Impact of problematic internet use on the self-esteem of adolescents in the selected school,Kerala, India

BackgroundInternet use is one of the essential tools of our present-day society whose impact is seen on adolescents such as increased use of the internet because they have free easy and daily access to the internet. Problematic internet use has become a global phenomenon that causes serious problem to the affected individual leading to impairment in psychological well-being.AimThe present study aims to assess the level of problematic internet use and self-esteem among adolescents in selected schools, Kochi, Kerala, India.SettingThe study conducted in Private Aided School, in Kothamangalam Thaluk of Ernakulam Dist., Kerala.MethodThe study with the cross-sectional design was conducted for a period of one month among 60 students and participants were selected using non-probability, convenient sampling. The samples were provided with a self-administered questionnaire after obtaining written consent from their parents and the students.ResultKarl-Pearson coefficient indicated a significant negative correlation between self-esteem and Internet addiction (r = −0.649 and p < 0.001).ConclusionThe use of internet has been found to have a powerful impact on adolescents, especially in areas of self-esteem, and at times, it may affect their social life and relationship with the family.     

Actual and perceived knowledge of type 1 diabetes mellitus among school nurses

BackgroundIn general, school nurses are aware that it is important to have knowledge of type 1 diabetes to give adequate care to children with the disease. Many studies assessing diabetes knowledge have found different deficits among nurses. To our knowledge, however, no study has assessed the knowledge of type 1 diabetes among school nurses.ObjectiveTo assess actual and perceived diabetes knowledge among school nurses.DesignCross-sectional studies.SettingsSeventeen primary care facilities in Warsaw that employed school nurses.ParticipantsTwo hundred and thirty school nurses.MethodsWith the Diabetes Knowledge Questionnaire (DKQ), we assessed actual diabetes knowledge. With the Self-Assessed Diabetes Knowledge (SADK), we assessed perceived diabetes knowledge. Both the DKQ and SADK assessed seven domains of diabetes knowledge: general diabetes knowledge; insulin and glucagon; insulin pumps; diabetes complications; nutrition; physical activity, stress, and comorbidities; and glycemia measurements. We related DKQ and SADK scores to each other and to sociodemographic and work-related factors.ResultsThe rate of correct responses in the DKQ was 46.7%, with the lowest rate regarding knowledge of insulin pumps (36.5%), nutrition (37.4%), and insulin and glucagon (37.9%). Actual and perceived diabetes knowledge were moderately positively correlated (rho = 0.18,p =.009). In six of the seven knowledge domains examined, school nurses perceived their diabetes knowledge better compared with their actual knowledge. DKQ scores were higher in nurses with higher education (p = .024), those who had relatives or friends with diabetes (p = .032), and those who had prior diabetes training (p = .050). Interestingly, DKQ scores were higher among nurses with fewer years of experience (rho = − 0.18, p = .011).ConclusionsThere is a need for additional diabetes training among nursing students and practicing nurses to provide safe and effective care for children with type 1 diabetes.     

The effect of a situation model nursing education action program on gender-bias awareness and gender-friendliness barriers in novice nursing students

AimThis study presents a workshop on the Situation Model Nursing Education Action program, examines how to promote gender awareness and decrease barriers related to differences in gender friendliness through the implementation of this program and tracks the trends of the relevant variables.DesignPre- and post-observations and a cohort study were conducted.MethodsA total of 58 nursing students (42 females and 16 males) were included. Nursing students were offered a gender-care intervention as two 90-minute workshops and surveys that measure gender awareness and gender friendliness were administered.ResultsThe results concerned gender-bias awareness and gender-friendliness barriers scores across the four weeks of the program intervention, with the generalized estimated difference score compared with the Week 1 baseline. Mean student scores showed that gender-bias awareness was significantly decreased at Week 2 (p < .001) and Week 4 (p < .001) and that mean gender-friendliness barrier scores significantly declined at Week 4 (p < .001).ConclusionsThe findings indicate that a faculty professional learning community workshop that facilitates intentional behavioral change can help faculty to become aware of gender bias, which can improve students’ gender awareness through clinical case discussion and lead to a decline in barriers to students’ gender friendliness.     

