Climate change worry among nurses and their hope levels for climate change prevention.

AIM: This research aimed to determine nurses' climate change worry, their level of hope for climate change prevention, and the relationship between climate change worry and hope for climate change. BACKGROUND: Nurses are healthcare professionals actively involved in the fight against climate change. However, their close involvement with the issue can also increase their own climate change worry. Therefore, it is important to maintain high levels of hope among nurses in preventing climate change. METHODS: This descriptive cross-sectional study was conducted with nurses working at a university hospital. RESULTS: The average score on the Climate Change Worry Scale for nurses was 29.22 ± 9.33, with sub-dimensions scores as follows: personal-sphere will and way 10.96 ± 2.09; collective sphere will 18.36 ± 3.39; lack of will and way dimensions 10.40 ± 2.48. The average score on the climate change hope scale was 39.73 ± 5.52. A statistically significant positive relationship was found between age and the climate change worry scale (r = 0.169, p = 0.020) as well as climate change hope (r = 0.148, p = 0.041). CONCLUSION: The research findings indicate that nurses have a high level of climate change worry, but they also have a high level of hope in preventing climate change. It is considered essential to address the concerns of nurses who are actively combating the climate crisis.

Resilience's impact on quality of life and post-traumatic growth in breast cancer patients during treatment.

BACKGROUND: This article aims to examine how psychological resilience influences the interplay between quality of life and post-traumatic growth among breast cancer patients receiving follow-up care and treatment in Türkiye. METHODS: The study involved 119 female individuals diagnosed with breast cancer who visited the Oncology outpatient clinic at a state hospital in Türkiye from January to September 2023. Data were gathered through the administration of a survey form and the utilization of several assessment tools, including the Adult Life Quality Scale in Cancer Survivors (QLACS), the Brief Resilience Scale (BRS), and the Post-traumatic Growth Inventory (PTGI). Data analysis was carried out using SPSS 25 software. RESULTS: The participants demonstrated an inverse correlation between Post-Traumatic Growth (PTG) and two QLACS sub-dimensions, namely recurrence and family concern. Conversely, a positive association was identified between PTG and the advantages of dealing with cancer. Furthermore, a statistically significant positive association was established between BRS and all QLACS sub-dimensions, except for family concern and appearance. However, it was determined that psychological resilience did not act as a moderator in the relationship between PTG and QLACS. CONCLUSION: It is important to enhance psychological resilience in women who have survived cancer at all stages of the cancer journey, including the years after treatment, to have a positive impact on post-traumatic growth and quality of life.

Investigation of Gambling Behavior, Self-Confidence and Psychological Resilience Levels of University Students.

The aim of this study is to examine the relationship between gambling behavior, self-confidence, and psychological resilience levels among university students. Additionally, the study aims to investigate the relationship between gambling behavior and socio-demographic variables. This descriptive and cross-sectional study was conducted between April and June 2023. The research employed a questionnaire, the Brief Psychological Resilience Scale, the South Oaks Gambling Screen (SOGS), and the Self-Confidence Scale. The study was carried out online, reaching 229 students through Google Forms. According to the SOGS scores, 4.8% of the students are at risk of gambling addiction. Male students have statistically significantly higher SOGS scores than female students. The SOGS score is significantly higher in working students, smokers, and alcohol drinkers (p < 0.05). No statistically significant relationship was found between the students' SOGS scores and the self- confidence scale (p = 0.637) and the brief resilience scale (p = 0.675). It is thought that training should be given to risky groups in order to prevent gambling behavior. In addition, it is thought that supporting university students to be active in different arts and sports fields may have a positive effect on preventing and reducing addictions.

Prolonged grief, reconstruction of meaning, and posttraumatic growth in nursing home residents who have lost loved ones.

