Iranian Journal of Nursing and Midwifery Research最新文献

Background: Childhood cancers often lead to significant distress for parents. This study aimed to evaluate the effects of a Family Nursing Intervention (FNI) on the suffering of parents of children with cancer.

Materials and methods: This study employed a quasi-experimental design with a sample of 42 parents of children with cancer. The experimental group participated in a four-week FNI program with weekly 90-minute sessions, while the control group received only routine care. Data were collected using a parenting suffering scale at baseline and after the intervention and analyzed using descriptive statistics and t-tests.

Results: This study showed that, at post-test, the parents who participated in the FNI had significantly lower suffering scores compared to those in the control group (t_37.60= -3.45, P = 0.001).

Conclusions: These findings suggest that FNI could alleviate parents' suffering in similar contexts in the future.

Background: The uniform plays a crucial role in establishing professional identity and recognition. In Iran, the inability to differentiate nurses from other healthcare team members has led to dissatisfaction among both patients and nurses. This research aimed to explore the perspectives of nursing students regarding nursing uniforms in Iran.

Materials and methods: This study was conducted as a cross-sectional descriptive study involving 457 nursing students from Isfahan, Iran. The survey was carried out between April and May 2024, utilizing a non-probability sampling method. The data collection instrument included a researcher-developed questionnaire with two sections: demographic information and students' opinions on uniforms. Data analysis was conducted utilizing both descriptive and analytical statistical methods, with the statistical significance threshold set at p < 0.05.

Results: According to the results, 70.70% of students in terms of "appearance," 78.10% in terms of "comfort," 68.50% in terms of "a sense of professional identity," 65.20% in terms of "sense of self-confidence," 54.30% in terms of "infection control regulations," and 58.90% in terms of "influence on the nursing image" preferred scrubs to white coats. The factors of age, academic semester, and academic degree were significantly associated with the selection of uniform type (f = 455, t = 2.87, p < 0.05).

Conclusions: Nursing students showed a preference for the scrub uniforms over the white coat across various aspects. Furthermore, they emphasized the importance of recognizing the variations in uniform colors across different units, deeming the use of white as unsuitable for all units.

Background: Privacy, recognized as a fundamental patient right, has become a focal point within the healthcare system. This study was conducted to evaluate the state of patients' privacy in the operating rooms of academic hospitals affiliated with Guilan University of Medical Sciences in Iran.

Materials and methods: This cross-sectional descriptive study was carried out between October 2022 and April 2023. Eligible patients completed a questionnaire that included four sections: demographic information and physical, informational, and social dimensions of patient privacy.

Results: Data from 215 patients were analyzed. Younger (Mann-Whitney U = 4738, Z = -2.44, p = 0.01) and single (Chi_square X ₂ ² 7.62, p = 0.02) patients significantly achieved higher scores. Male (Mann-Whitney U = 4918.5, Z = -0.90, p = 0.36) and rural (Mann-Whitney U = 5411, Z = -0.43, p = 0.66) patients also had higher scores; however, the differences were not significant. Comparing results across the five participating centers in three distinct dimensions, a significant variation was observed in the physical dimension (Chi_square X ₄ ² = 22.76, p < 0.0001). However, no significant differences were noted in the informational (Chi_square X ₄ ² = 9.11, p = 0.05) and social dimensions (Chi_square X ₄ ² = 8.78, p = 0.06). Among hospital sectors, the Ophthalmic and ENT surgeries units' mean (SD) scored the highest 14 (1.53), closely followed by the obstetrics' mean (SD) 13.88 (1.98), while the cardiac surgery center's mean (SD) scored the lowest 12.3 (2.53).

Conclusions: Patients' privacy was upheld, but there remains room for improvement by ensuring sufficient perioperative information is provided for the patients. Additional attention should be directed toward elderly patients and those with a history of divorce.

Background: Understanding the experiences of patients and health care providers of Diabetes is considered a key element in knowing how to treat and care for the disease. However, few studies have investigated the patients' and health care providers' experiences of diabetes. This study aimed to find how patients with Diabetes and health care providers perceive living with this disease and its treatment and care.

Materials and methods: A descriptive exploratory qualitative research approach was conducted through individual and group interviews with 23 patients with diabetes and health care providers of Isfahan urban health centers in 2020. Purposive sampling was continued until data saturation was reached, and Interview transcripts were analyzed using the conventional content analysis method.

