Mahdiehsadat Hosseini Poor, Zahra Saghafi, H. Ghaedamini
Background: Cervical ripening and achieving a favorable Bishop score are crucial for a successful delivery. When the cervix is not adequately ripe, exclusive labor induction might not succeed. Therefore, there is a need to identify safe concurrent interventions to improve the Bishop score. Objectives: This study aimed to compare the effects of oral (capsule) and vaginal evening primrose oil, in conjunction with labor induction, on the Bishop score and various labor outcomes in pregnant women. Methods: This randomized, triple-blind clinical trial was conducted on 170 pregnant women admitted to terminate their pregnancies at Niknafs Maternity hospital in Rafsanjan, Iran, in 2020. The subjects were randomly allocated to 2 intervention groups: the oral evening primrose oil group (n = 57) and the vaginal evening primrose oil group (n = 56). A control group (n = 57) received oxytocin induction alone. Group assignment was performed using the minimization method. The first intervention group received two oral evening primrose 1 000 mg capsules; however, the second group received two 1 000 mg vaginal capsules, both in conjunction with labor induction using 10 units of oxytocin per 1 000 cc of Ringer’s serum. The data were collected using a checklist with three parts: The mother’s demographic characteristics, obstetric characteristics, and childbirth details. Descriptive statistics, including frequency, percentage, mean, median, and standard deviation (SD), were employed. Statistical analyses included one-way analysis of variance (ANOVA), independent t-tests (the Kruskal-Wallis test and Mann-Whitney test for non-parametric tests), and the chi-square test. Results: Two hours after induction, the mean Bishop scores in the oral, vaginal, and control groups were 5.47 ± 1.67, 6.28 ± 1.91, and 4.09 ± 1.61, respectively (P < 0.001). Four hours after induction, the respective scores were 7.63 ± 1.59, 8.00 ± 1.20, and 5.18 ± 1.97 (P < 0.001). The vaginal group had significantly higher Bishop scores. Furthermore, the duration of the first and second phases of labor was significantly shorter in the vaginal group than in the oral and control groups (P < 0.001). Conclusions: Vaginal evening primrose oil was significantly more effective than oral capsules and induction with oxytocin alone in terms of the Bishop score and most labor outcomes.
{"title":"Comparing the Effects of Oral and Vaginal Evening Primrose Capsules with Concurrent Labor Induction and Exclusive Labor Induction on Bishop Score and Some Labor Outcomes: A Triple-Blind Clinical Trial","authors":"Mahdiehsadat Hosseini Poor, Zahra Saghafi, H. Ghaedamini","doi":"10.5812/jnms-140350","DOIUrl":"https://doi.org/10.5812/jnms-140350","url":null,"abstract":"Background: Cervical ripening and achieving a favorable Bishop score are crucial for a successful delivery. When the cervix is not adequately ripe, exclusive labor induction might not succeed. Therefore, there is a need to identify safe concurrent interventions to improve the Bishop score. Objectives: This study aimed to compare the effects of oral (capsule) and vaginal evening primrose oil, in conjunction with labor induction, on the Bishop score and various labor outcomes in pregnant women. Methods: This randomized, triple-blind clinical trial was conducted on 170 pregnant women admitted to terminate their pregnancies at Niknafs Maternity hospital in Rafsanjan, Iran, in 2020. The subjects were randomly allocated to 2 intervention groups: the oral evening primrose oil group (n = 57) and the vaginal evening primrose oil group (n = 56). A control group (n = 57) received oxytocin induction alone. Group assignment was performed using the minimization method. The first intervention group received two oral evening primrose 1 000 mg capsules; however, the second group received two 1 000 mg vaginal capsules, both in conjunction with labor induction using 10 units of oxytocin per 1 000 cc of Ringer’s serum. The data were collected using a checklist with three parts: The mother’s demographic characteristics, obstetric characteristics, and childbirth details. Descriptive statistics, including frequency, percentage, mean, median, and standard deviation (SD), were employed. Statistical analyses included one-way analysis of variance (ANOVA), independent t-tests (the Kruskal-Wallis test and Mann-Whitney test for non-parametric tests), and the chi-square test. Results: Two hours after induction, the mean Bishop scores in the oral, vaginal, and control groups were 5.47 ± 1.67, 6.28 ± 1.91, and 4.09 ± 1.61, respectively (P < 0.001). Four hours after induction, the respective scores were 7.63 ± 1.59, 8.00 ± 1.20, and 5.18 ± 1.97 (P < 0.001). The vaginal group had significantly higher Bishop scores. Furthermore, the duration of the first and second phases of labor was significantly shorter in the vaginal group than in the oral and control groups (P < 0.001). Conclusions: Vaginal evening primrose oil was significantly more effective than oral capsules and induction with oxytocin alone in terms of the Bishop score and most labor outcomes.