AIM: This study was conducted to determine the relationship between sociodemographic characteristics, prolonged grief, meaning reconstruction, and posttraumatic growth of elderly individuals who have lost loved ones. METHODS: A total of 122 elderly individuals who had lost loved ones were included in the research conducted in a nursing home. RESULTS: The levels of Prolonged Grief Inventory (PG-13), Grief and Meaning Reconstruction Inventory (GMRI), and Posttraumatic Growth (PTG) scale were found to be high among the individuals in the study. While the PG-13 scores of single individuals who have lost their spouses are statistically significantly higher compared to married individuals, the scores for GMRI are higher for elderly individuals with chronic illness and expected death compared to those who have experienced sudden loss. A significant negative correlation was also determined between PG-13, GMRI, and PTG scores. CONCLUSION: Counseling to reconstruct grief and meaning is recommended for at-risk groups. Geriatr Gerontol Int 2024; 24: 364-370.

Quality of life and satisfaction with life in patients with skin diseases.

Individuals with skin disease may experience negative symptoms such as itching and pain, social stigma, and isolation. This cross-sectional study included 378 patients with skin diseases. The Dermatology Quality of Life Index (DLQI) score was found to be higher in individuals with skin disease. A high score indicates an impaired quality of life. Married people than single people, those who are 31 years old and older than those who are 30 years old and younger have higher DLQI scores. And also those who work than those who are unemployed, those who have diseases than those who do not have any other diseases, and those who smoke than those who are non-smokers have higher DLQI scores. In order to increase the quality of life of individuals with skin diseases, it is necessary to detect risky situations as well as symptom control and add psychosocial and psychotherapeutic interventions to the treatment plan.

The Association Between Spirituality and Hope Among Turkish Women Undergoing Infertility Treatment.

The aim of this study was to determine the effect of spirituality on the levels of hope in women undergoing infertility treatment. This cross-sectional study was completed with the participation of 150 women undergoing IVF treatment at a university hospital in Kocaeli. In this study the women's spiritual well-being levels were high, and their hope levels were above the average score. Significant correlations were found between hope, spirituality, educational status, and age. Since attempts to boost hope will increase the chance of success in treatment, it is thought that factors affecting the level of hope should be determined and addressed. It is also thought that health professionals can apply hope therapy to women and take initiatives to provide spiritual support.

Psychometric properties of the Turkish version of the therapeutic relationship assessment scale for nurses.

Background: It is essential for nurses who care for individuals diagnosed with mental illness to establish a therapeutic relationship. There is no measurement tool available in Türkiye to assess the therapeutic relationship between patient and nurse. Aim: The objective of this study is to perform a validity and reliability study of the Turkish version of a scale that enables the evaluation of the quality of the therapeutic relationship established between nurses and patients. Methods: 140 nurses were included in this study. The data were analysed using the exploratory and confirmatory analyses. Results: The scale consists of 25 items and four sub-dimensions. In confirmatory factor analysis (CFA), all factor loads were >0.30. As a result of CFA, all fit indices were >0.85 and the root mean square approximation was <0.080. Cronbach alpha was 0.93 for the whole scale. Conclusion: The Turkish version of the TRAS-Nurse scale and its original version were compatible with each other and gave similar results. This scale can be used to determine the therapeutic relationship of nurses who care for psychiatric patients in Türkiye and can be a useful measurement tool when evaluating the factors that may be effective in improving the therapeutic relationship.

Requirements of caregivers of patients with schizophrenia: A qualitative study in Turkey.

Caregivers have different experiences and difficulties in the patient care process during which the role of providing care is fulfilled. Understanding the requirements of caregivers may help determine the content of the country-specific psychoeducation program needed. Caregivers of patients with schizophrenia want certain needs to be met while they provide care to these patients. This qualitative study aims to determine and analyze these needs. The researchers conducted face-to-face semi-structured interviews with 15 caregivers. Themes were Themes identified included determined as managing disease behavior, gaining independent living skills, managing social-educational problems, and psychosocial support needs of the family members. Mental health and psychiatric nurses should understand, accept, and protect the needs of caregivers. It is suggested that mental health and psychiatric nurses plan group training about the determined needs and provide support for caregiving family members.

