An evaluation of societal perception of monkeypox in terms of disease anxiety and stress levels: A Turkish sample.

OBJECTIVE: The purpose of this research was to examine community perception of monkeypox in terms of epidemic anxiety and stress levels. METHODS: This research was performed as a descriptive, cross-sectional study. The research was conducted with 1001 individuals between September and December 2022. AMOS 24, JAMOVI, and SPSS version 25 software were employed. The data were collected using a descriptive form, the Epidemic Anxiety Scale, and the Perceived Stress Scale. RESULTS: The mean Epidemic Anxiety Scale score was 52.47 ± 14.52, and the mean Perceived Stress Scale score was 41.88 ± 6.83. Significant positive correlation was determined between the Epidemic Anxiety Scale and the Perceived Stress Scale (r = 0.350, p = .000). A one-unit increase in perceived stress caused a 0.360 increase in epidemic anxiety (ß = 0.360). In addition, having heard of and fearing monkeypox, thinking about its ability to cause an epidemic, and perceived stress emerged as significant predictors of epidemic anxiety. CONCLUSION: The community was found to exhibit a moderate level of epidemic anxiety and a low level of perceived stress. Epidemic anxiety levels increased in line with perceived stress levels. We recommend that individuals in need receive support by determining epidemic anxiety and perceived stress levels in the community.

Long-term care facilities' response to the COVID-19 pandemic: An international, cross-sectional survey.

AIMS: To (i) assess the adherence of long-term care (LTC) facilities to the COVID-19 prevention and control recommendations, (ii) identify predictors of this adherence and (iii) examine the association between the adherence level and the impact of the pandemic on selected unfavourable conditions. DESIGN: Cross-sectional survey. METHODS: Managers (n = 212) and staff (n = 2143) of LTC facilities (n = 223) in 13 countries/regions (Brazil, Egypt, England, Hong Kong, Indonesia, Japan, Norway, Portugal, Saudi Arabia, South Korea, Spain, Thailand and Turkey) evaluated the adherence of LTC facilities to COVID-19 prevention and control recommendations and the impact of the pandemic on unfavourable conditions related to staff, residents and residents' families. The characteristics of participants and LTC facilities were also gathered. Data were collected from April to October 2021. The study was reported following the STROBE guidelines. RESULTS: The adherence was significantly higher among facilities with more pre-pandemic in-service education on infection control and easier access to information early in the pandemic. Residents' feelings of loneliness and feeling down were the most affected conditions by the pandemic. More psychological support to residents was associated with fewer residents' aggressive behaviours, and more psychological support to staff was associated with less work-life imbalance. CONCLUSIONS: Pre-pandemic preparedness significantly shaped LTC facilities' response to the pandemic. Adequate psychological support to residents and staff might help mitigate the negative impacts of infection outbreaks. IMPACT: This is the first study to comprehensively examine the adherence of LTC facilities to COVID-19 prevention and control recommendations. The results demonstrated that the adherence level was significantly related to pre-pandemic preparedness and that adequate psychological support to staff and residents was significantly associated with less negative impacts of the pandemic on LTC facilities' staff and residents. The results would help LTC facilities prepare for and respond to future infection outbreaks. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.

Analysis of post-migration traumatic events influence on immigrants and their personality traits.

OBJECTIVES: This study aims to analyse the way immigrants and their personality traits get affected by traumatic events in the post-migration process. METHODS: This descriptive study was conducted through Google Forms with the involvement of 2,509 immigrants. A descriptive questionnaire, the "IFOMA Post-Migration Post-Traumatic Effect Scale" and the "GADOT Personality Types Determination Scale" were used to collect the research data. Independent samples t-test, one-way ANOVA, and related sample Friedman's two-way analysis tests were used in data analysis. RESULTS: Immigrants were exposed to significant effects in all sub-dimensions of the Post-Migration Post-Traumatic Effect Scale. Experiencing post-traumatic stress was found to be significantly related to the research parameters, which, respectively, are gender, age, marital status, educational background, legal status, years of living in the current country, employment status, ethnicity, Turkish language proficiency, and post-migration psychological problems (p < 0.05); 42.8% of the immigrants had the Type 9 personality, and all personality types were affected by the Psychological Affection, Physical Affection, Anxiety, and Social Adaptation sub-dimensions, respectively (p < 0.05). CONCLUSION: By analysing the impact of migration-induced trauma on immigrants within their society, it can be recommended to implement initiatives specific to immigrants' personality traits and to carry out protective/preventive projects that will minimize immigrants' exposure to trauma and encourage their participation in social adaptation processes.