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"186 S503","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139165606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Evidence, especially in the last two decades, indicates the effect of social factors on health. Social determinants of health (SDH) are the environmental conditions in which people are born, live, grow, educate, work, and age. Objectives: Hence, this study intended to identify the SDH of the reproductive age women's sexual health dimensions Methods: To conduct this scoping review, the researchers searched the databases, including PubMed, Medline, ProQuest, Cochrane Library, Web of Sciences, Scientific Information Database (SID), and Magiran, disregarding language limit. They searched the original observational articles (cohort, cross-sectional, case-control) on social determinants of reproductive age women's sexual health, assessing at least one social determinant of health for sexual health between January 2010 and January 2023. Results: A total of 4704 articles were extracted in the initial review; however, 30 entered the scoping review. The results revealed that the social determinants of reproductive age women's sexual health in different societies are socioeconomic status (socio-economic constraints, economic gradient, poverty, lack of food at home, homelessness, low prospects, and poor educational and job outlook), personal determinants (age, gender, religious affiliation, marital status, education level, employment/unemployment status, economic status, age at the first sex, age over 40, dissatisfaction with the sexual potency of the spouse, high body mass index, partners' sexual education, sexual intimacy, relationship duration, frequent contact with a given partner, perceived social support, and perceived safe sex norms), social support (social networks of peers, friends, and family, emotional support and strong attachments to families), neighborhood, violence, addiction, migration, stress, early life experiences, and education that can affect different sexual health dimensions. The sexual health dimensions encompass sexual function, sexual satisfaction, risky sexual behaviors, receiving sexual health services, condom use, and forced sexual behavior. Conclusions: Considering each person's conditions and needs, health policymakers and health services providers should evaluate the various dimensions of the SDH to promote women's sexual health. Moreover, they should plan and implement the required strategies to eliminate the identified obstacles.
{"title":"Social Determinants of Reproductive Age Women's Sexual Health: A Scoping Review","authors":"Farangis Habibi, S. Khani, Mohammad Ahmadi","doi":"10.5812/jnms-140898","DOIUrl":"https://doi.org/10.5812/jnms-140898","url":null,"abstract":"Background: Evidence, especially in the last two decades, indicates the effect of social factors on health. Social determinants of health (SDH) are the environmental conditions in which people are born, live, grow, educate, work, and age. Objectives: Hence, this study intended to identify the SDH of the reproductive age women's sexual health dimensions Methods: To conduct this scoping review, the researchers searched the databases, including PubMed, Medline, ProQuest, Cochrane Library, Web of Sciences, Scientific Information Database (SID), and Magiran, disregarding language limit. They searched the original observational articles (cohort, cross-sectional, case-control) on social determinants of reproductive age women's sexual health, assessing at least one social determinant of health for sexual health between January 2010 and January 2023. Results: A total of 4704 articles were extracted in the initial review; however, 30 entered the scoping review. The results revealed that the social determinants of reproductive age women's sexual health in different societies are socioeconomic status (socio-economic constraints, economic gradient, poverty, lack of food at home, homelessness, low prospects, and poor educational and job outlook), personal determinants (age, gender, religious affiliation, marital status, education level, employment/unemployment status, economic status, age at the first sex, age over 40, dissatisfaction with the sexual potency of the spouse, high body mass index, partners' sexual education, sexual intimacy, relationship duration, frequent contact with a given partner, perceived social support, and perceived safe sex norms), social support (social networks of peers, friends, and family, emotional support and strong attachments to families), neighborhood, violence, addiction, migration, stress, early life experiences, and education that can affect different sexual health dimensions. The sexual health dimensions encompass sexual function, sexual satisfaction, risky sexual behaviors, receiving sexual health services, condom use, and forced sexual behavior. Conclusions: Considering each person's conditions and needs, health policymakers and health services providers should evaluate the various dimensions of the SDH to promote women's sexual health. Moreover, they should plan and implement the required strategies to eliminate the identified obstacles.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"367 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139172165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marzieh Ebrahimi, Ali Ansari Jaberi, Tayebeh Negahban Bonabi
Background: Fears about the future and uncertainty in multiple sclerosis (MS) can affect the patients’ adaptation and well-being. Objectives: This study investigated the effect of collaborative care on the fear of disease progression in MS patients. Methods: In this randomized controlled trial, patients and their main caregivers were assigned into study groups (36 in the intervention and 43 in the control group) by randomized minimization method. For the intervention group, the collaborative care model was implemented in seven sessions over nine weeks. The data were collected using the Fear of Progression Questionnaire-Short Form (FOP Q-SF). Data analysis was done using descriptive statistics, Shapiro-Wilk, chi-square, Fisher Exact, independent, and paired t-tests. Results: A near-significant difference was found between the groups after the intervention (P = 0.051). However, in intragroup comparisons, the FOP score significantly decreased in the intervention group (P = 0.001) and increased in the control group after the intervention (P = 0.001). Conclusions: Collaborative care could potentially be an effective strategy for managing FOP in patients with MS.