Nurses' Attitudes Towards Death and Its Relationship With Anxiety Levels.

This study examined nurses' attitudes towards death, anxiety levels, and socio-demographic characteristics affecting their attitudes towards death. Three hundred and eighty-four nurses participated in the study. A questionnaire form, the Death Attitude Profile-Revised (DAP-R), and the Penn State Worry Questionnaire were applied to the nurses. Nurses' attitudes towards death were positive and their level of fear of death was low. Approach acceptance was high in younger ones; the escape acceptance score was higher in single ones. The neutral acceptance score was higher in those who received training on death. A statistically significant positive correlation was found between nurses' anxiety level and escape acceptance score. There was a statistically significant positive correlation between the length of working years of nurses and the escape acceptance and approach acceptance. Nurses should be prepared for and supported on death with in-service training. It will be useful to provide these training programs to nursing students during their education process.

Examination of the association of muscle dysmorphia (bigorexia) and social physique anxiety in the male bodybuilders.

PURPOSE: This study aimed to examine the association between social physique anxiety and muscular dystrophy in bodybuilders. DESIGN AND METHODS: This cross-sectional study included 384 male bodybuilders. FINDINGS: 5.7% of the participants reported muscular dystrophy. Younger age and use of protein powder were associated with higher scores on the muscle dysmorphic disorder Inventory. Higher muscular dystrophy was associated with higher social physique anxiety. PRACTICE IMPLICATIONS: Young male bodybuilders using protein powder are at increased risk to suffer from social physique anxiety and muscular dystrophy.

The Meaning and Role of Spirituality for Older Adults: A Qualitative Study.

This study is designed to identify the meaning and effects perceived by a person concerning religion and spirituality as that person grows old. A total of nineteen adults aged 65-88, five of whom were male and fourteen of whom were female, participated in semistructured interviews. As per the results of the thematic analysis, four main themes emerged: the meaning of spirituality, spiritual practices, the effect of spirituality and the meaning of growing old for the person. The results indicate that the participants view the entrance into old-age adulthood as a process that enhances interactions with others and intensifies help and compassion. The results also indicate that spirituality may play a crucial role in guiding older adults' lives and can help them clarify the meaning of their lives and cope with negative circumstances. Supporting older adults spiritually could also assist them to have positive emotions and help them to cope with stress. The organization of regular education programs to raise health professionals' awareness of spiritual needs is recommended.

The effect of social support on work stress in health workers during the pandemic: The mediation role of resilience.

Stressful experiences commonly increase among health workers during the coronavirus disease 2019 (COVID-19) pandemic. From this perspective, this study primarily aimed to examine the mediating role of resilience in the effect of perceived social support on work stress among health workers. The sample of the study consisted of 402 health workers. In the research, the "General Work Stress Scale," "Brief Resiliency Scale," and "Multidimensional Scale of Perceived Social Support" were used. There was a statistically significant negative correlation between work stress and social support (r = -0.223, p = 0.00) and resilience (r = -0.432, p = 0.00), and a statistically significant positive correlation between social support and resilience (r = 0.226, p = 0.00). Resilience mediates the relationship between perception of social support and work stress. When planning effective intervention strategies, it will be critical to reduce the risk of adverse mental health outcomes in health workers, who are fighting against the COVID-19 pandemic, by increasing social support and resilience and reducing work stress.

Suicide probability in psychiatric patients' primary caregivers: The role of care burden, alexithymia and some risk factors.

