Evaluation of final-year nursing students' attitudes towards preventing medical device-related pressure ulcers using a ABC model of affect, behavior and cognitive dimensions.

INTRODUCTION: Half of the hospital-acquired pressure ulcers are associated with the use of medical devices. Nursing students provide care services to patients in clinical settings and intensive care units who have or are at risk for medical device-related pressure ulcers (MDRPUs). In the prevention and care of MDRPUs, the attitudes of nursing students towards preventing of pressure ulcers are as crucial as their knowledge level and clinical skills. AIM: The aim of this descriptive study is to assess the attitudes of final-year nursing undergraduate students towards preventing MDRPUs across cognitive, affective, and behavioral dimensions of ABC model. MATERIALS AND METHODS: Data of the study was handed between April 1 and December 31, 2021, with 147 final-year nursing students. Data were collected using the Student Information Form and the Attitude Towards Preventing Medical Device-Related Pressure Ulcers Questionnaire (ATP-MDRPUsQ). RESULTS: The mean attitude score towards preventing MDRPUs was 3.98 ± 0.45 on a 5-point Likert scale. The mean scores for the cognitive, affective, and behavioral sub-dimensions were 3.88 ± 0.57, 4.15 ± 0.51, and 4.00 ± 0.672, respectively. A moderate positive relationship was found between the cognitive sub-dimension and both the affective and behavioral sub-dimensions (r = 0.451; r = 0.302; p < 0.01, respectively). Based on cluster analysis, the mean attitude scores of students towards MDRPU prevention were grouped into two clusters. The students in Cluster-2 and female students had higher mean attitude scores (p < 0.01). The item with the lowest mean score in the questionnaire pertained to the item, "I believe that I need training on the etiology and prevention of medical device-related pressure ulcers." CONCLUSION: The general attitudes of final-year nursing students towards prevention MDRPU were satisfactory. However, their cognitive attitudes were less positive compared to their affective and behavioral attitudes. It is recommended to incorporate theoretical and practical courses focusing on the prevention of these injuries into nursing curricula to enhance students' knowledge and attitudes.

Medical device-related pressure injuries prevention practices of intensive care unit nurses: A cross-sectional study in Turkey.

AIM: Medical device-related pressure injuries (MDRPIs) are becoming increasingly common across all healthcare services and age groups in terms of both incidence and severity. It is crucial for nurses to be aware that MDRPI is a potential complication of healthcare services. This study aimed to assess the preventive practices of intensive care unit (ICU) nurses in relation to MDRPIs. MATERIALS AND METHODS: This cross-sectional and descriptive study was conducted with 96 nurses between March 10 and April 31, 2021. The "Nurse Information Form" and the "MDRPIs Prevention Practices Questionnaire" form were used for the data collection. RESULTS: The overall practice scores of ICU nurses in preventing MDRPIs were 50.83 ± 12.93. Out of the participants, 57.3% (n = 55) achieved a total practice score of 51 and above out of 68 (considered an acceptable score indicating proficiency in positive practice). The items with the most negative practice levels among nurses were related to statements such as 'I apply hydrocolloid, thin foam, or a silicone-type dressing to prevent MDPRI' (2.86 ± 0.85) and 'I use the normal pressure injury staging when staging the MDRPI' (2.88 ± 0.86). No significant difference was observed between the mean scores of MDRPI prevention practices and the characteristics of ICU nurses, such as education level, years working in the unit, and years of experience in the profession (p > 0.05). Furthermore, a positive correlation was found between age and practice levels in preventing MDRPIs (p < 0.05). CONCLUSION: The study results indicate that the practice levels of ICU nurses in preventing MDRPIs were insufficient. We believe that regular in-service training programs, grounded in clinical practice, are necessary to enhance nurses' awareness and management of MDRPIs.

The effect of an information, motivation, and behavioral skills model intervention on young women's intention to get an HPV vaccine.

This study aims to examine the effect of the information, motivation, and behavioral skills (IMB) model intervention on young women's intention to get the Human Papilloma Virus (HPV) vaccine. An intervention study that has a pre-test, post-test design was conducted with IMB and control groups. An intervention based on the IMB model, focusing on developing motivation and proper behavioral skills, was applied to the IMB group. A traditional approach was applied to the control group. In this study, the significant post-test differences within groups were information (both groups improved significantly, p < 0.01), individual motivation (the control group decreased significantly, p < 0.01), behavioral skills (both groups improved significantly, p < 0.01), self-management behavior (the IMB group increased significantly, p < 0.01), objective health outcome (the control group decreased significantly, p < 0.01), and subjective health outcome (the IMB group increased significantly, p < 0.0125). IMB-based interventions can help young women acquire new sexual health behaviors to prevent cervical cancer.

