Introductory Information Research Articles

The use of cosmetics, personal care and cleaning products during pregnancy: a cross-sectional study

ABSTRACT This study was planned to determine the use of cosmetics, personal care and cleaning products containing chemicals during pregnancy and the affecting factors. The study is quantitative, descriptive and cross-sectional. The sample size was calculated using the G*Power program. 287 puerperant women were reached. Data were obtained with the Introductory Information Form and Cosmetic and Chemical Product Usage Form. In the study, number and percentage values were given and chi-square and regression analysis were performed. In cosmetics and personal care products, shampoo, toothpaste and deodorant/perfume are among the top three most commonly used products, while dishwashing detergent, laundry detergent and bleach are among the cleaning products. The products that are most restricted in use are hair dye and descaling. It has been determined that education level, occupation, income and number of pregnancies are effective in the use of some products. Taking measures to protect pregnant women is important for improving maternal and newborn health.

Kangaroo Mother Care on Perfusion Index, Heart Rate, and Oxygen Saturation in Premature Infants Who were Discharged Early and Admitted to The Neonatal Intensive Care Unit: A Randomized Control Tria.

To determine the effect of kangaroo mother care (KMC) on perfusion index, heart rate, and oxygen saturation in premature infants who were discharged early and admitted to the neonatal intensive care unit (NICU) in the following days. This study has a randomized controlled experimental design and uses a pretest-posttest control group model. This study included infants between December 2019 and December 2020 who were discharged early and subsequently admitted to the NICU. Experimental (n=38) and control (n=38) groups were assigned using the simple randomization technique at the NICU of a private university hospital in Istanbul, Türkiye. Heart rate, perfusion index, and oxygen saturation levels of the experimental group in which KMC was applied and the control group in which KMC was not applied were compared. Measurements of these parameters were made at 15-minute intervals for 45 minutes (0-1, 15, 30, 45 minutes). Data were collected via the Mother and Infant Introductory Information Form, Kangaroo Mother Care Preparation Checklist, Kangaroo Mother Care Physiological Parameter Monitoring Form, and Noninvaziv Pulse Co-Oximetry. Statistics of these data were performed with the independent sample t-test, Pearson's Chi-square, Fisher's exact test. In the experimental and control groups, infants' gestational age (31.11 ± 3.25 and 31.61 ± 3.04, respectively; p = .491) and weight (1778.29 ± 436.93 and 1953.29 ± 345.74, respectively; p = .057) were similar, and the differences were statistically insignificant. Before KMC, there was no difference between the heart rate, oxygen saturation, and perfusion index values of the experimental and control groups (p > .05). From the first 15 minutes after the application of KMC to 45 minutes post-KMC, there was a significant decrease in (p=0.001) and stabilization of heart rate and oxygen saturation in the experimental group compared with the control group. The heart rates in the experimental group at 15th, 30th, and 45th minutes during KMC were lower than in the control group (147.63 ± 11.04; 142.47 ± 11.94; 136.82 ± 13.22 and 153.13 ± 8.73; 154.50 ± 7.27; 154.84 ± 7.05, respectively). Also, their oxygen saturation during KMC was higher than in the control group (96.68 ± 2.08; 97.24 ± 2.18; 97.87 ± 1.66 and 94.79 ± 1.27; 94.66 ± 1.45; 94.39 ± 1.38, respectively). This significant difference between KMC on heart rate and oxygen saturation in the experimental group compared to the control group continued for 45 minutes after KMC. The perfusion index was significantly higher at 30 minutes and 45 minutes during KMC. However, although it continued after KMC, this change in perfusion index was not statistically significant. Kangaroo mother care helps to regulate the heart rate, oxygen saturation, and perfusion index of premature infants who were discharged early and admitted to the NICU in the following days.

Compassion fatigue and palliative care in neonatal nurses.

