changsha, 410013, Hunan Province, China
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Annett J, Tillson M, Walker M, Webster JM, Staton M. Adverse childhood experiences and mental health among incarcerated women: Self-esteem as a mediating mechanism. CHILD ABUSE & NEGLECT 2023; 146:106486. [PMID: 37788588 PMCID: PMC10841516 DOI: 10.1016/j.chiabu.2023.106486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 09/04/2023] [Accepted: 09/25/2023] [Indexed: 10/05/2023]
Abstract
BACKGROUND Adverse childhood experiences (ACEs) and mental health problems are interrelated. However, less is known about this relationship in incarcerated women and how self-esteem impacts this relationship. OBJECTIVE To investigate the relationship between ACEs and mental health problems (traumatic stress, depression, and anxiety) in incarcerated women with opioid use disorder (OUD) and, the possible role of self-esteem as a mediator of the relationship. PARTICIPANTS AND SETTING Incarcerated women (N = 500) were randomly selected from eight Kentucky jails, screened for OUD, and interviewed by research staff. METHODS Regression analyses and mediation models were used to examine the relationship between ACEs, mental health, and self-esteem. RESULTS ACEs were positively correlated with present mental health problems (traumatic stress, r = 0.407, p < .001; depression, r = 0.177, p < .001; and anxiety, r = 0.213, p < .001) and negatively correlated with current self-esteem (r = -0.241, p < .001). Linear regression analyses established that ACEs and self-esteem were significantly related to all three mental health variables of interest. Additionally, self-esteem mediated the relationship between ACEs and mental health. CONCLUSION This study shows that incarcerated women's experiences with ACEs are significantly related to poor mental health. Self-esteem plays a critical role in this relationship.
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Affiliation(s)
- Jaxin Annett
- University of Kentucky College of Education, Department of Educational, School, and Counseling Psychology, 597 S. Upper Street, Lexington, KY 40508, USA; University of Kentucky Center on Drug and Alcohol Research, 643 Maxwelton Ct., Lexington, KY 40506, USA.
| | - Martha Tillson
- University of Kentucky Center on Drug and Alcohol Research, 643 Maxwelton Ct., Lexington, KY 40506, USA.
| | - Meghan Walker
- University of Kentucky College of Medicine, E 1st Ave, Bowling Green, KY 42101, USA.
| | - J Matthew Webster
- University of Kentucky Center on Drug and Alcohol Research, 643 Maxwelton Ct., Lexington, KY 40506, USA; University of Kentucky College of Medicine, Department of Behavioral Science, 1100 Veterans Drive, Lexington, KY 40536, USA.
| | - Michele Staton
- University of Kentucky Center on Drug and Alcohol Research, 643 Maxwelton Ct., Lexington, KY 40506, USA; University of Kentucky College of Medicine, Department of Behavioral Science, 1100 Veterans Drive, Lexington, KY 40536, USA.
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Gürsoy MY, Mechmet FC. Correlations between childhood trauma and depression, anxiety, and stress levels in nurses. Arch Psychiatr Nurs 2023; 45:164-168. [PMID: 37544694 DOI: 10.1016/j.apnu.2023.06.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 04/19/2023] [Accepted: 06/24/2023] [Indexed: 08/08/2023]
Abstract
AIMS This study aims to determine correlations between childhood trauma and depression, anxiety, and stress levels in nurses. METHODS This cross-sectional study was conducted among nurses in Turkey from August to September 2022. A total of 395 nurses were included in the study. Data were collected through an online survey using a personal information form, the Childhood Trauma Questionnaire (CTQ-28), and the Depression, Anxiety, and Stress Scale (DASS 21). RESULTS The mean score of the CTQ-28 total scale was 51.6, and emotional neglect was the most common type of abuse. The prevalence of moderate-to-extremely severe depression, anxiety, and stress was 34.7 %, 42.2 %, and 18.3 %, respectively. Emotional abuse and emotional neglect subscales of the CTQ were independently related to all three DASS subscale scores. CONCLUSION This study revealed that the emotional abuse and neglect experienced in childhood are related to the nurses' current stress, anxiety, and depression levels.
