Background: This study aimed to examine the mediating role of the Care Factor in the relationship between nomophobia and job satisfaction among nurses. Methods: A descriptive, cross-sectional study was conducted with 1,083 nurses working in a province in Turkey between May and September 2024. Data were collected using a Descriptive Form, the F & imath;rat Nomophobia Scale (FNS), the Care Factor Scale (CFS), and the Job Satisfaction Scale for Nurses (JSSN). All analyses were performed using SPSS 25, including descriptive statistics, Pearson correlation, and regression. Mediation was tested using PROCESS Macro version 4.0 (Model 4). Results: The CFS-CS and CFS-CM subdimensions moderately mediated the relationship between nomophobia and job satisfaction, with effect sizes of-0.063 and-0.096, respectively. The total effect in the parallel mediation model was-0.1 59. Nomophobia was negatively correlated with both job satisfaction and the care factor, whereas the care factor was positively correlated with job satisfaction. Conclusions: The Care Factor significantly mediates the impact of nomophobia on job satisfaction, underscoring its importance in addressing technology-related stress in nursing environments. Therefore, interventions aimed at promoting digital well-being in nursing practice are recommended to reduce nomophobia and improve job satisfaction.
Background: Perfectionism is increasingly prevalent among young adults and is a significant predictor of pathological and behavioral outcomes. Despite its relevance, validated and reliable measures of perfectionism tailored to university students, particularly within the Malaysian cultural and academic context, are lacking. This study addresses this gap by examining the psychometric properties of the BTPS-SF among Chinese students at a private university in Malaysia. Methods: Data were collected using a cross-sectional design with convenience and snowball sampling from 380 students aged 18-25 years, predominantlyfrom a Chinese student population. Results: The results of the exploratory factor analysis, conducted using principal axis factoring with oblimin rotation, provided preliminary evidence for a three-factor structure of the BTPS-SF-namely, rigid, self-critical, and narcissistic perfectionism-as distinct dimensions. Together, these three factors explained 58.29% of the total variance, with factor loadings ranging from 0.35 to 0.79. Each dimension demonstrated acceptable internal consistency ranging from 0.80 to 0.84, supporting its suitability for use in academic, clinical, and nonclinical settings. Conclusions: This study supports the reliability of the BTPS-SF as a multidimensional measurement tool, demonstrating its efficacy in capturing the three main dimensions of perfectionism: rigid, self-critical, and narcissistic. This facilitates comprehensive analysis and offers a robust foundation for future research on student perfectionism. The study's limitations and recommendations for further research are discussed.
Background: Chronic noncommunicable diseases are the leading causes of death globally and in T & uuml;rkiye, emphasizing the need to explore how individual, familial, and informational factors shape health-promoting behaviors. This study examined whether family health and health literacy sequentially mediate the relationship between general self-efficacy and health-promoting behaviors among adults in T & uuml;rkiye. Methods: A cross-sectional correlational study was conducted with 1,240 adults in Konya Province, T & uuml;rkiye, between November and December 2022. Participants completed the Turkish versions of the General Self-Efficacy, Family Health, Health Literacy, and Health-Promoting and Protective Behaviors Scales. Data were analyzed using descriptive statistics, Pearson correlation, and PROCESS macro Model 6 to test the serial mediation model, accounting for both direct and indirect effects. Results: Self-efficacy, family health, and health literacy were significantly and positively associated with health-promoting behaviors (p < 0.001). The serial mediation analysis confirmed that family health and health literacy partially and sequentially mediated the relationship between self-efficacy and HPBs. Notably, the model demonstrated a substantial effect size, explaining 38.4% of the total variance in HPBs. Conclusions: Self-efficacy influences health behaviors both directly and indirectly through its impact on family health and health literacy. Interventions should target both individual motivation and relational and informational support, especially in collectivist contexts such as the one in T & uuml;rkiye.
