El brote de COVID-19 puso de relieve no solo la seguridad sino también el bienestar mental de los estudiantes de enfermería. En la actualidad, no se comprende bien el nivel de miedo al COVID-19 y los factores asociados entre los estudiantes de enfermería en Filipinas. Esta encuesta transversal en línea determinó la relación entre el uso de Internet y la alfabetización en eSalud con el miedo al COVID-19. Mil trescientos sesenta y siete (n = 1.367) respondieron una encuesta en línea utilizando la Escala de alfabetización en salud electrónica (eHEALS) y la Escala de miedo a COVID-19 (FCV-19S) administradas del 1 al 15 de mayo de 2020. Estadísticas descriptivas, se realizaron pruebas de diferencias y análisis correlacional. Los resultados indicaron que la puntuación compuesta del FCV-19S fue de 3,65, lo que indica niveles de miedo de moderados a altos. El miedo al COVID-19 difirió significativamente según el sexo, el año y la ubicación. Se encontró una relación inversa significativa entre el uso diario promedio de Internet y el miedo al COVID-19. Por otro lado, no se observó una asociación significativa entre la alfabetización en eSalud y el miedo al COVID-19. La primera ola del brote de COVID-19 ha tenido un impacto de gran alcance en el bienestar psicológico de los estudiantes de enfermería. Este estudio destaca el valor de Internet y su uso durante el brote no siempre puede generar un mayor temor relacionado con el COVID-19. Las escuelas de enfermería pueden necesitar crear estrategias para promover el uso de Internet regulado y responsable, abordar las preocupaciones de salud mental de los estudiantes y desarrollar intervenciones para responder de manera proactiva para mitigar o reducir el miedo entre los estudiantes de enfermería durante la pandemia.

Virtual reality (VR) technology has been widely used in clinical nursing care in recent years. We aimed to systematically evaluate the effect and safety of VR technology on pain control in wound care, to provide evidence and support for clinical wound care. We searched PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, China Biomedical Literature Database, China National Knowledge Infrastructure (CNKI), Wanfang Data Knowledge Service Platform, and Chinese Science and Technology Journal databases for randomised controlled trials (RCTs) on the application of VR technology in wound care up to December 20, 2021. Two researchers independently assessed the quality of the included RCTs and extracted associated data. RevMan5.3 statistical software was used for data analysis. 13 RCTs involving 1258 adult patients were included, of whom 588 patients underwent VR intervention. VR technology intervention could reduce the VAS score(MD = −1.13, 95%CI:−2.01~−0.26, P < .001), pain cognition score(MD = −3.94, 95%CI:−4.59 ~ −3.30, P < .001), pain emotion score(MD = ‐5.21, 95%CI: −10.46 ~ −0.04, P < .001), pain sensation score (MD = −4.94, 95%CI: −9.46 ~ −0.42, P = .03) and blood pressure(MD = −4.66, 95%CI: −8.63 ~ −0.69, P = .02) during would care. There were no significant differences on the heart rate (MD = −1.85, 95%CI: −5.71 ~ −2.01, P = .45) and VR interestingness (MD = 28.96, 95%CI: −22.10 ~ 80.02, P = .27) of the VR group and control group. No publication biases among the synthesised outcomes were found (all P > .001). VR technology can effectively reduce the pain degree and sensation of patients during wound care, which may be an effective auxiliary non‐drug method used for pain relief during wound care.

The COVID-19 outbreak situation brought into focus not only the safety but also the mental wellbeing of nursing students. At present, the level of fear of COVID-19 and associated factors among nursing students in the Philippines is not well understood. This cross-sectional online survey determined the relationship between Internet use and eHealth literacy with fear of COVID-19. One thousand three hundred and sixty-seven (n=1,367) answered an online survey using the adopted eHealth Literacy Scale (eHEALS), and Fear of COVID-19 Scale (FCV-19S) administered from May 1 to 15, 2020. Descriptive statistics, tests for differences, and correlational analysis were performed. Results indicated that the composite score of the FCV-19S was 3.65, indicating moderate to high levels of fear. Fear of COVID-19 significantly differed based on sex, year level, and location. A significant inverse relationship was found between the average daily use of the Internet and fear of COVID-19. On the other hand, no significant association was noted between eHealth literacy and fear of COVID-19. The first wave of the COVID-19 outbreak has resulted in a far-reaching impact on nursing students' psychological wellbeing. This study highlights the value of the Internet and its use during the outbreak may not always lead to higher fear related to COVID-19. Nursing schools may need to create strategies to promote regulated and responsible Internet use, address students' mental health concerns and develop interventions to respond proactively to mitigate or reduce fear among nursing students during the pandemic.

IntroductionThe self-harm of young people can cause tremendous distress to their parents/carers and impair parents’ ability to provide care. At the same time, parents play an essential role in supporting their child during the management and treatment of self-harm. The synthesis of evidence about parental experiences and needs can inform mental health practice and the development of interventions to provide better care to young people who self-harm and their parents.Methods and analysisA comprehensive search will be conducted across several information sources, including multiple electronic databases (eg, PubMed, Embase, CINAHL, PsycINFO, ProQuest, CNKI, Wanfang, VIP and SinoMed), grey literature, the websites of specific organisations and hand-searched reference lists of all the relevant studies. Qualitative studies published in English or Chinese and focusing on the lived experiences of parents whose child self-harms will be included. Two reviewers will independently screen all the retrieved articles according to the flow diagram proposed by PRISMA (the Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Two independent reviewers will then appraise the methodological quality of all the included articles using the JBI (Joanna Briggs Institute) critical appraisal checklist for qualitative research. The meta-aggregation approach will be used to synthesise the findings of the included qualitative studies, and the level of confidence in the synthesised findings will be assessed using the Confidence in the Qualitative synthesised finding approach.Ethics and disseminationNo additional ethical clearance is required since this review is a secondary analysis of published primary studies. The findings will be disseminated through publication in a peer-reviewed journal and conference presentations.PROSPERO registration numberCRD42021265525.