BACKGROUND: Although suicidal ideation seems to be related with both burden of care and alexithymia, there is no study investigating the correlation between these factors and suicide probability in informal caregivers of psychiatric patients in the literature. AIM: In this study, it was aimed to determine the suicide probability in psychiatric patients' primary caregivers, and to evaluate the effects of care burden, alexithymia and some risk factors on suicide probability. METHODS: This study was conducted with 262 caregivers between February 2019 and December 2019. Data were collected with the Personal Information Form, Suicide Probability Scale, Zarit Burden Interview, Toronto Alexithymia Scale. RESULTS: The mean score the caregivers obtained from the Suicide Probability Scale was 79.75 ± 59.29, and 17.9% of them were at risk for suicide. Also, caregivers' suicide probability was related to variables such as caregivers' sex, economic status, presence of any disease, duration of care, and patients' education level, psychiatric diagnosis, duration of illness, presence of physical illness, compliance with treatment. In addition, caregivers' burden and alexithymia levels were significantly associated with the participating caregivers' suicide probability. CONCLUSIONS: This study demonstrates that approximately one out of every five caregivers was at risk for suicide. Therefore, hospital and community-based intervention strategies to support caregivers should be developed.

The Effect of Spirituality on the Subjective Recovery of Psychiatric Patients.

Spiritual well-being is among the factors that affect subjective recovery. This study aimed to explore the relationship between subjective recovery and spiritual well-being among psychiatric patients and to identify the factors that affected their subjective recovery. A descriptive, cross-sectional study was conducted with 96 patients admitted to the psychiatry clinic of a hospital. It was found that the patients had high subjective recovery assessment levels and medium levels of spiritual well-being. There was a positive association between the patients' subjective recovery assessments and their spiritual well-being, and spiritual well-being was a significant predictor of the subjective recovery level. It is recommended that mental health professionals focus on serving patients through a holistic healthcare approach and enhancing patients' subjective recovery levels through applications that will strengthen the spiritual dimension.

Secondary traumatic stress in nurses working with patients with suspected/confirmed COVID-19 in Turkey.

PURPOSE: This study aimed to determine the level of secondary traumatic stress in nurses (n = 205) working with patients with suspected or confirmed COVID-19 in Turkey. DESIGN AND METHODS: Data were collected using the personal information form and Secondary Traumatic Stress Scale. FINDINGS: Of the total sample, 62% were female and 52% of nurses were in the 20- to 30-years age range. 67.8% of the nurses experienced high and severe secondary traumatic stress symptoms, the mean score was 49.66 ± 0.86. At the level of secondary traumatic stress subscales, the highest average score was avoidance symptom (20.09 ± 5.06). PRACTICE IMPLICATIONS: More than half of the nurses experienced high and severe secondary traumatic stress where the highest symptom "avoidance." The nurses may need psychosocial support during and after the pandemic.

Psychologic distress and sleep quality among adults in Turkey during the COVID-19 pandemic.

OBJECTIVE: The sudden novel coronavirus disease 2019 (COVID-19) pandemic has created a negative effect on the mental health of the public. In this study, in relation to the pandemic, psychological distress, sleep quality and affecting factors in adults were examined. METHODS: Using the convenience sampling method, the Pittsburgh Sleep Quality Index and questionnaires to determine psychological distress levels and sociodemographic characteristics were distributed online to 405 participants. RESULTS: The mean psychological distress score of the participants was 34.55 ± 8.07, while their mean sleep quality score was 6.39 ± 3.31. The prevalence of poor sleep quality was 55.1%. The psychological distress scores were higher among the men than the women, married participants than single ones, those with children than those without children and those who were employed than those who were not. The sleep quality of the single participants and the participants with low education levels was poorer. The sleep quality of those who left work in the pandemic period was poorer than those who were working from home/office and those who were already not employed before the pandemic. The sleep quality of those not working in the field of health was better than healthcare professionals and those not working at all. The scores for psychological distress were positively correlated with gender and negatively correlated with sleep quality levels. CONCLUSION: Our findings showed that the COVID-19 pandemic had a negative effect on the psychological distress and sleep quality of adults. It is recommended for healthcare professionals to take the necessary psychosocial precautions.

Relationship between orthorexia nervosa, muscle dysmorphic disorder (bigorexia), and self-confidence levels in male students.