Neonatal intensive care units (NICUs) emerge as one of the areas where palliative care is most needed. This study was conducted to examine the attitudes and compassion fatigue levels of NICUs nurses working in Şanlıurfa, where the fertility rate and infant mortality are highest in Turkey, toward palliative care. This study was conducted in descriptive type. The research was carried out with 204 (85%) nurses who agreed to participate in the research between October 2022 and February 2023, out of 240 neonatal intensive care nurses working in the NICU of 2 training and research hospitals and a university hospital in Şanlıurfa. The data of the study were collected using an Introductory Information Form, the Neonatal Palliative Care Attitude Scale, and the Compassion Fatigue Short Scale. Nurses; compassion fatigue scale mean score was 61.46 ± 26.64, palliative care scale mean score was 3.13 ± 0.74 for organization subdimension, 2.85 ± 0.73 for resources subdimension, and 3.08 ± 0.89 for clinician subdimension. In the results of the study, 8 barriers (parents do not participate in decisions, there is not enough staff, lack of time to spend with the family, lack of policies/rules in institutions for palliative care, lack of education and communication, society's beliefs, nurses' personal attitudes toward death, and lack of appreciation of past experiences with palliative care) and 6 facilitators (Nurses' ability to express their perceptions, views and beliefs about palliative care, to participate and support palliative care, to inform parents, to provide counseling, adequate physical conditions) for palliative care were determined. While it was determined that nurses had a slightly below moderate level of compassion fatigue and a close attitude toward organization and resources toward palliative care, it was determined that ethical conflict toward palliative care was high in clinical subdimension scores. It is recommended that all nurses working in the NICU obtain certificates, improvements in resources such as personnel and equipment, improvements in the shift work system and development of policies/rules in institutions for palliative care.

The Predictive Effect of the Level of Psychological Resilience on the Level of Readiness for Discharge in Patients Undergoing Orthopaedic Surgery.

The aim of this study is to establish the correlation between the degree of psychological resilience and readiness for discharge in patients undergoing orthopaedic surgery. This study is of a descriptive correlational type. This study comprised a cohort of 190 patients who were admitted to the orthopaedics and traumatology department and had surgical procedures performed between November 2023 and April 2024. The study data were gathered via completion of the Introductory Information Form, the Psychological Resilience Scale and the Hospital Discharge Readiness Scale. IBM SPSS 25 package program was used to analyse the research data. In this study, 34.2% of the participants stated that they did not feel ready for discharge. Predictors of Readiness for Hospital Discharge were identified as being male (β = 0.118, p = 0.003), living alone (β = 0.222, p < 0.001), having undergone prosthesis, fracture or amputation surgery (β = 0.161, p < 0.001), not having received discharge training (β = 0.122, p = 0.001), not feeling ready for discharge (β = 0.442, p < 0.001) and resilience (β = 0.246, p < 0.001). These variables were found to explain 88.7% of Readiness for Hospital Discharge (adjusted R2 = 0.773). The findings of this study emphasise that including patients in their healthcare and creating comprehensive discharge plans tailored to their specific care requirements have a beneficial impact on their readiness for discharge. Additionally, the study demonstrates that enhancing psychological resilience plays a mediating role in facilitating discharge readiness. Patients who feel ready for discharge are less likely to be hospitalised and their recovery may be faster. Including the patient in the discharge plan, taking individual needs into consideration and disseminating programmes to increase resilience should be an integral part of holistic care. The STROBE checklist was applied in the reporting of the finding.

Consumer Impulse Buying in Hungary: a CB-SEM Analysis of Hungarian Consumer Behaviour towards Mobile Short Video Applications Based on a Chinese Reference Model

Mobile Short Video Applications are becoming increasingly popular worldwide. The appropriate content can shape, improve or change consumers' purchasing decisions. This paper examines the attitudinal differences in impulse buying related to the use and acceptance of MSAs by adapting a model already validated in China to Hungarian users. The analysis was conducted using Covariance-Based Structural Equation Modelling (CB-SEM). A structured questionnaire survey of 283 respondents in Hungary shows that the Chinese model cannot fully be applied to Hungary. A major difference between the results of the two models is that in the Hungarian model, perceived expertise shows a positive relationship with flow experience. This indicates that video makers - in the case of Hungarian videos - should produce content including introductory information and the operation of the product. The results suggest that in the case of MSA use in Hungary, perceived expertise affects impulse buying indirectly, but flow experience directly. Flow experience is only influenced by perceived expertise (β = 0.31, ρ<0.05), with an explained variance of 10%. Flow experience (β = 0.46, ρ<0.05) with its direct effect on impulse buying behaviour accounts for 21% of the variance. Hungarian and Chinese MSA users have different preferences in terms of content, thus the results provide important information for both international short video creators and companies entering the international market.