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Affiliation(s)
- Melike Yalçın Gürsoy
- Canakkale Onsekiz Mart University, Çanakkale Faculty of Health Sciences, Terzioglu Campus, Canakkale/Center, Turkey.
| | - Fatme Chousko Mechmet
- Çanakkale Onsekiz Mart University, School of Graduate Studies, M.Sc. Program in Nursing, Canakkale/Center, Turkey
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Wholeben M, Fowler K, Martinez J. Triple-jeopardy! COVID-19, high ACE scores, and the US-Mexico border: Mitigating risks with trauma-informed pedagogy. TEACHING AND LEARNING IN NURSING : OFFICIAL JOURNAL OF THE NATIONAL ORGANIZATION FOR ASSCIATE DEGREE NURSING 2023:S1557-3087(23)00077-X. [PMID: 37360267 PMCID: PMC10130321 DOI: 10.1016/j.teln.2023.04.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/21/2023] [Indexed: 06/28/2023]
Abstract
With the urgent need to increase the number of diverse nurses in the healthcare system, it is more necessary than ever to explore and discuss solutions that help students succeed in the extremely stressful nursing school environment. COVID-19 has exacerbated stress for nursing students nationwide. Additionally, high ACE scores and living on the US-Mexico border put certain students in "triple-jeopardy" for failing. Trauma-informed pedagogy mitigates this danger by creating a secure and productive learning environment.
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Affiliation(s)
- Melissa Wholeben
- The University of Texas at El Paso, College of Nursing, El Paso, TX, USA
| | - Karen Fowler
- The University of Texas at El Paso, College of Nursing, El Paso, TX, USA
| | - Jacob Martinez
- The University of Texas at El Paso, College of Nursing, El Paso, TX, USA
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Trivedi S, Clark JC, Long L, Daniel GA, Anderson SM, Zheng Y. Assessing the Mental Wellbeing and Help-Seeking Behaviors of Pre-Veterinary Undergraduates at a Land-Grant Institution. JOURNAL OF VETERINARY MEDICAL EDUCATION 2023:e20220096. [PMID: 36927396 DOI: 10.3138/jvme-2022-0096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Recent research conducted within the veterinary profession has reported higher rates of depression and stress than the general US population. While this decline in mental wellbeing has been documented in Doctor of Veterinary Medicine (DVM) students and veterinary professionals, there is a lack of research on the mental wellbeing of the pre-veterinary population. This gap led the authors to conduct a survey in the fall of 2021 utilizing the DASS-21 and ATSPPH-sf inventories to assess the levels of depression, anxiety, stress, and help-seeking stigma in pre-veterinary students to better understand when the decline in veterinary mental wellbeing begins. A pre-test survey was completed by 233 pre-veterinary students in September, and an identical post-test survey was completed by 184 pre-veterinary students in November. From the pre- and post-test data, depression, anxiety, and stress scores increased as students advanced in academic status during their undergraduate degree. Juniors reported the highest averages of depression, anxiety, and stress compared to their peers. In the post-test, sophomores and juniors exhibited higher rates of depression than freshmen, and juniors and seniors exhibited higher rates of stress than freshmen. Current VMCAS applicants exhibited higher levels of stress than non-VMCAS applicants in the pre-test, and lower levels of stress in the post-test. In both the pre-test and post-test data, respondents averaged a neutral attitude toward help-seeking. Based on these results, a decline in pre-veterinary mental wellbeing occurs as students' progress in their undergraduate career and should be further studied to assess its impact on Doctor of Veterinary Medicine and veterinary professional wellbeing.