Background: Stunting remains a major issue in Indonesia. Maternal factors during pregnancy are one of the key determinants in preventing stunting. This study aimed to analyze the association between maternal history during pregnancy (age, height, parity, and inter-pregnancy interval) and stunting, with a comparison between urban and rural areas. Methods: This analytical cross-sectional study used data from 3,639 children aged 1-5 years old from the household survey of Indonesia Family Life Survey 5, conducted between late October 2014 and August 2015 within 13 provinces in Indonesia. Data was analyzed using chi-square and binary logistic regression methods. Results: The toddlers were predominantly boys (51.9%), with a mean age of 3 years (1-5). Around 37% were stunted. Stunting was associated with adolescent mothers, short maternal stature, high parity, and rural residence. In both urban and rural areas, these maternal factors were significantly associated with stunting. Conclusions: Younger maternal age, lower maternal height, and high parity were significant predictors of stunting, including in both urban and rural areas. Stunting management strategies should prioritize reducing early pregnancy, improving maternal nutrition, and limiting high parity with equitable implementation across rural areas to address existing disparities in Indonesia.
Background: Early exposure to computed tomography (CT) imaging during childhood increases cancer risk, emphasizing the critical need to minimize unnecessary imaging in pediatric patients. This study aimed to assess parents and guardians' knowledge about CT examinations and their associated risk following pediatric CT. Methods: A cross-sectional survey was conducted among parents and guardians who accompanied their children to a private hospital radiology department for CT examinations. The survey enquired about their socio-demographic, knowledge of CT examinations, and their radiation risks. Data were analyzed using descriptive analysis and the Kruskal-Wallis test. Results: A total of 144 responses were received in this study. The respondents have a good knowledge of CT examinations and their risks, with a mean score of 4.06 +/- 0.33. Most respondents (99%) agreed that CT scan results help diagnose and plan treatment for their child. Most respondents (99%) recognized that children are more vulnerable to cancer from radiation than adults. However, many were uncertain about the specific health risks of CT scans. Knowledge of CT and radiation risks differed significantly by respondents' roles and occupations. (p < 0.05). Conclusions: Parents and guardians are well-versed in CT examinations, but they are unaware of the radiation risks to their children, emphasizing the importance of pediatric CT education.
Background: The rising prevalence of mental illness underscores the need to understand how individuals can live and flourish under such conditions. In Malaysia, research has largely emphasized diagnosis and treatment, with limited focus on positive psychology and few validated instruments. This study aimed to translate and validate the questionnaire for eudaimonic well-being (QEWB) among Malaysian youth. Methods: The QEWB was translated into Malay using back-to-back translation and administered to undergraduates from four public universities through a cross-sectional survey design. Convenience quota sampling was used, resulting in 229 respondents completing the online form to measure sociodemographic characteristics, eudaimonic well-being, stress, and general well-being. Factor analyses were used to assess construct validity, whereas Pearson's correlation was used to test criterion validity. Results: A three-factor (17 items) and one-factor (15 items) model were supported. The 3 factors-intensity of selfexpression, importance of fulfillment, and attitude toward growth-showed good validity and reliability (alpha = 0.74-0.88). The one-factor model also exhibited strong validity and reliability (alpha = 0.81). Both models significantly correlate positively with general well-being (r = 0.44-0.76, p < 0.01) and negatively with stress (r = -0.29 to-0.43, p < 0.01). Conclusions: The Malay QEWB is reliable and facilitates the integration of eudaimonic well-being in Malaysian research and practice.
