The Effect of Nursing Students' Liking of Children and Attitudes Toward Clinical Practice on Their Comfort and Worry Levels in the Pediatric Clinic

This research was conducted as a descriptive and cross-sectional study to determine the effects of nursing students' liking of children and attitudes toward clinical practice on their comfort and worry levels in the pediatric clinic. The research was carried out with 270 nursing students who had already taken or were taking the child health and diseases nursing course. Data were collected using a Nursing Student Information Form, the Barnett Liking of Children Scale, the Nursing Students' Attitudes toward Clinical Practices Scale, and the Pediatric Nursing Student Clinical Comfort and Worry Assessment Tool. Mean values, percentage calculations, and linear regression analysis were used for the analysis of the research data. Participants' mean scores were 52.30 ± 6.16 on the Barnett Liking of Children Scale, 103.72 ± 19.35 on the Nursing Students' Attitudes toward Clinical Practices Scale, 15.61 ± 3.74 on the comfort sub-dimension, and 11.63 ± 4.32 on the worry sub-dimension of the Pediatric Nursing Student Clinical Comfort and Worry Assessment Tool. It was determined that the liking of children and attitudes toward clinical practice explained 43.6% of the clinical comfort level of pediatric nursing students in Model 1 and 45.2% of their clinical worry level in Model 2. It was determined that the liking of children and attitudes toward clinical practice significantly affected the comfort and worry levels of nursing students in the pediatric clinic.

Therapeutic communication skills level among students undertaking the pediatric nursing course and the associated influencing factors

AIM

The present study to determine the level of therapeutic communication skills among the students undertaking the pediatric nursing course and explore the associated influencing factors.

METHODS

This descriptive cross-sectional study was conducted with 140 nursing students who took the pediatric nursing course. Data were collected using a Nursing Student Information Form and the Therapeutic Communication Skills Scale for Nursing Students. The mean and percentage calculations, t-test, ANOVA test, and regression analysis were conducted to analyze the correlations between the participants' descriptive characteristics and their mean scores on the scales.

RESULTS

The participants' mean scores obtained on the total Therapeutic Communication Skills Scale for Nursing Students and all of its subdimensions were observed to have a statistically significant correlation with variables such as gender, grade point average, willingness to select the nursing department, satisfaction with the nursing department, difficulty in establishing communication, perceived ability to establish social relations, difficulty in communicating with a child, perception of childhood life, experience with child care, fondness for children, interest in playing therapeutic games with children, and perceived ability to communicate with children. In Model 1, certain descriptive characteristics (satisfaction with the nursing department, difficulty in communicating with a child, experience with child care, interest in playing therapeutic games with children, and perceived ability to communicate with children) explained 52.4% of the therapeutic communication skills scores of the pediatric nursing students and were statistically significantly.

CONCLUSIONS

In this study, it was determined that some of the descriptive characteristics of the students who took the pediatric nursing course had a significant effect on their therapeutic communication skills.

IMPLICATIONS FOR PRACTICE

In order to develop the therapeutic communication skills of students undertaking a pediatric nursing course, it is necessary to support these students with a standard curriculum that includes student-centered, innovative, and interactive educational methods, such as role play, case analysis, and video-based learning. It is also recommended to conduct comparative studies on different educational approaches for nursing students undertaking pediatric nursing courses or meta-analyses to evaluate the effectiveness of such approaches.

Prediction of ethical decision making with professional values in senior nursing students

PURPOSE

This study investigated whether the professional values of nursing students can predict their ethical decision-making levels.

DESIGN AND METHODS

The study used a descriptive and cross-sectional research design. The study sample consisted of 130 senior nursing students. The data were collected from the Student Information Form, Nursing Professional Values Scale, and Nursing Dilemma Test (NDT). The data were evaluated using Pearson correlation analysis and multiple linear regression analysis.

FINDINGS

A significant correlation was found between students' professional values and their mean PLT total scores (p < 0.01). Also, a negative correlation was found between students' professional values and the total mean practical thinking scores (p < 0.01). Professional values of the students explained 21.2% of the total PLT score and 0.08% of the total practical thinking score.

CONCLUSION

The professional values of the students affect their principal and practical thinking skills in ethical dilemmas.

IMPLICATIONS FOR NURSING PRACTICE

It is recommended to discuss the ethical dilemmas observed or experienced by the students in their clinical practice in the field, increase the awareness of the students, and teach them how to deal with ethical dilemmas.

