The impact of a "clinical adaptation psychoeducation program" grounded in the psychological flexibility model on perceived stress and coping behaviors among nursing students: A randomized controlled experimental study.

BACKGROUND: The clinical adaptation psychoeducation program grounded psychological flexibility model (PFMCAP) is consisting of six areas, fills a large gap in the literature regarding the effect of nursing students on perceived stress and coping behaviors in the clinical process. OBJECTIVES: To determine the effect of PFMCAP on perceived stress and coping behaviors of nursing students. DESIGN: This was a simple randomized controlled experimental pre-posttest design. SETTING: This study was conducted with 66 first-year students studying in the nursing department of a university in Türkiye. METHODS: A simple randomization method (computer-generated random number table) was used. Data were collected with "Sociodemographic Data Form", "Perceived Stress Scale for Nursing Students (PSSNS)" and "Stress-Coping Behaviors Scale for Nursing Students (SCBNS)". PFMCAP was conducted online with first-year nursing students, consisting of a total of six sessions, each lasting 90 min. Data were analyzed using percentiles and frequency distributions, and two-way mixed ANOVA one week after the completion of the PFMCAP. RESULTS: There was no significant difference between the groups of descriptive characteristics (p > 0.05). Post-test measurements of students in the experimental group's PSSNS total and sub-dimension scores had a significant decrease compared to the control group (p < 0.001). There was no significant difference between the groups in the post-test SCBNS total scores of the students (p > 0.05). However, there was a significant increase in the post-test SCBNS-Staying Optimistic sub-dimension scores in the experimental group (p < 0.001). CONCLUSION: The impact of PFMCAP on nursing students' perceived stress levels was not limited to only reducing stress levels; it also contributed to an increase in the students' levels of optimism. These findings demonstrate the potential of PFMCAP in supporting nursing students during the clinical adaptation process. It is observed that the integration of PFMCAP into nursing education could assist nursing students in better adapting to clinical practices and effectively managing stress.

"Silent screams": Family perceptions in the drawings of incest victim children.

PURPOSE: This study aimed to examine the family perceptions in the drawings of children exposed to incest. DESIGN AND METHODS: This qualitative research involved 25 child survivors of incest, all of whom were examined and subjected to forensic interviews at a facility in northern Türkiye specializing in cases of child sexual abuse. The data were collected using the "Child and Family Descriptive Information Form", the "Abuser Descriptive Information Form", the "Family Drawing Test", and the "Semi-structured Interview Form". RESULTS: The children's drawings were subjected to a projective analysis, leading to the identification of three key themes: the distress of confronting incest; unbalanced power and role allocation in the family; and dysfunctional family dynamics.". These themes were discerned by examining the connections and coherence between the categories. CONCLUSION: It is concluded in the study that who are exposed to incest perceived a trauma experience that affected the whole family, perceived unbalanced power and role allocation in the family with authoritarian-aggressive and submissive-oppressed roles, and had negative perceptions of family dynamics such as emotional ties, family integrity, and social interaction. IMPLICATIONS TO PRACTICE: This study emphasizes the need to restructure the issues of familial trauma, power and role imbalance, and unmet needs within the family while planning for trauma in nursing approaches to children who are victims of incest.

The effect of the Mindfulness-Based Stress Reduction program on the level of perceived stress and geriatric depression in older adults: a randomised controlled study.

BACKGROUND: This study aims to reveal the effect of the Mindfulness-Based Stress Reduction (MBSR) program on the perceived stress and geriatric depression levels of older adults. METHODS: The data of this randomised controlled experimental study were obtained from older adults living in a nursing home in Turkey, between May and November, 2021. The target population consisted of 54 older adults living in the specified nursing home, and the sample consisted of 48 older adults who met the inclusion criteria (n = 24 intervention group, n = 24 control group). The MBSR program was applied to the older adults in the intervention group. Data were collected using the Personal Information Form, the Perceived Stress Scale, and the Geriatric Depression Scale-Short Form. RESULTS: It was revealed that the MBSR program led to a 54.7% decrease in the perceived stress total scores of the participants, and a 49.9% and 49.8% decrease in the sub-dimensions of perceived insufficient self-efficacy and perceived stress/distress, respectively. It was also found that the program reduced geriatric depression scores by 14.1% and created a significant effect (P < 0.05). CONCLUSIONS: It can be concluded that the MBSR program is an effective method in reducing the perceived stress and geriatric depression levels of older adults. This effect has been maintained 1 month after the completion of the program.