Background: Chronic illnesses are long-term, noncommunicable diseases that significantly affect daily life. In addition to physical symptoms, they can reduce quality of life by causing psychological effects such as anxiety and depression. Patients often seek health information to better manage their condition. Methods: This study aimed to examine the level of health information-seeking behavior among individuals with chronic diseases and the factors influencing this behavior. The sample group for this descriptive study consisted of 306 individuals with chronic illnesses who visited X Hospital in northeastern T & uuml;rkiye between April 1, 2024, and February 1, 2025. All individuals completed a questionnaire consisting of the Patient Information Form and the Health Seeking Behavior Scale. Results: The sociodemographic characteristics of patients with chronic diseases, such as education level, marital status, and chronic disease duration, significantly affected the health-seeking behavior scores. According to the research findings, the highest mean score was determined as 12.30 +/- 2.62 in the occupational health-seeking subdimension, whereas the lowest mean score was determined as 8.78 +/- 3.83 (min-max: 3-15) in the traditional health-seeking subdimension. The total mean score of the Health Seeking Behavior Scale was 32.2 7 +/- 7.73. Conclusions: Individuals with chronic illnesses tend to prefer professional health care services when seeking health-related behaviors. Health-seeking behaviors were higher among high school graduates, single individuals, and those without chronic illnesses.
Background: This study aimed to examine the effect of frailty on the risk of falls in older adults aged 65 years with type 2 diabetes. Methods: The study is cross-sectional and correlational. The sample included 146 individuals aged 65 years who had type 2 diabetes and visited the internal medicine outpatient clinic of a state hospital in T & uuml;rkiye. The participants were assessed based on a personal information form, the Mini-Mental State Examination, Edmonton Frail Scale, Morse Fall Scale, and Katz Index of Independence in Activities of Daily Living. IBM SPSS Statistics version 22.0 was used for data analysis. Results: The mean frailty score was 5.59 +/- 3.46, and 35.6% of the participants were not frail. The mean falls risk score was 45.65 +/- 26.07, with a high risk of falls in 43.2% of the participants. The level of frailty, ADL score, participant age, and use of drugs other than diabetes medications explained 71.8% of the variation in the risk of falls (ss = 0.492; p < 0.001; R-2 = 0.718). Conclusions: Frailty is positively associated with the risk of falls among individuals >= 65 years with type 2 diabetes mellitus.
Background: This descriptive, cross-sectional study was conducted to determine the attitudes of nurses working in clinical settings toward conducting physical examinations. Methods: The sample surveyed consisted of 364 nurses currently working at 14 branches of a private hospital with facilities in seven cities, who participated voluntarily. Data was collected online via a survey created through Google Forms, applying descriptive characteristics form and the Physical Examination Attitude and Practice Scale in Nursing. The data were analyzed using the Mann-Whitney U test, Kruskal-Wallis test, Spearman's rank-order correlation coefficient, and multiple regression analysis. Results: It was found that nurses had moderately positive attitudes toward conducting physical examinations in clinical settings, while their participation rates in in-service training related to physical examinations were low. A moderate but significant positive correlation was observed in the scores of the sub-dimension "barriers to performing physical examination," and a very weak but significant negative correlation was found in the "benefits and usefulness of physical examination." Conclusion: Practical training aimed at improving nurses' knowledge and skills related to physical examination and their cultural sensitivity should be emphasized at the undergraduate level, as well as through in-service training programs.
Background: This study aims to examine the relationship between organizational governance capacity (OGC) and organizational resilience (OR) in hospitals, with a focus on cross-institutional differences. Methods: A cross-sectional study was conducted among 1,143 employees from six hospital types in Istanbul, including university, Ministry of Health (state, training and research, and city), and private hospitals. Validated scales were used to measure OGC and OR. Data were analyzed using descriptive statistics, nonparametric tests, and structural equation modeling (SEM) to assess the relationships between these dimensions. Results: Private hospitals demonstrated the highest levels of both OGC and OR (70%), followed by Ministry of Health hospitals (60%, medium-high), and university hospitals (40%, medium-low). SEM revealed positive and significant relationships between all OGC and OR dimensions except between responsibility capacity and planning. The strongest association was observed between self-organization and adaptive capacity (beta = 0.654, p < 0.001). Conclusions: Strengthening governance-particularly self-organizing and adaptive capacities-can enhance hospitals' resilience and crisis responses. Future longitudinal studies are recommended to explore causal mechanisms between governance and resilience.