Attitudes of puerperal women toward health literacy and family planning: A cross-sectional studyAttitudes of puerperal women toward health literacy and family planning: A cross-sectional study

The research was conducted to evaluate the correlation between health literacy and family planning attitude of puerperal women. In this cross-sectional study, was carried out with 258 puerperal women in a public hospital in the Mediterranean region of Turkey. The data were collected using the Mother Introductory Information Form, Postpartum Family Planning Attitude Scale, and Health Literacy Scale. The data were evaluated using Independent Groups t-test, ANOVA and Sperman’s correlation analysis. In the study, the puerperal women who had high level of educational status, worked in an income-generating job, had used contraceptives before pregnancy were found to obtained high average scores from the Family Planning Scale. The health literacy levels of those who were employed, had social security and had cesarean delivery were also high. The research shows that there is a positive correlation between health literacy and family planning attitudes of puerperal women.

Assessing Attitudes towards Vaccination: Demographic Influences among Parents of Preschool-Aged Children

Introduction: The attitudes towards vaccination of parents with preschool-aged children hold great significance for public health due to their critical impact on child health. Aim: This study aimed to determine the attitudes towards vaccination of parents with preschool-aged children and the key demographic factors influencing these attitudes. Method: The cross-sectional study was conducted with 223 parents reached through snowball sampling between March-May 2022. Data were collected using an Introductory Information Form and the Vaccination Attitudes Examination (VAX-TR) Scale. Analysis included Mann-Whitney U, Kruskal-Wallis H tests, and regression analyses. Results: Parents exhibited a moderately high negative attitude towards childhood vaccinations (2.94±0.99) and a high number of worries over unforeseen future effects (3.80±1.31). Parents who believed that vaccines are unnecessary, lacked sufficient information, were concerned about side effects, and did not adhere to mandatory vaccinations had significantly more negative attitudes towards childhood vaccinations(p

The Effects of Baby Calming Training Provided to Primiparous Mothers on Maternal Role Perception, Maternal Attachment, and Breastfeeding Self-Efficacy: A Randomized Controlled Trial.

Background: Mothers of crying babies have difficulty adapting to their roles and problems with breastfeeding and attachment. Objective: This study aimed to assess the impact of the baby calming training provided to primiparous mothers on maternal role perception, maternal attachment, and breastfeeding self-efficacy. Methods: The study was conducted in a randomized controlled experimental design between March 2023 and March 2024 in the gynecology and obstetrics services of a public hospital in northeastern Turkey (Clinical Trial Number: NCT05594836). The research was conducted with a total of 84 primiparous mothers, including 41 intervention and 43 control groups, who met the inclusion criteria. The Baby Calming Training was administered face-to-face in the intervention group, utilizing a baby swaddling blanket, a sleep companion emitting white noise, and a training booklet. The control group received routine care. Data were collected through the Mother and Baby Introductory Information Form, Semantic Difference Scale-Me as a Mother, Maternal Attachment Inventory, Breastfeeding Self-Efficacy Scale-Short Form, and Infant Sleep Activity Record. The data were analyzed using descriptive statistics, Pearson's chi-square test, independent samples t-test, Mann-Whitney U test, Wilcoxon test, mixed design ANOVA analysis, Cohen's d, and 95% confidence interval (CI). This study adhered to CONSORT research guidelines. Results: Mothers in the intervention group exhibited higher mean scores on the perception of maternal role (mean ± SD: 70.37 ± 5.92, t: 8.590, 95% confidence interval [CI]: [1.347-2.375], d: 1.865, p < 0.001), maternal attachment (mean ± SD: 100.42 ± 1.52, U: 151.500, 95% CI: [0.732-0.892], d: 0.828, p < 0.001), and breastfeeding self-efficacy (mean ± SD: 64.00 ± 5.98, t: 8.109, 95% CI: [1.248-2.258], d: 1.757, p < 0.001) than the control group. It was determined that the total sleep time of the babies in the intervention group was higher, and the total crying duration was lower (p < 0.001). Conclusion: The study revealed that infant soothing training for primiparous mothers enhanced maternal role perception, maternal attachment, breastfeeding self-efficacy, and extended infants' sleep duration. Furthermore, infants exhibited reduced crying.

