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This study aimed to explore the impact of nomophobic behaviors among hospital nurses on their clinical decision-making perceptions. This understanding can offer insights to enhance the work environment, improve the clinical decision-making ability of nurses and guide medical institutions in the management of related equipment and policy development. The term "nomophobia" refers to the anxiety and fear individuals experience when they cannot use their smartphones or when smartphones are not accessible. Nursing clinical decision-making is a complex process, including a meticulous assessment of the patient's pathological condition and medical history, alongside the application of nursing knowledge and experiential learning rooted in critical thinking. The concept of clinical decision-making perceptions is defined as a deliberate cognitive understanding of one's decision-making processes, which significantly influences the clinical decision-making capabilities of healthcare professionals, thereby impacting the quality of patient care. The factors influencing these clinical decision-making perceptions have been the subject of extensive research. However, there is no Chinese research on the impact of nurses ' nomophobic behaviors on their clinical decision-making perception. A cross-sectional descriptive survey using online-based delivery modes was used. A descriptive cross-sectional survey design was employed. Using convenience sampling, we surveyed the nurses from a tertiary hospital in Nanjing in May 2023. Data were gathered using a sociodemographic data form, the Nomophobia Questionnaire and the Clinical Decision-Making in Nursing Scale. Techniques including the independent sample t-test, one-way ANOVA, Pearson correlation analysis and linear regression analysis were employed to probe the degree of nomophobia and its effects on their perception of clinical decision-making. Out of 284 questionnaires gathered, 272 were deemed valid, resulting in a 95.8% effective response rate. The data revealed that participants exhibited a medium level of nomophobia (54.01 ± 24.09) and clinical decision-making perceptions (144.94 ± 20.08). A robust negative correlation was discerned between nomophobia and clinical decision-making perceptions (r: −0.365, P<0.001). This study highlighted that as the degree of nomophobia intensified, nurses' clinical decision-making perceptions decreased with the increase in nomophobia. Nomophobic behaviors can hamper nurses' perception of clinical decision-making, potentially leading to inaccuracies or errors. Nurses must use mobile phones judiciously, practice self-regulation and mitigate the disruptive effects of nomophobia on their decision-making. In addition, medical institutions should foster relevant education or craft policies to regularize mobile phone use, augmenting nurses' efficiency and decision-making prowess, enhancing patient care quality, diminishing medical errors and ensuring patient health and safety. [ABSTRACT FROM AUTHOR]

Abstract Nomophobia is the fear of leaving the house without a mobile and being out of mobile phone contact and affects different areas of a person's life, especially in terms of social, work and academic relationships due to a dependence on the use of smartphones. Discovering the prevalence of nomophobia among nursing students is very important, as the misuse of smartphones in clinical practice may cause distractions, affecting the quality of care and putting patient safety at risk. Furthermore, it can lead to poorer academic performance during class. The aim of this study was to compare the levels of nomophobia experienced by nursing students at the University of Almeria, Spain and the Polytechnic Institute of Braganza, Portugal. A comparative descriptive observational study was carried out. A nomophobia questionnaire adapted to the Spanish and Portuguese sociolinguistic context was employed; 258 participants comprised the subjects of study. The main results showed both Spanish and Portuguese nursing students scored higher than average regarding levels of nomophobia. However, the scores gathered from items on the questionnaire were generally higher among the Portuguese population than the Spanish one. The Portuguese students (54.7%) felt more anxious than the Spanish students (35.4%) if their battery ran out. Similarly, the Portuguese population showed a greater need for instant communication with their family and friends. In conclusion, the dimensions explored indicate significant levels of nomophobia among both nursing student populations, with higher levels among the Portuguese population than the Spanish. Summary of relevance • Nomophobia has a significant presence among the younger generation. • Portuguese students exhibit more anxiety than Spanish students. • The Portuguese population shows a stronger need for instant communication. • Prevention and training are essential in order to avoid risks related to misuse in clinical practice. [ABSTRACT FROM AUTHOR]

To determine the levels of nomophobia, netlessphobia and fear of missing out of nursing students in this digital era and to perform comparison according to their personal and smartphone usage characteristics. The time we live in has provoked some digital diseases along with many developments that have made our lives easier. Nomophobia, netlessphobia and fear of missing out, which develop due to excessive or inappropriate use of smartphones, the Internet and social media, are among those digital diseases. This is a descriptive, comparative, correlational and cross-sectional study. The data were obtained from 802 volunteer students at the nursing faculties of three public universities in Istanbul between 15 April and 15 May 2022. The personal information form, Nomophobia Questionnaire, Firat Netlessphobia Scale and Fear of Missing Out Scale were used as data collection instruments. The data were analyzed using Cronbach's alpha and descriptive, correlative and comparative analyses. The scale scores of nursing students were below the average in general; however, it was determined that the nomophobia scores were higher than the netlessphobia and fear of missing out scores. While gender and grade variables made a significant difference with nomophobia (p < 0.05), no significant difference was found with netlessphobia and fear of missing out (p > 0.05). Those who connect to the Internet from home; use the Internet for distance education and social media; use the Internet on their smartphones for a longer period in a day; check their smartphone more often; carry a phone charger with them; spend time on their smartphones before sleeping and after waking up; and consider themselves addicted obtained higher scores (p < 0.05). Digital issues of our time are both associated with the interaction among each other and smartphone usage characteristics. It is considered important to evaluate themselves regarding inappropriate or excessive use and risky behavior, as well as adapting approaches to protect young people. [ABSTRACT FROM AUTHOR]