Background: Water, sanitation, and hygiene (WASH) practices are fundamental components of public health, being crucial in preventing disease transmission and promoting healthy living environments. In this context, university students play an essential role as future professionals and community advocates in fostering proper hygiene behaviors and preventing disease outbreaks. Understanding knowledge, attitudes, and practices (KAP) in regard to WASH among individuals, particularly university students, is crucial for promoting proper hygiene behaviors. This study aimed to assess the KAP in regard to WASH and related diseases among undergraduate students from the Faculty of Health Sciences, Universiti Kebangsaan Malaysia (UKM). Methods: A cross-sectional study was conducted using a structured online questionnaire distributed via email. A total of 214 students participated in and completed the questionnaire. Results: About 90.2% (N = 193) of the respondents demonstrated good knowledge, 69.2% (N = 148) showed positive attitudes, and 80.4% (N = 172) exhibited good practices concerning WASH. Weak but positive correlations were observed between the knowledge and practice scores (r = 0.205, p < 0.01) and between the attitude and practice scores (r = 0.376, p < 0.01). Conclusions: These findings highlight the need to strengthen WASH education in higher education institutions, particularly within health sciences programmes, through a more comprehensive and holistic approach.
Background: Students often exhibit irregular sleep patterns due to rigorous academic workloads, which exert a considerable negative impact on their mental health. The present study aims to investigate the influence of irregular sleep on academic performance. Methods: This study recruited a cohort of 409 medical students of both genders. Upon their consent, participants filled out a closed-ended questionnaire on various sleep parameters, including sleep habits, duration, and environment. Results: Students with irregular sleep patterns reported higher rates of sleep deprivation, late sleep onset, and troubled sleep. Moreover, they spent a longer duration using smart devices before bedtime and experienced higher levels of stress. Irregular sleep demonstrated a positive correlation with sleep deprivation, sleep duration, troubled sleep, and the duration of smart device use (p = 0.000), energy drink consumption (p = 0.040), and junk-food intake (p = 0.000). Students exhibited poor academic performance, frequently experienced fatigue, and were unfocused. Irregular sleep was positively correlated with overall academic performance (p = 0.002), fatigue, and focus in class (p = 0.000). Conclusion: The findings indicate a significant impact of irregular sleep on learning outcomes and mental health among medical students. Thus, effective strategies are critically required to enhance sleep within this population.
Background: Climate change impacts are unequally distributed globally, with children, women, pregnant women, the elderly, marginalized populations, and refugees bearing a disproportionate burden. This study aims to determine the levels of related anxiety among female students and to examine the relationship between the anxiety and their perceptions, knowledge levels, and health behaviors related to women's health. Methods: The study has a descriptive cross-sectional design. The study population included women students enrolled in the fall semester of the 2023-2024 academic year at the Faculty of Health Sciences of a university between October and December 2023. Personal Information Form and Climate Change Anxiety Scale for Women's Health were used as data collection forms. Results: The results show that students need to have up-to-date information on climate change, they should be members of associations/organizations dealing with climate change, they should have awareness of the effects of climate change on the world and human life,the economic level of individuals, their physical/physiological and mental health, nutrition and health care needs and that climate change/climate crisis course should be included in the curriculum. Conclusions: Given the scale of the issue and the significant number of healthcare professionals, it is recommended to integrate into the curriculum of the departments that train personnel programs
Background: Water, sanitation, and hygiene (WASH) practices are fundamental components of public health, being crucial in preventing disease transmission and promoting healthy living environments. In this context, university students play an essential role as future professionals and community advocates in fostering proper hygiene behaviorsand preventing disease outbreaks. Understanding knowledge, attitudes, and practices (KAP) in regard to WASH among individuals, particularly university students, is crucial for promoting proper hygiene behaviors. This study aimed to assess the KAP in regard to WASH and related diseases among undergraduate students from the Faculty of Health Sciences, Universiti Kebangsaan Malaysia (UKM). Methods: A cross-sectional study was conducted using a structured online questionnaire distributed via email. A total of 214 students participated in and completed the questionnaire. Results: About 90.2% (N = 193) of the respondents demonstrated good knowledge, 69.2% (N = 148) showed positive attitudes, and 80.4% (N =172) exhibited good practices concerningWASH. Weak but positive correlations were observed between the knowledge and practice scores (r = 0.205, p < 0.01) and between the attitude and practice scores (r = 0.376, p < 0.01). Conclusions: These findings highlight the need to strengthen WASH education in higher education institutions, particularly within health sciences programmes, through a more comprehensive and holistic approach.
