Nursing students' mental health: How does eco-anxiety effect?

Climate change is recognised as one of the fundamental determinants of human health. Anxiety experienced in response to an ecological crisis is defined as eco-anxiety. This study aims to determine the eco-anxiety levels of nursing students and the relationship between eco-anxiety and their mental health. The sample of the cross-sectional correlation and descriptive study consisted of nursing students (N = 609) from two different universities in Istanbul. Data were collected with Personal Information Form, Eco-Anxiety Scale and Depression Anxiety Stress Scale (DASS-21). The data were analysed with SPSS (v.28) by using the Mann-Whitney U and Kruskal-Wallis tests, the Spearman correlation test and general linear model. It was determined that 84.2% of the participants were women and 60.8% were 18-20 years old. The participants' total Eco-Anxiety Scale score was 25.65 ± 7.49, and the total DASS-21 score was 21.24 ± 14.76. There is a statistically significant and positive relationship between the Eco-Anxiety Scale and DASS-21. Mental health nurses can play a key role in planning and raising awareness of interventions for eco-anxiety.

Domestic Violence: Views of Married Men and Factors Affecting Violence.

PURPOSE: The aim of this study was to investigate the views of married men regarding domestic violence and factors that facilitate this violence against women. DESIGN: This cross-sectional, descriptive study was conducted on a sample of married men registered to a Family Health Center in Turkey. METHODS: This study included 1110 married men. Data were collected using the "Perception of Gender" scale, and a questionnaire. Descriptive statistics and multivariate logistic regression were used for data analysis. FINDINGS: It was found that the average score of men on the Perception of Gender Scale was 74.39 ± 19.08. 57% of participants perpetrated violence on their wives, 66% were subjected to domestic violence during childhood and 57% witnessed domestic violence against women during childhood. The most significant factor affecting domestic violence against women was that the man witnessed domestic violence against women during childhood. CONCLUSION: This study demonstrated that married men commonly perpetrated violence on their wives, Witnessing domestic violence against women during childhood was the most significant factor affecting domestic violence against women. CLINICAL EVIDENCE: The study revealed that childhood witness to domestic violence against women was the most significant factor affecting participants' domestic violence against women.

The relationship between posttraumatic growth and psychological resilience of nurses working at the pandemic clinics.

PURPOSE: This study aimed to determine posttraumatic growth and psychological resilience and understand the relationship between posttraumatic growth and psychological resilience in frontline nurses. METHODS: This study was conducted on 263 nurses working at the pandemic clinics of a hospital of a healthcare group in Istanbul and a public hospital in Bursa between June 20 and September 01, 2020. Data were collected online to avoid the risk of infection using the personal information form, the Connor-Davidson resilience scale and the posttraumatic growth inventory. FINDINGS: There is a significant relationship between posttraumatic growth and psychological resilience in frontline nurses. Nurses with a master's degree have higher psychological resilience than those with a bachelor's degree. Also, those who are reported that they receive organizational support from the nursing services management have higher psychological resilience and posttraumatic growth scores. Participants who worked for the hospital in Istanbul, those who stayed at hotels, and those who had no communication problems with the healthcare team had statistically significant higher posttraumatic scores and subscale scores than others. Also, those who do not think that they can protect themselves from the virus enough have lower posttraumatic growth than those who think so. CONCLUSIONS: Psychological resilience was positively correlated with posttraumatic growth and its subscales. IMPLICATIONS FOR NURSING PRACTICE: Future studies should follow up on frontline nurses to determine the long-term impacts of the COVID-19 pandemic on psychological resilience and posttraumatic growth.

The effect of two simulations on students' knowledge and skills regarding physical health problems of psychiatric patients: A mixed-method study.

BACKGROUND: Simulation-based training can help nursing students improve their mental and physical healthcare knowledge and skills. OBJECTIVES: This study focused on two different simulation modalities and investigated whether they helped nursing students acquire knowledge and develop skills necessary to address the physical health problems of people with mental disorders. DESIGN: This is a mixed-method study. SETTINGS: This study was conducted in Turkey. PARTICIPANTS: The sample consisted of 61 students divided into two experimental groups and one control group. METHODS: One experimental group participated in a clinical simulation scenario involving a standardized patient modality, while the other participated in a hybrid simulation modality (standardized patient and high-fidelity model simulator). The control group participated in conventional training. The researchers evaluate the effect of the modalities and conventional training on clinical practice one month after the interventions. Focus group interviews were conducted with all participants one month after the evaluation. Knowledge test was administered to all participants before the intervention, after the intervention, at the third and sixth months after the intervention. RESULTS AND CONCLUSION: The clinical simulation was statistically effective for students' skill development about physical health problems of psychiatric patients. Also, in the qualitative findings, the clinical simulation increased the knowledge level of the students and improved their physical health assessment skills. Standardized patient simulation and hybrid simulation modalities should be used to help nursing students develop their assessment skills regarding the physical health problems of psychiatric patients.