Internet addiction and psychosocial problems among adolescents during the COVID-19 pandemic: A cross-sectional study

PurposeThis research was conducted to investigate the prevalence of internet addiction and psychosocial problems and associated factors among adolescents during the COVID-19 pandemic.Design and methodsA cross-sectional study was conducted in Turkey. The population was composed of 9th and 10th grade students. The sample consisted of 1572 participants. Data were collected from parents of the students through a questionnaire, the Pediatric Symptom Checklist, and the Parent-Child Internet Addiction Test.ResultsThe prevalence of psychosocial problems was 20.7%. A few (4.8%) of adolescents had limited internet addiction symptoms. The psychosocial problems risk was significantly higher in adolescents whose fathers did not work, whose family income was less than expense, and whose daily internet use time was more than 3 h and more (p < 0.05). The risk of problematic internet use was significantly higher in males, whose mother's education level was high school and lower, whose family income was less than expense, and whose duration of internet use was 5 years and more (p < 0.05). There was a positive correlation between internet addiction and psychosocial problem mean scores (p < 0.05).ConclusionMost of the adolescents were internet users and one in five adolescents was at risk of psychosocial problems. Internet addiction and psychosocial problems were associated with several sociodemographic factors.Practice implicationsThis study emphasizes the need for the prevention of excessive internet use and psychosocial problems during COVID-19 pandemic among adolescents. Nurses should organize online trainings for internet addiction and psychosocial problems for adolescents and their parents during the quarantine process.     

Perceptions of Slovenian elementary schoolchildren on nursing and nurses—Exploratory study

AimThe research aimed to assess the perception on nursing and nurses among schoolchildren of Slovenian elementary schools.BackgroundAmong the general public, nursing remains under-recognized as an occupation and a science. Especially young people have unrealistic perceptions of nurses.DesignA cross-sectional research design was undertaken.MethodsThe study included 1984 eighth grade schoolchildren from 103 elementary schools. Data were collected with a structured questionnaire.ResultsThe research results revealed a positive general perception of nursing. Surprisingly, only 2.5% of respondents would consider a career in nursing. Girls had more understanding of nursing compared to boys (p < 0.001); having a nurse relative meant better understanding of nursing (p = 0.032). The influence of the traditional view of nursing and the biomedical model of care which describes nursing not as autonomous, but as subordinate to medicine, was considerate (p < 0.001).ConclusionsThe study shows that elementary school children do not express an interest in a career in nursing. They perceive the job of a nurse as female-dominated, they cling to the traditional perception of nursing being subordinate to medicine, and they indicated dominance of the biomedical model of care. Healthcare policy makers must remember that healthcare systems cannot function without nurses, so developing nursing is crucial. To increase interest in the profession, a national campaign promoting nursing programs and the nursing profession and presenting horizontal and vertical career opportunities is needed. Young people must have realistic information on nursing as an occupation and a science, its role in the healthcare system, and career opportunities. Activities aimed at changing public opinion on nursing must be planned.     

Rationale and study protocol for ‘Switch-off 4 Healthy Minds’ (S4HM): A cluster randomized controlled trial to reduce recreational screen time in adolescents