The Effect of Cervical Cancer and Human Papillomavirus Vaccine Education on Vaccination Perception in University Students: A Quasi-Experimental Controlled Educational Intervention.

Purpose: The study investigated the impact of cervical cancer and human papillomavirus (HPV) vaccine education on university students' vaccination perceptions. Methods: This research was conducted with pre- posttest and quasi-experimental design with students enrolled in the department of health services of a university. The sample of the study consisted of 87 students (n = 43 in the intervention group, n = 44 in the control group). Research data were collected between June 29 and July 22, 2022, using the Introductory Information Form and HPV Information Scale. An informative training program about cervical cancer and HPV was applied to the intervention group. This training program was carried out in two separate sessions. In the first session, information was given about the prevalence, pathology, and risk factors of cervical cancer. In the second session, general information about HPV, details about the vaccine, and vaccination programs were given. Training sessions are organized as small group discussions and seminars covering relevant topics. Results: In our study, the average age of our students was 20.7 ± 2.5 years, and in both groups, the proportion of students who did not know about HPV, which can cause cervical cancer, was quite high (74.4%, 68.2%). The majority of the control and intervention groups needed health education about STDs. There were statistically significant differences between the control and intervention groups in terms of the pre-test and posttest Knowledge of HPV Scale scores (p < 0.05). Conclusion: It was found that the education on cervical cancer and HPV positively affected the perspectives of the students on vaccination. Interactive and group-oriented education increases knowledge sharing by encouraging interaction among students. In this way, a broader knowledge base about cervical cancer and HPV can be created, and misinformation can be corrected.

Evaluation of Psychological Symptoms in Terms of Childhood Traumas, Spirituality, and Conflict Tactics in Sheltered Battered Women.

The aim of this study was to evaluate psychological symptoms in terms of childhood traumas, spirituality and conflict styles in women victims of violence staying in women's shelters. Violence against women is a major public health problem. Spiritual values and practices are especially important for women to cope with the negative effects of violence. The study was conducted in women's shelters in two provinces of the Ministry of Family and Social Policies in Türkiye. The sample consisted of 92 women who had been subjected to violence and stayed in a women's shelter for at least 15 days. The data were collected using the "Brief Symptom Inventory", "Conflict Tactic Scale", "Spiritual Well-Being Scale (SWBS)", "Childhood Abuse Experiences Scale Short Form", and "Introductory Information Form" created by the researcher, and the data obtained were evaluated in SPSS 22.0 program. Frequency, percentage, Pearson Product Moment correlation analysis, t-test, one-way analysis of variance (ANOVA) were used in the evaluation of the data. In all statistical analyses, p<0.05 was accepted as the significance level. It was found that 64.1% of the women in the study had at least one psychiatric diagnosis and major depression was in the first place (32.2%). According to the mean scores of the Brief Symptom Inventory, the relationships between all subdimensions except the somatization subdimension and the mean scores of the SWBS were found to be inversely significant at p<0.05 significance level. According to the mean scores of the SWBS, the relationships between all subdimensions except the transcendence subdimension and the mean scores of the Conflict Methods Scale were found to be inversely significant at the p<0.05 level of significance. According to the findings obtained from the study, it has been concluded that women should be encouraged to support them in order to be able to cope with the mental problems experienced in the psychiatric sense and to realize their spiritual beliefs and practices.

Efficacy of facilitated tucking position and Reiki given to preterm infants during orogastric tube insertion: A randomised controlled trial.