The Effect of Graduates' Opinions and Experiences on Home Care Practices in Undergraduate Education on Postgraduate Nursing Interventions: A Qualitative Study.

AIM: The purpose of this study is to evaluate the opinions of nurses who completed the public health nursing internship program and are currently working in the clinic about the home care interventions they apply during nursing education and to evaluate the effects of these practices on the clinical studies. METHOD: The descriptive qualitative research was conducted in May-June 2016. The sample number determined by the criterion sampling method, one of the purposive sampling methods, is 14 nurses. In the interviews, an introductory information form and an interview form consisting of open-ended questions were used. The data were collected via e-mail and evaluated by content analysis. The data were reported according to COREQ. Ethics committee approval was obtained. RESULTS: Readiness to the profession was revealed with four themes including personal development, understanding the importance of home care practice, evidence-based and holistic care, and related sub-themes. CONCLUSION: Opinions of the graduates about the home care interventions they applied during their education and the effects of these practices on the clinical studies were multidimensional and positive.

The effect of Alzheimer's blanket activity program on behavioral symptoms, activities of daily living, and quality of life.

PURPOSE: The study was conducted to evaluate the effects of the Alzheimer's blanket activity program (ABAP) on the behavioral symptoms, activities of daily living, and quality of life of people with Alzheimer's disease. DESIGN AND METHOD: The study was conducted between November 2019 and February 2020 in the homes of the participants with Alzheimer's disease with a single group pre- post-test design. As part of the ABAP, the researchers made two home visits, conducted telephone interviews, and provided counseling services during the 3-month follow-up process. FINDINGS: It was found that after the program, the people with Alzheimer's disease had improved daily life activity, quality of life, and neuropsychiatric symptom scores; however, the change was not statistically significant. PRACTICE IMPLICATIONS: Future studies involving longer intervention and follow-up using the ABAP may help assess the long-term effects of the program.

A study on the adaptation of the HIV/AIDS-related Stigma Scale into Turkish.

PURPOSE: This study aims to test the validity and reliability of the Turkish version of the HIV/AIDS-related Stigma Scale. DESIGN AND METHODS: The study has a methodological design. The sample included a total of 428 participants. of the participants, 198 were HIV/AIDS patients, 230 were HIV-negative individuals. The data were analyzed using the Exploratory and Confirmatory Factor Analysis. FINDINGS: The Turkish version of the HIV/AIDS-related Stigma Scale was found to be valid and reliable for the Turkish society. Cronbach's α was 0.93 for the community perspectives subscale and 0.89 for the patient perspectives subscale, and all the model fit indices were acceptable. PRACTICE IMPLICATIONS: The level of stigmatization revealed by the scale helps gain an insight into the community and patient perspectives on HIV/AIDS.

Investigation of the effect of the life satisfaction and psychological well-being of nursing students on their happiness levels.

PURPOSE: This study aims to examine the effect of nursing students' life satisfaction and psychological well-being on their perceived happiness levels. METHOD: The study, which was designed as a descriptive and cross-sectional study was carried out in Turkey with 264 students of nursing. FINDINGS: Students' life satisfaction and happiness (r = 0.722), psychological well-being and happiness (r = 0.743), and psychological well-being and life satisfaction (r = 0.689) were found to be positively and highly correlated. Students' gender and perception of income status and general health status affected their happiness levels. It was revealed that life satisfaction and psychological well-being predict happiness (63.6%). PRACTICE IMPLICATIONS: The factors of life satisfaction and psychological well-being play a decisive role in the happiness of nursing students.

Evaluation of the validity and reliability of the Revised Professional Practice Environment Scale for Turkish society.

BACKGROUND: Professional practice environment is a concept comprising autonomy, teamwork and professional motivation. AIM: We aimed to validate and demonstrate the reliability of the Turkish version of the Revised Professional Practice Environment Scale in this study. METHODS: The study has a methodological design with a sample of 306 nurses working in university hospitals located in two different regions in Turkey. The data of the study were collected between July 2019 and January 2020 using introductory information form and the Revised Professional Practice Environment Scale. In the analysis of the data, Cronbach alpha reliability coefficient was employed using SPSS 22.0 and Amos 23.0, whereas exploratory factor analysis, confirmatory factor analysis and Pearson correlation analysis were applied to test the construct validity. RESULTS: The Cronbach alpha value obtained for the whole scale was 0.89, ranging between 0.68 and 0.86 for the subscales. RMSEA, SRMR, GFI and χ2 /df, which account for the fit indices of the 29-item and 6-factor structure of the scale, were at an acceptable level. CONCLUSION: We concluded that the Revised Professional Practice Environment Scale is a valid and reliable measurement tool fit for use in Turkish environments.