Associations between knowledge level and attitudes towards cyber-dating abuse and dating violence in nursing students.

BACKGROUND: Dating violence is an increasing issue among young people and affects them psychologically. It also includes characteristics like controlling and/or monitoring. Cyber-dating abuse is dating violence characterized as harassing another person in a romantic connection via texting or online emails to control, threaten, or stalk them. OBJECTIVES: This study was conducted to investigate nursing students' knowledge of and attitudes towards dating, dating violence, and cyber-dating violence. DESIGN: This is a descriptive cross-sectional study. PARTICIPANTS: The sample consisted of 448 nursing students from three universities in Istanbul, Turkey. METHODS: Data were collected using a Personal Information Form, the Dating Violence Knowledge Form (DVKF), the Dating Violence Scale (DVS), and the Cyber-Dating Abuse Questionnaire (CDAQ). RESULTS: Participants had a mean age of 20.9 ± 1.9 years. Most participants were women (83.7 %). More than a quarter of the participants were involved in romantic relationships (30.6 %). Participants had a mean DVKF score of 82.0 ± 9.1. One in ten participants was subjected to dating violence (11.2 %). Participants had a mean DVS score of 4.69 ± 0.25. There was no significant difference in CDAQ scores between participants who used violence (28.3 ± 11.5) and those subjected to violence (27.0 ± 8.9). There was a negative correlation between participants' DVKF and CDAQ scores (p < 0.05). The results showed that participants had a high DVKF score and disapproved of dating violence. Participants with a higher DVKF score were less likely to use or be exposed to cyber violence. CONCLUSIONS: In conclusion, we should develop interventions to strengthen young people's mental health because they are subjected to dating violence. Nurse educators and nurses should also plan interventions to protect young people's mental health and raise their awareness of cyber violence.

The effect of psychosocial distress and self-transcendence on resilience in patients with cancer.

PURPOSE: The aim of this study is to determine the effect of psychosocial distress and self-transcendence on resilience in individuals receiving cancer treatment. This descriptive-correlational study was conducted with individuals receiving cancer treatment (N = 105) from in the chemotherapy unit of a private hospital. CONCLUSION: According to the results of the regression analysis, it was determined that psychosocial distress had a negative relationship with resilience, while self-transcendence had a positive relationship with resilience (p < 0.05). PRACTICE IMPLICATION: The results show that resilience is negatively affected by psychosocial distress and positively affected by self-transcendence. Psychiatric nurses can help patients with cancer find sources of self-transcendence and resilience.

The relationships between self-transcendence and depressive symptoms, self-esteem, and locus of control in individuals diagnosed with substance addiction.

AIMS: This study examined the relationships between self-transcendence and depressive symptoms, self-esteem, and locus of control in persons with substance abuse disorder (SUDs). METHODS: This descriptive-relational study examined 115 participants who had been diagnosed with SUD. RESULTS: High self-transcendence scores were positively associated with lower levels of depressive symptoms, higher levels of self-esteem, and internal locus of control. PRACTICE IMPLICATIONS: Mental health nurses are effective at finding and maintaining resources that promote self-transcendence and support the potential and well-being of individuals with SUD. This study addresses a research gap regarding self-transcendence in such individuals; it provides a basis for nurses to develop interventions to strengthen the mental health of patients and conduct future investigations on the topic.

The impact of an emotion-focused training program on nursing students' emotional awareness and expression: A randomized placebo-controlled study.

PURPOSE: This study explores the effects of an emotion-focused training program (EFTP) and an interactive activity (placebo) on nursing students' skills in recognizing and expressing emotions. DESIGN AND METHODS: The research was conducted as a randomized, placebo and control group, and experimental study with repeated measurements. One hundred and twenty nursing students were randomly assigned to the groups. The EFTP was carried out for 10 sessions in the study group. FINDINGS: The emotional awareness and emotion expression scores of the students in the training group were significantly higher than those of the students in the placebo and control groups (p < 0.05). PRACTICE IMPLICATIONS: The EFTP can be used in the nursing undergraduate curriculum to promote emotional awareness and improve skills of emotional expression.

