Validity and reliability of Turkish pregnant women's preferences for mode of delivery questionnaire.

OBJECTIVE: The aim of this study was to determine whether Pregnant Women's Preferences for Mode of Delivery Questionnaire, created by Zamani-Alavijeh et al., is a valid and reliable measurement tool for Turkish pregnant women. METHODS: This study has a methodological research design and was conducted with 139 pregnant women who were randomly selected from those aged 18-35 years, who applied to obstetric clinic,.who had no previous prenatal losses and no systemic diseases, and who had conceived naturally. The data for this study were collected with the Personal Information Form and the Pregnant Women's Preferences for Mode of Delivery Questionnaire. To test the reliability and validity of Pregnant Women's Preferences for Mode of Delivery Questionnaire, Cronbach's α, split-half method, item analysis, Kendall's coefficient of agreement (W), explanatory factor analysis, and confirmatory factor were used. RESULTS: The study found that Cronbach's α was 0.94, the Spearman-Brown reliability coefficient was 0.883, and the Guttman split-half was 0.880. Explanatory factor analysis revealed an 18-item structure with three factors having an eigenvalue exceeding 1, explaining 67.593% of the total variability, and factor loading between 0.40 and 0.64. CONCLUSION: Based on the scientific recommendations, the Turkish version of the Pregnant Women's Preferences for Mode of Delivery Questionnaire has adequate psychometric properties.

Validity and reliability of Turkish pregnant women's preferences for mode of delivery questionnaire

SUMMARY OBJECTIVE: The aim of this study was to determine whether Pregnant Women's Preferences for Mode of Delivery Questionnaire, created by Zamani-Alavijeh et al., is a valid and reliable measurement tool for Turkish pregnant women. METHODS: This study has a methodological research design and was conducted with 139 pregnant women who were randomly selected from those aged 18-35 years, who applied to obstetric clinic,.who had no previous prenatal losses and no systemic diseases, and who had conceived naturally. The data for this study were collected with the Personal Information Form and the Pregnant Women's Preferences for Mode of Delivery Questionnaire. To test the reliability and validity of Pregnant Women's Preferences for Mode of Delivery Questionnaire, Cronbach's α, split-half method, item analysis, Kendall's coefficient of agreement (W), explanatory factor analysis, and confirmatory factor were used. RESULTS: The study found that Cronbach's α was 0.94, the Spearman-Brown reliability coefficient was 0.883, and the Guttman split-half was 0.880. Explanatory factor analysis revealed an 18-item structure with three factors having an eigenvalue exceeding 1, explaining 67.593% of the total variability, and factor loading between 0.40 and 0.64. CONCLUSION: Based on the scientific recommendations, the Turkish version of the Pregnant Women's Preferences for Mode of Delivery Questionnaire has adequate psychometric properties.

The effects of workload on the styles of anger expression and "trait anger" of healthcare professionals working in a COVID-19 pandemic hospital.

PURPOSE: The aim of the study was to determine the effects of workload on the styles of anger expression and "trait anger" of health professionals working in a COVID-19 pandemic hospital. DESIGN AND METHODS: This descriptive study was carried out at a COVID-19 pandemic hospital in Turkey. The sampling consisted of 493 healthcare professionals. The data were evaluated with the SPSS (23.0) software program. FINDINGS: The study found that the participants who perceived the workload as higher, and could not tolerate the work they performed, were high in "trait anger" levels and their anger was suppressed. PRACTICE IMPLICATIONS: Health institutions should consider the recognition of emotional risks and the planning of interventions as a priority for professionals involved in the care of COVID-19 infected patients.

From the perspective of Turkish women: intimate partner violence and perceived stress level in the Covid-19 pandemic.

Pandemic process increase the vulnerability of women to intimate partner violence (IPV). IPV is one of the greatest stress sources a woman can face. This study's purpose to determine effects of the Covid-19 pandemic process on the IPV status and perceived stress levels of women. The population of the descriptive study consisted 834 women working at a state university in Turkey's. 452 women who with intimate partner relationships were included in the sample. Data collection tools were applied via online survey link. The mean age of the women was 30.6 ± 4.20. The The Perceived Stress Scale mean scores of the women were 40.18 ± 3.20. They are not able to cope with stress effectively. It was determined that women participated the study were exposed to more IPV during the pandemic process. It was found that as the frequency of IPV increased, women's perception of stress also increased. Research such as this can be used to help inform decision-makers as they grapple with the adverse negative effects of public health safety measures related to Covid-19.