Turkish adaptation of the Mishel uncertainty in illness scale-community form.

PURPOSE: The study aims to conduct the Turkish validity and reliability study of the Mishel uncertainty in illness scale-community form. DESIGN AND METHODS: This is a study with a methodological design. It was carried out in a family health center in a province in the Black Sea Region between May and October 2019. The sample of the study consisted of 479 individuals with chronic diseases. The data were analyzed with exploratory and confirmatory factor analysis. FINDINGS: The Cronbach's alpha was found to be 0.79. The fit indices of the 20-item scale with three-factor structure are at an acceptable level (root mean square error of approximation: 0.056; comparative fit index: 0.926; incremental fix index: 0.927; goodness of fit index: 0.918; Tucker-Lewis index: 0.915; adjusted goodness of fit index: 0.896; χ2 /SD: 2.481, p < 0.001). PRACTICE IMPLICATIONS: The level of uncertainty revealed by the scale gives information about the chronic disease management of individuals.

Effects of Health Belief Model based nursing interventions offered at home visits on lymphedema prevention in women with breast cancer: A randomised controlled trial.

BACKGROUND: Lymphedema is an important morbidity due to its physical and psychological restrictions and financial burden in women having breast cancer surgery. The study was performed to examine effects of Health Belief Model (HBM) based nursing interventions given at home visits on prevention of lymphedema in women having breast surgery. DESIGN: The study had an experimental design. METHODS: The study included 72 women receiving radiotherapy after breast surgery, of whom 37 formed the intervention group and 35 formed the control group. The sample was based on Consolidated Standard of Reporting Trials (CONSORT). Data were collected with a personal information questionnaire, Quick-Disabilities of the Arm, Shoulder and Hand Score (Q-DASH), European Organization for Research and Treatment of Cancer Quality of Life for Breast Cancer 23 (EORTC QLQ-BR23), Strategies Used by Patients to Promote Health (SUPPH), Arm Circumference Form at three home visits at 3-month intervals. RESULTS: HBM based nursing interventions regularly offered at home visits were found to create positive changes in behaviour of lymphedema prevention and improve upper extremity functions, reduce side-effects, relieve arm and breast symptoms, enhance the quality of life, increase self-efficacy and lower the frequency of lymphedema and costs. CONCLUSION: The HBM based nursing interventions regularly offered at home visits can create positive changes in behaviour of lymphedema prevention and prevent lymphedema in women receiving radiotherapy after breast surgery. Considering costs of treatment for lymphedema, these interventions can be considered as cost-effective. RELEVANCE TO CLINICAL PRACTICE: Nursing interventions directed towards behaviour of preventing lymphedema and follow-ups in the long-term should be supported by home visits and reminders through phone calls. Nurses should perform HBM based interventions regularly at home visits to prevent lymphedema. These interventions were found to reduce financial burden and were cost-effective.

Evaluation of the Efficacy of the Three-Component Health Care Management Program HEWCOT in Colorectal Cancer Patients Receiving Chemotherapy.

This study was performed to evaluate effects of education, home visits, web, and phone counseling on chemotherapy symptoms and anxiety in patients with colorectal cancer receiving chemotherapy. This pretest-posttest, quasi-experimental study was conducted in a chemotherapy unit of a hospital between February 2014 and October 2015. Due to dropouts from the study, was completed on 51 participants in the control group and 31 participants in the experimental group. The experimental group was offered a program that includes home visit, nursing education, web counseling, and tele-counseling (HEWCOT), developed by the researchers, to control symptoms and to reduce anxiety. The experimental group less frequently experienced constipation, pain, pricking and numbness in hands and feet, skin and nail problems, ocular problems, weakness, headache, mouth and throat problems, anxiety, and restlessness than the control group. The experimental group had less severe infection symptoms, hair loss, and mouth and throat problems after the interventions than the control group. In this study, the patients followed at home and provided web counseling and tele-counseling experienced less frequently chemotherapy symptoms.

