Nomophobia and eHealth literacy among adolescents: A cross-sectional study.

PURPOSE: This study was conducted to determine adolescents' nomophobia behaviors, eHealth literacy levels, and their predictive factors. DESIGN AND METHODS: A cross-sectional design was used. The population consisted of ninth, 10th, and 11th-grade adolescents (aged 14-17) in a high school in Turkiye (N = 1013). The study was completed with 719 voluntary adolescents. A questionnaire, the eHealth Literacy Scale, and the Nomophobia Questionnaire were used to collect data. Multiple linear regression was run for data analysis. RESULTS: Of the adolescents, 44.9% were found to have moderate, and 14.8% had severe nomophobia behaviors. Adolescents who were girls, the ninth and 10th graders, who used smartphone two hours or more daily, social media users, who watched videos on the smartphone and surfed on the Internet had higher nomophobia behaviors. Adolescents who were boys, who searched for health information online, found health information on the Internet helpful, and found accessing health resources on the Internet important had higher eHealth literacy levels. CONCLUSION: Adolescents should be educated about rational smartphone and Internet usage to comprehend the accuracy of health-related information. PRACTICE IMPLICATIONS: School nurses could design activities to increase eHealth literacy to encourage adolescents. Nurses could help proactively prepare nomophobia severity map and an eHealth literacy enhancement curriculum for adolescents to form functional preventive interventions. Nurse leaders can contribute to developing policies and strategies to prevent nomophobia behaviors among adolescents.

Healthy Life Awareness, Blood Pressure Awareness and Insight Among Adult Individuals: A Population-Based Cross-Sectional Study.

OBJECTIVE: To measure healthy life awareness, blood pressure awareness and insight levels, along with their predisposing factors among adult individuals. DESIGN: A population-based cross-sectional study. SAMPLE: The population consisted of adult individuals in a rural district of a city in Türkiye. Voluntary individuals who visited the population screening, organized as the May Measurement Month activity, were invited to the study (n = 290). MEASUREMENTS: The data were collected by a questionnaire, the Healthy Life Awareness Scale (HeLAS), and the Blood Pressure Awareness and Insight Scale (BASIS). Descriptive statistics, Pearson Correlation, and multiple linear regression were used to analyze the data. RESULTS: The mean scores of the HeLAS and the BASIS were 49.62 ± 8.30 and 2.89 ± 1.43, respectively. Income level, regular physical activity habits, and formerly being diagnosed with hypertension were positively associated with a healthy life awareness level. Former diagnosis of hypertension, regular medication usage, and being unemployed were the significant predisposing factors of blood pressure awareness and insight level. CONCLUSIONS: Most adult individuals displayed a moderate level of healthy life awareness and a low level of blood pressure awareness and insight. Nurses could take on the leading role in developing healthy lifestyle habits among individuals, ensure medication treatment adherence, and prevent hypertension prevalence.

Social Media Addiction and Cognitive Behavioral Physical Activity Among Adolescent Girls: A Cross-Sectional Study.

OBJECTIVE: To measure a multivariate analysis of social media addiction and cognitive-behavioral physical activity associated with several sociodemographic characteristics in adolescent girls. DESIGN AND METHODS: A cross-sectional study. The sample consisted of adolescent girls studying in a vocational high-school in the Middle-Black-Sea region in Türkiye (n = 333). A questionnaire, Social Media Addiction Scale-for-Adolescents (SMAS-A), and Cognitive-Behavioral Physical Activity Questionnaire (CBPAQ) were used to collect the data. RESULTS: The mean age was 15.35 (SD = 1.15), and 29.4% were the ninth-class students. Of the adolescent girls, 85.9% were social-media users, 59.8% used the internet 2-hours-or-more/daily, 67.9% declared themselves as moderately-active. The mean scores of the SMAS-A and the CBPAQ were 3.40 (SD = 1.61) and 21.03 (SD = 7.64), respectively. There was a significantly-negative correlation between cognitive-behavioral physical activity and social-media addiction levels. The One-Way MANOVA results showed significant differences in the academic level, family income, mother education, and physical activity measurement application usage affected to cognitive-behavioral physical activity. Social media usage habit affected to the social media addiction level. CONCLUSIONS: Daily internet usage time and self-declared physical activity level were the mutually affected factors. School nurses should act to improve healthy social media usage habits to promote well-being and encourage the positive attitudes towards regular physical activity in this population.

A qualitative study on Turkey's earthquakes, the century's catastrophe: Perspectives and coping methods of surviving nursing students.

