Female Nursing Students Research Articles

Validation of the premenstrual symptoms questionnaire among Mongolian nursing school students

BackgroundPremenstrual disorders (PMDs) significantly affect the daily lives of women. This study evaluated the reliability and validity of the Mongolian-translated Premenstrual Symptoms Questionnaire (PSQ) among female nursing students at the Mongolian National University of Medical Sciences.MethodsThis cross-sectional study was conducted from February 2023 to January 2024. The PSQ was translated into Mongolian, and its reliability and validity were assessed. A total of 431 participants completed the translated PSQ along with the Premenstrual Dysphoric Disorder (PMDD) Scale, Somatic Symptom Scale (SSS-8), Patient Health Questionnaire (PHQ-9), and Beck Anxiety Inventory (BAI). Reliability was evaluated via Cronbach’s alpha for internal consistency. Validity was assessed via factor analysis and correlations with external measures.ResultsThe internal consistency of the Mongolian PSQ was 0. 945. Factor analysis supported the tool’s construct validity, which revealed a one-factor structure consistent with that of the original Japanese PSQ. The PSQ had strong positive correlations with the PMDD Scale (r = 0.760), SSS-8 (r = 0.640), PHQ-9 (r = 0.580), and BAI (r = 0.620), which indicated good convergent validity.ConclusionThe Mongolian-translated PSQ is a reliable and valid tool for assessing premenstrual symptoms in female nursing students. These findings suggest that the PSQ is a useful tool for screening PMDs in this population.

Nursing Students' Knowledge, Attitudes and Beliefs About Testicular Cancer and Testicular Self‐Examination

ABSTRACTWhat are the levels of knowledge, attitudes and beliefs of nursing students regarding testicular cancer and testicular self‐examination (TSE)? Is there a significant difference between male and female nursing students in terms of their knowledge, attitudes and beliefs about testicular cancer and TSE? Testicular cancer is the most common cancer affecting young men, yet awareness and knowledge about the disease and early detection methods, such as TSE, remain insufficient among men. Nurses play a critical role in raising awareness and addressing gaps in knowledge about testicular cancer and TSE. This study aims to assess nursing students' knowledge, attitudes and health beliefs concerning testicular cancer and TSE, as well as the factors influencing these outcomes. Nursing students are the future of the nursing profession, and it is essential to address any gaps in their knowledge during their training to ensure they are well‐prepared for their roles in patient education and care. This study employed a descriptive, correlational and multicentred design. The sample consisted of 524 nursing students. The inclusion criteria were being enrolled in the 2nd, 3rd or 4th year of a nursing program. Data were collected through an online survey using Google Forms. Statistical analysis was conducted using chi‐squared tests, independent t‐tests, correlation coefficients, and multiple linear regression to examine the relationships between the variables. The study revealed that both female and male nursing students had low average knowledge scores concerning testicular cancer and TSE. However, a significant gender difference was observed in previous awareness of testicular cancer, with females demonstrating higher levels of awareness compared to their male counterparts. Among the independent variables included in the model, perceived benefits and health motivation had a significant positive effect on male students' knowledge about testicular cancer (β = 0.039, p = 0.018), while perceived barriers had a significant negative effect (β = −0.064, p = 0.002). These variables were statistically significant predictors of male students' knowledge about testicular cancer. The study determined that nursing students' knowledge and attitudes regarding testicular cancer and TSE were low. Among the subscales of the Health Beliefs Scale, the highest mean score was observed for the ‘seriousness’ subscale, while the lowest was for the ‘health motivation’ subscale. Due to the structure of the scale, it was only applicable to male students, which prevented the assessment of female students' beliefs and influencing factors, representing a significant limitation of this research. To ensure nursing students graduate with sufficient knowledge about testicular cancer and TSE, it is recommended to integrate educational and awareness initiatives, such as projects, seminars and public service announcements, into undergraduate nursing curricula.