Examination of Knowledge and Fear Levels of Breast Cancer With the Spiritual Characteristics of Nurses.

Introduction: Breast cancer is a common problem and it is important to understand the beliefs that increase awareness of breast cancer and guide early diagnosis behaviors. This research is planned to examine the knowledge and fear levels of breast cancer along with the spiritual characteristics of nurses. Methods: This is a descriptive type research. The domain of the research consists of women nurses working in Health Sciences University Samsun Education and Research Hospital. Sampling was not undertaken, rather 327 nurses who were on duty between January and May of 2016 and were willing to cooperate were incorporated into the study. Data was collected by use of the survey forms, "Breast Cancer Fear Scale" and "Comprehensive Breast Cancer Knowledge Test (GKMBT)." Data were analyzed with SPSS 21 Software. Results: Nurses who participated in the research had an average of age of 32.27 ± 1.04 years, 60.6% of whom were married, and had an average duration of nursing practice of 12.49 ± 9.92. The nurses' breast cancer fear level point average was 26.11 ± 6.58, the GMKBT scale general information sub-dimension point average was 7.20 ± 2.81, the treatability sub-dimension point average was 5.80 ± 1.68, and the total point average was found out to be 12.87 ± 2.81. It was determined that nurses' knowledge levels of breast cancer were not related to fear levels. Conclusion: It was concluded that the nurses' breast cancer fear level was high and their knowledge level was moderate. In line with the results obtained, it might be recommended that studies should be made to increase the nurses' knowledge and awareness on breast cancer.

Needs of Patients with Prostate Cancer for Home Care.

OBJECTIVE: This study aimed to identify the needs for home care of patients with prostate cancer. METHODS: A correlational descriptive study was conducted with 116 patients with prostate cancer who were admitted to a university hospital. The data were collected usingby means of surveys developed by the researchers. The analysis was carried outperformed with SPSS 20, using the t- test, Chi-square, post hoc test, and logistic regression. RESULTS: It was found that the level of need for home care was high among the patients who had low education level and were residing in villages with a nuclear family. In addition, the level of need for home care increased among the patients who were in the recurrence phase of their illness, who had somebody in the family to meet the need for home care, and who had other family members in need of care. It was found that the level of the need for home care was high among patients whose lives were severely affected by prostate cancer and who considered their health to be poor. Within this context, it is advisable for medical staff to include training and consultancy services in their caring process to promote patient independence. CONCLUSIONS: It was found that patients with prostate cancer have some needs for home care. The professional medical staff in this field should carry out studies to define the needs for home care that will be a benefit in improving men's health.

Propriedades psicométricas da versão turca da escala Tuberculosis-Related Stigma / Propiedades psicométricas versión turca de la escala Tuberculosis-Related Stigma / Psychometric properties of the Turkish version of the Tuberculosis-Related Stigma scale

Resumo Objetivo O objetivo deste estudo foi investigar a validade e confiabilidade da escala Tuberculosis-Related Stigma. Métodos Estudo metodológico com 263 indivíduos não diagnosticados com tuberculose pulmonar. Também foi utilizada a análise de correlação de Pearson, o coeficiente alfa de Cronbach, correlação item total e análise fatorial dos dados do estudo. Resultados Neste estudo, o coeficiente alfa de Cronbach foi 0,83 para a subescala perspectivas da comunidade e 0,89 para a subescala perspectivas dos pacientes. O RMSEA foi 0,077, NFI: 0,91, CFI: 0,94, RMR: 0,056, SRM: 0,079, GFI: 0,95, AGFI: 0,94, x2: 582,84, DP: 228 e x2/SD: 2,55 (p=0,000). Claramente, todos os índices de ajuste do modelo foram aceitáveis. Conclusão À luz dos resultados, a versão turca da escala Tuberculosis-Related Stigma tem validade e confiabilidade aceitáveis para uso na população turca.