{"title":"Effect of Collaborative Care on Fear of Disease Progression in Multiple Sclerosis Patients: A Randomized Controlled Trial","authors":"Marzieh Ebrahimi, Ali Ansari Jaberi, Tayebeh Negahban Bonabi","doi":"10.5812/jnms-141576","DOIUrl":"https://doi.org/10.5812/jnms-141576","url":null,"abstract":"Background: Fears about the future and uncertainty in multiple sclerosis (MS) can affect the patients’ adaptation and well-being. Objectives: This study investigated the effect of collaborative care on the fear of disease progression in MS patients. Methods: In this randomized controlled trial, patients and their main caregivers were assigned into study groups (36 in the intervention and 43 in the control group) by randomized minimization method. For the intervention group, the collaborative care model was implemented in seven sessions over nine weeks. The data were collected using the Fear of Progression Questionnaire-Short Form (FOP Q-SF). Data analysis was done using descriptive statistics, Shapiro-Wilk, chi-square, Fisher Exact, independent, and paired t-tests. Results: A near-significant difference was found between the groups after the intervention (P = 0.051). However, in intragroup comparisons, the FOP score significantly decreased in the intervention group (P = 0.001) and increased in the control group after the intervention (P = 0.001). Conclusions: Collaborative care could potentially be an effective strategy for managing FOP in patients with MS.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"13 3","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138585394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Despite a lower teenage pregnancy rate in Iran compared to the global average, there is an anticipation of increased teenage pregnancy rates by 2025 due to changes in population policy programs. Objectives: This study aimed to compare the challenges faced during the transition to motherhood and the quality of infant care between adolescent mothers and young mothers in Karaj, Iran. Methods: This descriptive-analytical study was conducted in 2020, involving 160 adolescent and young mothers selected through multistage sampling in Karaj, Iran. The data were collected using demographic characteristics, a modified questionnaire assessing the challenges of the transition to parenthood, and an infant care checklist. Descriptive statistics, including frequency, percentage, mean, and standard deviation (SD), were reported. Data analysis was carried out using the chi-square test and Mann-Whitney U test. Results: The study showed no significant differences between adolescent and young mothers in terms of mean scores related to the challenges of the transition to parenthood, such as responsibility and commitment, pleasure and satisfaction, fondness and stability, and self-commitment (P ≥ 0.05). However, significant differences were observed between the 2 groups in the total score of infant care (33.07 ± 2.77 and 34.57 ± 2.65, P = 0.002), child disease care (10.63 ± 0.73 and 11.03 ± 1.20, P = 0.034), routine child care (5.38 ± 1.23 and 5.83 ± 1.28, P = 0.039), and maternal health (13.37 ± 1.60 and 14.29 ± 1.29, P < 0.0001) for adolescents and young mothers, respectively. Conclusions: Based on the study’s results, teenage mothers might benefit from support programs provided by healthcare providers, particularly midwives and doctors, to enhance their abilities to care for their children.