Caring Behaviour Perceived by Nursing Students; Gender Perspective

Objective: This study aims to determine the care perceptions of nursing students according to the gender perspective. Methods: This study is a cross-sectional, quantitative, and descriptive comparative study. In this study, the total sample of nursing students (n=495), consisting of Turkish students (n=334) and International students (n=161) from class/year one to four in the Faculty of Nursing were analysed. The data of the study were collected using the Student Assessment Forms and the Care Behavior Inventory and evaluated by IBM SPSS version 22.0. Nurses’ and patients’ caring behavior perceived by nursing students and other related factors were compared using both inferential and descriptive statistics. Results: In this study, 69.9% of the participants were female, 30.1% were male. While the total score of the female nursing students was 5.23±0.69, the score of the male nursing students was 5.18±0.81. The difference between the total and subgroups’ score of the students according to their gender was not statistically significant. But, there is significant difference in the sub-dimensions of the scale according to the gender of the participants with some characteristics. Conclusion: In this study, no significant difference was found between gender and perception of care in the scale total mean score of the participants. However, when some subgroups were analyzed according to gender, significant differences were found. In addition, the mean scores of female students were higher than those of male students.

Knowledge-related iron deficiency anemia among undergraduate nursing female students in the University of Baghdad.

Globally, iron deficiency anemia is a problematic nutritional deficiency health-related issue that impacts early-adulthood people such as university students. The aim was to asses female nursing students' knowledge concerning iron deficiency anemia in the College of Nursing, University of Baghdad. A cross-sectional survey was carried out from the period of June 18, 2023 to December 20, 2023. Nonprobability (purposive) samples of 100 female nursing students were selected from the second, third, and fourth stages in the College of Nursing, University of Baghdad. Data collection included students' sociodemographic characteristics, and students' knowledge questionnaire consists of "20" constructed questions, which included the students' knowledge about iron deficiency. The knowledge questionnaire has been developed through reading textbooks and review of the literature for the related topic. The data have been analyzed through the application of descriptive and inferential analysis and using SPSS version 26. The finding of the study revealed that the level of female students' knowledge regarding iron deficiency anemia based on the total mean score of M(SD) = 1.33 (0.39) showed a poor level. Also, there is a significant association between students' age and academic stage with their level of knowledge of iron deficiency anemia, P = 0.028. The female nursing students at the University of Baghdad had a poor level of knowledge about iron deficiency anemia, and this can be attributed to their academic stage in the College of Nursing. There is a significant association between students' age and academic stage with their iron deficiency anemia knowledge. Faculty of nursing should increase female students' health awareness and their understanding, knowledge, motivation, and perception regarding iron deficiency and how to prevent it.

A comparative analysis of partial sleep restriction versus split sleep regimen on cognitive processing, declarative memory, and affective behaviour in nursing students

Objectives: Sleep plays a regulatory role in functions such as abstraction, fluid intelligence, and declarative memory. This research seeks to assess the influence of two sleep restriction schedules—partial nocturnal sleep restriction and a split sleep (SS) regimen—on fluid intelligence and various memory functions (including encoding, consolidation, and retrieval) in shift-working nurses. Materials and Methods: The research involved 46 4th-year nursing students (23 males and 23 females) assigned to night duties, categorised into two groups: Partial sleep restriction (5 h of night sleep with 4 h of daytime recovery sleep) and SS (5 h of night sleep with 1.5 h of an afternoon nap and recovery sleep of 2.5 h following the tests). Instruments such as the Pittsburgh sleep quality index (PSQI), Karolinska sleepiness scale (KSS), and Raven’s Progressive Matrices were utilised to evaluate sleep quality, sleepiness levels, overall mood, benefits of daytime naps, and fluid intelligence. Memory-related activities comprised a picture-encoding task and a factual knowledge task, evaluated through subjective assessments and two alternative choice questions. Results: The PSQI global scores highlighted notable differences, with female nursing students in the partial sleep group scoring lower (9 ± 2.311) than their counterparts in the SS group (5 ± 1.09). Sleepiness, gauged by the KSSKSS score, was higher in the partial sleep group (7 ± 3.2) compared to female nursing students in the SS regimen (5 ± 5.8). Results from Raven’s progressive matrices pointed to delayed abstraction in the partial sleep restriction group (9.31 ± 6.24) in contrast to the SS group (9.01 ± 5.59), indicating poorer performance in visual attentive tasks. Positive and negative affect schedule scores unveiled heightened negativity in mood due to sleep restriction in the partial sleep group, with less hostility observed in those with an afternoon nap, albeit not reaching statistical significance. Positive moods exhibited fluctuation, with attentiveness declining in the partial sleep group. The study affirmed the advantages of a daytime nap on long-term memory. Female nurses in the SS regimen displayed statistically significant picture encoding accuracy (78 ± 3.65) with faster reaction times (2 ± 6.37) compared to the partial sleep group. Males in the SS regimen recorded a higher percentage of hits (88 ± 5.16). Learning sessions at 3 pm, coinciding with the circadian dip, affected the partial sleep groups, whereas the nap mitigated such effects for the SS group. Allowing a 1.5-h afternoon nap synchronised with the circadian dip enhanced memory in the SS group. Conclusion: By comparing partial nocturnal sleep restriction and a SS regimen, this study unveils their distinct effects on fluid intelligence and memory processes among shift-working nurses. The results provide valuable insights into the degree of dependence of basic cortical functions on sleep for healthcare professionals navigating demanding schedules, underscoring the significance of accounting for both nocturnal sleep duration and daytime naps to optimise cognitive performance.

