F. Rafati, A. Kamali, Shideh Rafati, N. Salari, N. Dastyar
Background: Despite frequent recommendations from the World Health Organization (WHO), hand hygiene compliance (HHC) is an ongoing challenge among health care workers (HCWs). Objectives: This study aimed to evaluate the HHC in Iranian nurses and midwives during the COVID-19 pandemic. Methods: This observational study was conducted on 200 nurses and midwives working in two hospitals in Jiroft, Iran in 2021. Data were collected using a demographic information checklist and the WHO Hand Hygiene Observation Form. Data analysis was performed using the MannWhitney U, Chi-square, Kruskal-Wallis, and Spearman correlation coefficient tests. Results: The average percentage of HHC in the nurses and midwives was 51.3%. HHC before touching the patient and before doing a clean/aseptic procedure was at the lowest rate (33.5% and 49%, respectively) but was at the highest rate (81.8%) after a body fluid exposure risk. Conclusions: The HHC rates were low among nurses and midwives during the COVID-19 pandemic. It is essential to implement interventions to promote HHC in HCWs, especially in pandemic conditions.
{"title":"Hand hygiene compliance by nurses and midwives during the COVID-19 pandemic: An observational study in Southern Iran","authors":"F. Rafati, A. Kamali, Shideh Rafati, N. Salari, N. Dastyar","doi":"10.4103/nms.nms_1_22","DOIUrl":"https://doi.org/10.4103/nms.nms_1_22","url":null,"abstract":"Background: Despite frequent recommendations from the World Health Organization (WHO), hand hygiene compliance (HHC) is an ongoing challenge among health care workers (HCWs). Objectives: This study aimed to evaluate the HHC in Iranian nurses and midwives during the COVID-19 pandemic. Methods: This observational study was conducted on 200 nurses and midwives working in two hospitals in Jiroft, Iran in 2021. Data were collected using a demographic information checklist and the WHO Hand Hygiene Observation Form. Data analysis was performed using the MannWhitney U, Chi-square, Kruskal-Wallis, and Spearman correlation coefficient tests. Results: The average percentage of HHC in the nurses and midwives was 51.3%. HHC before touching the patient and before doing a clean/aseptic procedure was at the lowest rate (33.5% and 49%, respectively) but was at the highest rate (81.8%) after a body fluid exposure risk. Conclusions: The HHC rates were low among nurses and midwives during the COVID-19 pandemic. It is essential to implement interventions to promote HHC in HCWs, especially in pandemic conditions.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"203 - 208"},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42907928","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: Varicose vein (VV) is a common problem that mostly occurs in legs. This medical condition can influence the quality of life and working condition of nurses. Objectives: The objectives of this study were to assess the prevalence and severity of VV and its related factors in nurses working in Shahid Beheshti Hospital, Kashan, Iran, in 2020. Methods: This cross-sectional study was carried out on 157 nurses. The participants were recruited in the study using systematic random sampling. The Occupational Sitting and Physical Activity and Aberdeen Varicose Vein Questionnaires were used for data gathering. The frequency of varicose and the mean score of the severity were calculated. The related factors were analyzed using Chi-square, Mann–Whitney, Spearman's correlation, and binominal logistic regression statistical tests. SPSS software version 16 was used for data analysis. Results: The prevalence of VV was 42% (66 nurses), the duration of varicose was 4.4 ± 3.6 years, and its severity score was 32.7 ± 9.5. In bivariate analysis, the female gender (P = 0.015), age (P = 0.002), work experience (P = 0.006), hyperlipidemia (P = 0.017), number of children (P = 0.007), regular exercise (P = 0.001), family history of varicose (P = 0.0001), hours of working overtime (P = 0.018), duration of standing (P = 0.002), walking (P = 0.039), and heavy work (P = 0.038) per day had a significant relation with the prevalence of varicose. In binary logistic regression, family history of varicose (odds ratio = 5.672), number of children (odds ratio = 2.462), and minutes of heavy working during a shift (odds ratio = 1.012) showed a significant relation with VV. No variable showed a significant relation with the severity of varicose. Conclusion: The prevalence of VV in the nurses working in Kashan was high, and many factors showed a significant relation with this problem. Nurses should be informed about preventive measures and treatments for this medical condition.
