Iranian Journal of Nursing and Midwifery Research最新文献

Background: Staff burnout was a major challenge for healthcare systems globally during the COVID-19 pandemic. In this regard, this study aimed to examine the mental health status of employees in two hospitals: one that admitted patients with COVID-19 (COVID-19 hospital) and another that did not admit such patients (non-COVID-19 hospital).

Materials and methods: This multistage case-control study was conducted on 1241 participants who were selected using the census sampling method. The participants completed the Symptom Checklist 25 and a demographic checklist, along with the assessment of other relevant variables. Data collection occurred at 3 (June 2020), 6 (September 2020), and 9 (December 2020) months following the COVID-19 outbreak. The data were analyzed in using the Kruskal-Wallis and Mann-Whitney tests for statistical analysis.

Results: Among the 300 staff members at the COVID-19 hospital, 187 (62%), 73 (24%), and 40 (13%) members were medical, nonmedical, and administrative staff, respectively. At the non-COVID-19 hospital, out of 300 staff members, 235 (78%), 53 (18%), and 12 (4%) members were medical, nonmedical, and administrative staff, respectively. The staff at the COVID-19 hospital showed higher total SCL-25 scores, compared to those at the non-COVID-19 hospital. Despite an overall upward trend in psychiatric disorders in both groups, significant differences were observed at 6 months (p = 0.02) and 9 months (p < 0.001) following the outbreak.

Conclusions: The staff at the COVID-19 hospital were at a higher risk of developing mental health disorders. The mental health status of employees at both hospitals evolved over time.

Background: Chronic malnutrition can cause children to be underweight for their age, leading to stunting. This study aimed to examine the association between infectious diseases and stunting in toddlers.

Materials and methods: A cross-sectional study was conducted across Indonesia in 2021, involving 90,897 toddlers. Data were obtained through maternal interviews and anthropometric measurements. Bivariate and multivariate analyses were used.

Results: Results showed that toddler age, gender, place of residence, and parental education and occupation were significantly associated with stunting, p < 0.001 (OR = 1.1-3.6). Infectious diseases, including Acute Respiratory Infections (ARIs), diarrhea, pneumonia, and worm infections, were also significantly associated with stunting, p < 0.05 (OR = 1.1-1.5).

Conclusions: Infectious diseases, including ARIs, diarrhea, pneumonia, and worm infections, are significantly associated with stunting. These findings highlight the importance of preventing and managing infections to reduce stunting in Indonesian toddlers.

Background: Women who choose natural childbirth feel empowered and in control. Support from midwives can enhance the experience. Women's childbirth experiences affect their care quality, physical/mental health, and future preferences. A study aimed to comprehend women's experiences of childbirth violence within the health system.

Materials and methods: The research in Iran focused on creating a questionnaire about childbirth violence by interviewing 26 women who recently gave birth. Participants met specific criteria such as age, delivery experience, and Persian language proficiency. Data from the interviews was analyzed using qualitative content analysis between August and December 2019 in Ilam province, Iran, as part of a broader mixed-method study.

Results: Dimensions of childbirth Violence in the health system are classified into two main categories based on the mothers' narratives: "The superiority approach of the health system towards the mother" and "deprivation of the mother from desirable health system". These two main categories are described in eight subcategories (physical abuse, psychological abuse, ignoring the human dignity of the mother, refusal of optimal care, poor interaction with mother, lack of resources, lack of skilled care, and weak accountable regulatory policies which included 22 final codes.

Conclusion: This study serves as a crucial step in recognizing and addressing the multifaceted issue of childbirth violence in Iran, aiming to enhance the quality of care and protect the rights of mothers during one of the most significant experiences of their lives.

Background: The COVID-19 pandemic has challenged the clinical training of nursing students. Because the quality improvement of nursing clinical training, in which nursing educators play a major role, requires the continuous monitoring of the status quo, this study aimed to explore the nursing educators' experiences of clinical internships during the COVID-19 pandemic.