Background: Stroke is the second leading cause of mortality worldwide. In Yogyakarta, Indonesia, the incidence of stroke (14%) is higher than the national average. We therefore investigated the roles ofLDLRrs688 (C/T) andPCSK9rs562565 (A/G) polymorphisms in familial hypercholesterolemia as predictors of first-time ischemic stroke. Methods: In this case-control study, 119 first-time ischemic stroke patients were divided into dyslipidemia (N = 71) and non-dyslipidemia groups (N = 48). The DNA of the nucleotide polymorphisms LDLRrs688 (C/T) andPCSK9rs562556 (A/G) was extracted and analyzed using the PCR-RFLP method, and statistical analyses were performed to evaluate their predictive potential. Results: TheLDLRrs688 (C/T) CT genotype was the most common in both groups. The TT genotype appeared slightly more frequently in the dyslipidemia group, but no significant association was found with dyslipidemia (p= 0.460). While lipid levels had no significant relationship with LDLRrs688 (C/T), hemoglobin levels differed significantly across the genotypes (p= 0.002), which suggested the biological relevance of hemoglobin. Conclusions: The LDLRrs688 (C/T) polymorphism was not significantly associated with dyslipidemia among the stroke patients. Nonetheless, genotype-related trends related to lipid and hemoglobin levels indicated potential mechanisms that warrant further investigation
Introduction: This study aimed to assess the baseline level and mean scores of patient safety attitude domains among doctors and nurses in Malaysian public hospitals and to identify determinants associated with these attitudes across six domains: teamwork, safety climate, working conditions, job satisfaction, stress recognition, and perception of management. Methods: A cross-sectional study was conducted using the Safety Attitudes Questionnaire (SAQ) among 142 doctors and 231 nurses from three public tertiary hospitals. Participants were selected through proportionate stratified random sampling. Data were analyzed using descriptive, bivariate, and multivariate methods. Results: The study achieved an 81% response rate. Among the six domains, job satisfaction scored the highest (mean = 73.78 +/- 20.54), while perception of management scored the lowest (mean = 58.98 +/- 16.28). Significant determinants of more positive patient safety attitudes included position and attendance at patient safety training (teamwork); training attendance (safety climate); education level, position, and training (job satisfaction); age and work area (perception of management); and age and training attendance (working conditions). Conclusion: Attendance at patient safety training was consistently linked to more positive attitudes, underscoring the value of continuous education in strengthening safety culture. Systematic interventions targeting education, communication, reporting, and work environment are essential to achieve the Malaysian Patient Safety Goals.