{"title":"Comparison of Quality of Infant Care and Transition Difficulty to Motherhood Between Adolescent and Young Mothers in Karaj, Iran","authors":"Zahrar Shakeri, Malihe Farid, Mahnaz Akbari Kamrani","doi":"10.5812/jnms-142375","DOIUrl":"https://doi.org/10.5812/jnms-142375","url":null,"abstract":"Background: Despite a lower teenage pregnancy rate in Iran compared to the global average, there is an anticipation of increased teenage pregnancy rates by 2025 due to changes in population policy programs. Objectives: This study aimed to compare the challenges faced during the transition to motherhood and the quality of infant care between adolescent mothers and young mothers in Karaj, Iran. Methods: This descriptive-analytical study was conducted in 2020, involving 160 adolescent and young mothers selected through multistage sampling in Karaj, Iran. The data were collected using demographic characteristics, a modified questionnaire assessing the challenges of the transition to parenthood, and an infant care checklist. Descriptive statistics, including frequency, percentage, mean, and standard deviation (SD), were reported. Data analysis was carried out using the chi-square test and Mann-Whitney U test. Results: The study showed no significant differences between adolescent and young mothers in terms of mean scores related to the challenges of the transition to parenthood, such as responsibility and commitment, pleasure and satisfaction, fondness and stability, and self-commitment (P ≥ 0.05). However, significant differences were observed between the 2 groups in the total score of infant care (33.07 ± 2.77 and 34.57 ± 2.65, P = 0.002), child disease care (10.63 ± 0.73 and 11.03 ± 1.20, P = 0.034), routine child care (5.38 ± 1.23 and 5.83 ± 1.28, P = 0.039), and maternal health (13.37 ± 1.60 and 14.29 ± 1.29, P < 0.0001) for adolescents and young mothers, respectively. Conclusions: Based on the study’s results, teenage mothers might benefit from support programs provided by healthcare providers, particularly midwives and doctors, to enhance their abilities to care for their children.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"6 15","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138585866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Failure in treatment plans is very common in patients with mental disorders due to the patient's non-adherence to treatment, which has serious effects on public health and imposes additional costs on the community. Thus, patient-centered methods can be used to empower patients to improve their mental health care. Objectives: This study aimed to examine the effect of King's patient-centered nursing as a goal-attainment process in patients with mental disorders to improve interpersonal, personal, and social systems and adaptive responses in these patients. Methods: A quasi-experimental single-group study with a pre-test/post-test design was conducted on 34 patients with mental disorders. The patients were selected using convenience sampling from patients admitted to psychiatric centers in Tehran in 2022. First, the socio-demographic information questionnaire was completed for all patients. Then, an intervention program designed based on King's goal attainment process was implemented for the patients: (1) Nursing assessment (identification of the patient's needs and problems according to the mutual understanding between the patient and the nurse and based on three personal, interpersonal, and social systems using King's standard checklist), (2) Planning with the participation of the patient (setting at least 3 goals, prioritizing the goals, and formulating a care plan for each goal), (3) Interventions (interactive sessions and presentation of educational content), and (4) Evaluation (determining the level of patient's adaptive responses using the same checklist). Data analysis was performed using descriptive and inferential statistics, including the paired samples t-test and analysis of covariance (ANCOVA), with SPSS-26 software. Results: Thirty patients with an average age of 39.23 ± 6.33 were examined in this study. The initial assessment showed that the main problem faced by the patients was related to the interpersonal system (communication and interaction), followed by the personal system (self-perception) and social system (control). The post-intervention evaluation showed that the patients scored higher in all three personal, interpersonal, and social systems, and there was a statistically significant difference in their scores for these systems (P < 0.001). Moreover, socio-demographic variables had no significant effect on the patients' adaptive responses (P > 0.05). Conclusions: In line with King's theory, the present study showed the benefits of patient-centered care protocols, such as interpersonal relationship development, improvement of self-perception, and patients' interactive performance. Ultimately, this theory can lead to improving the patient's health status and the hospital's quality indicators. Therefore, nurses can enhance the effectiveness of nursing care, especially in psychiatric departments, using patient-centered care protocols based on King's theory.
{"title":"Providing Nursing Care to Patients with Mental Disorders Based on King's Goal Attainment Theory: A Quasi-Experimental Study","authors":"Seyedeh Narjes Mousavizadeh, Fatemeh Paknejad, Mohammadamin Jandaghian-Bidgoli","doi":"10.5812/jnms-140815","DOIUrl":"https://doi.org/10.5812/jnms-140815","url":null,"abstract":"Background: Failure in treatment plans is very common in patients with mental disorders due to the patient's non-adherence to treatment, which has serious effects on public health and imposes additional costs on the community. Thus, patient-centered methods can be used to empower patients to improve their mental health care. Objectives: This study aimed to examine the effect of King's patient-centered nursing as a goal-attainment process in patients with mental disorders to improve interpersonal, personal, and social systems and adaptive responses in these patients. Methods: A quasi-experimental single-group study with a pre-test/post-test design was conducted on 34 patients with mental disorders. The patients were selected using convenience sampling from patients admitted to psychiatric centers in Tehran in 2022. First, the socio-demographic information questionnaire was completed for all patients. Then, an intervention program designed based on King's goal attainment process was implemented for the patients: (1) Nursing assessment (identification of the patient's needs and problems according to the mutual understanding between the patient and the nurse and based on three personal, interpersonal, and social systems using King's standard checklist), (2) Planning with the participation of the patient (setting at least 3 goals, prioritizing the goals, and formulating a care plan for each goal), (3) Interventions (interactive sessions and presentation of educational content), and (4) Evaluation (determining the level of patient's adaptive responses using the same checklist). Data analysis was performed using descriptive and inferential statistics, including the paired samples t-test and analysis of covariance (ANCOVA), with SPSS-26 software. Results: Thirty patients with an average age of 39.23 ± 6.33 were examined in this study. The initial assessment showed that the main problem faced by the patients was related to the interpersonal system (communication and interaction), followed by the personal system (self-perception) and social system (control). The post-intervention evaluation showed that the patients scored higher in all three personal, interpersonal, and social systems, and there was a statistically significant difference in their scores for these systems (P < 0.001). Moreover, socio-demographic variables had no significant effect on the patients' adaptive responses (P > 0.05). Conclusions: In line with King's theory, the present study showed the benefits of patient-centered care protocols, such as interpersonal relationship development, improvement of self-perception, and patients' interactive performance. Ultimately, this theory can lead to improving the patient's health status and the hospital's quality indicators. Therefore, nurses can enhance the effectiveness of nursing care, especially in psychiatric departments, using patient-centered care protocols based on King's theory.