Examination of perceptions of schizophrenia patients about community-based mental health care centers and nurses through picture drawing: A qualitative study.

PURPOSE: This study aimed to examine the perceptions about community-based mental healthcare centers and nurses who offered services for patients with schizophrenia. DESIGN AND METHODS: This qualitative study was conducted on 15 patients who are diagnosed with schizophrenia and received services in two community-based mental health care centers in Turkey. FINDINGS: Three themes emerged regarding the perceptions about nurses, including perceived patient-nurse relationships, perceived personal features of nurses, and feelings about nurses. Five themes appeared concerning the perceptions about the community-based mental health care centers, including participation motivation, perceived care, services for treatment follow-up and adherence, services for social functioning and motivation, and services for rehabilitation and productivity. PRACTICAL IMPLICATIONS: Patients with schizophrenia had positive perceptions about the nurses and the centers.

The effect of preventive psychosocial interventions directed towards mothers and children on children's knowledge about protection from sexual abuse.

PROBLEM: Sexual abuse is a multidimensional public health problem that concerns all communities. Primary-level preventive approaches in the fight against sexual abuse have an important place. However, research involving parents in sexual abuse prevention interventions with children is limited. The aim of this study is to determine the effect of preventive psychosocial interventions directed towards mothers and their children on children's knowledge about protection from sexual abuse. METHODS: The study has a quasi-experimental, comparative design with a control group and a pretest/posttest. The participants were assigned into four groups; namely, control, mother psychoeducation, child psychoeducation and mother-child psychoeducation. FINDINGS: Significant difference was determined within and between the groups in the mean scores of the Good Touch Bad Touch Curriculum test (p < 0.001). CONCLUSION: The preventive psychosocial intervention simplemented to mothers and their children increase children's knowledge about protection from sexual abuse.

Effectiveness of web-based distance education for parents in the prevention of emotional neglect and abuse: A randomized controlled study.

PURPOSE: The aim of this study was to determine the efficacy of web-based distance education for the prevention of child emotional neglect and abuse by increasing parental awareness of emotional abuse and appropriate attitudes toward child-rearing. DESIGN AND METHODS: This study had a quasi-experimental, randomized controlled design. The study sample included a total of 60 parents who had taken their child to a pediatric outpatient clinic in Turkey. Of 60 parents, 30 were randomly assigned to an experimental group and 30 were randomly assigned to a control group. Data were collected using the Personal Characteristics Form, the Recognition of Emotional Maltreatment Scale (REMS) and the Parental Attitude Research Instrument (PARI). The experimental group was offered a 6-week web-based distance education program focusing on the prevention of child emotional neglect and abuse. FINDINGS: There was no significant difference between the posttest scores of the experimental and control groups (P > .05). However, a significant difference was found between pretest and posttest scores of the experimental group for the REMS and its subscales and for the overprotective mothering and strict discipline subscales of the PARI (P < .05). CONCLUSION: The 6-week web-based distance education has the potential to increase parental awareness of child-rearing and emotional abuse. PRACTICE IMPLICATIONS: Web-based distance education has a positive effect on parenting attitudes and emotional abuse awareness levels. This form of parent education should, therefore, be utilized further in clinical practice.

Impact of a video or photography-assisted adaptation program on the concerns and social stigmatization-related perceptions of first-time psychiatric inpatients.