AIM: To understand the experiences and coping strategies of nursing students who were impacted by Turkey's once-in-a-century catastrophic earthquakes in 2023. BACKGROUND: Nursing students rarely experience a disaster in person, and their imagination can be limited. METHODS: This study used a descriptive-qualitative study design. It was conducted with 17 first-year nursing students, studying at a university in the northeastern part of Turkey, who survived the earthquake. A personal information form and a semistructured questionnaire were used to collect the data. The data were collected between March and April 2023 and analyzed using the content analysis method and the MaXQDA programme. RESULTS: The data were grouped into three main themes-"What 'earthquake' was and what it is now?," "Am I aware of the 'earthquake' now?," and "Coping mechanisms and supporting systems"-and categorized into seven subthemes. CONCLUSIONS: The experiences of earthquake-affected nursing students emphasized the importance of being prepared for disasters and meeting their emotional needs. IMPLICATIONS FOR NURSING PRACTICE AND POLICIES: Including specific courses and case studies regarding disasters, whether natural or human-made, in education programs can ensure better prepared nurses. Also, the integration of content about management and coping with such crises into nursing curricula is considered vital.

Effectiveness of non-pharmacological community-based nursing interventions for smoking cessation in adults: A systematic review.

OBJECTIVE: The purpose of this systematic review was to determine the effectiveness of non-pharmacological community-based nursing interventions for smoking cessation in adults. METHOD: Studies published between January 1, 2008 and December 31, 2017 were comprehensively searched to 14 databases. Quality Assessment Tool for Quantitative Studies was used to examine the methodological quality of the included studies. The obtained studies were listed on a code table by title, summary, and author/s' name. A narrative synthesis was used interpreting the data. This study was registered to PROSPERO (ID: CRD42018088007). RESULTS: Strong-quality rated three randomized controlled studies were included. Nurses were found to perform intensive behavioral support, brief-advice and mTobacco cessation interventions. These were effective on changing knowledge, belief and attitudes. No sufficient evidence on the cessation rate and the non-relapse rate was found. DISCUSSION: This review puts forward that non-pharmacological community-based smoking cessation interventions by nurses has an impact on changing knowledge, belief and attitudes in adult smokers. Findings can encourage public health nurses to use their counsellor role more actively. Improving the health literacy of the adult smokers via these findings can facilitate their intention to behavior change. Findings can be a useful resource for policy makers and governments in controlling the smoking epidemic.

A healthy lifestyle education programme for health literacy and health-promoting behaviours: A pre-implementation and post-implementation study.

AIM: The aim of this study was to determine whether implementation of a healthy lifestyle education programme resulted in improved health literacy levels and healthy life style behaviours. METHODS: A one-group pretest-posttest study design was used. This study was carried out with 30 women who were enrolled in a family health centre. A questionnaire comprising the Adult Health Literacy Scale, Healthy Lifestyle Behaviour Scale-II, Perception of Health Scale, and Short Test of Functional Health Literacy was used for data collection. Eight home visits including training and follow-up followed the first interview at the family health centre. The healthy lifestyle training was applied once per week during home visits. After the training sessions were completed, women were followed-up through four home visits biweekly in the second and the third months. RESULTS: The difference between the Adult Health Literacy Scale and Short Test of Functional Health Literacy pretest-posttest mean scores was statistically significant (P < .05). Although the Perception of Health Scale and the Healthy Lifestyle Behaviour Scale-II posttest scores were higher than the pretest scores, the difference between the groups was not statistically significant. CONCLUSION: The training and counselling intervention visits increased health literacy but did not significantly change the healthy life style behaviours and health perceptions of the women.

The effect of Health Belief Model-based health education programme on coping with premenstrual syndrome: a randomised controlled trial.

AIM: The aim of this randomised controlled study was to determine the effect of Health Belief Model (HBM)-based health education programme in late adolescent period on coping with premenstrual syndrome (PMS). METHODS: Thirty women both in the intervention and control groups were included. The HBM-based education programme was applied to cope with PMS. The intervention and control groups were followed up for three cycles in terms of PMS symptoms. The data were collected by a questionnaire and the Premenstrual Syndrome Scale. RESULTS: There was a statistically significant difference between the pre-test mean scores and the first, second and third follow-up mean scores; and between the first follow-up mean score and the second and the third follow-up mean scores in the repeated measurements of the intervention group (p <.05). The mean scores of the intervention group were found to be significantly lower than the control group in the second and third follow-ups (p < .05). CONCLUSION: In conclusion, HBM-based health education was effective for coping with PMS. It is recommended for dealing with PMS to use HBM-based education programmes, to motivate the students for life style changes, and to identify the obstacles and the benefits perceived about PMS.

Effectiveness of scientific research education programme on the attitudes of nursing students towards research methods course: a pre and post-implementation study.

BACKGROUND: Nursing research is the key to building an evidence-based practice for nursing. It is a necessity for nursing students to be professionals and to be encouraged to conduct research. AIMS: This research was conducted to determine the effectiveness of a scientific research education program on the attitudes of nursing students towards research methods. DESIGN: A single group pre and post implementation study. METHODS: The sample was composed of the third-year nursing students (n = 196). A questionnaire, and the Scientific-Research-Methods-Course-Attitude-Scale (SRMC-AS) were used for the data collection. The intervention consisted of theoretical education, group discussions, and research project writing practices lead by the researchers. RESULTS: The difference between mean scores of the SRMC-AS baseline measurement (85.18 ± 9.09), 3rd month (91.20 ± 7.59), and 6th month (90.68 ± 11.16) was statistically significant (p < 0.05). CONCLUSION: The scientific research education program was found effective about positively increasing the attitudes of the students towards the course.