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"13 10","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138590055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Nursing students must cultivate moral courage to be able to provide ethical care in morally challenging situations. Moral courage is influenced by various factors, including spirituality and religion. Spirituality is a crucial component of ethics, and an individual’s religious orientation shapes his/her beliefs and actions. Objectives: This study aimed to examine the role of religious orientation in shaping moral courage among nursing students. Methods: This cross-sectional study focused on nursing students at the Mazandaran University of Medical Sciences during the 2021 - 2022 academic year. A total of 153 students were selected using simple random sampling. Data were collected using Allport’s Religious Orientation and Sekerka’s Moral Courage Scale and analyzed using descriptive and inferential statistics in SPSS 18. Results: The mean moral courage score was 58.74 ± 10.56, indicating an average level of moral courage among nursing students. The mean religious orientation score was 52.84 ± 6.06, indicating a high level of religious orientation. A significant positive correlation was found between moral courage and religious orientation (r = 0.62, P < 0.05). Specifically, external religious orientation showed a positive and significant correlation with moral courage (r = 0.76, P < 0.05 Conclusions: The findings of this study demonstrated a positive correlation between religious orientation and moral courage among nursing students. It can be concluded that religious orientation does influence moral courage in nursing students, with the external dimension of religion playing a predominant role. Therefore, nursing educators should consider both the internal and external aspects of religious orientation when designing interventions to enhance moral courage among nursing students.
{"title":"The Relationship Between Religion Orientation and Moral Courage: A Study on Nursing Students","authors":"Fateme Talebian, F. Araghian Mojarad, T. Yaghoubi","doi":"10.5812/jnms-139916","DOIUrl":"https://doi.org/10.5812/jnms-139916","url":null,"abstract":"Background: Nursing students must cultivate moral courage to be able to provide ethical care in morally challenging situations. Moral courage is influenced by various factors, including spirituality and religion. Spirituality is a crucial component of ethics, and an individual’s religious orientation shapes his/her beliefs and actions. Objectives: This study aimed to examine the role of religious orientation in shaping moral courage among nursing students. Methods: This cross-sectional study focused on nursing students at the Mazandaran University of Medical Sciences during the 2021 - 2022 academic year. A total of 153 students were selected using simple random sampling. Data were collected using Allport’s Religious Orientation and Sekerka’s Moral Courage Scale and analyzed using descriptive and inferential statistics in SPSS 18. Results: The mean moral courage score was 58.74 ± 10.56, indicating an average level of moral courage among nursing students. The mean religious orientation score was 52.84 ± 6.06, indicating a high level of religious orientation. A significant positive correlation was found between moral courage and religious orientation (r = 0.62, P < 0.05). Specifically, external religious orientation showed a positive and significant correlation with moral courage (r = 0.76, P < 0.05 Conclusions: The findings of this study demonstrated a positive correlation between religious orientation and moral courage among nursing students. It can be concluded that religious orientation does influence moral courage in nursing students, with the external dimension of religion playing a predominant role. Therefore, nursing educators should consider both the internal and external aspects of religious orientation when designing interventions to enhance moral courage among nursing students.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"176 2 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139229210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hamid Sharif-Nia, Tahereh Heidari, M. Zarghami, Azar Ramezani Toyeh, Parvin Ghasemi Mianaee, Vahid Ganji, Hamideh Azimi Lolaty
Background: As a prevalent phenomenon in the world, it’s required to view substance abuse as one of the most prominent social problems. Substance abuse, especially by the youth, imposes huge costs on society. The relevant misconceptions include immature mindsets held by individuals who conflict with the currently accepted concepts and empirical findings. Unfortunately, the common misconceptions about this phenomenon are so abundant that the majority of individuals, even the educated ones, are unfamiliar with its meaning and concept as a phenomenon. Thus, a valid and reliable tool is required to examine the common types of such misconceptions. Objectives: This study pursued the goal of designing an inventory of the common types of misconceptions among university students about substance abuse. Methods: Using a two-stage approach, the present research study was conducted in 2019 in Iran. The first stage involved conducting individual interviews with 10 students who were substance abusers, as well as reviewing the relevant literature to generate the study items. The second stage consisted of a quantitative evaluation of the instrument, which included assessing the face validity (both qualitatively and quantitatively), content validity (both qualitatively and quantitatively, as calculated by content validity index (CVI), and content validity ratio (CVR)). The construct validity was examined by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) with two 375 samples for each of them and its reliability. Results: From the first phase and literature review, 71 items were codified. Five items were removed from surveying the qualitative and quantitative face validity; besides, due to a CVR of less than 0.49, 24 items were excluded, and also because of the CVI, less than 0.78, 12 items were deleted. Overall, a 30-item scale remained. Via the exploratory factor analysis, three factors, including 16 items and 40.86% of the total variance, were extracted. The intra-class correlation coefficient (ICC) and Cronbach’s alpha coefficient were greater than 0.7 for all factors and 0.8, respectively. Conclusions: The designed inventory revealed desirable psychometric properties and the necessary validity to investigate and evaluate the common types of misconceptions regarding substance abuse among the students of medical sciences.