Skin-related problems associated with the use of personal protective equipment among health care workers during the COVID-19 pandemic: A online survey study.

AIM: The aim of this study was to determine the skin-related problems caused by personal protective equipment (PPE) use in health care workers (HCWs) and to identify the factors contributing to their occurrence. MATERIALS AND METHODS: This descriptive and cross-sectional online survey study was carried out with 297 HCWs working in a university hospital in Turkey between March 20, 2021, and May 20, 2021. The study data was collected using an online questionnaire consisting of 3 parts. Descriptive statistics, Pearson's Chi-square, and Fisher's Exact Chi-square tests were used to analyze the data. RESULTS: Among the HCWs, 95.6% reported that skin-related problems associated with at least one PPE use. Skin-related problems that develop due to PPE use were mostly associated with the use of Surgical/N95 masks (97.1%) and gloves (96.8%). The most commonly reported problems were ''dryness'' (%74.0) and ''itching'' (%72.1) when wearing gloves, ''perspiration and moisture'' (73.6%), ''formation of equipment traces'' (53.9%), and ''skin lesions'' (52.8%) when wearing a surgical/N95 mask, ''perspiration and moisture'' (89.7%) when wearing protective overalls/gowns. Wearing PPE for more than 4h (p=0.001), taking additional precautions to increase the sense of protection (p=0.026), and not applying preventive measures while using PPE (p=0.003) significantly increase the risk of skin-related problems. CONCLUSION: The results suggest that skin-related problems due to the use of PPE are common among HCWs.

The Psychometric Properties of the Turkish Version of Individual Workload Perception Scale for Medical and Surgical Nurses.

Purpose: This study is aimed to analyze the validity and reliability of the Individual Workload Perception Scale in Turkish (IWPSTR). Methods: Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), reliability analysis, test-retest, and descriptive statistics were used to analyze data. The sample group of the study consisted of 569 medical and surgical clinic nurses working in hospitals. Results: The content validity index was .983. The factor loadings of the IWPSTR were between .359 and .875, the variance accounted for in this study was 62.86%. Cronbach's alpha value was found to be .923 for the IWPSTR, and between .721 and .937 for its subscales. Test-retest reliability correlation was found .826. Conclusions: It was concluded that the Turkish version of IWPSTR, which includes 29 items and 5 subscales, could also be applied to nurses in Turkey.

Effects of Day and Night Shifts on Stress, Anxiety, Quality of Life, and Oxidative Stress Parameters in Nurses.

AIM: This study aimed to determine the effects of day and night shift work on stress, anxiety, quality of life, and oxidative stress parameters in nurses. METHOD: This was a descriptive, cross-sectional study. The study was conducted between October 2014 and January 2015. The study sample included 60 nurses working in a university hospital who met the inclusion criteria (n=60). A questionnaire was used to evaluate stress, quality of life, satisfaction with life, and anxiety sensitivity, and blood samples were obtained. In blood samples, total oxidant status and total antioxidant status, cortisol, epinephrine, and norepinephrine levels were measured. Descriptive statistics, t test, analysis of variance, and correlation analysis were performed for statistical analyses. RESULTS: These results revealed that the nurses employed in surgical clinics had a lower quality of life and higher anxiety sensitivity as compared to those employed in other clinics. In addition, significant relationships were detected between total oxidant status, total antioxidant status and cortisol levels and stress, quality of life, satisfaction with life, and anxiety sensitivity. TOS and TAS, epinephrine, norepinephrine, and cortisol levels; stress, quality of life, satisfaction with life, and anxiety sensitivity were similar between the nurses working daytime and in shifts. CONCLUSION: As the stress level and anxiety sensitivity of the nurses increased, the total oxidant levels and cortisol levels increasedm and in contrast, the quality of life and overall satisfaction with life decreased.

Mental and physical health-related quality of life and food addiction after obesity surgery: The first 2-year outputs.

PURPOSE: The aim of the study was to investigate mental and physical health-related quality of life and food addiction of patients who underwent obesity surgery. DESIGN AND METHODS: A cross-sectional and descriptive design study was included 80 adult patients who completed the Yale Food Addiction Scale and the 36-Item Short-Form Health Survey. FINDINGS: It was found that mental and physical health mean scores of the patients were 61.48 and 72.43, respectively. None of the patients were food-addicted. PRACTICE IMPLICATIONS: Patients were moderate level in the mental and physical health and were no food addiction in the first 2 years. It is thought that mental health support and follow-up following postoperative should be routinely.