This research was conducted to evaluate the effects of Reiki and facilitated tucking position on pain, stress and physiologic parameters in preterm infants during orogastric tube (OGT) insertion. The study used a single-blind, parallel-group randomised controlled experimental design. It was carried out in the neonatal intensive care unit of a hospital in Niğde/Turkey between February 2022 and January 2023. A total of 45 preterm infants, who met the study criteria and whose sample size was determined according to power analysis, were randomly divided into three groups. As an intervention, the facilitated tucking position was applied to the first group, and Reiki was applied to the second group during OGT insertion. Routine application continued in the control group. The Infant Introductory Information Form, Physiological Parameter Follow-up Chart, Infant Stress Scale (ISS) and Premature Infant Pain Profile Scale-Revised (PIPP-R) were used for data collection. Significance was accepted as P < 0.05 in the statistical analysis. It was determined that the infants were homogeneously distributed between the experimental and control groups (P > 0.05). Infants who received the facilitated tucking position and Reiki intervention had better physiological stability compared to the control group (P < 0.05). The group with the lowest average stress (1.53 ± 0.99) and pain scores (4.06 ± 1.22) during OGT insertion was the facilitated tucking group (P < 0.001). After the procedure, stress and pain scores in both the facilitated tucking group and the Reiki group were found to be significantly lower than those in the control group (P < 0.001). The results of the study showed that the facilitated tucking position during OGT insertion was especially effective in reducing the pain and stress of infants. Both the facilitated tucking position and Reiki were determined to be effective interventions in reducing the pain and stress of infants more quickly after the procedure. The results of study contribute to the recommendation that NICU nurses should include non-pharmacological methods to decrease the pain of preterm infants during procedural pain.

The Effect of Concept Map-Based Education Given to Nursing Students on Medication Administration Self-Efficacy in Children: A Quasi-Experimental Study

This study was conducted as a control group, pretest-posttest quasi-experimental study between February 2024 and May 2024 with a total of 140 nursing students in the 3rd and 4th grades at a nursing school in the Western Black Sea Region of Turkey. This study was conducted as a control group, pretest-posttest quasi-experimental study between February 2024 and May 2024 with a total of 140 nursing students in the 3rd and 4th grades at a nursing school in the Western Black Sea Region of Turkey. Data were collected as pre-test and post-test using the “Introductory Information Form”, “Self-Efficacy Scale for Medication Administration in Children for Nursing Students” and “Scale for the Effectiveness of Concept Maps in Nursing Education ”. The nursing students in the training group (n=70) were given face-to-face training on drug administration in children based on concept mapping in the form of a powerpoint presentation in 4 sessions once a week. Nursing students in the control group (n=70) were not given any training. Chi-square, dependent sample t test and independent sample t test were used to analyze the data. In the post-test, nursing students in the training group had significantly higher scores on the Self-Efficacy Scale for Medication Administration in Children and the Effectiveness of Concept Mapping in Nursing Education Scale compared to the control group. It was found that the concept map-based education given to nursing students had positive effects on increasing the level of medication administration self-efficacy in children.

The Identity of Motherhood Transformed by Social Media: A Phenomenological Study

Objective: This qualitative study was conducted to examine the effect of social media use on women's mothering roler and childcare attitudes. Methods: The study group for this research was determined using the criterion sampling method, which is a purposeful sampling method. The sample consisted of 27 women who actively use social media and have children between the ages of 0-6. Data were collected using an “Introductory Information Form” and a “Semi-structured Interview Form”. Data analysis was conducted using Colaizzi's phenomenological interpretation method. Results: The mean age of the women who participated in the study was 32.03+4.89 years. It was determined that 96.3% of the women used Instagram, 63% used Youtube, and 40.7% used Twitter, and they spent an average of 1-3 hours daily on these sites. It was determined that the mothers who participated in the study mostly sought help from their own mothers and close environment (70.4%), web browsers (22.2%), social media (14.8%) and health personnel (7.4%), respectively, as a solution approach when they encountered a situation or problem they did not know about child care. It was determined that the working mothers (59.3%) who participated in the study had a sense of guilt and inadequacy due to the perception of super motherhood created by the social media accounts they followed, and therefore, they were more lenient, soft and ignored the error in the care approach of their own children. Conclusion: Guidance for parents on accessing reliable health information and proactive use of social media by health care providers to promote healthy decisions is an important requirement of our age.