{"title":"Designing and Psychometrically Evaluating Students’ Common Types of Misconceptions about Substance Abuse Inventory: A Methodological Study","authors":"Hamid Sharif-Nia, Tahereh Heidari, M. Zarghami, Azar Ramezani Toyeh, Parvin Ghasemi Mianaee, Vahid Ganji, Hamideh Azimi Lolaty","doi":"10.5812/jnms-137541","DOIUrl":"https://doi.org/10.5812/jnms-137541","url":null,"abstract":"Background: As a prevalent phenomenon in the world, it’s required to view substance abuse as one of the most prominent social problems. Substance abuse, especially by the youth, imposes huge costs on society. The relevant misconceptions include immature mindsets held by individuals who conflict with the currently accepted concepts and empirical findings. Unfortunately, the common misconceptions about this phenomenon are so abundant that the majority of individuals, even the educated ones, are unfamiliar with its meaning and concept as a phenomenon. Thus, a valid and reliable tool is required to examine the common types of such misconceptions. Objectives: This study pursued the goal of designing an inventory of the common types of misconceptions among university students about substance abuse. Methods: Using a two-stage approach, the present research study was conducted in 2019 in Iran. The first stage involved conducting individual interviews with 10 students who were substance abusers, as well as reviewing the relevant literature to generate the study items. The second stage consisted of a quantitative evaluation of the instrument, which included assessing the face validity (both qualitatively and quantitatively), content validity (both qualitatively and quantitatively, as calculated by content validity index (CVI), and content validity ratio (CVR)). The construct validity was examined by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) with two 375 samples for each of them and its reliability. Results: From the first phase and literature review, 71 items were codified. Five items were removed from surveying the qualitative and quantitative face validity; besides, due to a CVR of less than 0.49, 24 items were excluded, and also because of the CVI, less than 0.78, 12 items were deleted. Overall, a 30-item scale remained. Via the exploratory factor analysis, three factors, including 16 items and 40.86% of the total variance, were extracted. The intra-class correlation coefficient (ICC) and Cronbach’s alpha coefficient were greater than 0.7 for all factors and 0.8, respectively. Conclusions: The designed inventory revealed desirable psychometric properties and the necessary validity to investigate and evaluate the common types of misconceptions regarding substance abuse among the students of medical sciences.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"26 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139270534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Latar Belakang: Napping adalah istirahat tidur sejenak yang dilakukan pada saat jam kerja. Jika dilihat jam kerja perawat dinas malam 12 jam, maka sudah sewajarnya perawat mendapat waktu istirahat. Jika dilihat dari pasal 36 UU no 38 tahun 2014 tentang Keperawatan terdapat hak perawat mendapat fasilitas kerja sesuai standar. Tujuan: penelitian ini bertujuan untuk meneliti karakteristik perawat, perilaku napping perawat yang melakukan shift malam dengan kinerja perwat di ruang rawt kelas 3 RSUD Budhi Asih Jakarta. Metode Penelitian: penelitian ini menggunakan metode analitik korelatif dengan pendekatan cross-sectional. Hasil : hasil penelitian yang dilakukan dengan menggunakan uji Chi-Square menunjukkan adanya hubungan antara napping perawat shift malam dengan kinerja perawat dengan korelasi p-value = 0,000 dan or= 0,000, karakteristik responden tidak ditemukan adanya hubungan dengan kinerja dengan korelasi jenis kelamin p- value=0,221, usia p-value=0,522, status pernikahan p-value= 0,169, Pendidikan p-value= 0,383 dan status pegawai p-value =0,211. Kesimpulan : dari hasil analisa didapatkan kesimpulan bahwa ada hubungan antara napping perawat shift malam dengan kinerja perawat. Dengan adanya dasar hukum yang kuat diharapkan instansi/rumah sakit sampai dengan organisasi profesi memberikan regulasi tertulis terkait dengan napping ini.