Psychometric properties of the Turkish version of the Epilepsy Disclosure Scale - Youth and Parent Versions

AIM

Due to reactions, such as being ridiculed, blamed, or rejected, children with epilepsy and their families may consider epilepsy as something to be ashamed of, and therefore both the child and parents hide the disease from other people. No valid and reliable measurement in Turkish language that evaluates the level of this behavior, which will greatly affect the management of epilepsy, in both children and parents has been found in the literature. This study was carried out to test the validity and reliability of the Epilepsy Disclosure Scale (EDS) - Youth and Parent Versions in Turkey.

MATERIALS AND METHOD

A descriptive, comparative, correlational, and methodological design was used in the study. The study was carried out with 200 youth with epilepsy between the ages of 8 and 18, who were registered in the pediatric neurology outpatient clinic of a university hospital located in the western region of Turkey, and their parents. The study data were collected using a Descriptive Information Form and the Turkish version of the EDS-Y and the EDS-P. The data were evaluated using content validity index, explanatory and confirmatory factor analyses, Cronbach's alpha, split-half, and item-total score correlation.

FINDINGS

The total explained variance of the Turkish version of the EDS-Y consisting of one sub-dimension and six items was determined as 53.55%, and the total explained variance of the Turkish version of the EDS-P consisting of one sub-dimension and six items was determined as 59.39%. Cronbach's alpha values were 0.864 for the overall Turkish EDS-Y and 0.881 for the EDS-P. According to the confirmatory factor analysis, the model fit indices of both scales were found to be above 0.90 and the factor loads of all items were greater than 0.40.

CONCLUSION

The Turkish versions of the EDS-Y and EDS-P scales have acceptable internal consistency reliability and content and construct validity and can be used by health professionals to evaluate the concealment of epilepsy from the perspectives of both young people and parents.

The effect of leisure boredom and A1C level on diabetes eating problems in adolescents with type 1 diabetes

PURPOSE

Eating out of boredom, the changes in daily routine, physical inactivity and longer exposure to screens have made glycemic control difficult at home during the COVID-19 pandemic among adolescents with Type 1 Diabetes Mellitus. Adolescents with diabetes are at higher risk of developing eating problems than are their healthy peers. The aim of this study is to examine the effects of leisure time boredom and A1C level on eating problems in adolescents with Type 1 Diabetes Mellitus.

DESIGN AND METHODS

A descriptive, correlational, and cross-sectional design was used in this study. The study was conducted in Turkey, with the participation of 173 adolescents diagnosed with Type 1 Diabetes Mellitus. Convenience sampling was used to recruit patients from pediatric endocrinology outpatient clinics of hospitals.

RESULTS

It was determined that the diabetes eating problems of adolescents with Type 1 Diabetes were mostly affected by the level of leisure time and A1C, respectively. In the overall model, 58% (F = 4119.701, p < .001) of the factors affecting diabetes eating problems could be explained by the level of leisure boredom and A1C level.

CONCLUSION

It has been found that the adolescents with diabetes with high A1C levels and who cannot use their leisure time and have boredom are more at risk in terms of diabetes eating problems.

PRACTICE IMPLICATIONS

It should be determined how the adolescents with diabetes spend their lesiure time by diabetes health care team, which should be supported to develop leisure time skills. Effective use of leisure time and strategies to cope with boredom should also be included in diabetes education.

The Effect of Nursing Students' Smartphone Addiction and Phubbing Behaviors on Communication Skill

The aim of the study was to examine the effect of nursing students' smartphone addiction and phubbing behaviors on their communication skills. This study was conducted with 587 undergraduate nursing students. Sociodemographic data were evaluated using percentages and means. The relationship between smartphone addiction and communication skills and the relationship between phubbing behaviors and communication skills were evaluated with Pearson's correlation analysis. The effect of nursing students' smartphone addiction and phubbing behaviors on their communication skills was evaluated using multiple regression analysis. The mean age of the nursing students in the study was 20.47 ± 1.91 years, and 69.3% (n = 407) of the students were female. When the relationship between the communication skills of undergraduate nursing students and other variables was analyzed, it was found that there was a moderate, significant, and negative correlation with smartphone addiction (β = -0.314, P < .001) as well as with the status of phubbing behaviors (β = -0.503, P < .001). It was determined that there was a significant negative relationship between the communication skills of undergraduate nursing students and their smartphone addiction and the status of phubbing behaviors.

Predicting the Healthy Lifestyle Behaviors of Turkish Adolescents Based on their Health Literacy and Self-Efficacy Levels

PURPOSE

The effects of Turkish adolescents' self-efficacy and health literacy on their health behaviors are examined in this study.

DESIGN AND METHOD

This study employed a descriptive cross-sectional design with a sample population of 440 adolescents between the ages of 13 and 18 years old. The data were collected using a demographic data form and analyzed according to the Self-Efficacy Scale for Children, the Health Literacy Scale, and the Adolescent Lifestyle Profile.