IntroductionExcessive recreational screen time (i.e., screen use for entertainment) is a global public health issue associated with adverse mental and physical health outcomes. Considering the growing popularity of screen-based recreation in adolescents, there is a need to identify effective strategies for reducing screen time among adolescents. The aim of this paper is to report the rationale and study protocol for the ‘Switch-off 4 Healthy Minds’ (S4HM) study, an intervention designed to reduce recreational screen time among adolescents.MethodsThe S4HM intervention will be evaluated using a cluster randomized controlled trial in eight secondary schools (N = 322 students) in New South Wales, Australia. The 6-month multi-component intervention will encourage adolescents to manage their recreational screen time using a range of evidence-based strategies. The intervention is grounded in Self-Determination Theory (SDT) and includes the following components: an interactive seminar for students, eHealth messaging, behavioral contract and parental newsletters. All outcomes will be assessed at baseline and at 6-months (i.e., immediate post-test). The primary outcome is recreational screen time measured by the Adolescent Sedentary Activity Questionnaire (ASAQ). Secondary outcomes include: self-reported psychological well-being, psychological distress, global physical self-concept, resilience, pathological video gaming and aggression, and objectively measured physical activity (accelerometry) and body mass index (BMI). Hypothesized mediators of behavior change will also be explored.DiscussionThe S4HM study will involve the evaluation of an innovative, theory-driven, multi-component intervention that targets students and their parents and is designed to reduce recreational screen time in adolescents. The intervention has been designed for scalability and dissemination across Australian secondary schools.     

Predictors of individually perceived levels of team creativity for teams of nursing students in Taiwan: A cross-sectional study

BackgroundThe complexity of healthcare and concurrent advances in technology have promoted Interprofessional Education (IPE) in healthcare schools to prepare students to collaborate on interdisciplinary teams. Since 2016, healthcare curricula in Taiwan have incorporated IPE-based capstone courses to enhance creativity. To better understand the predictors of team creativity could help educators improve IPE and outcomes for nursing students and patients.PurposeTo determine whether nursing students' demographic characteristics, individual creativity, and perceived team interaction behaviors, team swift trust, team conflict, and team task interdependence may predict high perceived team creativity in IPE settings.MethodsA cross-sectional study design included nursing students (N = 99) at a science and technology university in Taiwan. Data from self-report questionnaires included variables for demographic characteristics, individual creativity, and perceived team characteristics. A hierarchical multiple regression analysis revealed predictors of high perceived team creativity.ResultsNursing students who perceived high team creativity also perceived higher interaction behaviors and lower process conflict than those who perceived less creativity. Spontaneous communication and team task conflict predicted high perceived team creativity.ConclusionsNursing educators could increase team creativity in IPE by encouraging spontaneous communication and constructive task-oriented conflict management. This may benefit patient outcomes in the future.     

The status of professional identity and professional self-efficacy of nursing students in China and how the medical documentaries affect them: A quasi-randomized controlled trial

ObjectivesProfessional identity and self-efficacy are important for the education and career development of students. However, how to improve these factors among Chinese nursing students needs further study. This quasi-randomized control trial was designed to explore the effect of medical documentaries on professional self-efficacy and identity among nursing students in Chinese technical schools.MethodsA total of 277 nursing students were enrolled in this study and divided into an experimental group (n = 135) and a control group (n = 142). The experimental group was invited to watch Chinese medical documentaries, whereas the control group remained on a waiting list. A self-designed general questionnaire, along with professional identity and professional self-efficacy questionnaires, was completed by the nursing students.ResultsNo significant change in professional self-efficacy was observed (−3.55 ± 14.23, P = 0.173) in the experimental group, while professional identity significantly declined (−6.24 ± 12.85, P = 0.002) after the intervention. No significant change was found in the two aspects in the control group.ConclusionMedical documentaries negatively affect professional identity but do not affect professional self-efficacy. Further researches should be conducted to explore the real reasons.     