Materials and methods: This descriptive qualitative study was conducted in 2021 in Tehran, Iran. Participants (n = 10) were faculty members of Tehran University of Medical Sciences and were training nursing students in medical-surgical wards in educational hospitals. Data were collected from November 2021 to January 2022 through deep, semi-structured, and face-to-face interviews until data saturation by nurse researchers and were analyzed by the Graneheim and Lundman (2004) method.

Results: Analysis revealed five main categories including "fear of coronavirus disease," "increased attention to health protocols," "educational challenges," "shortage of personal protective equipment" and "adaptation to pandemic conditions."

Conclusions: These findings showed nursing educators face many problems in teaching clinical skills to students during the COVID-19 pandemic; so, health policymakers should put policies that can manage this crisis in future occurrences. In educational curricula, critical conditions affecting the quality of student's education should be taken into consideration to reduce obstacles.

Background: The attachment between mother and infant, beginning from pregnancy and reaching a peak with skin-to-skin contact, has a considerable effect on infants' growth and development. As stress and anxiety in contact with infants and unwillingness to embrace them have been reported in biological mothers in surrogacy, this study was conducted to assess the effect of skin-to-skin contact between the biological mother and their baby who born via surrogacy on mother-infant attachment.

Materials and methods: In this clinical trial, 50 biological mothers were randomly assigned to either intervention (with skin contact) or the control group. The data collection tools included a personal information questionnaire and Avant's mother-infant attachment questionnaire.

Results: The results indicated a significant difference between the intervention group, with skin-to-skin contact with the biological mother in surrogacy, and the control group (no skin-to-skin contact) in terms of the mean score of biological mothers' attachment (p < 0.001).

Conclusions: The results suggested that biological mother-infant skin-to-skin contact immediately after birth is effective in creating and increasing attachment and affecting mothers' quality of infant care. As this does not routinely occur in hospitals, taking necessary measures and educating nurses and authorities in maternity and neonatal wards is crucial to improving the quality of care and creating the desired attachment between mothers and infants.

Background: The Coronary Care Unit (CCU) requires effective managers to consider- the patient's acute condition. Studies have indicated that nursing managers of such units face many challenges. The purpose of the study is to explain nursing managers' CCU management experience.

Materials and methods: The current study has been conducted with a qualitative approach from November 2017 to February 2020 in the CCU of Al Zahra Heart Hospital in Shiraz, Iran. The participants consisted of 18 individuals out of nursing managers and Coronary Care Unit Nurses in Charge selected as purposeful. The data has been collected using unstructured interviews, focus groups, and field notes. The researchers used content analysis proposed by Graneheim and Lundman for interpreting the content of textual data using regular classification.

Results: Data analysis led to the emergence of 3 themes and 8 subcategories. The theme of Inadequate Interaction by the Nursing Managers has been derived from the conceptualization of three subcategories "Senior Managers Insufficiently Supporting the Nursing Manager", "Nonempathetic Communication by Nursing Manager" and "Nursing Manager, not Providing Ground for Motivating and Promoting Staff". The main theme "Impaired Control and Supervision" includes two subcategories "Lack of Sufficient Supervision on Nursing Care Performance", "Lack of Suitable Instrument to Monitor Unit's Equipment and Nursing Staff's Performance", and the main theme, " Incapability to Organize Performance", is made up of three Subcategories "Nursing Managers Being Incapable to Manage Time", "Inappropriately Organizing Activities", and "Nursing Managers' Limited Power in Planning Managerial Activities."

Conclusions: The current study-derived findings present a realistic image of nursing managers participating in CCU management, so the resulting themes indicate nursing managers' perception of CCU management as ineffective. Thus, it is imperative to focus on promoting CCU nursing managers' managerial performance.

Background: The prevalence of diabetes among children and adolescents in Saudi Arabia highlights the need for enhanced teacher education and training in diabetes management within the school environment. This study aimed to evaluate the knowledge of public school teachers regarding diabetes among adolescent students in Saudi Arabia.