Results: Overall, three themes emerged: disease control facilitators (healthy lifestyle, high levels of health literacy, self-care ability, supporting networks, and effective doctor-patient communication), disease control barriers (inadequate social support, misconceptions, patient burnout, low levels of health literacy, economic problems, inability to self-care, and the patient's non-compliance), and annoying consequences of living with diabetes (emotional and psychological problems, unpleasant experiences, and reduced quality of life).

Conclusions: Patients with diabetes experience several facilitators and obstacles in controlling their disease and face its complications. There were many myths about treatment. Therefore, health policymakers and planners should plan health-related interventions to remove barriers to disease control and strengthen facilitators for patients with diabetes mellitus.

Background: Strengthening critical thinking and clinical decision-making skills is important for nursing. Therefore, it is essential to use appropriate educational methods to influence these factors. This study aimed to assess the impact of peers' round on nursing students' clinical decision-making and critical thinking abilities.

Materials and methods: In this semi-experimental study, 67 final-year nursing students participated in round meetings at Ganjavian Hospital in Dezful, Iran, from January 2022 to July 2023. They were selected using a census sampling method. After selecting patients from different hospital departments and presenting them in groups of 3-4 individuals, group members collected patient information and used experts' opinions to present rounds with other students. Before and after the initiation of the program, participants completed critical thinking (18 questions) and clinical decision-making (40 questions) questionnaires. Data were analyzed using the independent t-test, paired t-test, Pearson correlation, and one-way analysis of variance (ANOVA).

Results: Rounds by peers improved students' critical thinking (t₆₆ = 9.52; p < 0.04) and clinical decision-making (t₆₆ = 2.48; p < 0.004) after the intervention. Systematic analysis and re-evaluation of outcomes had the lowest scores. Searching for alternatives and thinking outside the box obtained the highest scores among the questionnaire subscales. There was a relationship between critical thinking and clinical decision-making (r = 0.075; p < 0.001).

Conclusions: Considering the effect of round by peers on critical thinking and clinical decision-making in nursing students, nursing schools should employ new methods for the clinical training of their students.

Background: Long-term occupational stress can lead to an increase in clinical errors and negative effects on nurses' health. This study aims to investigate occupational stress and its related factors in nurses working in the educational hospitals of Kashan University of Medical Sciences.

Materials and methods: This cross-sectional study was conducted at Kashan University of Medical Sciences in 2019, in which 350 nurses were selected by stratified random sampling. Demographic information and Hospital job Stress Assessment questionnaire (HSS) were two parts of the questionnaire. The data were analyzed using the SPSS 22 software. For statistical analysis, background variables were described first. Independent t-tests, ANOVA, and their nonparametric equivalents or regression models were used to investigate the relationship between the occupational stress and background variables. The correlation coefficient was then used to assess the relationship between the quantitative variables.

Results: The results showed that the stress level of 87.71% of the nurses was at a severe level, while 12.30% of at the nurses experienced a moderate level. The total stress score was higher among women than among men, and the difference was statistically significant (t₃₄₈= -3.39, p = 0.001). A weak and nonsignificant negative correlation was observed between the total stress score with age (r = -.0.06, p = 0.26) and work experience (r = -0.076, p = 0.15).

Conclusions: Considering that most of the nurses had a high level of stress, and while occupational stress plays an important part in people's life, it seems necessary to plan to reduce the level of the occupational stress in the nurses.

Background: Nursing care quality is among the most important criteria influencing patient satisfaction. Violence against nurses has been proposed as a global problem in health settings. Thus, we aimed to examine the association of nursing care quality with the amount of violence against nurses to provide authorities with information for planning the provision of higher-quality nursing care and reducing violence.

Materials and methods: This descriptive study analyzed descriptive and inferential statistics using demographic information, the Nursing Care Quality Questionnaire, and Workplace Violence in the Health Sector Questionnaire. Using the convenience sampling method, 120 nurses and 120 patients in emergency departments in 2022 were selected as the study participants.

Results: The results showed that 56.70% of patients reported the nursing care quality level as "favorable," 40.80% as "somewhat favorable," and 2.50% as "unfavorable." The prevalence of nurses' exposure to verbal, physical, sexual, and racial violence was 96.70%, 50.00%, 12.50%, and 10.00%, respectively. The Mann-Whitney test showed a significant association between sexual violence and the physical dimension of nursing care quality (P < 0.05). However, nurses' and patients' demographic variables were not correlated with violence against nurses, and nursing care quality, respectively (P > 0.05).