{"title":"Prevalence and severity of lower-limb varicose and its related factors in nurses working in Shahid Beheshti Hospital, Kashan, Iran, 2020","authors":"D. Alimohammadi, Elaheh Mianehsaz, N. Alavi","doi":"10.4103/nms.nms_115_21","DOIUrl":"https://doi.org/10.4103/nms.nms_115_21","url":null,"abstract":"Background: Varicose vein (VV) is a common problem that mostly occurs in legs. This medical condition can influence the quality of life and working condition of nurses. Objectives: The objectives of this study were to assess the prevalence and severity of VV and its related factors in nurses working in Shahid Beheshti Hospital, Kashan, Iran, in 2020. Methods: This cross-sectional study was carried out on 157 nurses. The participants were recruited in the study using systematic random sampling. The Occupational Sitting and Physical Activity and Aberdeen Varicose Vein Questionnaires were used for data gathering. The frequency of varicose and the mean score of the severity were calculated. The related factors were analyzed using Chi-square, Mann–Whitney, Spearman's correlation, and binominal logistic regression statistical tests. SPSS software version 16 was used for data analysis. Results: The prevalence of VV was 42% (66 nurses), the duration of varicose was 4.4 ± 3.6 years, and its severity score was 32.7 ± 9.5. In bivariate analysis, the female gender (P = 0.015), age (P = 0.002), work experience (P = 0.006), hyperlipidemia (P = 0.017), number of children (P = 0.007), regular exercise (P = 0.001), family history of varicose (P = 0.0001), hours of working overtime (P = 0.018), duration of standing (P = 0.002), walking (P = 0.039), and heavy work (P = 0.038) per day had a significant relation with the prevalence of varicose. In binary logistic regression, family history of varicose (odds ratio = 5.672), number of children (odds ratio = 2.462), and minutes of heavy working during a shift (odds ratio = 1.012) showed a significant relation with VV. No variable showed a significant relation with the severity of varicose. Conclusion: The prevalence of VV in the nurses working in Kashan was high, and many factors showed a significant relation with this problem. Nurses should be informed about preventive measures and treatments for this medical condition.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"209 - 214"},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47439920","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}
Maryam Khalili, Tahmineh Dadkhahtehrani, F. Torabi, Zahra Heidari
Background: Fear of childbirth (FOC) is a common and complicated problem among nulliparous pregnant women. Objectives: The aim of this study was to compare the effects of expressive writing and neutral writing on FOC in nulliparous pregnant women. Methods: A randomized controlled trial was conducted on 90 nulliparous pregnant women referred to selected comprehensive health centers in Isfahan for prenatal care from May 1 to September 30, 2021. The participants were recruited consecutively and randomly allocated to two groups to perform either expressive writing or neutral writing at home for 20 min daily for 7 days. Before and after the intervention, FOC was measured using the Wijma Delivery Expectancy/Experience Questionnaire. Paired t-test, independent t-test, and Chi-square were used for statistical analysis. Results: The mean age of pregnant women was 29.93 ± 5.20 and 29.18 ± 5.65 years in the usual and expressive writing groups, respectively. The mean FOC scores of the women in the neutral writing and expressive writing groups were 36.31 ± 7.35 and 35.96 ± 6.80, respectively, at baseline (P = 0.81) and changed to 34.98 ± 8.18 and 31.58 ± 7.99, respectively, at the end of the study (P < 0.04). The paired t-test showed that the mean FOC score of the expressive writing group decreased significantly at the end of the study (P < 0.001), whereas it did not change significantly in the neutral writing group (P = 0.11). Conclusion: Expressive writing can reduce FOC in nulliparous pregnant women and can be used as an effective, low-cost, simple, and accessible method.
