The relationship between unemployment anxiety, job satisfaction and migration attitude among the next generation of Turkish nurses: A cross-sectional study.

BACKGROUND: The global nursing shortage is complex and multifaceted. Despite the policy of increasing the number of nurses, concerns about the sustainability of the nursing workforce in Turkey continue. AIM: To evaluate the relationship between unemployment anxiety, job satisfaction, and migration attitudes among Turkish nursing candidates. METHODS: A cross-sectional study was conducted with 1100 nursing candidates between April and June 2022. The data gathered from the "Personal Form, Job Satisfaction, and Brain Drain Attitudes Scale" were analyzed using logistic regression and decision tree analysis. RESULTS: Of the participants, 67.1% were female, and the mean age was 22.6 ±â€¯1.7 years. Being male (OR = 1.317, 95% Cl 0.994-1.743) having a low income (OR = 1.754, 95% Cl 1.334-2.306), feeling insecure about the future (OR = 2.340, 95% Cl 1.312-4.175), expecting a lower wage than desired (OR = 2.015, 95% Cl 1.132-3.586), and employment precariousness (OR = 1.786, 95% Cl 1.355-2.353) increase the possibility of experiencing high unemployment anxiety. On the other hand, family support for living abroad (OR = 0.579, 95% CI 0.408-0.821) and job satisfaction (OR = 0.799, 95% CI 0.692-0.921) decrease unemployment anxiety (p < 0.05). According to the results of the decision tree analysis, the host country's pull factors are the best predictors of the nursing candidates' intention to work abroad as nurses (p < 0.05). CONCLUSION: The increasing prevalence of unemployment anxiety and migration tendencies among nursing candidates requires the evaluation of policies aimed at increasing the number of nursing graduates in Turkey.

Comparison of Menstrual Care Skills Training Programs Provided to Girls with Intellectual Disabilities By a Healthcare Professional and Caregivers: A Randomized Controlled Trial.

Objective: To compare the effectiveness of the training provided by the professional and caregivers in developing menstrual care skills of girls with intellectual disabilities. Methods: A randomized controlled trial was conducted with 22 moderate girls with intellectual disabilities randomly assigned to G-I and G-II. Both groups received training program using chaining technique and modeling on a doll and on itself for 8 weeks. Assessments were made on the 1, 15, 30 and 60 days. Results: The girls' median age was 15 (14-18) years. Scores skill of menstrual care were significantly increased in both groups (p < .05; effect size = 0.61). G-I's a pad placement and changing dirty pad skill scores were higher than G-II (p = 0.05; effect size = 0.44). Conclusion: The training process performing by caregivers can be affected by the complexity of the menstrual self-care skills. School-parents cooperation-based reproductive health programs may be facilitated the teaching of complex menstrual care skills of girls with intellectual disabilities.

The relationship of social status and social image with the choice of nursing career among the next generation of Turkish youth: A cross-sectional study.

AIM: To evaluate the nursing image and social status characteristics on young people's decision to choose nursing as a career. BACKGROUND: Low social status and social image threaten the nursing workforce. DESIGN: A cross-sectional study. METHODS: The study was conducted with 745 high school students and 349 nursing students between 24 March and 10 May 2022. The data were collected through the Nursing Image Scale, Job Satisfaction Scale and Personal Form and analyzed using multiple regression and decision tree analysis. RESULTS: High school (43.1 %) and 73.6 % of nursing students expressed their intention to become a nurse. While the likelihood of choosing nursing as a career decreases among man high school students (p = 0.018) with a high occupation (p = 0.003) and income index (p = 0.003), it increases among low-income female students (p = 0.012), perceiving occupational status more positively (p = 0.002). The possibility of continuing in the profession increases among nursing students who have a higher opinion of the profession's status (p = 0.010) and job satisfaction increases as the image perception improves (r = 0.385, p < 0.01). CONCLUSION AND RECOMMENDATIONS: Perception of professional image guides career choice in nursing. The choice of nursing as a future profession differs according to gender and is influenced by social status. The glass ceiling effect should be evaluated in nurses coming from low status.

The relationship between junk food consumption, healthy nutrition, and obesity among children aged 7 to 8 years in Mersin, Turkey.