To investigate the interrelationships of nomophobia, social media use, attention, motivation, and academic performance among nursing students. There is a preponderance of studies about nursing students' nomophobia, social media use, and academic performance. However, the mediating role of motivation and attention between nomophobia and academic performance remains a blind spot in nursing literature. Cross-sectional design and structural equation modeling (SEM) approach. Students from five nursing institutions in the Philippines were recruited via convenience sampling (n = 835). We used STROBE guidelines in reporting this study. Three self-report instruments (Motivational Strategies for Learning Questionnaire [MSLQ], Media and Technology Usage and Attitude Scale [MTUAS], and Nomophobia Questionnaire [NMP-Q]) were used to collect data. SEM, mediation analyses, and path analyses were used for data analysis. The emerging model afforded acceptable model fit indices. Nursing students' nomophobia positively influenced social media use whereas negatively impacting motivation and attention. Social media use, motivation, and attention directly affect academic performance. Path analyses depicted that motivation and attention mediated the indirect effect of nomophobia on academic performance. Motivation mediated the indirect impact of nomophobia on attention. Finally, attention mediated the indirect effect of motivation on academic performance. Nursing institutions and educators can use the proposed model in developing guidelines for evaluating nomophobia and regulating social media use in the academic and clinical context. These initiatives could support nursing students' transition from school to practice while assisting them in maintaining their academic performance. [ABSTRACT FROM AUTHOR]

The inclusion of the smartphone in society has brought many advantages, but also disadvantages, such as nomophobia, considered as a digital disease generated by the excessive use of the smartphone. The general objective of the research is to know and analyse the prevalence of nomophobia among nursing students and knowing the influence of time to rest. The research design is descriptive, correlational, transversal and predictive with a quantitative research methodology. The sample consist of nursing students from the University of Granada (N = 880) in Spain. A descriptive analysis has been carried out, as well as a bivariate correlation of Pearson, the student T test and a multiple linear regression. The results show an average level of nomophobia among nursing students. Although the students can recognize that the use of the smartphone can reduce their rest period, mainly focused on the hours they spend sleeping, there is no significant relationship between the two facts, confirming also that the levels of nomophobia are significantly more related in those who claim not to have problems in their rest due to the use of the mobile phone. A large percentage of them claim to rest less time due to excessive use of their smartphone. • Nomophobia is an emerging public health problem in current society. • Nursing students have moderate rates of nomophobia. • Nursing students claim to have a worse quality of rest due to the use they make of their smartphone. • Education policy must promote a critical attitude that responds to the new problems that have arisen in the digital age. [ABSTRACT FROM AUTHOR]

The objective of this study was to determine the influence of nomophobia and/or problematic mobile phone use on decision-making in nursing students. A cross-sectional study was carried out. The sample consisted of 124 nursing students. The Nomophobia Questionnaire, Mobile Phone Problematic Use Scale and Melbourne Decision Making Questionnaire were used for data collection. Regarding the results, the average total score of the Nomophobia Questionnaire was 69.50 ± 21.08, and the average total score of the Mobile Phone Problematic Use Scale was 83.60 ± 19.90 points. Positive correlations were found between the dimensions of nomophobia and the Mobile Phone Problematic Use Scale. Additionally, positive correlations were found between nomophobia and the dimensions of "buck-passing" (rs = 0.263; p = 0.017), procrastination (rs = 0.307; p = 0.011) and hypervigilance (rs = 0.284; p = 0.002) in regards to decision-making. As for the Mobile Phone Problematic Use Scale, a positive correlation was found between this scale and the procrastination dimension (rs = 0.128; p = 0.015). Problematic mobile phone use and/or nomophobia may have an influence on decision-making in nursing students. Levels of procrastination, hypervigilance and "buck-passing" in nursing students are affected by mobile phone use throughout their training. These factors may affect their academic performance, as well as their relationships with patients and other colleagues. • Nursing students show a high level of nomophobia. • Overuse of mobile phones can have a negative influence on academic performance and decision-making. • Mobile phone use and its influence on decision-making among nursing students has not been previously explored. • This study shows that problematic mobile phone use and/or nomophobia influence decision-making in nursing students. [ABSTRACT FROM AUTHOR]