Risk Factors for Adolescent Cannabis Use in a State With Legal Recreational Cannabis: The Role of Parents,Siblings, and Friends

PurposeCannabis use during adolescence can have harmful consequences, including poor educational outcomes, neurocognitive defects, and an increased risk of addiction to other drugs, such as tobacco, alcohol, and opioids. Perceived family and social network cannabis use is a risk factor for use among adolescents. It is not currently known whether there is an association between perceived family/social network cannabis use and adolescent cannabis use in the context of legalization. The purpose of this study was to examine associations between adolescent perceptions of parent, sibling, and best friend medical and/or recreational cannabis use and adolescents’ own use and whether the association changed pre-legalization and post-legalization in Massachusetts.MethodsWe analyzed responses from surveys administered to students at 2 high schools in Massachusetts before legalization in 2016 (wave 1) and after legalization but before the start of regulated retail cannabis sales in 2018 (wave 2). We used χ² tests and multiple logistic regression to examine associations between adolescent perception of parent, sibling, and best friend use and adolescent past 30-day cannabis use before and after legalization.FindingsIn this sample, no statistically significant differences were found in the prevalence of past 30-day cannabis use before and after legalization among adolescents. There was an increase in the proportion of adolescents who reported any perceived parent cannabis use from before to after legalization (18% before legalization to 24% after legalization; P = 0.018). Perceived parent, sibling, and best friend medical and recreational cannabis use were all associated with an increased odds of adolescent use, with the highest increase in odds found for perceived best friend use (adjusted odds ratio, 17.2; 95% CI, 12.4–24.0).ImplicationsAdolescent perceptions of their parents as cannabis users increased after legalization, even before state-regulated retails sales began. Parent, sibling, and best friend cannabis use is each independently associated with increased odds of adolescent's own use. These findings from 1 Massachusetts district should be explored in larger and more representative populations and motivate additional attention to interventions that consider family and friend influences when seeking to address adolescent cannabis use.     

Design and methodology of the LA Sprouts nutrition,cooking and gardening program for Latino youth: A randomized controlled intervention

ObjectiveThe LA Sprouts 12-week nutrition, cooking and gardening intervention targets obesity reduction in Latino children. While other gardening and nutrition programs are shown to improve dietary intake, LA Sprouts is unique in that it utilized a curriculum demonstrated to decrease obesity. This methodology paper outlines the design and processes of the LA Sprouts study, and discusses key strategies employed to foster successful implementation of the program.SettingAfter-school program in four Los Angeles elementary schools.Subjects3rd–5th grade students.DesignRandomized controlled trial. Gardens were built on two of four school campuses, and the 90-minute weekly lessons focused on strategies to increase fruit and vegetable consumption, gardening at school and home, and cooking healthy meals/snacks. Data collection was conducted pre- and post-intervention and included basic clinical and anthropometric measures, dietary intake and psychosocial constructs measured by questionnaire, and an optional fasting blood draw.ResultsBaseline data was collected from 364 children, and 320 (88%) completed follow-up. No participants withdrew from the program (data were missing for other reasons). Intervention students attended 9.7 ± 2.3 lessons. Fasting blood samples were collected on 169 children at baseline, and 113 (67%) at follow-up. Questionnaire scales had good internal consistency (IC) and intra-rater reliability (IRR; in child scales: 88% items with IC > 0.7 and 70% items with IRR > 0.50; in parent scales: 75% items with IC > 0.7).ConclusionsThe intervention was successfully implemented in the schools and scales appear appropriate to evaluate psychosocial constructs relevant to a gardening intervention.     

The Effect of Music Listening on Pain in Adults Undergoing Colonoscopy: A Systematic Review and Meta-Analysis