Increasing junk food (JF) consumption (JFC) among school-aged children is a public health issue that may affect the quality of their diet. The purpose of this study is to identify the factors associated with high-energy intake from JFC in children aged 7 to 8 years with different socioeconomic backgrounds and examine the relationship among JFC, healthy food consumption, and obesity. The hypothesis of the study is that JFC index is related to consumption of staple foods and body mass index. This cross-sectional study was conducted between October 2018 and April 2019 with the participation of 524 children and their parents with low or high socioeconomic status. The data collected with "Healthy Food and JFC Frequency Parents" "Views Form" and "24-Hour Dietary Recall Child Form" were analyzed using multiple analysis methods with P ≤ .05 significance level. Among the children, 53.1% were female, 14.1% were children with obesity, and 18.5% consumed at least one of the JF groups daily. A difference was observed between the calorie intake from JF in children with obesity (292.90 kcal/d) and children without obesity (395.76 kcal/d). The consumption of salty food is associated with low-income levels and consumption of fast food is associated with high-income levels. According to the variables of usually having snacks at home, not receiving pocket money every day, and consuming dairy products at the recommended level, usually having JF at home (odds ratio [OR] = 3.90; 95% confidence interval [CI], 1.40-10.86), receiving pocket money (OR = 2.96; 95% CI, 1.97-4.48), and consuming dairy products at a the recommended level (OR = 1.60; 95% CI, 1.03-2.49) were found to be better predictors of high level of calorie intake from JF (P < .05). Consumption of fruits, dairy products, and protein-rich foods is associated with JFC (P < .05). Regardless of obesity status, a significant portion of the daily calorie needs of children from any socioeconomic level is met with JFC. Those who consume JF frequently and in large amounts also consume a lot of dairy products and protein-rich foods and very little fruit. The long-term effects of JFC on those who consume staple foods at an adequate level should also be investigated.

Internet Gaming Disorder in Children and Associated Factors and Parents' Opinions.

OBJECTIVE: The aim of this study is to determine internet gaming disorder (IGD) prevalence in primary grade students and the associated factors and parents' opinions about their children's gaming habits. MATERIALS AND METHODS: This cross-sectional study was conducted between April 1, 2019, and June 1, 2019. In this study, 805 children's and parents' forms were analyzed. Participation rate was 94.5%. Data were collected using "Digital Gaming-Children's Form," "Digital Gaming-Parents' Form," and the "Internet Gaming Disorder Scale-Short Form (IGDS9-SF)." Data were analyzed using descriptive statistics and significance tests. RESULTS: The mean age of the students was 11.24 ± 1.243 years; 42.7% were male. The children's mean IGDS9-SF score was 16.83 ± 6.53. There were only 91 students with a score equal to or above the cutoff point of 36. The mean IGDS9-SF scores varied according to gender, grade level, family environment, and employment status of the father. Analysis of the students' gaming characteristics and mean IGDS9-SF scores showed that their mean IGDS9-SF scores varied depending on computer/phone/tablet gaming status, type of game played, type of connection, mode of connection, frequency of conflicts with parents, and whether families received help to regulate gaming behavior. CONCLUSION: It is essential for a family to have information about games and talk to their children about the games they play to provide appropriate supervision. Providing families and children with counseling about digital games, IGD symptoms, and considerations by nurses during home visits can play an important role in preventing IGD.

Clinical Performance of Samfilcon A Contact Lenses in Intensive Digital Device Users: A Multicenter, Prospective Clinical Study.