Relationship between knowledge and attitude about human papillomavirus infection and vaccination in female nursing students

Introduction: Human papillomavirus (HPV) infection is the primary cause of cervical cancer, which is the second-leading cause of women’s death in Indonesia, and that is why a national HPV vaccination program is required to address this issue. A preliminary survey of 20 female nursing students revealed that 70% were unaware of the HPV virus, 80% were unaware of cervical cancer, and 80% were unaware that HPV could lead to cervical cancer. This study aimed to determine the relationship between knowledge and attitude about human papillomavirus infection and vaccination in female nursing students. Methods: This descriptive-quantitative study used a cross-sectional design and univariate and bivariate analysis.

Achievement Motivation and its Relationship to Critical Thinking among Nursing Students in the Kingdom of Saudi Arabia

The study aimed to identify Achievement Motivation and its Relationship to critical thinking among nursing students in the Kingdom of Saudi Arabia. The research sample consisted of 200 male and female students from the College of Nursing in the Kingdom of Saudi Arabia. The researchers used the descriptive approach and the results of the study reached: Summary of the results of the first question: It turns out that the degree of availability of the level of motivation among female nursing students in the Kingdom of Saudi Arabia was (very high), as the general average was (4.5381), with a standard deviation of (.19607). The degree of evaluation of the study dimensions was arranged according to the highest arithmetic mean as follows: 1. The scope and clarity of the goal was rated very high, with an arithmetic average of (4.54). 2. The field of ambition level dimension was rated very high, with an arithmetic average of (4.5478). 3. The domain of perseverance dimension was rated very high, with an arithmetic average of (4.4972) .4. The field of perceived efficiency dimension was rated very high, with an arithmetic average of (4.5294). and It is clear from the level of critical thinking skills among female nursing students in the Kingdom of Saudi Arabia was (very high), as the general average for the second axis was (4.5570), with a standard deviation of (.19470). The degree of evaluation of the study dimensions was arranged according to the highest arithmetic mean as follows: 1. The skill of making predictions dimension was rated very high, with an arithmetic average of (4.5625( 2. The skill of interpretation dimension was rated very high, with an arithmetic average of (4.5680). 3. The skill of evaluating arguments dimension came with a very high rating, with an arithmetic average of (4.5137( 4. The skill of deduction dimension was rated very high, with an arithmetic average of (4.5430). 5. The skill of reasoning dimension came with a very high rating, with an arithmetic average of (4.5900). and It shows that there is a statistically significant correlation between the degree of availability of achievement motivation and critical thinking among nursing students in the Kingdom of Saudi Arabia at a significance level of less than (0.05), and the correlation coefficient was equal to (.336**), which is a high positive value. It indicates the existence of a strong positive relationship between achievement motivation and critical thinking.

The hidden link: dysmenorrhea, emotion regulation, and attitudes toward marriage in female nursing students.