{"title":"HUBUNGAN NAPPING PERAWAT SHIFT MALAM DENGAN KINERJA PERAWAT DI RUANG RAWAT KELAS 3 RSUD BUDHI ASIH JAKARTA","authors":"Harizza Pertiwi, Umi Munawaroh, Sari Narulita","doi":"10.54771/jnms.v2i2.1317","DOIUrl":"https://doi.org/10.54771/jnms.v2i2.1317","url":null,"abstract":"Latar Belakang: Napping adalah istirahat tidur sejenak yang dilakukan pada saat jam kerja. Jika dilihat jam kerja perawat dinas malam 12 jam, maka sudah sewajarnya perawat mendapat waktu istirahat. Jika dilihat dari pasal 36 UU no 38 tahun 2014 tentang Keperawatan terdapat hak perawat mendapat fasilitas kerja sesuai standar. Tujuan: penelitian ini bertujuan untuk meneliti karakteristik perawat, perilaku napping perawat yang melakukan shift malam dengan kinerja perwat di ruang rawt kelas 3 RSUD Budhi Asih Jakarta. Metode Penelitian: penelitian ini menggunakan metode analitik korelatif dengan pendekatan cross-sectional. Hasil : hasil penelitian yang dilakukan dengan menggunakan uji Chi-Square menunjukkan adanya hubungan antara napping perawat shift malam dengan kinerja perawat dengan korelasi p-value = 0,000 dan or= 0,000, karakteristik responden tidak ditemukan adanya hubungan dengan kinerja dengan korelasi jenis kelamin p- value=0,221, usia p-value=0,522, status pernikahan p-value= 0,169, Pendidikan p-value= 0,383 dan status pegawai p-value =0,211. Kesimpulan : dari hasil analisa didapatkan kesimpulan bahwa ada hubungan antara napping perawat shift malam dengan kinerja perawat. Dengan adanya dasar hukum yang kuat diharapkan instansi/rumah sakit sampai dengan organisasi profesi memberikan regulasi tertulis terkait dengan napping ini.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"22 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139308970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronavirus Disease 2019 (COVID-19) adalah penyakit menular yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). SARS-CoV-2 merupakan coronavirus jenis baru yang belum pernah diidentifikasi sebelumnya pada manusia. Virus ini ditemukan di Wuhan, China yang terdeteksi di Indonesia pada Maret 2020. Covid-19 ini menginfeksi manusia melalui saluran pernafasan dengan mekanisme terberatnya kesulitan bernafas. Coronavirus menyebar secara cepat ke berbagai negara didunia termasuk di Indonesia. Meningkatnya prevalensi penderita Covid-19 yang menjadi rantai penularan COVID-19 menuntut tenaga kesehatan khususnya perawat untuk dapat melindungi diri dari penularan covid-19. Sebagai garda terdepan rumah sakit, perawat harus memiliki pengetahuan yang baik dan penggunaan APD dengan benar. Penelitian ini bertujuan untuk menganalisis hubungan tingkat pengetahuan tentang Covid-19 terhadap kepatuhan perawat dalam penggunaan APD yang baik dan benar guna mencegah penularan Covid-19 di RSAU dr. Esnawan Antariksa. Metode penelitian ini menggunakan pendekatan Cross-sectional dengan jumlah sampel 67 perawat. Analisa data menggunakan Spearman rho dengan hasil nilai p-value=0,000 (p<0,05) dan nilai Correlation Coefisient sebesar 0,702 yang menunjukkan ada hubungan yang kuat dengan arah positif antara pengetahuan terhadap kepatuhan penggunaan APD. Diharapkan perawat meningkatkan pengetahuan dan kepatuhan dalam penggunaan APD melalui pendidikan, pelatihan guna mencegah terpapar Covid-19.