Determination of the Internet Decision-Making Status of Risky and Non-Risky Pregnant Women

Objective: This study was conducted to evaluate the Internet decision-making status of risky and non-risky pregnant women. Method: The research employed an analytical and case-control design. The sample of the study consisted of 214 pregnant women, including 107 in the risky group and 107 in the non-risky group, who applied to the Obstetrics and Gynecology Outpatient Clinic. In the study, the data were collected using The Introductory Information Form and The Internet Decision-Making Scale in Pregnancy (IDMSP) through face-to-face interviews. In the evaluation of the data, Chi-square test, Independent Samples t-Test and Mann Whitney U test were used in addition to descriptive statistics. Results: The mean age of the pregnant women participating in the study was 28.08 ± 6.37 years. It was determined that 56.1% of the pregnant women who participated in the study met their need for information on the Internet, 46.7% checked the blog pages of the doctors while searching on the Internet to receive information about pregnancy, and 49.1% mostly used the Internet for searching about the prenatal development and health of the baby. The overall mean score of the pregnant women at risk obtained from the IDMSP was significantly higher compared to those in the non-risky group (p=0.002). Conclusion: The Internet decision-making status of risky pregnant women has been found to be higher compared to non-risky pregnant women. Accordingly, midwives and nurses should inform pregnant women that information on the Internet is not always safe, and it is important to consult healthcare professionals when making a decision regarding pregnancy.

Psychometric properties of the Turkish version of the perceived barriers of mammography scale.

Early diagnosis and screening of breast cancer are of vital importance in the fight against the disease. It is crucial to identify the underlying barriers that prevent women from undergoing mammography and to develop necessary strategies to overcome these obstacles. The purpose of this study was to adapt "The Perceived Barriers of Mammography Scale (PBMS-23)" into Turkish and to conduct a validity and reliability study. This study used a methodological approach. The study was conducted with 233 women admitted to the Gynecology Outpatient Clinic of a university hospital. Data were collected by using the Introductory Information Form, PBMS-23, Champion's Health Belief Model Scale for Mammography Screening (CHBMS-MS). Psychometric properties of the scale were tested with content validity, confirmatory factor analysis, convergent validity, and test-retest reliability coefficient. Content validity confirmatory factor analysis resulted in 𝜒2/SD = 1.67; CFI = 0.97, NFI = 0.92, GFI = 0.86, RMSEA = 0.054. The scale had a Cronbach's alpha of 0.87, while the subscales had Cronbach's alpha values of 0.34 to 0.80. The intraclass correlation coefficient values calculated for the test-retest reliability were between 0.83 and 0.96 for the subscales and 0.96 for the overall scale. There is a positive and statistically significant relationship (p < 0.01) between the CHBMS-MS barriers dimension and prejudices dimension scores and all subdimensions and the total of the PBMS-23. The PBMS-23 was accepted as a valid and reliable tool with 23 items and eight-factor structure that can be useful in measuring Turkish women's barriers to mammography.

Determination of Women's Belief Levels Regarding Human Papilloma Virus Infection and Vaccine and Hesitations towards Vaccination

Objective: To determine women's belief levels regarding Human Papilloma Virus (HPV) infection and vaccine and their hesitation towards the vaccine. Methods: The study is a cross-sectional research type. The sample of the study consisted of 504 women who met the inclusion criteria. The data was collected between 10.04.2023-10.07.2023 by face-to-face interview method. Introductory Information Form, Health Belief Model Scale for Human Papilloma Virus and its Vaccination, and Scale of Vaccine Hesitancy were used to collect data. Results: The average age of women is 34.82±7.857 and 57.2% do not want to get HPV vaccine for themselves, 56% for their daughters and 79.8% for their sons. None of the women had received HPV vaccination and 83.3% had not received information about HPV infection and vaccination before. Health belief scale model regarding HPV infection and vaccine benefit perception mean score is 7.12±2.330, susceptibility perception mean score is 12.76±2.499, seriousness perception mean score is 4.39±1.374 and obstacle perception mean score is 9.95±2.733. 'Stop. The total score average of the Scale of Vaccine Hesitancy is 32.03±7.598, the lack of confidence score average is 24.92±6.924, and the risks score average is 7.11±1.416. Conclusion: Women's knowledge levels about HPV infection and vaccination are low, their perception of susceptibility to health beliefs regarding HPV infection and vaccination is high, and their perception of benefits, seriousness and obstacles is low. Women's hesitations and lack of confidence in the HPV vaccine are at a moderate level, and the opinion that the vaccine has risks is at a high level.