PurposeTo investigate the role of music listening in reducing pain in adults undergoing colonoscopy.DesignThis is a systematic review and meta-analysis of randomized control trials (RCTs) that evaluated the effect of music in reducing pain in adults undergoing colonoscopy.MethodsWe searched CINAHL, Embase, MEDLINE, PsycINFO, and PubMed for RCTs that reported on the effects of music listening in reducing pain in adult patients undergoing colonoscopy from database inception to March 15, 2020, when the search was completed. Studies published in English with adult participants testing the efficacy of music during colonoscopy were eligible for inclusion. Studies reporting the results of combined nonpharmacological interventions were excluded. The methodological quality of each included RCT was assessed using the Cochrane Collaboration tool for assessing the risk of bias. Two authors independently abstracted data and assessed risks of bias.FindingsSeven RCTs with a total of 622 adult participants fulfilled our inclusion criteria and were, therefore, included. A random-effects model estimated the summary effect of the 7 included studies as −1.83 ± 0.98, P = 0.06.ConclusionsAlthough our meta-analysis demonstrated a small treatment effect, this effect was clinically not statistically significant. Substantial heterogeneity among the included trials limits the certainty of our findings. Additional trials investigating the effects of listening to music on pain in adults undergoing colonoscopy are needed to generate further evidence to establish the analgesic effect of music in adults undergoing colonoscopy.     

Peer education for BLS-training in schools? Results of a randomized-controlled,noninferiority trial

BackgroundThe rate of bystanders who provide cardiopulmonary resuscitation (CPR) is low in Germany. To increase the bystander CPR rates of lay-rescuers in Germany, the national “einlebenretten” (“save one life”) campaign was initiated, and the introduction of CPR-training for all seventh-grade students was recommended. To meet the requirement of offering effective and low-cost mass-training to lay-rescuers, we adopted peer education for the basic life support (BLS) training of the students.MethodsWe used an experimental, prospective, randomized, controlled, and open-label noninferiority trial to test whether the hands-on BLS training of the students that was provided by peers was inferior to the training by professional instructors using a predefined noninferiority margin of 5%. The students from eight different schools were trained in one 45 min practice session to perform BLS based on the educational framework provided by “einlebenretten”. The students were randomly assigned to be trained either by peer-instructors (students in the same school who had been instructed in advance) or by professional instructors. In a structured practical assessment, the eight essential skills of BLS were tested and the examination was scored as either pass or fail.ResultsThe study included 1087 students 14–18 years of age. The performance in the assessment was similar between the two groups: 40.3% (n = 471) of the students in the peer-led group and 41.0% (n = 466) in the professional-led group passed the examination.ConclusionThe students who were trained by peer-instructors showed comparable skills in BLS to the students who were trained by professional instructors. The sample size was too small to demonstrate the noninferiority of the peer-led training.     

The Effects of Listening to the Qur'an in the Postoperative Management of the Patients Undergoing Laparoscopic Cholecystectomy in the Day Surgery Unit

PurposeTo determine if listening to verses of the Qur'an during the immediate postoperative period has an effect on patients’ anxiety levels, the number of opioids used to control pain, and the length of stay (LOS) in the Post Anesthesia Care Unit (PACU).DesignRandomized Control Trial. Adult Muslim patients who had undergone a laparoscopic cholecystectomy through the Day Surgery Unit were randomly selected using computer-generated sequence into two groups, interventional and control groups.MethodsThe control group listened to the natural environment and received Fentanyl for pain relief, and the interventional group listened to the Qur'an recitation and received Fentanyl for pain relief. A total of 112 (79.4%) participants completed the study. The level of the pain and anxiety was measured using the Wong-Baker Faces pain scale and Spielberger State-Trait Anxiety Inventory, respectively. Statistical analysis was conducted using SAS version 9.3 (Statistical Analysis System, SAS Institute Inc, Cary, North Carolina).FindingsThis study compared the effects of Qur'an audio therapy on patients' anxiety levels, opioid consumption, pain, and LOS in the PACU. The findings showed that by listening to chosen verses from the Qur'an in the recovery period post-anaesthesia, anxiety scores were significantly reduced (P = .0001), opiate use was reduced (P = .0081), and overall PACU LOS was also reduced (P = .0083).ConclusionsAdding the use of listening to the Qur'an as a complementary therapy is a simple and cost-effective measure to reduce the need for narcotics in the PACU, and reduce the overall PACU length of stay. This intervention benefits the patient, the PACU, and reduces health care organization costs.