INTRODUCTION: To evaluate patient satisfaction with samfilcon A contact lenses (CLs) in intensive digital device users with myopia and to compare patient satisfaction with samfilcon A lenses to prior experience with senofilcon A or lotrafilcon B CLs. METHODS: This was a comparative, prospective, national study conducted at 14 centers in Turkey. Subjects were adults aged 18 and 45 years with myopia (range -0.25 D to -6.00 D) who spend a minimum of 3 hours viewing digital devices (e.g., computer, smartphone). A subgroup of patients were habitual lens wearers (senofilcon A or lotrafilcon B lens wear for at least 6 months prior to enrollment). The primary assessment was patient satisfaction with samfilcon A lenses (0-100 Likert scale). Secondary assessments included patient satisfaction with samfilcon A lenses compared to patients' habitual lenses, investigator satisfaction with samfilcon A lenses and investigator-evaluated slit lamp examination findings. RESULTS: Samfilcon A lenses were given high overall ratings from both patients and investigators, with a low incidence of ocular symptoms. Overall, patients were highly satisfied with samfilcon A lenses for comfort, vision and overall performance, and stated that they would consider wearing these lenses in the future. Among habitual senofilcon A or lotrafilcon B lens wearers, samfilcon A lenses were rated significantly better than the habitual lenses in regard to comfort, vision and overall performance. Investigator assessments were also highly favorable, both at initial fit and after 4 weeks of follow-up, with no significant findings noted on slit lamp examination. CONCLUSION: Samfilcon A lenses were rated highly by investigators in regard to fit, handling and slit lamp findings, and by novice and habitual lens wearers in regard to comfort, vision and overall performance. These results support the use of samfilcon A lenses among digital device users who seek day-long comfort and good visual acuity.

The use of cleaning products and its relationship with the increasing health risks during the COVID-19 pandemic.

OBJECTIVE: The present study aimed to determine the factors affecting the use of cleaning products at the home environment and the frequency of problems during the coronavirus disease-19 (COVID-19) pandemic. MATERIALS AND METHODS: This cross-sectional research was performed online between 30 August 2020 and 15 September 2020. The population of the study consisted of adults aged between 18 and 80 years, affected by the COVID-19 pandemic. Data collection forms (introductory information and risk perception form and cleaning products usage characteristics form) were shared through Web2 tools. The questionnaire study was completed with 674 participants between the ages of 18 and 80 years in Turkey. Descriptive statistics and classification tree were used in the analysis of the data. Statistical significance was accepted as P ≤ .01 in all analyses. RESULTS: During the pandemic period compared with the pre-pandemic period, it was observed that the frequency of cleaning (69.3%) and the amount of cleaning product usage (74.2%) increased significantly and the frequency of problems related to the use of cleaning products was found as 46.9%. The most commonly reported problems were skin disturbances (68%) and shortness of breath (23%). It was determined that the history of contact with the COVID-19 patient, the perceived risk of COVID-19 infection and risky cleaning behaviour were predictive in determining the risk of experiencing problems related to cleaning products. The amount of bleach consumed per month among who did experience problems was higher than those who did not experience problems and was associated with the perceived risk of COVID-19 infection. CONCLUSION: In the COVID-19 pandemic, human beings have been found to increase the frequency of cleaning and using cleaning products. In order to reduce the negative effects of chemicals used for cleaning on human and environmental health, the trainings to be given by the teams providing primary healthcare services can be effective as well as general education activities for community groups.

Duration or technique to improve the effectiveness of children' hand hygiene: A randomized controlled trial.

BACKGROUND: How to wash hands is as important as when and how often to wash hands for acquiring proper hand hygiene habits. METHODS: The study aimed to compare the effect of education based on technique or duration for developing children's handwashing skills. The double-blind randomized controlled study was conducted in a primary school between the 10th and 28th of December, 2018 with 155 children who were divided into Group-I, Group-II, and Control groups. One group was taught by a multi-stage technique, the other was by duration-based teaching, and the control group was provided with usual training. Handwashing efficacy was assessed by variance analysis on fluorescent residue after using glo-germ. RESULTS: The students' mean age was 9.74 ± 0.69 years, 53.6% of them were girls. Effective handwashing was highest in the Group-I. There was a difference between Group-I and Group-II, and Group-I and Control group in terms of hand cleanness. The frequently missed areas when cleaning hands were palmar surface, dorsal metacarpal area, and fingertips. CONCLUSIONS: Teaching hand hygiene to children by multi-step technique may increase the handwashing effectiveness. Conducting comparative studies with new techniques including fewer stages is recommended.

Intention to migrate among the next generation of Turkish nurses and drivers of migration.