The relationship between women's perception of support and control during childbirth on fear of birth and mother's satisfaction.

The study was conducted in order to determine the relationship between women's perception of support and control during childbirth on fear of birth and mother's satisfaction. This descriptive study was carried out at the postpartum clinics of a state hospital. Seven hundred and twenty-five puerperal women were included in the sample. T test in independent groups and Pearson's correlation test were used in the evaluation of the data. Seventy-six percent of the puerperal women had vaginal birth, 24% had caesarean section. The mother's perception of control and support at birth was moderate (99.04 ± 17.30), the fear of birth was at clinical level in most of them (92.8%), and the satisfaction at vaginal and caesarean births was low. Puerperal women who had a planned pregnancy, non-invasive birth, birth without perineal tear had higher support and control perception at birth and lower fear of birth than who had unplanned pregnancy, invasive birth, or birth with a perineal tear (p<.05). Puerperal women who did not have any health problems during pregnancy and postpartum period had higher satisfaction levels compared to those who did (p<.05). The high level of perception of support and control at birth decreases the fear of childbirth and increases the satisfaction levels of puerperal women in vaginal and caesarean births. All health professionals, especially perinatal nurses and midwives, should strive to implement care initiatives that are appropriate to the needs of women.Impact StatementWhat is already known on this subject? The mode of delivery, insufficient supportive care during delivery, or perception of supportive care received are among the causes of trauma among women. Birth trauma may cause women to experience stress, anxiety, fear and loss of control, and maternal and foetal/neonatal health is adversely influenced during the delivery and postpartum period. A literature review revealed no study examining the effect of maternal perception of support and control during delivery on fear of childbirth and maternal satisfaction.What the results of this study add? Stronger perception of support and control during delivery reduces fear of childbirth, and also increases puerperal women's levels of satisfaction from care during vaginal and caesarean deliveries.What the implications are of these findings for clinical practice and/or further research? Facilitating women's achievement of personal control and expectations during childbirth should be the focus of care interventions. In line with these results, it may be recommended that all healthcare professionals, especially perinatal nurses and midwives, strive to implement care initiatives that comply with the needs of women.

Attitudes of students studying in various fields related to health services toward gender roles and intimate partner violence.

PURPOSE: This study's purpose was to determine the attitudes of students studying in various fields related to health services towards gender roles and intimate partner violence. DESIGN AND METHODS: The descriptive study sample was composed of 441 volunteer students. The data were collected by the Intimate Partner Violence Attitude Scale-Revised (IPVAS-R) and Gender Roles Attitude Scale (GRAS). FINDINGS: The GRAS and IPVAS-R mean scores were 114.10 (18.00) and 57.77 (4.45), respectively. A statistically significant negative relationship was found between the IPVAS-R and GRAS total mean score. PRACTICE IMPLICATIONS: The participants with negative attitudes allowing the violence also had more traditional attitudes towards gender roles. It is important to train health professionals with attitudes that believe in gender equality and reject violence to improve the quality of health services.

Effectiveness of postpartum sexual health education programme structured according to Levine's conservation model: An interventional study.

AIM: This study aimed to determine the effects of a postpartum sexual health education programme structured according to Levine's conservation model on postpartum women. METHODS: The interventional study was completed with 67 postpartum women. The intervention group was given the postpartum sexual health education programme structured according to Levine's conservation model. The control group received routine discharge training. The data were collected using a personal information form, The Index of Female Sexual Function, Arizona Sexual Experience Scale and Golombok-Rust Inventory of Sexual Satisfaction. RESULTS: It has been determined that the decrease in sexual arousal and desire is the first among postpartum sexual problems experienced by women. This study demonstrated that sexual function, sexual satisfaction and sexual response were higher in nonbreastfeeding women, women who had sexual intercourse one to three times a week and women who could talk to health care professionals on sexual matters. After the programme, the intervention group had more adequate sexual function, and they developed a strong, easy and satisfactory sexual response than the control group (p < 0.05). CONCLUSION: This programme was effective in increasing the sexual functions and satisfaction of the postpartum women. Models provide guidance to nurses for provision of care in a systematic manner.

Sexual Orientation Myhts Scale (SOMS): Development, validity and reliability in Turkey.