Menstrual pain, or dysmenorrhea, can cause physical discomfort and mood swings, potentially impacting the attitudes of female nursing students toward marriage. Effective emotion regulation strategies are essential for managing stress and shaping their perspectives on marriage. This study sought to investigate the relationship between dysmenorrhea, emotional regulation skills, and attitudes toward marriage among female nursing students. A cross-sectional survey was conducted using a stratified sample of 504 female nursing students from four academic years. The study used a combination of the Working Ability, Location, Intensity, Days of Pain, Dysmenorrhea (WaLIDD) Questionnaire, the Marital Attitude Scale, and the Emotion Regulation Questionnaire to assess various factors among the participants. The Pearson correlation coefficient was utilized to examine the relationships among the three primary variables. Additionally, linear regression analysis was employed to forecast attitudes toward marriage based on factors such as dysmenorrhea, residence, family type, regularity of the menstrual cycle, and age at menarche. The findings of the study are significant, revealing a negative correlation between dysmenorrhea and marital attitudes (r = -0.105, p = 0.019). Dysmenorrhea exhibited minimal and non-significant correlations with emotion regulation strategies, including cognitive reappraisal (r = -0.006, p = 0.898) and expressive suppression (r = 0.013, p = 0.774). In contrast, marital attitudes significantly influenced emotion regulation (β = -0.169, p < 0.001). Moderation analyses indicated significant effects of various factors on marital attitudes, including residence (β = -0.5136, p = 0.0478), family type (β = 5.9923, p = 0.0060), regularity of the menstrual cycle (β = 6.1262, p = 0.0014), and age at menarche (β = 1.5521, p = 0.0491). A significant negative correlation between dysmenorrhea and certain attitudes, specifically optimistic and realistic marital attitudes, was found. This indicates that higher levels of dysmenorrhea are associated with less favorable perspectives in these domains. Additionally, the study demonstrates that negative marital attitudes were linked to poorer emotional regulation. This suggests that individuals with more pessimistic views about marriage may face challenges in effectively managing their emotions. These results underscore the intricate connections between physical health, attitudes, and emotional well-being. They highlight the need to address dysmenorrhea within nursing education and practice, considering its broader psychological impact.

A CROSS-SECTIONAL STUDY ON KNOWLEDGE AND PRACTICE REGARDING MENSTRUAL HYGIENE AMONG FEMALE NURSING STUDENTS IN A TERTIARY CARE HOSPITAL

Objectives: Menstruation, though a normal physiological process in the females of reproductive age group, is surrounded by various misconceptions and social taboos. Inadequate knowledge and unhygienic menstrual practices can adversely affect female health. Poor menstrual hygiene practice has been negatively associated with infection of the reproductive and genitor-urinary tract, cervical cancer, absenteeism from school, or drop-out, poor academic performance, lower self-esteem, and poor quality of life. We conducted this study to evaluate the knowledge and practices regarding menstruation in female nursing students in a tertiary care hospital. Methods: An observational, cross-sectional, questionnaire-based study was conducted over for three months on female B.Sc nursing students in the first year to the fourth year through face-to-face interview at the department of Pharmacology in a tertiary care hospital. Data regarding socio-demographic profile, knowledge of obstetric and gynaecological factors, perception of menstruation, and hygienic practice of the participants during their menstruation were collected. Results: Responses from 165 participants were analyzed. The mean (± SD) age of the students was 19.64 (± 1.09) years. Most of their parents had education up to a diploma and above (47.27% among mothers and 70.9% among fathers). The majority of the participants used to experience dysmenorrhea (52.72%) and had pre-menarcheal ideas about menstruation (78.18%). Mother was the most common source of information (54.54%) followed by teachers (16.96%) and media (13.33%). The majority knew the source (89.09%) and cause (100%) of menstrual bleeding. A considerable portion (45.45%) thought menstruation as the sign of conception. The majority (96.36%) used commercially made sanitary pads, and used to dispose of the used sanitary pads in the dustbin (98.19%) by wrapping them with paper (98.19%). Conclusion: Present study found an encouraging picture regarding knowledge and hygienic practices during menstruation among the participants. Education about menstrual hygiene needs to be imparted at the grass root level. In this regard Anganwadi and health care workers, teachers and media can play a major role. All mothers need to be taught about the importance of hygienic practices during menstruation, convey correct information to their daughters, and should be encouraged to break the age-old myths and taboos associated with menstruation.