AIMS: To determine the main driving factors affecting the senior nursing students in their decision to migrate and to evaluate the effect of attitude towards migration in career planning. BACKGROUND: In order to promote the nursing workforce, it is important to understand the factors affecting the decisions to migrate. METHOD: A cross-sectional study was conducted with 1,410 Turkish nursing students. The data, which were collected using the Descriptive Form and Attitude Scale for Brain Drain (BD-s), were analysed with the multiple regression and decision tree analysis. RESULTS: The mean score of attitudes towards migration was 56.30 ± 12.09 (min 16- max 80). The main push-pull drivers to migrate were the socio-political factors and working conditions. The BD-s score was higher in the participants, who had overseas experience, had career plans and studied in a metropolitan city. The strongest variable predicting career planning was the attitude towards migration. CONCLUSION: The opinions of the students on career planning and their intentions to migrate indicated that the shortage of nurses would continue in Turkey in the future. IMPLICATIONS FOR NURSING MANAGEMENT: The prospects of the nursing candidates regarding the nursing profession should be addressed considering their expectations for initial salaries, career development and salary increases.

The effect of the video and brochure via donor recruitment on fear, anxiety and intention: Randomized controlled trial.

Although voluntary blood donation is important in terms of sustainable blood supply, voluntary blood donation rates in the world and in our country are behind the desired target. University students are an important group in achieving the goal. The study was planned among 551 university students between 19-21 March 2018.It was planned as a single-blind randomized controlled study in order to evaluate the factors affecting students' blood donation decision and the effect of brochure and video information on fear, anxiety and intention. The data obtained by using Blood Donation Questionnaire and State Anxiety Scale and p ≤ 0.05 was accepted as significant. As a result of the study, 37.9 % of the students reported that they did not give blood due to health reasons, 26 % insecurity and 24.1 % fear. The increase in after the intervention knowledge level was mostly in the group of videos and improved brochures (p < 0.001).There was no difference between the groups in terms of the State Anxiety Scale mean scores p> 0.05). In after the intervention, those who intend to give blood have higher knowledge and their fear and anxiety scores less than those not intend to give blood (p < 0.05). There was no difference between the groups in terms of intention to give blood after the intervention (p> 0.05). As a result, it was found that the information given through the developed brochures and videos increased the level of knowledge, had no effect on the anxiety level and it can be said that the improved brochure has positive effects on intent and fear.

Investigation of Dry Eye Symptoms in Lecturers by Ocular Surface Disease Index

Objectives: The aim of this study was to evaluate the prevalence of dry eye symptoms among lecturers. Materials and Methods: The study included 254 lecturers employed at Mersin University. The lecturers were selected by simple random sampling from lists obtained from the personnel department. Data were obtained between November 15 and December 15, 2017 using a questionnaire developed by the researchers and the Ocular Surface Disease Index (OSDI). The data were evaluated using descriptive statistics, Student's t-test, ANOVA, and correlation tests with the SPSS package program. Results: Of the lecturers who participated in the study, 52.8% were male and 47.2% were female, and the mean age was 39.29±9.41 years. According to OSDI scores, 20.5% of the participants had mild, 15% had moderate, and 36.5% had severe disease. There were significant differences in mean OSDI score based on sex (p<0.001), alcohol use (p=0.01), continuous drug use (p=0.03), wearing glasses (p=0.04), history of dry eye (p<0.001), and presence of dry eye symptoms (p<0.001). There were also significant differences between the OSDI score categories in terms of sex (p<0.001), smoking status (p=0.04), wearing glasses (p=0.03), history of dry eye (p<0.001), and presence of dry eye symptoms. The only factor significantly correlated with OSDI score was daily duration of computer usage (p=0.009). Conclusion: Our study showed that a substantial proportion of lecturers experience dry eye symptoms, and OSDI scores were associated with daily duration of computer use. Determining the factors associated with dry eye is important for the planning of preventive interventions.

Comparison of Interactive Education Versus Fluorescent Concretization on Hand Hygiene Compliance Among Primary School Students: A Randomized Controlled Trial.

Hand hygiene for children is crucial to keep them healthy. The purpose of the study was to evaluate the effects of two educational initiatives on "handwashing effectiveness (HWE)." A randomized controlled trial was carried out during April/June 2016, and 96 primary school students were randomly assigned to Group I receiving education with fluorescent gel; Group II receiving interactive education or control group continuing its normal education. Evaluation was made by scoring the fluorescent areas on the hands with photographs. There were significant differences in handwashing scores between preprogram and postprogram for all areas in only Group II (p < .05). HWE increased from 17.9% to 18.4% in Group I, from 15.4% to 37.7% in Group II, and from 35.5% to 35.8% in control group. Only concretization with fluorescent gel is not a sufficiently strong motivator for increasing HWE. New techniques should be integrated into the training programs for children.