PURPOSE: This study aims to determine the prevalence of muscular dysmorphic disorder (bigorexia) and orthorexia nervosa in male students and to evaluate the relationship between these conditions and self-esteem. DESIGN AND METHODS: This cross-sectional study included 430 male students. FINDINGS: While the tendency of orthorexia among faculty of sports sciences (FSSs)' students was 28.8%, this rate was 16.3% for nursing department (ND); for tendency to bigorexia, it was found to be 16.3% in FSS students and 6% in ND. There was a negative correlation between the ortorexia scale and self-confidence scales. And, there was a week negative correlation between the bigorexia Inventory and the self-confidence scale. PRACTICE IMPLICATIONS: This study is thought to help understand the factors affecting body image perception and to identify risky situations especially in young university students. It is thought that health professionals will guide the planning of initiatives that will help individuals gain healthy lifestyle behaviors.

Association Between Spiritual Well-Being and Resilience Among Turkish Hemodialysis Patients.

This study aimed to determine the association between spiritual well-being and resilience among Turkish hemodialysis patients. This cross-sectional study was conducted with 134 hemodialysis patients treated at two state hospitals' hemodialysis units between February 2019 and July 2019. The data were collected with a Personal Information Form, the Spiritual Well-Being Scale and the Resilience Scale for Adults with the face-to-face interview technique. To analyze the data, descriptive statistics, t tests, ANOVA, Pearson's correlation and multivariate linear regression analysis were used. The patients' spiritual well-being levels were high, while their psychological resilience levels were medium. There was a moderate positive correlation between spiritual well-being and resilience (p < 0.01). Education level, economic level, duration of disease and spiritual well-being were determined to be statistically significant predictive factors of the patients' resilience (p < 0.001). In this context, nurses may provide psychosocial and spiritual care, education and counseling services that will increase patient's resilience.

Determination of depression, anxiety and stress (DAS) levels in patients with atopic dermatitis: a case-control study.

The present study was aimed at comparing depression, anxiety and stress (DAS) levels of individuals with atopic dermatitis with those of the individuals without atopic dermatitis, and to examine the DAS levels of the patients with atopic dermatitis in terms of their socio-demographic characteristics. Case control study conducted in a city in western Turkey. The present study in which the relational screening model was used was conducted with patients with atopic dermatitis who presented to the Dermatology Clinic/Polyclinic of a university hospital and healthy subjects, and volunteered to participate in the study. The study conducted between December 2017 and February 2018 included 150 people (75 healthy subjects, 75 patients with atopic dermatitis). To collect the study data, the participants were administered the Socio-demographic Characteristics Questionnaire prepared by the researcher and the Depression, Stress and Anxiety Scale (DASS-42). No significant difference was determined between the mean DASS scores obtained by the atopic dermatitis patients and those obtained by the healthy subjects in the control group (p > 0.05). Of the atopic dermatitis patients, 58.7%, 82.3% and 49.3% were within the normal ranges in terms of the mean scores they obtained from the stress, depression and anxiety subscales respectively. In the present study, the mean scores obtained from the depression and anxiety subscales by working atopic dermatitis patients were higher than those obtained by the nonworking patients (p < 0.05). The mean scores obtained from the stress subscale by the smokers with atopic dermatitis were higher than those obtained by the non-smokers with atopic dermatitis.

Postpartum Specific Anxiety Scale (PSAS): Reliability and validity of the Turkish version.

PURPOSE: This study aims to conduct reliability and validity study of the Turkish version of the Postpartum Specific Anxiety Scale (PSAS), which determines the anxiety of women in the postpartum period. DESIGN AND METHODS: This methodological study included 275 women. RESULTS: The scale had a single factor structure, which had the factor load in the appropriate range (0.30-0.58). The Cronbach's alpha was determined as 0.91, and the item total score correlations ranged between 0.25 and 0.54. The test-retest coefficient was determined as 0.93. PRACTICE IMPLICATIONS: The Turkish version of the PSAS was evaluated and it was found that it could be used as a valid and reliable measurement tool in Turkish women.