RESULTS

The regression analysis found that the self-efficacy and health literacy levels of adolescents predicted their healthy lifestyle behaviors (F = 141.813, p = 0.000). The self-efficacy and health literacy levels explained 41.9% of the healthy lifestyle behaviors of the subjects, with regression coefficients for self-efficacy and health literacy of 0.545 and 0.185, respectively. Self-efficacy among adolescents significantly predicted all the sub-dimensions of healthy lifestyle behaviors, such as health responsibility, physical activity, nutrition, positive life view, interpersonal relations, stress management, and spiritual health. Similarly, the health literacy levels predicted all the sub-dimensions except for physical activity and stress management.

CONCLUSIONS

In this study, the adolescents' self-efficacy levels and their health literacy levels significantly explained their health behaviors. This finding suggests that increasing the self-efficacy and health literacy levels of adolescents should be increased to develop positive health behaviors among today's youth.

PRACTICE IMPLICATIONS

Nurses should identify strategies to increase self-efficacy and health literacy among adolescents to protect and improve adolescent health behavior.

The predict of metacognitive awareness of nursing students on self-confidence and anxiety in clinical decision-making

PURPOSE

This study was conducted to investigate the affect that metacognitive awareness in nursing students has on self-confidence and anxiety with respect to clinical decision-making.

DESIGN AND METHODS

The sample for this descriptive, correlational, and cross-sectional study consisted of 186 nursing students who voluntarily participated. Data were collected using the Metacognitive Awareness Inventory and Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale. Correlation and regression analyses were then performed on the data.

FINDINGS

Nursing students' metacognitive awareness level explained the three subdimensions of self-confidence in clinical decision-making by 26.7% (r²  = 0.267, p < 0.01), 24.6% (r²  = 0.246, p < 0.01), and 26.8% (r²  = 0.268, p < 0.01), respectively. Nursing students' metacognitive awareness level explained the three subdimensions of anxiety in clinical decision-making by 3.7% (r²  = 0.037, p < 0.01), 3.2% (r²  = 0.03, p < 0.05), and 2.4% (r²  = 0.024, p < 0.05), respectively.

IMPLICATIONS FOR NURSING PRACTICE

Clinical decision-making skills can be supported by increasing students' metacognitive awareness.

Psychometric Properties of the Turkish Version of the Epilepsy-Related Fears in Parents Questionnaire

PURPOSE

Epilepsy affects both children and their parents, as it is a chronic disease with recurrent seizures. Parents play a key role in acceptance of the diagnosis of epilepsy by the child and compliance of the child with its treatment. Therefore, the perceptions and experiences of parents about this process are critical. The Epilepsy-Related Fears in Parents Questionnaire is one such instrument, and it has been used to measure the epilepsy-related fear experienced by parents who had children with epilepsy in Germany. This study aimed to analyze the psychometric properties of the Epilepsy-Related Fears in the Parents Questionnaire in Turkey.

DESIGN AND METHODS

The study was conducted on 403 parents using a descriptive correlational method. The Sociodemographic Information Form and Epilepsy-Related Fears in Parents Questionnaire were used to gather data. Data analysis and evaluation were performed using factor analysis, Cronbach's alpha, and item-total score correlation.

RESULTS

Seventeen items were recorded on the main scale and other items on two subscales. The two subscales recorded a variance of 55.695%. Turkish Cronbach's alpha coefficient recorded a total of 0.929. Because of confirmatory factor analysis, the model fit index results were recorded as follows: 0.94 as the Goodness-of-Fit Index and 0.92 as the Comparative Fit Index.

CONCLUSIONS

The study determined that the Turkish version of the Epilepsy-Related Fears in Parents Questionnaire was a valid and reliable measurement tool.

PRACTICE IMPLICATIONS

All health professionals can use this scale to evaluate fears of parents who have children diagnosed with epilepsy.

The association between seizure self-efficacy of children with epilepsy and the perceived stigma

This study used a descriptive, correlational, and cross-sectional research design to evaluate the effect of seizure self-efficacy of children with epilepsy on their perceived stigma of seizure. The study was conducted with 303 children with epilepsy. The data of the study were collected using "the Seizure Self-Efficacy Scale for Children" and "the Scale for Perceived Stigma in Children with Epilepsy". The mean age of the children included in the study was 12.65 ± 2.37. The correlation between seizure self-efficacy of the children and their perceived seizure stigma was examined; a strong, significant, and negative correlation was found. It is recommended that the awareness of all health professionals should be increased in approaching children with epilepsy and that self-efficacy and stigma should be addressed.