Exploring gender dynamics and predictors of resilience among nursing students

AimThis study examined the gender differences in contributing factors to resilience among university nursing students, controlling for the age and year of study. BackgroundResilience is a behavioral pattern learned through personal and professional experiences. Resilience is crucial in nursing education and shapes clinical proficiency and care quality that may best target during college years, preparing nursing students for their future careers. DesignCross-sectional design was used in the current study MethodsOnline surveys were used to collect the data from 623 nursing students. Validated instruments assessed resilience, decision fatigue, spiritual well-being, stress overload and spiritual and religious coping. Two regression models were generated to examine gender dynamics in predicting resilience. ResultsThe results showed that more than half of our sample has low resilience (n = 285, 45.7 %). The regression model significantly predicted more than 60 % of the variance in resilience among male nursing students (F(3, 234) = 123.87, p <.001), with religious well-being, negative spiritual and religious coping and stress overload being significant predictors in the model. The regression model predicting resilience among female nursing students showed that the model significantly predicted about half of the variance (F(4, 378) = 123.87, p <.001) with positive spiritual and religious coping, existential well-being, negative spiritual and religious coping and stress overload being significant contributors in the model. ConclusionGender disparities echoed existing literature, advocating gender-sensitive strategies in promoting resilience. Early resilience nurturing through diverse modalities can foster a resilient nursing cohort adept at tackling multifaceted healthcare challenges.

Parental education, embarrassment, and sanitation facilities influence menstrual product choices among female nursing students in Bangladesh

ABSTRACT Understanding the factors that shape menstrual product choices is crucial for improving menstrual health and hygiene practices among young women in low-resource settings. This study investigates the influence of parental education, embarrassment, and sanitation facilities on the choice between hygienic menstrual products, like single-use pads, and unhygienic options, such as old clothes. A structured questionnaire was used to interview 366 nursing students in Bangladesh, with an average age of 23.3 ± 4.3 years. Descriptive statistics, Pearson's chi-square test, and multivariable logistic regression were performed using JMP Pro 17. The major products were single-use pads (61%) and old clothes (32%). Participants' family was the primary source of menstrual information, and product choices were influenced by both fathers' (p &amp;lt; 0.05) and mothers' (p &amp;lt; 0.05) education level. Additionally, the participants reported negative perceptions of the sanitation facilities, citing issues such as a lack of privacy, cleanliness, and the availability of water and soap. Embarrassment about buying (Adjusted Odds Ratio (AOR): 2.86 [1.16–7.07]) and privacy of bathroom facilities (AOR: 2.92 [1.12–7.63]) increased the odds of old clothes, while fear of staining blood (AOR: 2.95 [1.53–5.68]) increased the odds of having single-use pads. Better menstrual health and hygiene practices require improved parental education, reduced embarrassment, and better sanitation facilities.

Issues in Clinical Learning Environment Faced by Female Nursing Students at Jamshoro, Pakistan

Hospital-based education provides a supportive environment for nursing students who accept challenges for their profession. Although nursing is primarily a skill-based profession, clinical training is an important component of the growing nursing field. This empowers nursing students to integrate theoretical information into their psychomotor abilities, which they may then use in patient care. Objective: To identify issues in the clinical learning environment faced by female nursing students at Jamshoro. Methods: A descriptive cross-sectional study was directed at the public sector Liaquat College of Nursing attached to Liaquat University Hospital in Jamshoro from November 2023 to April 2024. A convenience sampling technique was utilized, and the research tool was adopted with some modifications and expert consultations to collect the data. Nursing students enrolled in clinical practice for six months and performed data analysis using IBM SPSS version 25.0. Results: The mean age of the participants in this study was evaluated at 21.5 years, with a standard deviation of 0.664 years. According to our findings, 24.6% of participants assigned their duties to the pediatric ward. 82.4% of participants were overseen by a single teacher, 78.3% lacked personal protection equipment, and 72.5% reported a lack of cooperation between the College of Nursing and the hospital. Conclusions: It was concluded that most participants are dissatisfied with clinical education, thus, reducing the shortage of clinical faculty, providing personal protective equipment, and developing good coordination between nursing colleges and hospitals can reduce issues faced by nursing students in clinical settings, thereby improving patient care.

Exploring barriers to physical activity participation among female nursing students adhering to specific social-cultural norms in Indonesia: A qualitative study.

