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      Nomophobia in healthcare: an observational study between nurses and students

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          Abstract

          Background and aim of the work:

          Technological devices abuse can be considered a form of addiction defined in the literature as nomophobia. The phenomenon appears to be quite widespread among nurses and nursing students; nomophobic behaviours of professionals can lead to an impoverishment of the care provided. The aim of this study is to investigate the construct in a University and in an hospital in northern Italy and evaluate the levels of nomophobia between nurses and students.

          Methods:

          It has been conducted an observational study with a questionnaire with a sample of nursing students and nurses. Both the two studies had the common goal to investigate the levels of nomophobia and evaluate the comparison between the two groups.

          Results:

          In general, both nurses and students they don’t seem to demonstrate nomophobia’s critical levels. The comparison of the daily use of the smartphone between nurses and students shows that the frequent use of students is balanced by the nurses’ daily trend line that progressively decreases. Both nurses and students affirm to use, with a certain frequency their smartphone at work although, above all the students, usually for appropriate and justified reasons.

          Conclusions:

          It is necessary to consider the development of an educational project that regularizes the use of smartphones, explaining the meaning of nomophobia, right from the beginning of the University career so to correctly address the student’s (and future professionals) behaviours to make them aware of mobile phones’ misuse, especially in the clinical setting that can easily cause distractions and consequently irreversible errors. (www.actabiomedica.it)

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          Most cited references29

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          Depression, anxiety, and smartphone addiction in university students- A cross sectional study

          Objectives The study aims to assess prevalence of smartphone addiction symptoms, and to ascertain whether depression or anxiety, independently, contributes to smartphone addiction level among a sample of Lebanese university students, while adjusting simultaneously for important sociodemographic, academic, lifestyle, personality trait, and smartphone-related variables. Methods A random sample of 688 undergraduate university students (mean age = 20.64 ±1.88 years; 53% men) completed a survey composed of a) questions about socio-demographics, academics, lifestyle behaviors, personality type, and smartphone use-related variables; b) 26-item Smartphone Addiction Inventory (SPAI) Scale; and c) brief screeners of depression and anxiety (PHQ-2 and GAD-2), which constitute the two core DSM-IV items for major depressive disorder and generalized anxiety disorder, respectively. Results Prevalence rates of smartphone-related compulsive behavior, functional impairment, tolerance and withdrawal symptoms were substantial. 35.9% felt tired during daytime due to late-night smartphone use, 38.1% acknowledged decreased sleep quality, and 35.8% slept less than four hours due to smartphone use more than once. Whereas gender, residence, work hours per week, faculty, academic performance (GPA), lifestyle habits (smoking and alcohol drinking), and religious practice did not associate with smartphone addiction score; personality type A, class (year 2 vs. year 3), younger age at first smartphone use, excessive use during a weekday, using it for entertainment and not using it to call family members, and having depression or anxiety, showed statistically significant associations with smartphone addiction. Depression and anxiety scores emerged as independent positive predictors of smartphone addiction, after adjustment for confounders. Conclusion Several independent positive predictors of smartphone addiction emerged including depression and anxiety. It could be that young adults with personality type A experiencing high stress level and low mood may lack positive stress coping mechanisms and mood management techniques and are thus highly susceptible to smartphone addiction.
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            A proposal for including nomophobia in the new DSM-V

            The Diagnostic and Statistical Manual of Mental Disorders (DSM) is considered to be the gold standard manual for assessing the psychiatric diseases and is currently in its fourth version (DSM-IV), while a fifth (DSM-V) has just been released in May 2013. The DSM-V Anxiety Work Group has put forward recommendations to modify the criteria for diagnosing specific phobias. In this manuscript, we propose to consider the inclusion of nomophobia in the DSM-V, and we make a comprehensive overview of the existing literature, discussing the clinical relevance of this pathology, its epidemiological features, the available psychometric scales, and the proposed treatment. Even though nomophobia has not been included in the DSM-V, much more attention is paid to the psychopathological effects of the new media, and the interest in this topic will increase in the near future, together with the attention and caution not to hypercodify as pathological normal behaviors.
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              Statistics review 8: Qualitative data – tests of association

              This review introduces methods for investigating relationships between two qualitative (categorical) variables. The χ2 test of association is described, together with the modifications needed for small samples. The test for trend, in which at least one of the variables is ordinal, is also outlined. Risk measurement is discussed. The calculation of confidence intervals for proportions and differences between proportions are described. Situations in which samples are matched are considered.
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                Author and article information

                Journal
                Acta Biomed
                Acta Biomed
                Acta Bio Medica : Atenei Parmensis
                Mattioli 1885 (Italy )
                0392-4203
                2531-6745
                2021
                29 July 2021
                : 92
                : Suppl 2
                : e2021031
                Affiliations
                [1 ] University of Parma, Italy
                [2 ] Azienda Ospedaliero-Universitaria, Parma, Italy
                [3 ] Casa di Cura Città di Parma, Parma, Italy
                [4 ] Azienda USL-IRCCS, Reggio Emilia, Italy
                Author notes
                Correspondence: Marletta Giuseppe MRN, PhD, Direzione Professioni Sanitarie, Azienda Ospedaliero-Universitaria di Parma, via Gramsci 16, Parma 43126, Italy. Mobile phone +39 3394530227 E-mail: gmarletta@ 123456ao.pr.it ; giuseppe.marletta1@ 123456unipr.it
                Article
                ACTA-92-31
                10.23750/abm.v92iS2.11505
                8383234
                34328137
                c86cc6cc-301f-4ed8-b690-98c6f964e884
                Copyright: © 2020 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA

                This work is licensed under a Creative Commons Attribution 4.0 International License

                History
                : 24 March 2021
                : 28 June 2021
                Categories
                Original Article: Improving Healthcare Performance

                nomophobia,nursing students,smartphone,mobile devices,mobile technology,nurse education,smartphone addiction

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