Developing and Evaluating the Psychometric Properties of the Pediatric Nursing Competency Scale for Nursing Students

Aim

This study aims to develop and evaluate the psychometric properties of the Pediatric Nursing Competency Scale for nursing students.

Methods

This study was conducted with 318 nursing students, including third-year students enrolled in a pediatric nursing course and fourth-year students completing a pediatric nursing internship. Factor analysis, Cronbach’s alpha, item-total score analysis, and known-groups comparison were used to assess the research data. In total, 16 items were eliminated from the scale on the basis of experts’ recommendations.

Results

The scale consisted of 39 items and 8 sub-scales. The 8 sub-scales exhibited 66.4% of the total variance. Both exploratory factor analysis and confirmatory factor analysis (CFA) revealed that all factor loads were greater than 0.40. The CFA also revealed that all of the fit indices were greater than 0.85, and the root mean square error of approximation was less than 0.08. Cronbach’s alpha was 0.96 for the entire scale, and greater than 0.80 for all sub-scales.

Conclusion

The Pediatric Nursing Competency Scale for nursing students was found to be valid and reliable.

The impact of the difficult vascular access, fear, and anxiety level in children on the success of first-time phlebotomy

PURPOSE:

This study aimed to investigate the success of first-time phlebotomy and the affecting factors in children between 4 and 10 years of age.

METHODS:

This descriptive, comparative, and cross-sectional study was conducted on 155 children who underwent phlebotomy. The Sociodemographic Data Form, the Children's Anxiety Meter-State, the Children's Fear Scale, and the Difficult Intravenous Access score were used to collect the data for the study. The relationship between the success of first-time phlebotomy, mean pre-phlebotomy fear and anxiety score, and Difficult Intravenous Access score were examined. The variables affecting the success of first-time phlebotomy were assessed by regression analysis.

RESULTS:

Phlebotomies failed in 18.1% of children. A statistically significant relationship was found between the success of first-time phlebotomy, Children's Anxiety Meter-State, Children's Fear Scale mean scores assessed by the researchers, and Difficult Intravenous Access score. Factors affecting the success of first-time phlebotomy include difficult vascular access, age, mean Children's Anxiety Meter-State score, mean Difficult Intravenous Access score, and duration of the last phlebotomy performed. These factors explain 42% of the total factors affecting the success of first-time phlebotomy.

CONCLUSION:

Child's fear, anxiety before phlebotomy, and difficult vascular access affects the first-time phlebotomy success.

Psychometric properties of the Turkish version of the Emotional Eating Scale for children and adolescents

This methodological-descriptive-sectional study was performed to assess the validity and reliability of the "Emotional Eating Scale Adapted for Use in Children and Adolescents (EES-C)" scale in Turkey. The sample group of the study was composed of 576 children and adolescents. The data were obtained by using the demographic data collection form and "Emotional Eating Scale Adapted for Use in Children and Adolescents (EES-C)". Cronbach's alpha values for the scale and its subscales were 0.90, 0.86, 0.76 and 0.71; respectively. Item-total correlations for the scale changed between 0.57 and 0.99 (p<0.001). The indices of Model Fit were determined to be Root Mean Square Error of Approximation (RMSA)=0.051, Goodness of Fit Index (GFI)=0.91 and Comparative Fit Index (CFI)=0.97. According to our results, it has been shown that the scale is a valid/reliable instrument to detect the emotional eating of Turkish children and adolescents. EES-C is a convenient tool for professionals to manage and prevent the emotional eating problems.

Needle-track metastasis after transthoracic needle biopsy

Metastasis along the needle track (NTM) after a transthoracic needle biopsy (TNB) is considered a very rare complication. A survey of the membership of the Society of Thoracic Radiology and a review of the English-language literature were conducted to assess the incidence of this complication and its predisposing factors and natural history. A questionnaire was sent to all radiology departments in the United States and Canada that had a senior member of the Society of Thoracic Radiology. The total number of TNB between 1978 and 1993 and occurrences of NTM were elicited. If an NTM was encountered, information on the size of the nodule, proximity to the pleura, histology, size of the biopsy needle, and the interval between biopsy and NTM and outcome of the patient was elicited. The incidence of NTM was estimated using binomial proportions. Results of the literature survey were tabulated to provide similar information. One hundred sixty-five questionnaires were mailed and 75 responses were received. Approximately 68,346 TNB were reported. Five departments reported a total of eight NTM, resulting in an incidence of 0.012%. The average interval between TNB and NTM was 2.6 months. There were no predictable risk factors. The outcome was known in only 11 patients; 4 patients died by the time of reporting (2 after 14 months and 1 each after 6 and 9 months). From the results of this survey, the incidence of NTM after TNB is approximately 0.012%. This small risk is random and unavoidable.