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Affiliation(s)
- Shweta Trivedi
- 120 Broughton Drive 123 Polk Hall, Campus Box 7621, Raleigh, NC 27695
| | - Jessica C Clark
- North Carolina State University, 2751 Cates Ave, Holmes Hall 235, Campus Box 7925, Raleigh, NC 27695 USA
| | - Linzi Long
- North Carolina State University College of Veterinary Medicine
| | | | | | - Yaxin Zheng
- SAS, 600 SAS Campus Drive, Cary, NC 27513 USA
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A Comparison of Psychological Well-Being, Coping Strategies, and Emotional Problems Between Taiwanese and Australian Nursing Students. J Nurs Res 2023; 31:e264. [PMID: 36826356 DOI: 10.1097/jnr.0000000000000543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
BACKGROUND Nursing professional health courses have been reported to be very exhaustive and stressful, with most nursing students reporting moderate levels of stress. PURPOSE This study was designed to compare the spiritual well-being, coping strategies, psychological well-being, anxiety, depression, and suicidal ideation between Taiwanese and Australian nursing students. METHODS Three hundred eighty-one nursing students (180 from Taiwan and 201 from Australia) were recruited for this cross-sectional comparative research study. The Psychological Well-being Scale, Spiritual Well-being Scale, Coping Strategies Inventory Short-Form, Hamilton Anxiety Scale, Zung Depression Scale, and Brief Screen for Adolescent Depression Scale were used to collect data. SPSS 27.0 was used for data analysis. Descriptive data analysis, chi-square tests, independent t test, Pearson correlations, and stepwise multiple regressions were used to examine the research questions. RESULTS Students in Australia had higher mean scores than Taiwanese nursing students for psychological well-being, life satisfaction/self-actualization, and using problem-focused disengagement coping strategies, whereas Taiwanese students had higher mean scores for using emotion-focused engagement coping strategies and depression than their Australian nursing students. Spiritual well-being and problem-focused disengagement were shown to be significantly and positively related to psychological well-being and significantly and negatively related to anxiety, depression, and suicidal ideation in both groups. No significant difference between Australian students and Taiwanese students was found in anxiety, suicidal ideation, and negative-emotion-related alcohol use. CONCLUSIONS/IMPLICATIONS FOR PRACTICE The multiple regressions performed in this study support life satisfaction/self-actualization and the emotion-focused disengagement coping strategy as significant predictors of anxiety, depression, and suicidal ideation in both student groups. The findings of this study help nursing program faculty better understand the key factors of influence on nursing student mental health and provide a conceptual framework for using problem-focused coping strategies and spiritual education on students.
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Chousko Mechmet F, Gürsoy MY. Childhood traumas among nursing students and associated factors. Arch Psychiatr Nurs 2023; 43:98-105. [PMID: 37032024 DOI: 10.1016/j.apnu.2023.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 12/22/2022] [Accepted: 01/14/2023] [Indexed: 01/21/2023]
Abstract
The present study aimed to determine the level of childhood traumas among nursing students and to identify the factors associated with these traumas. This was a cross-sectional study, including 1810 nursing students studying at the nursing department of any university in Turkey. The data were collected using the Childhood Trauma Questionnaire and an online questionnaire consisting of questions related to sociodemographic characteristics. The results of these questionnaires indicated that the level of childhood traumas was low among nursing students and that they had experienced emotional neglect more frequently than sexual abuse. Moreover, this study identified possible factors associated with childhood trauma among these students. PRACTICE IMPLICATIONS: Nursing students with a history of trauma or current trauma can be guided to participate in activities that improve their resilience. In addition, specific courses may be included in the nursing education curriculum to increase the awareness on this topic among these students.
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Affiliation(s)
- Fatme Chousko Mechmet
- Canakkale Onsekiz Mart University, School of Graduate Studies, Terzioglu Campus, Canakkale/Center, Turkey
| | - Melike Yalçın Gürsoy
- Canakkale Onsekiz Mart University, Faculty of Health Sciences, Department of Nursing, Terzioglu Campus, Canakkale/Center, Turkey.
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Ding X, Tang N. Investigation on Depression of College Students Majoring in Physical Education and Nonphysical Education: A StudyBased on the Age Region and Gender of 374 Students. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE : ECAM 2022; 2022:9106594. [PMID: 36091588 PMCID: PMC9463021 DOI: 10.1155/2022/9106594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Revised: 08/18/2022] [Accepted: 08/20/2022] [Indexed: 11/28/2022]
Abstract
In the research on the relationship between depression and college students' major, there are some differences in the degree of depression between sports major and nonsports major students. Based on these results, we assume that there is the possibility of emotional differences between professional and nonprofessional sports. A total of 374 samples of students majoring in physical education and nonphysical education at the same university were analyzed by using the methods of literature review and data analysis. A total of 188 subjects, including 121 males and 253 females (186 majoring in sports and nonsports), were asked to fill in the SDS (Self-Rating Depression Scale). SDS is widely used in rough screening, emotional state evaluation, investigation, and scientific research of outpatients in clinical psychology departments. The research obtained the difference in depression degree in the whole sample and further compared the depression degree of students of different ages and native places. Statistical analysis was performed on all data using SPSS 23.0 software. Basic data description, paired chi-square analysis, and covariance analysis were used. The results show that in this sample, the maximum value (minimum/maximum value) of one item of the total depression score of nonphysical education students exceeds the average value by 3 standard deviations, and this shows that the general level of depression scores of non-PE majors is high; most non-PE majors are in mild depression, which is equal to the number of PE majors who are in a normal mood; and nonsports majors in cities are more likely to have mild depression.