Adaptation of the health literacy survey19-Europe-Q12 into Turkish culture: A psychometric study.

RATIONALE: Misinformation can lead to adverse outcomes on the health beliefs and behaviors of individuals. Therefore, health literacy skills are needed as a central competency to recognize the trustfulness of health-related knowledge in any resources. To ensure this, a time-efficient, skill-oriented psychometric tools are needed to measure the comprehensive general health literacy level of communities. AIMS AND OBJECTIVES: This research was conducted to evaluate the psychometric properties of the 12-item Health Literacy Survey-Europe (HLS19-Q12) regarding Turkish culture. METHOD: A methodological design was adopted. The population consisted of adult individuals registered to two family health centers in Ankara. The sample was determined based on 5-10 times the number of scale items rule (ntotal = 192). A questionnaire and Health Literacy Survey-Europe-Q12 were used to collect data. Language, content and construct validities and internal consistency reliability tests were performed through IBM-SPSS 25.0 and AMOS 24.0 programs. The content validity was determined via the Davis technique. The construct validity was examined by exploratory (EFA) (n1 = 120) and confirmatory factor analysis (CFA) (n2 = 72). Internal consistency was evaluated using Cronbach's alpha coefficient. Time invariance was evaluated by test-retest method (nretest = 32) 4 weeks later. RESULTS: The mean age was 30.17 ± 10.37 (min. 18-max. 61). The Kaiser-Meyer Olkin test result was 0.898, and the Bartlett's Test of Sphericity result was 604.889 (p < 0.001). The model-fit indices showed good fit. The difference between the first and the second measurements was statistically insignificant (t = -1.659, p = 0.107). The Cronbach's alpha was 0.88. CONCLUSIONS: The HLS19-Q12-TR was a valid and reliable measurement tool in determining the health literacy level of the Turkish adult population. As one of the social determinants of health, easy measurement and generating a general health literacy map of the population is considered a necessity.

Predictors of attitudes towards nursing profession and peer caring behaviors of the nursing students: A cross-sectional study.

BACKGROUND: Professionalization in nursing is interconnected with the acceptance and encouragement of professional role model manners and caring approaches among the nursing students. OBJECTIVE: To determine the predictors of attitudes towards nursing profession and peer caring behaviors of the nursing students. DESIGN: A single-centered, observational, cross-sectional study. SETTINGS: A university's faculty of health sciences nursing department in Ankara, Turkey. PARTICIPANTS: The population of the study comprised of second and fourth year nursing students (N = 470). The study was completed with 390 students. METHODS: The data were collected via a questionnaire, the Attitude Scale for Nursing Profession (ASNP), and the Peer Caring Measurement (PCM) between September and October 2019. Univariate and multivariable linear regression analyses were used to predict the data (p < 0.05). RESULTS: The mean age of the students was 20.41 (SD = 1.34) and 85.1 % of them were female. The total ASNP mean score was found 160.10 (SD = 15.59). The mean score of the ASNP were higher in females, those whose income was equal or more than expense, those who preferred nursing school willingly, studying nursing pleasantly, those who were eager to work as a nurse, and those who planned to advance in nursing career. The total PCM mean score was 42.10 (SD = 10.45). It was higher in second year students, those whose income was equal or more than expense, and those who planned to advance in nursing career. There was a positively moderate correlation between the ASNP and the PCM total scores (r = 0.314, p < 0.001). CONCLUSIONS: Attitudes of the nursing students towards profession and their peer caring behaviors were highly positive. Improving the attitudes of the nursing students towards the profession via enhancing their peer caring behaviors, novel approaches, such as internship and mentorship, should be implemented into the nursing education.

Investigation of health literacy and affecting factors of nursing students.

Health literacy (HL) is a concept that concerns individuals, as well as health systems and health professionals. This study was conducted to determine health literacy and affecting factors of nursing students. A descriptive-cross sectional design was used. First and fourth year nursing students were included in the study (n = 303). A questionnaire and the Adult Health Literacy Scale were used for collection of the data. Most (84.8%) of the students were female and 60.4% were studying in their first year. The mean Adult Health Literacy Scale score of the student nurses was 15.9 ±â€¯3.2. The fourth year nursing students who have health insurance, have chronic disease, use drugs regularly, and have difficulties in reading had higher mean Adult Health Literacy Scale scores (p < 0.05). Although this study indicates that the HL level of the nursing students was found as adequate, it is thought that the higher HL level acquired in the undergraduate education the more competent nursing workforce. The HL concept should be integrated into the nursing curriculum to improve the HL levels of the nursing students. Nurse educators should emphasize the importance of health literacy and patient empowerment in the curriculum.