Examination of the effect of different techniques (demonstration, telesimulation and game-based training) in teaching the management of shoulder dystocia: A randomized controlled trial

BackgroundThis study evaluated the effect of demonstration, telesimulation and game-based training in teaching SD management for midwifery students. MethodsThis randomized controlled trial was completed with 123 participants. To collect data, the ‘Introductory Information Form’, ‘Self-efficacy Visual Analog Scale (VAS)’, ‘Shoulder Dystocia Skill Checklist’, and ‘Instructional Materials Motivation Survey (IMMS) were used. ResultsAfter the training, mean VAS scores of self-efficacy in diagnosing and intervening SD were higher in the telesimulation and demonstration groups, and mean VAS scores of self-efficacy in evaluating the postpartum mother and infant were higher in all intervention groups than in the control group (p < .001). There is a difference between the control group and all intervention groups in terms of total skill score in SD management (p < .001). Demonstration group's mean total score of MMS of students is higher than kahoot and control groups (p < .005). ConclusionIt was seen that all three methods were more effective than theoretical training in gaining SD management skills, but telesimulation was more effective than other methods.

Perinatal Grief Counseling and Its Effect on Grief Levels in Women Who Underwent Pregnancy Termination: A Comparative Experimental Study.

This study was designed as a two-group pre-test post-test comparative experimental study to examine the effects of grief counseling on perinatal grief levels in women who underwent pregnancy termination before discharge from the clinic. This study was conducted with 70 women who underwent medical termination of pregnancy. The intervention group (n = 35) received perinatal grief care, while the control group (n = 35) received only routine hospital care. In this study, the Introductory Information Form, Perinatal Grief Scale, and evaluation form of the care received were completed. While the perinatal grief level of the intervention group decreased after the application of grief care, a significant difference between the groups was detected only in women with a history of medical termination according to obstetric characteristics (p < .05). The findings obtained from this study showed that perinatal grief care support decreased grief scores on perinatal grief instruments and their sub-dimensions in the intervention group.

Unveiling the Secrets of Effective Information Management: How Does Introductory Information Influence Purchase Intention in Live-Streaming

There is growing evidence that product introductory information plays a crucial role in online consumer purchase behavior. However, existing researches on the effect of introductory information on individuals’ purchase intention in live-streaming were limited. In this setting, based on the Stimulus-Organism-Response (S-O-R) model, we explored the relationship among introductory information, trust, purchase intention and display uniqueness. It was done by collecting questionnaire survey data from 500 consumers who have participated in live-streaming e-commerce. The results showed that the introductory information in live-streaming e-commerce has a significant positive effect on consumers’ purchase intention through trust. Additionally, the results revealed a significant moderating effect of display uniqueness on the relationship between introductory information and trust. Display uniqueness could significantly and positively moderate the predictive effect of introductory information on trust. Thus, this study will extend the applicability of S-O-R model to further understand the influence mechanism of introductory information on purchase intention and enrich the research in the live-streaming e-commerce. Also, it can enhance the understanding of consumers’ purchase behaviors to optimize the live-streaming system and online marketing tools, thereby helping companies achieve their business goals.

Determination of Nursing Students' Levels of Knowledge in Sexual Health/Reproductive Health during Emergency Status and Influencing Factors

Aim: The aim is to determine nursing students' sexual/reproductive health knowledge levels and affecting factors in extraordinary situations. Method: This cross-sectional study was carried out with 356 nursing students between November-December 2023 at ……. University of Health Sciences, Department of Nursing. Data were collected through a survey including the Introductory Information Form and the Sexual and Reproductive Health Knowledge Scale in Emergencies (SRHKSE). Results: The mean age of nursing students was 20.53±2.57. The average score on the SRHKSE was 84.90±7.91. The sub-dimensions of the SRHKSE revealed the following average scores: women's health empowerment 46.17±4.72, material supply for implementing the minimum initial service package in emergencies 17.79±2.42, basic knowledge of the minimum initial service package in emergencies 10.07±1.27, and strategy and education for the minimum initial service package in emergencies 10.87±1.72. Nursing students who were female, in their 3rd year, had income exceeding expenses, had mothers with primary/secondary education, and had knowledge in reproductive and sexual health showed significantly higher SRHKSE scores (p&amp;lt;.001). Conclusion: In our study, nursing students exhibited high levels of knowledge in sexual and reproductive health during emergency status. The levels of knowledge in sexual and reproductive health during emergency status were found to be affected by gender, academic year, income level, maternal education, and awareness of reproductive and sexual health. It is recommended to conduct different research on the subject and develop the literature.