Nursing music intervention: A systematic mapping study.

OBJECTIVE: The present investigation analyses the studies of music intervention carried out by nurse researchers, or a research group including nurses, making use of a systematic mapping method to determine the trends in this field. METHOD: In this study, based on a systematic mapping method, 68 out of the 809 studies published between 2013 and 2017, were evaluated. RESULTS: In 87.7% of the studies, Receptive Music Therapy was used while new age music was listened to in 23.9% of the studies. Music intervention was found to be effective in relieving anxiety and pain in 54% and 34.1% of the 44 studies examining the efficacy of receptive music therapy, respectively. CONCLUSION: This study reveals that nurses use music intervention in all areas of health care services, and that the variables for which the effect of musical intervention is examined are mostly anxiety, vital signs and pain.

Prevention of pressure ulcers in the intensive care unit: a randomized trial of 2 viscoelastic foam support surfaces.

AIMS AND OBJECTIVES: The aim of this study is to compare whether differences exist between 2 viscoelastic foam support surfaces in the development of new pressure ulcers. BACKGROUND: There is evidence to support the use of viscoelastic foam over standard hospital foam to reduce pressure. A comparative effectiveness study was done to compare 2 viscoelastic foam support surfaces. DESIGN: A randomized controlled trial was carried out. METHOD: The study was performed in 2 intensive care units between October 1, 2008, and January 4, 2010. Patients (n = 105) admitted to intensive care unit were randomly assigned to viscoelastic foam 1 (n = 53) or viscoelastic foam 2 support surface (n = 52). RESULTS: In total, 42.8% of all patients developed a new pressure ulcer of stage 1 or worse. By stages, pressure ulcer incidence was 28.6%, 13.3%, and 1.0% for stages 1, 2, and 3, respectively. There was no significant difference in pressure ulcer incidence between the viscoelastic foam 1 and 2 groups (X2 = 0.07, df = 1, P > .05). CONCLUSIONS: No difference was found between 2 different viscoelastic foam surfaces in the prevention of pressure ulcers in patients treated in intensive care. RELEVANCE TO CLINICAL PRACTICE: Pressure ulcer incidence in critically ill patients remains high. Nurses must compare current products for effectiveness and develop innovative systems, processes, or devices to deliver best practices.

The relationship between perceived stress and computer technology attitude: an application on health sciences students.

INTRODUCTION: The aim of this study is to define attitudes of students in health sciences towards perceived personal stress and computer technologies, and to present the relationship between stress and computer technology attitudes. METHODS: In this scope, this study has a descriptive nature and thus a questionnaire has been applied on 764 students from Afyon Kocatepe University Health Sciences High School, Turkey for data gathering. Descriptive statistics, independent samples, t test, one way ANOVA, and regression analysis have been used for data analysis. FINDINGS: In the study, it is seen that female (=3,78) have a more positive attitude towards computer technology than male students (=3,62). according to the results of regression analysis of the study, the regression model between computer technology attitude (CTA) and perceived stress (PS) has been found meaningful (F=16,291; p<0,005). There was a negative relationship between computer technology attitude and perceived stress (when computer technology altitude increases, perceived stress decreases), and an increase of one unit in computer attitude results in 0.275 decrease in perceived stress. CONCLUSIONS: it can be concluded that correct and proper use of computer technologies can be accepted as a component of overcoming stress methods.

Skin cancer knowledge and sun protection behavior among nursing students.

AIM: The objective of this study was to determine skin cancer knowledge and sun protection behavior among nursing students. METHODS: A total of 1178 nursing students in the Aegean Region of Turkey took part in this descriptive study. A score for knowledge on protection against skin cancer and a score for protective behavior against skin cancer were calculated. RESULTS: In this study, first year students sunbathed more in the middle of the day than fourth year students, and their knowledge of skin cancer was lower. No statistical difference was determined for protective behavior between the two groups. The knowledge levels and protective behavior of first year students were alarmingly low, but the average scores for knowledge and behavior of the fourth year university students were higher. The knowledge levels of the fourth year students were average but their protective behavior was insufficient. It was found that the knowledge levels and the levels of protective behavior of light-skinned students were higher. CONCLUSION: This study revealed that the knowledge levels and protective behavior of first year nursing students against the harmful effects of the sun and for protection against skin cancer were alarmingly low. It also showed that the knowledge levels of the fourth year nursing students were average, but that their protective behavior was very insufficient. These findings suggest that it is of extreme importance to acquire knowledge and behavior for protection against skin cancers in the education of nursing students.