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Affiliation(s)
- Xiaofen Ding
- School of Physical Education, Hunan First Normal University, Changsha 410205, Hunan, China
| | - Nian Tang
- College of Physical Education, Huzhou University, Huzhou 314000, Zhejiang, China
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Deng Y, Cherian J, Khan NUN, Kumari K, Sial MS, Comite U, Gavurova B, Popp J. Family and Academic Stress and Their Impact on Students' Depression Level and Academic Performance. Front Psychiatry 2022; 13:869337. [PMID: 35782431 PMCID: PMC9243415 DOI: 10.3389/fpsyt.2022.869337] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Accepted: 04/19/2022] [Indexed: 11/13/2022] Open
Abstract
Current research examines the impact of academic and familial stress on students' depression levels and the subsequent impact on their academic performance based on Lazarus' cognitive appraisal theory of stress. The non-probability convenience sampling technique has been used to collect data from undergraduate and postgraduate students using a modified questionnaire with a five-point Likert scale. This study used the SEM method to examine the link between stress, depression, and academic performance. It was confirmed that academic and family stress leads to depression among students, negatively affecting their academic performance and learning outcomes. This research provides valuable information to parents, educators, and other stakeholders concerned about their childrens' education and performance.
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Affiliation(s)
- Yuwei Deng
- School of Mechatronics Engineering, Daqing Normal University, Daqing, China
- School of Marxism, Heilongjiang University, Harbin, China
| | - Jacob Cherian
- College of Business, Abu Dhabi University, Abu Dhabi, United Arab Emirates
| | - Noor Un Nisa Khan
- Faculty of Business Administration, Iqra University Karachi Pakistan, Karachi, Pakistan
| | - Kalpina Kumari
- Faculty of Department of Business Administration, Greenwich University Karachi, Karachi, Pakistan
| | - Muhammad Safdar Sial
- Department of Management Sciences, COMSATS University Islamabad (CUI), Islamabad, Pakistan
| | - Ubaldo Comite
- Department of Business Sciences, University Giustino Fortunato, Benevento, Italy
| | - Beata Gavurova
- Faculty of Mining, Ecology, Process Control and Geotechnologies, Technical University of Kosice, Kosice, Slovakia
| | - József Popp
- Hungarian National Bank–Research Center, John von Neumann University, Kecskemét, Hungary
- College of Business and Economics, University of Johannesburg, Johannesburg, South Africa
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George TP, Kershner SH, Hucks JM, DeCristofaro C. Knowledge and perceptions of adverse childhood experiences (ACEs) among prelicensure nursing students. Int J Nurs Educ Scholarsh 2022; 19:ijnes-2022-0006. [PMID: 35618501 DOI: 10.1515/ijnes-2022-0006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Accepted: 05/15/2022] [Indexed: 11/15/2022]
Abstract
OBJECTIVES Adverse childhood experiences (ACEs) impact health outcomes in adulthood. Positive childhood experiences (PCEs) are associated with resiliency and improved mental and physical health outcomes. There is often a lack of content on ACEs in nursing education. The purpose of this project was to determine the knowledge and perceptions of ACEs and PCEs among prelicensure nursing students. METHODS A mixed-method pilot study was implanted. Prelicensure nursing students received didactic instruction on ACEs and PCEs and completed online, anonymous ten-item pre- and post-surveys about knowledge on ACEs and PCEs. RESULTS A positive percent change was observed with all ten statements from pre- to post-surveys. Six themes emerged from qualitative analysis, revealing the importance and benefits of education on ACEs and PCEs. CONCLUSIONS This study shows that nursing students valued education regarding ACEs, were willing to incorporate their knowledge of ACEs into their practice, and discovered they might have been exposed to ACEs themselves. Implications for International Audience: All nursing programs must include content on ACEs and PCEs to prepare better nurses to care for patients.
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Affiliation(s)
- Tracy P George
- Department of Nursing, Francis Marion University, Florence, SC, USA
| | - Sarah H Kershner
- School of Health Sciences, Francis Marion University, Florence, SC, USA
| | - J Marty Hucks
- Department of Nursing, Francis Marion University, Florence, SC, USA
| | - Claire DeCristofaro
- College of Nursing, Medical University of South Carolina, Charleston, SC, USA
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Charlton AC, Wofford LG. Maladaptive coping behaviors in pre-licensure nursing students: An integrative review. J Prof Nurs 2022; 39:156-164. [DOI: 10.1016/j.profnurs.2022.01.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Revised: 01/13/2022] [Accepted: 01/17/2022] [Indexed: 11/28/2022]
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