Background: This study examined the relationship between nursing students' individual innovativeness traits and their readiness for medical artificial intelligence, and the influencing factors. Methods: This study was a descriptive, correlational study. The study was conducted with 606 nursing students enrolled at the Faculty of Health Science, Manisa Celal Bayar University. Data were collected using the Descriptive Information Form, the Individual Innovativeness Scale (IIS), and the Medical Artificial Intelligence Readiness Scale (MAIRS). Results: The mean IIS score was 64.23 +/- 8.47, indicating that most students fell into the skeptical or interrogator categories. The mean MAIRS score was 75.77 +/- 12.63. A weak positive correlation was found between the IIS and the MAIRS (p<0.05). Students' perception of academic success, career goals, awareness of innovation, and their knowledge and usage of artificial intelligence significantly affected their individual innovativeness levels. Additionally, gender, academic year, school achievement perception, and experience with innovation werefound to significantly influence readiness for medical artificial intelligence level. Conclusion: Students' individual innovativeness levels were generally low, with most classified within the skeptical and interrogator categories, while their readiness for medical artificial intelligence was above the moderate level. A positive relationship was observed, indicating that as students' individual innovativeness levels increased, so did their readiness for medical artificial intelligence
Background: This study aimed to evaluate the relationship between religious attitudes and breastfeeding attitudes and the effect of this relationship on breastfeeding practices. Methods: A cross-sectional study was conducted with 251 older adults. Data were collected using the International Physical Activity Questionnaire, the Standardized Mini-Mental State Examination, and the Rosenberg Self-Esteem Scale. Spearman's correlation and chi-square tests were employed for statistical analysis. Results: Physical activity levels were positively correlated with both cognitive function (r = 0.546, p< 0.001) and self-esteem(r = 0.168, p< 0.05). No significant association was observed between cognitive function and self-esteem. Physical inactivity, cognitive decline, and low self-esteem were more prevalent among women, participants with lower educational attainment, those with chronic diseases, and individuals engaged in polypharmacy. Conclusions: The findings emphasize the importance of integrating physical activity promotion into national healthy ageing policies, particularly in Mediterranean contexts such as Turkiye. Implementing community-based exercise initiatives, strengthening primary care counseling, and developing culturally sensitive education programs can help reduce gender-and education-related disparities in physical activity participation
Background: While the integration of artificial intelligence (AI) in healthcare has advanced globally, there is limited research on the preparedness of medical students in the Tabuk region of Saudi Arabia, particularly regarding their specific educational needsand cultural context.This study assessed medical students' knowledge, attitudes, readiness, and confidence toward AI integration at the University of Tabuk, providing the first comprehensive analysis of AI readiness in this underrepresented northern region of Saudi Arabia. Methods: A cross-sectional study was conducted among 261 medical students and interns across all academic years (1-6) at the Faculty of Medicine, University of Tabuk, using a validated questionnaire to measure AI knowledge, attitudes, perceptions, confidence, and readiness. Results: This study provides novel insights: students demonstrated limited AI knowledge (54.4% reported limited or average understanding) yet maintained predominantly positive attitudes (89.7% neutral/positive). A significant readiness-confidence gap was identified-73.2% supported AI curriculum integration, and most reported low confidence in practical AI application. The mean perception score of 24.3 +/- 4.1 represents the first quantified AI readiness metric for medical students in northern Saudi Arabia. Conclusion: This study provides the first evidence-based framework for AI integration in medical education within the Tabuk region, revealing that positive attitudes coexist with significant knowledge and confidence deficits. These findings establish essential baseline metrics for developing culturally appropriate AI curricula for Saudi medical education
Background:Increasing use of hospital information systems(HIS) underscores the need to evaluate their impact on User Satisfaction and Perceived Net Benefits. This study investigated the connections among outsourced System Quality, InformationQuality, Service Quality, Perceived Usefulness, User Satisfaction, and Perceived Net Benefits in the context of Malaysian public hospitals. Methods:Data were collected from 1,376 healthcare personnel across six public hospitals and analyzed using structural equation modeling through analysis of moment structures grounded in the DeLone and McLean Information Systems Success Model. Results:System and Service Qualities significantly influenced User Satisfaction and Perceived Usefulness, while Information Quality impacted Satisfaction indirectly. Perceived usefulness emerged as the strongest predictor of Perceived Net Benefits, followedby User Satisfaction, emphasizing their crucial mediating roles. Service Quality substantially impacted user perceptions, highlighting the relevance of technical support and system reliability. Conversely, Information Quality had a less direct effect, reflectingits dependence on user satisfaction for driving benefits. Conclusions: These results underscore the relevance of improving System and Service Qualities to enhance HIS effectiveness. The practical implications include prioritizing system upgrades, responsive support, and user training to maximize satisfaction and perceived benefits