The effect of maladaptive schemas and psychological flexibility approaches on the addiction severity of drug addicts.

PURPOSE: This study tested a model of the effect of maladaptive schemas on addiction severity and the mediating role of psychological flexibility between the two. METHODS: The descriptive and methodological study was conducted with 661 opioid users. Data were collected using the questionnaire, including sociodemographic Characteristics, Addiction Profile Index, Young Schema Questionnaire 3 Short Form, Freiburg Mindfulness Inventory, Acceptance and Action Questionnaire-II and Cognitive Fusion Questionnaire. Data were analyzed using descriptive and correlational analysis and structural equation model. RESULTS: The mean age was 27.43 ± 7.04 years. Of participants, 52.3% had a secondary school degree, 76.7% had no children, 90.8% were men, 69.3% single, 71.9% unemployed, and 71.4% lived with their parents. Relationship between schemas and addiction severity was 0.36 (p < 0.05), which was reduced to 0.10 by psychological flexibility (p < 0.05). Psychological flexibility affects addiction severity directly, but maladaptive schemas affect addiction severity through psychological flexibility. CONCLUSIONS: Maladaptive schemas and psychological flexibility are constructs that need to be addressed in substance use treatment.

The Relationship Between Psychological Resilience and Professional Quality of Life in Nurses.

The current descriptive study investigated the correlation between psychological resilience and quality of professional life in clinic nurses. Nurses should have psychological resilience to have high compassion satisfaction and low burnout and compassion fatigue. The sample comprised 280 hospital nurses in Istanbul. Data were analyzed using descriptive statistics and Pearson correlation coefficient. Psychological resilience was positively correlated with compassion satisfaction (r = 0.372; p < 0.01) and negatively correlated with burnout (r = -0.379; p < 0.01) and compassion fatigue (r = -0.336; p < 0.01). Psychological resilience was positively correlated with professional quality of life. Managerial interventions and training should be developed and implemented to help nurses develop psychological resilience to create a positive organizational culture. [Journal of Psychosocial Nursing and Mental Health Services, 59(6), 31-36.].

Evaluation of the Effectiveness of Psychoeducation Given to Children with Parental Psychiatric Disorders.

This study was aimed to determine the effectiveness of psychoeducation program which was developed to improve the coping skills and to increase the psychological resistance of 12-18 years children/adolescents whose parents' have psychiatric disorders. The study was carried out between May 2018 - November 2019 with children of patients who applied to the outpatient clinic and inpatient treatment at Istanbul University - Cerrahpasa, Cerrahpasa Faculty of Medicine Department of Psychiatry. Total of 40 children (experiment = 20 and control = 20), participated in the study. Data were collected using Personal Information Form, Adolescent Psychological Resilience Scale and Kidcope. The mean age of the children/adolescents in the experimental group was 14.05 ± 1.90, 50% was male and the mean age of the control group was 15.35 ± 2.08, and 55% were male. It was determined that the mean duration of psychiatric disorders were 11.50 ± 6.39 years and 40% of the psychiatric diagnosis was schizophrenia in the experimental group, and the mean duration psychiatric disorders were 6.10 ± 5.16 years and 30% of the psychiatric diagnosis was a depression in the control group. After psychoeducation, the total scores of scales in the experimental group showed an increase compared to the control group and a significant difference in a statistical context. It was found that children/adolescents participating in the psychoeducation program had increased psychological resilience levels and improved coping skills. This result shows that the psychoeducation program for children/adolescents with psychiatric disorders in their parents is effective.

Reliability and Validity of the Turkish Version of the Simulation Effectiveness Tool-Modified.

AIM: The Simulation Effectiveness Tool-Modified aimed to evaluate students' perceptions about the effectiveness of learning within a simulation environment, to implement Simulation Effectiveness Tool-Modified to adapt to the Turkish language, and test for its reliability, validity, and psychometric properties. METHOD: This study was conducted in a methodological manner. The data were collected from 235 students who participated in the simulation-based learning experience in the Faculty of Nursing of 2 public universities in Istanbul between January and June 2019. In the data analysis, descriptive statistics, exploratory factor analysis with varimax rotation, confirmatory factor analysis, item-total correlation, test-retest correlation, interclass correlation, Pearson correlation, Cronbach's alpha coefficient, and ceiling-floor effect analysis were conducted. RESULTS: Four factors stated that 62.2% of the total variance was a result of factor analysis. The item-total correlations of the Turkish version of the measurement tool ranged from r=0.47 to r=0.69. The total Cronbach's alpha coefficient of the tool was found to be 0.92. Test-retest correlations were found to be statistically significant for the total measurement tool and subscales. The measurement tool did not have ceiling-floor effects. CONCLUSION: The Turkish version of the Simulation Effectiveness Tool-Modified is a reliable and valid measurement tool that can be used to evaluate perceptions on the effectiveness of learning within a simulation environment.