The prevalence of insufficient physical activity is common among nursing students and impacts their academic performance. Research on obstacles to physical activity (PA) among religious women, notably Muslims, is limited. This study aimed to explore barriers to PA among Indonesian Muslim female nursing students and gather suggestions for overcoming those barriers. This study used a qualitative descriptive design. Two focus groups were conducted with 12 Muslim female nursing students in Makassar, Indonesia. Interviews were audio-recorded and transcribed verbatim. The data were collected from May and July 2019. Inductive thematic analysis was used to identify core themes and sub-themes. Thematic analysis identified barriers to PA across four main themes: intrapersonal, interpersonal, institutional, and social-cultural related to religious context. Each theme included two to three sub-themes, totaling nine categories of PA participation barriers. Intrapersonal barriers consisted of low motivation, emotional states, and a sedentary lifestyle. Interpersonal challenges included a lack of family or friend support and family obligations. Institutional barriers involved academic workload prioritization, school environment inaccessibility, and absence of athletic curriculum policy. Socio-cultural barriers posed by religious expectations included gender-related concerns and modest dressing. Drawing from their perspectives as Muslim female nursing students, study participants proposed six strategies to address these barriers. Proposed solutions include promoting PA through Apps, forming female team-up clubs, providing designated exercise spaces, and implementing mandatory athletic courses for nursing students at the institutional level. Additionally, offering female instructors and private exercise rooms could reduce the barriers from a socio-cultural perspective caused by religious expectations. The study found that Muslim female nursing students with dual roles face increased barriers to PA participation, driven by intrapersonal and interpersonal levels, nursing learning load, and religious norms. Schools could build environments to meet the religious expectations within Indonesian society to promote PA for Muslim female nursing students. For example, the practical strategies include offering private rooms or female instructors when they physically exercise in school.

Bullying Behaviors and Stress (Acute and Perceived) among Undergraduate Nursing and Midwifery Students: The Moderating Role of Gender and Academic Majors.

Nursing and midwifery professionals' well-being may be affected by various factors, including the bullying of new nurses. To analyze the relationship between bullying behaviors, perceived stress, and acute stress among undergraduate nursing and midwifery students in Saudi Arabia, as well as the moderating role of gender and academic majors in this relationship. A cross-sectional correlation design was used, and data were collected from 322 undergraduate nursing and midwifery students enrolled in four major nursing universities in Saudi Arabia. Educational level, environment, and personal attacks had a significant negative impact on perceived and acute stress (social and non-social), while hostility toward academic achievement and direct negative behaviors had significant positive impacts on perceived and acute stress (social and non-social). Female nursing students reported a stronger impact of bullying behavior on their perceived stress, while male students reported a greater impact on social and non-social stress. Nursing students reported a stronger impact of bullying on perceived stress, while midwifery students reported a greater impact on social and non-social stress. Nursing educators should raise awareness about the harmful effects of bullying and emphasize the importance of creating a safe, supportive learning environment.

Skin Barrier Function of Black African and White Nursing Students

ABSTRACTAimsAssessment of skin biophysical parameters in a South African nursing population may provide insight in long-term changes in their skin condition in a practical setting. This study aimed to investigate changes in skin barrier function parameters over a period of 2 years, in nursing students completing their tertiary education.MethodsTransepidermal water loss, stratum corneum (SC) hydration, and skin surface pH were measured in female nursing students (63 white, 42 Black African) three times a year and repeated for 2 years. Linear mixed models and Bonferroni post hoc tests were performed to test changes over time in skin barrier function parameters.ResultsTransepidermal water loss and SC hydration significantly (p&lt; .001) decreased over 2 years in first-year students, whereas only specific differences were established for senior students. Skin surface pH significantly (p&lt; .001) varied over the 2 years with significant increases (p&lt; .031) in the winter months. The only significant difference (p&lt; .001) between white and Black African students was established in skin surface pH.ConclusionThis study demonstrated the variability of skin barrier function parameters, specifically seasonal variation in skin surface pH. This study also revealed possible long-term changes in skin condition through the recovery of the SC in a practical setting.

A quasi experimental study to assess the effectiveness of assertive training on self-esteem and assertiveness among female nursing students studying in selected nursing colleges of district Mohali, Punjab

A quasi experimental study to assess the effectiveness of assertive training on self-esteem and assertiveness among female nursing students studying in selected nursing colleges of district Mohali, Punjab

Depressive symptoms, sleep-wake features, and insomnia among female students: The role of rumination.