PURPOSE: The objective of this study is to develop the Sexual Orientation Myths Scale (SOMS) and to specify its validity and reliability. DESIGN AND METHODS: This is a methodological research. Voluntary participiants studying at a state university in Turkey constituted the samples of the research. FINDINGS: The Cronbach's α coefficient of the scale is 0.85. In the factor analysis carried out with the remaining 19 items on the scale, a five-factor structure that explained 57.628% of the variance and had a factor loading value of above 0.40 emerged. Factorial model of scale was found an excellent fit. PRACTICE IMPLICATIONS: The scale can be beneficial for individuals to determine their adoption levels of sexual orientation-related myths and for providing data for health education programs planned to be created.

The effect of peer education model on sexual myths of Turkish university students: An interventional study.

PURPOSE: The research was conducted to determine the effects of peer education model on sexual myths of Turkish university students. DESIGN AND METHODS: This is an interventional study. Peer educators were asked to perform educational activities for the intervention group. The participants in the control group were not subjected to any interventions. Data collection tools were simultaneously administered to all students in the intervention (n = 646) and control groups ( n = 532). FINDINGS: The Peer Education Program Pertaining to Sexual Myths applied to the interventon group by peer educators is effective in reducing sexual myths and increasing sexual knowledge level. PRACTICE IMPLICATIONS: Peer education model should be integrated into the health education programs by nurses to improve the sexual health and reproductive health of young people.

A study on the relationship between internet use, anxiety levels, and quality of life of Turkish pregnant women.

PURPOSE: In the current study, the relationship between internet use, anxiety levels, and quality of life (QOL) of Turkish pregnant women was investigated. DESIGN AND METHODS: This cross-sectional study was conducted 623 pregnant women who were able to access the internet at home, at work, or on mobile phones. FINDINGS: It was determined that internet usage among Turkish pregnants is common (82.7%). Statistically significant negative correlations were determined between the pregnant women's trait anxiety levels and all the subscales of the QOL questionnaire. PRACTICE IMPLICATIONS: Health professionals especially nurses and midwives should inform pregnant women about safe ways to access reliable sources of information.

Effect of episiotomy training with beef tongue and sponge simulators on the self-confidence building of midwifery students.

This study assesses the efficacy of simulation-based episiotomy training (SBET) with beef tongue and sponge models in terms of the self confidence of midwifery students while performing episiotomy. Third-year midwifery students from Cumhuriyet University in the fall semesters of 2011 and 2012 were enrolled in the sponge and beef tongue model groups (n = 36 and n = 37, respectively). A checklist was prepared on the required skills for performing episiotomy which can be broken into three main parts, namely preparation, cutting and repairing and completion. According to the checklist, a Likert type questionnaire was developed including 5 items for preparation, 11 items for cutting and repairing, and 6 items for completion. After SBET with the sponge and beef tongue models in our laboratories of Midwifery Department, the students performed episiotomy steps in laboring women in Sivas State Hospital and then they filled in the questionnaire to indicate whether they gained self-confidence in performing episiotomy or not. Although, participants of both groups have successfully completed all the steps of episiotomy, overall, beef tongue model was found to be more successful regarding their self-confidence (p < 0.05), including the skills in performing local anesthesia; choosing needle holder, suture material and scissor for cutting; identifying apex, hymen and skin; using needle holder properly while penetrating into the skin, suturing vaginal mucosa until hymen, knotting, and suturing perineal muscles and skin. Our results suggest that while SBET with both models are applicable for episiotomy training of midwifery students in the laboratory setting, SBET with beef tongue model provides an additional increase in their self-confidence in the clinical settings.

Determining the knowledge of women and their attitudes regarding gynecological cancer prevention.

The current study determines the knowledge of female course attendees of the "Municipality Cultural Center for Women", located in the city center of Sivas, Turkey, and their attitudes regarding gynecological cancer prevention. The participants of the study include 497 women attending one of the two Municipality Cultural Centers situated in the city center of Sivas. In this study, the sample was not selected; all participants were encompassed within the scope of our research. A total of 418 female course attendees who volunteered to participate in the research were identified as the sample. The data were collected during the months March-June 2011, by a questionnaire developed by the researchers. To compare the distribution of the collected data "Anova", "two independent t test examples" and "chi square test" were used. The research indicates that 45.1% of the women had had gynecological examination as a consequence of a physical disorder. The reason for 54.9% of the women to have gynecological examination is to have been scanned to check for gynecological cancer, 51.2% had a pap smear test. Some 34.9% of them had obtained information about cervical cancer, 39.7% via radio, television or internet and 36.3% from a doctor. Age, education level and marital status of the women participating in this study demonstrated statistically significant correlations (p<0.05) with gynecological examination and undergoing a pap smear test.