Effects of Aggression Replacement Training on Problem Solving, Anger and Aggressive Behaviour among Adolescents with Criminal Attempts in Turkey: A Quasi-Experimental Study.

The research was conducted by a pretest and post-test conducted in a quasi-experimental design which aimed to determine effectiveness of Aggression Replacement Training (ART) on problem solving, anger and aggressive behaviour among adolescents with criminal attempts in Turkey. The study included 65 adolescents with criminal attempts (32 intervention, 33 control). There was no difference between the groups in terms of average age (16.13±1.10 in the experimental group and 16.21±0.89 in the control group). After the intervention, the experimental group showed significantly decreased Trait Anger levels (t=1.906; P=0.033), increased Anger Control scores (t=2.522; P=0.008), decreased Physical Aggression scores (t=1.925; P=0.031), decreased Hostility scores (t=2.496; P=0.009), increased Social Problem Solving total scores (t=2.937; P=0.005). Increased Anger Control scores were found to be significant when compared with the control group (t=2.273, P=0.026). These results showed that ART was effective on problem solving, anger and aggressive behaviour and can be used to develop positive behaviours among adolescents with criminal attempts.

Effect of the Cognitive-Behavioral Prevention Program on Levels of Depression Symptoms Among Working Adolescents in Turkey.

The current study was conducted to determine the effect of the Cognitive-Behavioral Prevention Program (CBPP) on levels of depression symptoms, ability to cope with stress, and automatic negative thought patterns among working adolescents in Turkey. The CBPP was conducted once per week for eight sessions and then once per month for six sessions. Data were collected using the Beck Depression Inventory, Automatic Thoughts Questionnaire, and Rosenbaum's Learned Resourcefulness Schedule. Observations were made prior to administration of the CBPP, upon conclusion of the program, and at 6 and 12 months. Chi-square and t tests were used for data analysis. Mean age of participants was 15.85, and they worked a mean 10.84 hours per day. After taking part in the CBPP, participants displayed a decrease in levels of depression symptoms, an increase in their ability to cope with stress, and diminished automatic negative thoughts (all p = 0.001), thus indicating that they benefited from the program and its effectiveness continued through 12-month follow up. [Journal of Psychosocial Nursing and Mental Health Services, 54(7), 43-51.].

Effectiveness of individual psychoeducation on recurrence in bipolar disorder; a controlled study.

This research was conducted as an controlled experimental study which aimed to determine the effectiveness of individual psychoeducation program on recurrence rate during 1year follow up period. The study included eighty-two patients who had been diagnosed with bipolar disorder. There were no hospitalizations in intervention group, while 7.3% of control patients experienced hospitalizations; recurrence rates were 18.9% in the intervention group patients and 34.1% in the control group patients, but statistical significant difference between the groups was not found. Four sessions of individual psychoeducation may have some positive effects but seem to be ineffective for preventing recurrences in patients with bipolar disorder during one year prospective follow up.

[The effect of family-to-family support programs provided for families of schizophrenic patients on information about illness, family burden and self-efficacy]. / Sizofreni hastalarinin ailelerine uygulanan aileden aileye destek programinin hastalik hakkinda bilgi, aile yükü ve öz yeterlilik üzerine etkisi.