Conclusions: Nurses who had faced sexual violence had a lower nursing care quality score in the physical dimension including education, safety, and pain control. Therefore, it is suggested that the impact of nurse training in the above-mentioned fields on the frequency of violence against nurses be investigated.

Background: Patients with cancer often struggle with coping with stress and anxiety. Additionally, the COVID-19 crisis has reduced the availability of coping strategies for managing stress. This study aims to determine coping strategies and related factors in patients with cancer during the COVID-19 pandemic.

Materials and methods: This descriptive study was conducted on 305 patients with cancer admitted to the Cancer Institute of Imam Khomeini Hospital in Tehran, Iran, from 2021 to 2022. The researcher used a simple random sampling method. To collect data, a demographic and clinical information questionnaire, along with the Lazarus and Folkman (1985) Ways of Coping Questionnaire, was utilized. Data were analyzed using Spearman's correlation, Mann-Whitney, and ANOVA tests.

Results: The mean (SD) age of participants was 53.90 (13.54). Among the participants, 155 (50.82%) were men, 243 (79.67%) had been diagnosed less than 2 years prior, 166 (54.43%) were undergoing chemotherapy, and 81 (26.56%) had colon cancer. Patients predominantly used positive reappraisal (13.51 (2.61)) and escape-avoidance (12.87 (2.51)) coping strategies more than other strategies. A significant relationship was found between the variables of age, sex, number of children, and education level with the coping strategies of the patients (p < 0.05).

Conclusions: The findings indicate that patients with cancer frequently used emotion-based strategies to manage their stress and anxiety during the COVID-19 pandemic. It appears that coping strategies adopted by patients differ somewhat from those before the pandemic. Thus, it is recommended to adjust training according to the demographic factors related to the coping strategies utilized by patients.

Background: The COVID-19 pandemic put enormous pressure on healthcare providers and patients. Exploring the experiences of healthcare providers involved in this crisis can help prevent potential complications and manage similar crises in the future. This study aimed to explain the experiences of healthcare providers in providing care for patients with COVID-19.

Materials and methods: This study enrolled 20 healthcare providers from three hospitals who cared for patients with COVID-19 in 2021 in Isfahan, Iran. Purposive sampling method was used to select the participants. Data were collected by conducting face-to-face interviews with the participants. The place and time of the interview was arranged considering the willingness and comfort of the participants. Data were analyzed using inductive content analysis approach based on the criteria proposed by Graneheim and Lundman.

Results: Analysis of the participants' narratives led to four categories, including unexpected exposure, spiritual health as an agent of victory over the disease, corona phobia as the cause of exhaustion and impaired concentration in healthcare providers, and proper management as the requirement of disease control.

Conclusions: During crises caused by infectious diseases such as COVID-19, timely and appropriate planning, prediction and allocation of material, equipment, and human resources on the one hand, and attention to all aspects of employees' health, including spiritual health, and the use of various ways to enhance their motivation and provide comprehensive support for the personnel on the other hand, can lead to the delivery of high-quality patient care and effective control of the crisis.

Background: Despite recommendations from guidelines and institutions, dental care utilization during pregnancy remains uncommon. This study aimed to investigate the prevalence and associated factors of poor dental care during pregnancy in Razavi Khorasan.

Materials and methods: A population-based, cross-sectional study was carried out randomly on 670 mothers in 2022. Dental care utilization, oral health, and reasons for dental care usage were measured by a reliable and validated questionnaire. The data collection included information about parents, pregnancy, oral health, and dental care. Predictors associated with barriers to receiving dental care were identified and reported as Odds Ratios (ORs) and confidence intervals. For statistical analysis, Stata14 software was also used.

Results: In general, 80.89% of mothers did not visit the dentist during pregnancy, 3.73% of them brushed and flossed twice or more a day, and 8.66% of them received dental care twice or more a year. Mothers with higher education received more dental care during pregnancy (OR = 3.42 (1.06, 11.07); p = 0.03). Nevertheless, mothers who had adhered to yearly dental care received less dental care during pregnancy (OR = 0.36 (0.17; 0.74); p = 0.00). Based on information about pregnancy history, dental care was less likely to be considered important during pregnancy, when there was multiparity and short pregnancy distances (OR = 0.39 (0.16; 0.96); p = 0.04).

Conclusions: Results of this study showed that awareness among pregnant women and healthcare providers about the importance of oral healthcare during pregnancy was very poor and the consequences of neglecting it were often underestimated, especially during crises and epidemics.