Depression symptoms are prevalent among nursing students, especially those in Asia. This study assessed the association between rumination and depression symptoms among female nursing students (N = 148) and the chain mediation role of sleep-wake indexes and insomnia symptoms. The data were collected from a battery of questionnaires and consecutive 7-day actigraphy data for analyzing sleep-wake indexes. About 54.1% of the participants had either mild or moderate depression symptoms. Most students (89.2%) had a delayed circadian phase, and circadian activity rhythm (CAR) was not ideal. The path mediation model underwent analysis using the PROCESS macros. The results showed that rumination in students is directly positively correlated with depressive symptoms (b = 4.831). Moreover, the association between rumination and depressive symptoms is sequent (moderating effect = 0.12, 95% CI [0.017, 0.410]). The proposed model in this study provides a foundation for improving educational programs on sleep hygiene and promoting mental wellness.

Self-Assessment Kompetensi Praktik Klinis Awal Mahasiswa Keperawatan di Rumah Sakit

Self-assessment is one way of self-assessment, which is needed to achieve the initial basic clinical practice skills for female nursing students in hospitals. Early basic clinical practice in hospitals is a learning tool for nursing students to apply nursing theory and, integrate theoretical knowledge and practical skills, which have received guidance from academic supervisors (lecturers) and clinical supervisors (hospitals). This study aims to conduct a self-assessment of the ability of female nursing students at the initial basic level of clinical practice in hospitals is the main goal of nursing education. The method used is quantitative research using descriptive-analytic research design, to answer the identification of the research problem of self-assessment of how skillful the implementation of basic clinical practice of early female nursing students in hospitals. The results showed five categories of skills: Very skilled, 12 female students (33.33%), skilled, 12 female students (33.33%), quite skilled 7 female students (18.42%), less skilled, 3 female students (7.89%), and unskilled, 2 female students (5.26%). The conclusion shows that the average percentage of Self-Assessment in performing basic initial clinical practice skills at the hospital is in the category of highly skilled, skilled, and moderately skilled. However, there are still nursing students in the less skilled and unskilled categories in relatively smaller numbers compared to those in the highly skilled, skilled,, and moderately skilled categories.

Investigation of Emotional Eating, Uncontrolled Eating and Mindful Eating Behaviors in Female Nursing Students: A Cross-sectional Study

Purpose: In this study, it was aimed to investigate young female nursing students’ emotional eating, uncontrolled eating and mindful eating behaviors, perceived stress levels and the relationship between these variables. Material and Methods: The sample of the study consisted of 106 3rd and 4th grade female nursing students aged 20-28 years studying in a nursing faculty in the 2020-2021 academic year. Data were collected using Three-Factor Eating Questionnaire (TFEQ), Mindful Eating Questionnaire (MEQ), and Perceived Stress Scale (PSS). Results: While the mean score the participants who did not eat regularly obtained from the uncontrolled eating subscale was significantly higher, the mean scores the participants who were on a diet obtained from the MEQ, and cognitive restriction, emotional eating subscales and their mean BMI values were significantly higher (p

Assessing the relationship between ethical reasoning confidence and self-esteem among female nursing students for enhancing the quality of work life: A cross-sectional study.

To investigate the relationship between ethical reasoning confidence and self-esteem among female nursing students for enhancing the quality of work life. A necessary component of professional competence and a prerequisite for high-quality care is ethical reasoning confidence competence. As well as, self-esteem is the subjective perception of one's own worth and significance. This was a descriptive correlational cross-sectional study design. Data was collected within a month starting from December 2022 to January 2023, and 164 nursing students were recruited from one College at a governmental university in Riyadh. Respondents completed the self-administered, online questionnaires. Measures included self-esteem, and ethical reasoning confidence questionnaires. Findings investigated via descriptive and inferential statistics as well as structured equation modeling to examine the mediating effect of self-esteem on behaviors and attitudes of the nursing students toward ethical reasoning confidence. Nursing students had a moderate perception regarding their self-esteem as well as their ethical reasoning confidence (Mean = 2.99, SD ± 0.58; and Mean = 3.57, SD ± 0.55, respectively). Data revealed that self-esteem was accounted for the prediction of 54% of positive variance of nursing students' behaviors toward ethical reasoning confidence and 78% of the variance of their attitudes toward ethical reasoning confidence. Self-esteem is a significant determinant of nursing students' behaviors and attitudes toward their ethical reasoning confidence. Further research is required to ascertain whether this approach enhances nursing students' moral decision-making, moral reasoning, practical considerations, and acquaintance with ethical concerns.