OBJECTIVE: This study was conducted to determine the effects of family-to-family support programs provided for the families of schizophrenic patients on the need for information about the illness, family burden and self-efficacy METHOD: The study was carried out with 34 relatives who have key rolesin the lives of 34 outpatients who were diagnosed with schizophrenia under DSM-IV-TR. A volunteering family member was given training about the purpose, contents and planning of the program. Thefamily member who had been trainedthen extended this training to other family members with the assistance of the psychiatric nurse. The training was done once a week, for atotal of 12 sessions. The data were collected using a Disease Information Form (DIF), the Perceived Family Burden Scale (PFBS) and the Self-Efficacy Scale (SES). RESULTS: There was a significant decrease in the PFBS objective scores (from 11.76±3.89 to 9.82±4.03, p=0.000), subjective scores (from 37.85±14.57 to 32.74±4.39, p=0.030) and total scores (from 49.62±18.25 to 42.56±7.56, p=0.005) and a significant increase in the SESS scores (from 82.65±12.01 to 97.79±7.17, p=0.000). Before training, 58.8% of family members correctly answered that schizophrenia is a brain disease, while 94.1% correctly stated that,it must be treated with medication;however, 55.9% of caregivers incorrectly believed in magical attributions relating to the disease.After training, all caregivers were able to answer correctly. CONCLUSION: A family-to-family support program was found to be effective in reducing caregivers' need for information, reducing their burden, and increasing their self-efficacy in our country.

Psychoeducation intervention to improve adjustment to cancer among Turkish stage I-II breast cancer patients: a randomized controlled trial.

Psycho-educational interventions are not a substitute for analgesics, but they may serve as adjuvant therapy. Nurses can provide psychoeducational programmes to cancer patients to assist them in optimizing behavior that strengthen adjustment. The aim here was to determine the effects of psychoeducation on levels of adjustment to cancer in stage I-II breast cancer patients who met the study criteria (experimental group: 38 women, control group:38 women). The psychoeducational program consisted of eight 90 minute weekly sessions and data were collected using a questionnaire and the Mental Adjustment to Cancer Scale three times: before, six weeks and six months after the intervention. Data analysis was performed using descriptive statistical methods as well as the Chi square test, the Mann Whitney U test, repeated measures analysis of variance, the matched pairs t test and the Post Hoc Bonferroni test. The results at 6 weeks and 6 months after the program revealed that the experimental group had higher levels of "fighting spirit", lower levels of "helplessness/hopelessness, anxious preoccupation and fatalism"but there was no significant change in levels of "avoidance/denial" compared to the control group with regard to adjustment to cancer. In this study, psychoeducation was shown to cause positive changes in levels of adjustment to cancer in breast cancer patients.

Depression and anxiety levels in early stage Turkish breast cancer patients and related factors.

Psychiatric disorders such as depression and anxiety are common among cancer patients. If left untreated, these disorders can lead to poor treatment compliance, prolonged hospital stay and reduced life quality. In this prospective study, we aimed determine anxiety and depression levels and related factors among female breast cancer patients presenting to a breast surgery clinic in Istanbul and who met the inclusion criteria. Data were collected using a questionnaire and the Hospital Anxiety and Depression Scale (HAD). The mean age was 48.2 years and the mean post-operative period was 17.9 months. It was found that 46.3 % of the patients had stage I, and 53.7 % stage II, 59.3 % of them undergoing breast conserving surgery and 40.7 % mastectomy. When evaluated according to the HAD Scale, it was found that anxiety scores of 35.1 % of the patients and depression scores of 17.1 % of the patients were higher than their cut-off points. With regard to the affecting factors, depression scores of those with no family history of breast cancer were significantly higher than those with no family history of breast cancer (t= 1.53; p= 0.03); that the depression scores of the patients who underwent mastectomy were significantly higher than those who underwent breast conserving surgery (t= 1.75; p= 0.04). Additionally, it was found that low income was an important risk factor for anxiety; whereas a history of breast cancer in the family and mastectomy was an important risk factor for depression.These results indicate the importance of determining psychiatric problems and appropriate approaches in addition to medical treatment in breast cancer patients.

Internet use and its relation with the psychosocial situation for a sample of university students.

This study was carried out to determine the general characteristics of Internet use among university students in Turkey and to examine the relation between the Internet use and the psychosocial conditions of the students. Among the 730 university students who participated, the average age was 20.84 (SD=1.95), and the majority were females. The average Internet use period of the students was detected as 2.80 (SD=1.33) years for females and 3.59 (SD=1.60) years for males. The average score of the Online Cognition Scale (OCS) used for determining problematic use was 84.64 (SD=33.50): for females, 77.99 (SD=30.70); for males, 92.16 (SD=34.96). Students of social sciences scored highest on the OCS. It was determined that as the OSC score increased, students' performance of Internet activities such as general information searches and academic research decreased and that performance of interactive and entertainment Internet activities such as chat, financial transactions, game playing, sex, downloading programs, and listening to MP3s increased. While a positive correlation was found between problematic use and loneliness and depression, a negative correlation was found between problematic use and perceived social support.