PURPOSE: This study aimed to determine the impact of a video or photography-assisted adaptation program on the concerns and social stigmatization-related perceptions of patients upon their first admission to a psychiatric clinic DESIGN AND METHODS: This study was a non-randomized trial model with pretest-posttest measurements and a control group. No procedure was performed on the control group. However, a video or photography-assisted adaptation program was conducted on the experimental group. FINDINGS: No significant decrease was found in the state-trait anxiety and stigmatization for receiving psychologic help levels in the control group (p > .05), but a significant decrease was found in the experimental group (p < .05). PRACTICAL IMPLICATIONS: Video or photography-assisted adaptation program is effective in mitigating the concerns and social stigmatization-related perceptions of patients upon their first admission to a psychiatric clinic.

Discharge Education Intervention to Reduce Anxiety and Depression in Cardiac Surgery Patients: A Randomized Controlled Study.

PURPOSE: This study aimed to determine possible effects of a discharge education intervention on anxiety and depression among cardiac surgery patients in a private hospital in the city of Ordu, Turkey. DESIGN: A randomized controlled trial. METHODS: Thirty-three patients were placed in standard care group and 33 into standard care plus discharge education group. Patients in the discharge education group were provided an individual training from the first day of the hospital admission until the day of the discharge. The standard care group received usual discharge instructions. FINDINGS: The Hospital Anxiety and Depression Scale-anxiety subscale scores were not significantly different between patients in the discharge and standard care groups (group: F = 1.58; P > .05). There was a significant difference for depression, indicating that the discharge education group had significantly lower depression than the standard care group (group: F = 19.23; P < .01). CONCLUSIONS: Our findings supported that the discharge education intervention reduced depression in cardiac surgery patients.

[Effects of Music Therapy on the Care Burden of In-Home Caregivers and Physiological Parameters of Their In-Home Dementia Patients: A Randomized Controlled Trial].

OBJECTIVES: This study was conducted to explore the effects of classical Turkish music therapy on both the caregiver burden and physiological parameters of patients with dementia. METHODS: The study was a randomized controlled trial. It was conducted with dementia patients (n = 75) and their caregivers who were registered at in-home care services of the General Secretariat of the Association of Public Hospitals in Ordu. The study sample consisted of 30 control and 30 music group patients and their caregivers who satisfied the inclusion criteria for the study conducted between April 2015 and April 2016. The primary outcome of the study was to measure the care burden of in-home caregivers, and the secondary outcome was to measure physiological parameters, including systolic and diastolic blood pressure, heart rate, and respiration rate in patients with dementia. RESULTS: The mean scores of the post-test caregiver burden in the music group were found to be significantly lower than those of the control group (t = -4.478, p = 0.001). The differences in the post-test systolic and diastolic blood pressures between the patient groups were found to be statistically significant (t = -4.603, p = 0.001; t = -2.656, p = 0.010). CONCLUSIONS: Classical Turkish music intervention in in-home dementia patients decreased the care burden of caregivers and the patients' blood pressures were brought under control. In parallel with these results, it is recommended that more studies to reveal the effects of classical Turkish music on care burden should be conducted.

The effect of music therapy on depression and physiological parameters in elderly people living in a Turkish nursing home: a randomized-controlled trial.

OBJECTIVE: This study was carried out in an effort to determine the effect of music therapy on depression and physiological parameters in elderly people who were living in a nursing home. METHOD: The study was a randomized controlled trial. The study sample consisted of 64 elderly people who complied with the criteria of inclusion for the study. The data were collected using the 'Elderly Information Form' and 'Geriatric Depression Scale'. The music group listened to music three days in a week during 8 weeks. The depression levels were assessed at baseline (week 0) and follow-up in the eight week. RESULTS: It was found that the difference between post-test depression scores of the two groups was found to be statistically significant (t = -2.86, p <.01). The mean scores of post-test systolic blood pressure in the music group were found to be significantly lower than those of the control group (t = -3.11, p < .05). CONCLUSION: It was concluded that music therapy decreased the depression level and systolic blood pressure in elderly people. The study results implies that music therapy can be an effective practice for public health and home care nurses attempting to reduce depression and control physiological parameters of elderly people.