The effect of transcutaneous electrical nerve stimulation in patients with acute exacerbation of chronic obstructive pulmonary disease: randomised controlled trial.

AIMS AND OBJECTIVES: The aim of the present study was to assess the efficacy of transcutaneous electrical nerve stimulation in patients with acute exacerbation of chronic obstructive pulmonary disease. BACKGROUND: In patients with stable chronic obstructive pulmonary disease, transcutaneous electrical nerve stimulation has been known to attain improvement in forced expiratory volume in 1 seconds, physical activity, and quality of life. However, information about the effects of transcutaneous electrical nerve stimulation on acute exacerbation of chronic obstructive pulmonary disease is quite limited. DESIGN: A single-blind, randomised controlled trial. METHODS: Data were collected between August 2013-May 2014. Eighty-two patients who were hospitalised with a diagnosis of acute exacerbation of chronic obstructive pulmonary disease were randomly assigned to a transcutaneous electrical nerve stimulation group receiving transcutaneous electrical nerve stimulation treatment for 20 seance over the acupuncture points with pharmacotherapy or placebo group receiving the same treatment without electrical current output from the transcutaneous electrical nerve stimulation device. Pulmonary functional test, six-minute walking distance, dyspnoea and fatigue scale, and St. George's Respiratory Questionnaire scores were assessed pre- and postprogram. The program started at the hospital by the researcher was sustained in the patient's home by the caregiver. RESULTS: All patients were able to complete the program, despite the exacerbation. The 20 seance transcutaneous electrical nerve stimulation program provided clinically significant improvement in forced expiratory volume in 1 seconds 21 ml, 19·51% but when compared with the placebo group, the difference was insignificant (p > 0·05). The six-minute walking distance increased by 48·10 m more in the placebo group (p < 0·05). There were no significant differences between the two groups' St. George's Respiratory Questionnaire, dyspnoea and fatigue score (p > 0·05). CONCLUSION: Adding transcutaneous electrical nerve stimulation therapy to pharmacotherapy in patients with acute exacerbation of chronic obstructive pulmonary disease provided clinical improvement in forced expiratory volume in 1 seconds and add benefit in exercise capacity, but no significant effect on the other outcomes measured. RELEVANCE TO CLINICAL PRACTICE: Transcutaneous electrical nerve stimulation can be used as a non-invasive complementary therapy due to its beneficial effects on forced expiratory volume in 1 seconds and exercise capacity in patients with acute exacerbation of chronic obstructive pulmonary disease.

Abuse of working children and influencing factors, Turkey.

OBJECTIVE: The study was planned as the research of the kind/kinds of abuse and the factors influencing the abuse that the children under 18 who are working full-time at a workplace and enrolled in a vocational training center subjected to. METHOD: Questionnaires were administered to 595 apprentices who were attending a vocational training center. RESULTS: It was determined that totally 62.5% of the apprentices are subjected to abuse at their workplaces -21.8% physical, 53.6% emotional and 25.2% sexual-, 100% of them are subjected to physical neglect, and 28.7% of them are subjected to emotional neglect. While being subjected to abuse in the family increases all kinds of abuse; divorced parents, being male, low wage of the apprentice increase the possibility of the physical abuse at a work place; the low family income and the extended working time of the apprentice increase the possibility of sexual abuse. Working conditions and workplace characteristics, evaluated within the context of physical neglect are bad in all apprentices. In all kinds of abuse, employer abuse is higher than other people at work. CONCLUSION: In spite of their being legally protected in theory, the children who are being employed with labor contracts can not benefit from this protection practically at their workplaces. It is seen that most apprentices are subjected to abuse and neglect. Employment of the children is an area which is open to exploitation. It is necessary to prevent the abuse of working children and workplaces should be constantly inspected. The relation between domestic abuse and workplace abuse demonstrates that families occupy the key point in the vicious circle of violence.