{"title":"PENGETAHUAN TENTANG COVID-19 TERHADAP KEPATUHAN PERAWAT DALAM PENGGUNAAN ALAT PELINDUNG DIRI (APD) GUNA MENCEGAH PENULARAN COVID-19 DI RUANG ISOLASI COVID","authors":"Agung Setiyadi, A. Dewi","doi":"10.54771/jnms.v2i2.825","DOIUrl":"https://doi.org/10.54771/jnms.v2i2.825","url":null,"abstract":"Coronavirus Disease 2019 (COVID-19) adalah penyakit menular yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). SARS-CoV-2 merupakan coronavirus jenis baru yang belum pernah diidentifikasi sebelumnya pada manusia. Virus ini ditemukan di Wuhan, China yang terdeteksi di Indonesia pada Maret 2020. Covid-19 ini menginfeksi manusia melalui saluran pernafasan dengan mekanisme terberatnya kesulitan bernafas. Coronavirus menyebar secara cepat ke berbagai negara didunia termasuk di Indonesia. Meningkatnya prevalensi penderita Covid-19 yang menjadi rantai penularan COVID-19 menuntut tenaga kesehatan khususnya perawat untuk dapat melindungi diri dari penularan covid-19. Sebagai garda terdepan rumah sakit, perawat harus memiliki pengetahuan yang baik dan penggunaan APD dengan benar. Penelitian ini bertujuan untuk menganalisis hubungan tingkat pengetahuan tentang Covid-19 terhadap kepatuhan perawat dalam penggunaan APD yang baik dan benar guna mencegah penularan Covid-19 di RSAU dr. Esnawan Antariksa. Metode penelitian ini menggunakan pendekatan Cross-sectional dengan jumlah sampel 67 perawat. Analisa data menggunakan Spearman rho dengan hasil nilai p-value=0,000 (p<0,05) dan nilai Correlation Coefisient sebesar 0,702 yang menunjukkan ada hubungan yang kuat dengan arah positif antara pengetahuan terhadap kepatuhan penggunaan APD. Diharapkan perawat meningkatkan pengetahuan dan kepatuhan dalam penggunaan APD melalui pendidikan, pelatihan guna mencegah terpapar Covid-19.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"199 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139307466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pekerjaan perawat beresiko tinggi terhadap Low Back Pain (LBP) disebabkan faktor mekanika tubuh atau sikap kerja di antaranya berdiri dalam lama dan posisi menekuk badan kedepan. Sedangkan faktor dari pasien di antaranya mengangkat pasien, memindahkan barang dan memposisikan pasien di tempat tidur. Tujuan penelitian ini untuk mengetahui hubungan antara pengetahuan perawat mengenai mekanika tubuh terhadap keluhan LBP pada perawat IGD. Penelitian ini menggunakan design descriptive correlative secara cross sectional. Sebanyak 34 responden diteliti secara total sampling. Setelah dilakukan uji spearman rho didapatkan hasil bahwa tidak terdapat hubungan antara pengetahuan perawat mengenai mekanika tubuh terhadap keluhan LBP pada perawat IGD RSUD Pasar Rebo Jakarta Timur (p= 0,449; r=-0,134). Karakteristik dan tuntutan pekerjaan perawat di ruangan IGD memerlukan pergerakan-pergerakan dengan segera dan cepat tanggap dapat membuat perawat mengesampingkan dan tidak menyadari melakukan pergerakan-pergerakan yang dapat membahayakan tulang belakangnya. Diperlukan tidak hanya pengetahuan namun juga sikap dan perilaku positif dalam menerapkan prosedur ergonomis selama melakukan tindakan keperawatan agar LBP dapat dicegah.
{"title":"Pengetahuan Perawat Mengenai Mekanika Tubuh dan Kejadian Low Back Pain (LBP)","authors":"P. Wiratmo, Yoanita Hijriyati","doi":"10.54771/jnms.v2i2.1094","DOIUrl":"https://doi.org/10.54771/jnms.v2i2.1094","url":null,"abstract":"Pekerjaan perawat beresiko tinggi terhadap Low Back Pain (LBP) disebabkan faktor mekanika tubuh atau sikap kerja di antaranya berdiri dalam lama dan posisi menekuk badan kedepan. Sedangkan faktor dari pasien di antaranya mengangkat pasien, memindahkan barang dan memposisikan pasien di tempat tidur. Tujuan penelitian ini untuk mengetahui hubungan antara pengetahuan perawat mengenai mekanika tubuh terhadap keluhan LBP pada perawat IGD. Penelitian ini menggunakan design descriptive correlative secara cross sectional. Sebanyak 34 responden diteliti secara total sampling. Setelah dilakukan uji spearman rho didapatkan hasil bahwa tidak terdapat hubungan antara pengetahuan perawat mengenai mekanika tubuh terhadap keluhan LBP pada perawat IGD RSUD Pasar Rebo Jakarta Timur (p= 0,449; r=-0,134). Karakteristik dan tuntutan pekerjaan perawat di ruangan IGD memerlukan pergerakan-pergerakan dengan segera dan cepat tanggap dapat membuat perawat mengesampingkan dan tidak menyadari melakukan pergerakan-pergerakan yang dapat membahayakan tulang belakangnya. Diperlukan tidak hanya pengetahuan namun juga sikap dan perilaku positif dalam menerapkan prosedur ergonomis selama melakukan tindakan keperawatan agar LBP dapat dicegah.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"262 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139309162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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