Resumen Objetivo El objetivo de este estudio fue investigar la validez y confiabilidad de la escala Tuberculosis-Related Stigma. Métodos Estudio metodológico con 263 sujetos no diagnosticados con tuberculosis pulmonar. También se utilizó el análisis de correlación de Pearson, el coeficiente alfa de Cronbach, correlación ítem total y análisis factorial de los datos del estudio. Resultados En este estudio, el coeficiente alfa de Cronbach fue del 0,83 para las perspectivas de la subescala de la comunidad y del 0,89 para las perspectivas de la subescala de pacientes. El RMSEA fue del 0,077, NFI: 0,91, CFI: 0,94, RMR: 0,056, SRM: 0,079, GFI: 0,95, AGFI: 0,94, x2: 582,84, DP: 228 y x2 / SD: 2,55 (p = 0,000). Claramente, todos los índices de ajuste del modelo fueron aceptables. Conclusión Conforme los resultados, la versión turca de la escala Tuberculosis-Related Stigma es confiable y posee validez aceptable para su uso en la población turca.

Abstract Objective The aim of this study was to investigate the validity and reliability of the Turkish "Tuberculosis-Related Stigma Scale". Methods This study used methodological design. This methodological study was conducted with 263 with individuals who not being diagnosed as pulmonary tuberculosis. We also used Pearson correlation analysis, Cronbach alpha coefficient, item total correlation and factor analysis for the study data. Results In this study, Cronbach's alpha coefficient was .83 for the subscale community perspectives and .89 for the subscale patient perspectives. RMSEA was 0.077, NFI was 0.91, CFI was 0.94, RMR was 0.056, SRM was 0.079, GFI was 0.95, AGFI was 0.94, x2 was 582.84, SD was 228 and x2/SD was 2.55 (p= 0.000). Clearly, all model fit indices were acceptable. Conclusion In the light of the findings, Turkish version of Tuberculosis-Related Stigma Scale has acceptable validity and reliability for use in Turkish population.

Experiences of Caregivers with Spouses Receiving Chemotherapy for Colorectal Cancer and their Expectations from Nursing Services.

OBJECTIVE: The purpose of this study was to reveal experiences of caregivers whose spouses were receiving chemotherapy for colorectal cancer and their expectations from nursing services. METHODS: This is a qualitative study. The caregivers were interviewed at their home. Sampling criteria were volunteering to participate in the study, being able to understand Turkish, not having speech or hearing problems and offering care to spouses with primary colorectal cancer. The interviews continued until concepts likely to be responses to research questions repeatedly appeared. Fourteen caregivers with spouses receiving chemotherapy for colorectal cancer comprised the study sample. Data were collected with a descriptive characteristics form and a semi-structured interview at in-depth interviews after making appointments with the caregivers on the phone. The steps followed in the content analysis were coding data, an organization of codes and themes, description of findings and evaluation of findings. RESULTS: Experiences of the caregivers whose spouses were receiving chemotherapy for colorectal cancer and their expectations from nursing services were found to comprise the following themes "Facing the Disease," "Difficulties Encountered," "Continuing to Live," and "Provision of Health Care Services." CONCLUSIONS: The results of the study revealed that cancer and its treatment affected not only cancer patients but also their spouses offering care. Nurses giving care at oncology clinics, public health centers, and home can make care plans based on the four themes emerging in this study and can detect problems earlier and create appropriate solutions to them. They will contribute to the literature revealing needs of people offering care to oncology patients as well.

Women's Barriers to Prevention of Lymphedema After Breast Surgery and Home Care Needs: A Qualitative Study.

BACKGROUND: The incidence of lymphedema occurring after breast surgery poses a high risk of public health. Women undergoing breast surgery have been shown to experience an uncertainty about the prognosis and outcomes of the treatment of lymphedema. OBJECTIVE: The aim of this study was to determine women's barriers to prevention of lymphedema after breast surgery and home care needs. METHODS: In this qualitative study using semistructured in-depth interviews, 14 women with lymphedema selected through purposeful sampling were interviewed. Data were analyzed using inductive content analysis techniques. RESULTS: The following themes were identified and defined: "lymphedema development," "coping with lymphedema," and effects of lymphedema on life." Subthemes were also identified. CONCLUSION: This study revealed physical, psychological, and social difficulties in the consistent use of behaviors to manage lymphedema. It turned out that the women were not provided with sufficient information and counseling before lymphedema development. Familial support and meeting with women experiencing the same disease were found to have a positive effect on management of lymphedema. IMPLICATIONS FOR PRACTICE: Management of lymphedema should be initiated before surgery and continued even when treatment for the cancer is concluded. Patients should be offered information and monitored throughout their life. Individual methods of managing lymphedema should be determined in patients' own home environments at the time of home visits. Families and social networks of women should also be involved. Support groups including patients with similar problems are recommended to create awareness and motivation.