Materials and methods: We used a cross-sectional design and distributed an online questionnaire via social media and email to collect data between April and June 30, 2022. A convenience sample of 290 intermediate and secondary public school teachers was recruited. Statistical analysis, including Chi-square tests and logistic regression, assessed associations and predictors of diabetes knowledge among teachers.

Results: Of the 290 responses, 80.3% were female, 61% lived with a family member with diabetes mellitus, and 33.4% had prior diabetic training. The study found that 62% of participants had fair knowledge about diabetes. Age, education level, and speciality were significantly associated with knowledge (p < 0.001). Regression analysis showed no statistically significant influence of the combined variables on knowledge (F_{9, 86.97} = 1.585, p = 0.129), but age group significantly influenced knowledge (β = 1.171, p = 0.008).

Conclusions: The study revealed that Saudi teachers require additional educational programs to enhance their understanding of diabetes. The findings suggest training courses to improve teachers' knowledge, providing written instructions for diabetic emergencies, and incorporating trained nurses in educational institutes.

Background: E-learning, including platforms like Google Classroom and Moodle, has become integral to nursing education, offering flexibility and adapting to the changing educational system. Despite varied student responses, the COVID-19 pandemic accelerated the shift to online nursing education at Karaganda Medical University, prompting an evaluation of platforms like Zoom, WebEx, Google Classroom, and Moodle for their quality and convenience. This study, based on the students' perspective, contributes to ongoing efforts to optimize online platforms for nursing education at Karaganda Medical University.

Materials and methods: This cross-sectional study was conducted by a group of lecturers in December 2023 at Karaganda Medical University, Kazakhstan. The study adopted a quantitative approach, employing a survey methodology administered to 154 second-year students enrolled in the academic bachelor's degree program in Nursing. Participants were chosen through convenience sampling, and they were tasked with rating educational platforms and programs based on predefined criteria, utilizing a 5-point scale. Data analysis was carried out using descriptive statistics, calculating relative values for comparative analysis.

Results: Comparative analysis was conducted on two prominent educational platforms-Google Classroom and Moodle-and two programs designed for online consultations and classes-WebEx and Zoom. All obtained data is presented in tables for clarity.

Conclusions: An analysis of the preferences of second-year undergraduate students regarding educational platforms and online programs identified the main criteria important for the learning process. This research can be used to further improve educational platforms and enhance the quality of education.

Background: Fatigue is one of the most common symptoms in patients with Multiple Sclerosis (MS). It can cause severe psychological problems and reduce their Quality of Life (QOL). Cupping therapy is known as a method of alternative medicine that can be used to treat or reduce patient symptoms. Thus, this study was conducted to determine the effect of dry cupping therapy on the fatigue and QOL of women with MS.

Materials and methods: This randomized clinical trial was conducted on 60 patients (30 patients in each group) with MS referred to the Medical Center of Special Diseases in southeast Iran. Patients in the intervention group received eight sessions of dry cupping therapy twice a week over 4 weeks, while the control group received routine fatigue reduction methods. Data were collected before and after the intervention by using the demographic information questionnaire, the Fatigue Severity Scale, and the Multiple Sclerosis Quality of Life questionnaire. Data were analyzed using SPSS 18. The significance level was 0.05.

Results: Thirty patients entered the study; none of them were excluded from the study, and 30 patients were finally analyzed. Before the intervention, there was no statistically significant difference between the two groups in terms of fatigue (intervention group: 47.67) 7.83); control group: 47.63) 8.76)) and QOL (intervention group: 48.85) 9.55); control group: 49.64) 9.90) (t = 0.018, p = 0.98 and t = 0.31, p = 0.75, respectively)). After performing cupping therapy in the intervention group, a significant decrease and increase were observed in the mean (SD) score of fatigue (intervention group: 34.48) 6.16); control group: 46.85 (8.95)) and QOL (intervention group: 60.14) 7.46); control group: 51.96) 9.45)), respectively (p < 0.001).

Conclusions: The findings showed that cupping therapy significantly reduced the patients' fatigue and increased their QOL. This method is recommended for reducing fatigue and improving QOL in patients with MS.