Purpose: This study was conducted to examine the relationship between nurses' fear levels and their insomnia, influencing sociodemographic factors during the COVID-19 pandemic.Design and Methods: This study utilized cross-sectional methods and the data were collected between July 15 and August 15, 2020. In the data collection, "Sociodemographic question form," "Covid-19 Fear Scale," and "Bergen Insomnia Scale" tools were used. Descriptive statistics, numbers, percentages, independent samples t test, analysis of variance test, and correlation were used on the Statistical Package for Social Science (SPSS) 22.0 package program in evaluating the research data.Ethical approval was obtained from the Ethics Committee of Batman University.Findings: A positive correlation was found between COVID-19 Fear Scale and the Bergen Insomnia Scale (r = .392; p = .001). The relationship between COVID-19 Fear and Bergen Insomnia Scale score averages and nurses' educational status, income level, shift working status, the status of their relatives being diagnosed with COVID-19, the state of being satisfied with the management of the pandemic process by the Ministry of Health, the situation of having resources in the settings where they work, the status of being in quarantine was statistically significant (p < .05).
Conclusion:The relationship between the nurses' fear levels of COVID-19 and their insomnia levels was moderate.Practice Implications: The results of this study are important in terms of understanding the nurses' fear and insomnia during the pandemic and provide data support for the proper interventions. Also, nurses working in Turkey may call for more attention and support from policymakers during the COVID-19 pandemic.
ABS TRACT During the coronavirus disease-2019 (COVID-19) pandemic, clinical training, which is essential to nursing practice, has been largely delayed. The aim of this study is to identify the predictors of nursing students' experienced ethical problems in clinical practicum and self-regulated learning levels during the COVID-19 pandemic. The sample of this cross-sectional study consisted of 306 nursing students studying in the third and fourth grades of 2 universities located in the east of Türkiye. The data were collected by using a Student Introduction Form, the Scale of Ethical Problems in Clinical Teaching in Nursing, and the Self-Regulated Learning Scale for Clinical Nursing Practices form. The independent sample t-test, one-way ANOVA F test, Pearson correlation test, and multiple regression were used in the analysis of the data. It was determined that there was a positive and moderately significant relationship between the total mean score of the Scale of Ethical Problems in Clinical Teaching in Nursing and the Self-Regulated Learning Scale for Clinical Nursing Practices, total mean score (r=509, p<0.001). A regression model indicated that 4 predictors (clinical educator, health professionals, learning strategies, and self-regulated learning levels) explained 28% of the variance (R=0.516, Adjusted R2=0.284, F=13.255, p<0.001) in their ability to identify ethical problems in clinical practicum. In this study, it was determined that health professionals and self-regulated learning levels positively affected students' ability to identify ethical problems in the clinical practice setting. The level of clinical educator was found to negatively affected students' ability to identify ethical problems in the clinical practice setting.
This study aims to perform the Turkish validity and reliability of the Pressure Ulcer Management Self-Efficacy Scale for Nurses, which was developed by Dellafiore vd. in 2019. A total of 149 nurses from two state hospitals in Mardin, Turkey were participated in this methodological study between August 2021 and January 2022, and their work settings include the operating room, acute care, intensive care unit, pediatric unit, geriatrics and palliative care clinics. "Nurse Information Form" and "Pressure Ulcer Management Self-Efficacy Scale for Nurses" were used to collect the data. The scale consists of 10 items in total. Each item was scored from 1 (not competent at all) to 5 (completely competent) and in consequence of the validity analysis, it was determined that the Pressure Ulcer Management Self-Efficacy Scale for Nurses consisted of four sub-dimensions. None of the items of the scale were removed, and the content validity index of the study was found to be between 0.83-1.00. Correlation analysis was made for the construct validity of the scale and as a result of the analysis; it was found that the 10-item scale explained 74.41% of the total variance at most. For the reliability of the scale, the total score correlation values of the items were between 0.404 and 0.661, and the Cronbach Alpha value was found to be 0.838. It was concluded that the scale could be used to measure pressure ulcer management self-efficacy levels for nurses.
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