{"title":"The effect of expressive writing on fear of childbirth among nulliparous pregnant women: A randomized controlled trial","authors":"Maryam Khalili, Tahmineh Dadkhahtehrani, F. Torabi, Zahra Heidari","doi":"10.4103/nms.nms_20_22","DOIUrl":"https://doi.org/10.4103/nms.nms_20_22","url":null,"abstract":"Background: Fear of childbirth (FOC) is a common and complicated problem among nulliparous pregnant women. Objectives: The aim of this study was to compare the effects of expressive writing and neutral writing on FOC in nulliparous pregnant women. Methods: A randomized controlled trial was conducted on 90 nulliparous pregnant women referred to selected comprehensive health centers in Isfahan for prenatal care from May 1 to September 30, 2021. The participants were recruited consecutively and randomly allocated to two groups to perform either expressive writing or neutral writing at home for 20 min daily for 7 days. Before and after the intervention, FOC was measured using the Wijma Delivery Expectancy/Experience Questionnaire. Paired t-test, independent t-test, and Chi-square were used for statistical analysis. Results: The mean age of pregnant women was 29.93 ± 5.20 and 29.18 ± 5.65 years in the usual and expressive writing groups, respectively. The mean FOC scores of the women in the neutral writing and expressive writing groups were 36.31 ± 7.35 and 35.96 ± 6.80, respectively, at baseline (P = 0.81) and changed to 34.98 ± 8.18 and 31.58 ± 7.99, respectively, at the end of the study (P < 0.04). The paired t-test showed that the mean FOC score of the expressive writing group decreased significantly at the end of the study (P < 0.001), whereas it did not change significantly in the neutral writing group (P = 0.11). Conclusion: Expressive writing can reduce FOC in nulliparous pregnant women and can be used as an effective, low-cost, simple, and accessible method.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"177 - 182"},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43052422","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: It is important to investigate the effectiveness of various educational methods in different cultural, educational, and clinical contexts. Objectives: This study aimed to compare the effects of task-based learning (TBL) and mentorship on clinical perioperative competence and clinical education condition of surgical technology students. Methods: A quasi-experimental study was conducted on 50 undergraduate surgical technology students of Hamadan University of Medical Sciences in 2021. Students were selected by the convenience sampling method and were randomized into one of the two groups of TBL or mentorship. Students completed a Perceived Perioperative Competence Scale-Revised questionnaire and a Clinical Education Conditions questionnaire before and after the intervention. Chi-square, independent, and pair samples t-tests were used for data analysis. Results: The pretest mean scores of perceived clinical competence and clinical education condition were, respectively, 106.56 ± 18.34 and 55.56 ± 9.45 in the TBL group and 99.72 ± 16.08 and 53.64 ± 6.89 in mentorship group. No significant difference was found between the two groups in mean overall clinical competence and mean clinical education condition (P > 0.05). After the intervention, the mean scores for perceived clinical competence and clinical education condition increased significantly to 128.92 ± 12.49 and 69.80 ± 6.38 in the TBL group (P < 0.001) and 120.24 ± 16.75 and 69.04 ± 7.23 in the mentorship group (P < 0.001). The posttest mean score of perceived clinical competence was significantly greater in the TBL group than in the mentorship group (P < 0.001). Conclusions: Both the TBL and mentorship methods are effective in improving the clinical competence and clinical education condition of undergraduate surgical technology students.
{"title":"The effects of task-based learning and mentorship on the perceived surgical competency and clinical education condition of surgical technology students","authors":"Hanieh Bahadori, Behzad Imani, M. Amiri","doi":"10.4103/nms.nms_136_21","DOIUrl":"https://doi.org/10.4103/nms.nms_136_21","url":null,"abstract":"Background: It is important to investigate the effectiveness of various educational methods in different cultural, educational, and clinical contexts. Objectives: This study aimed to compare the effects of task-based learning (TBL) and mentorship on clinical perioperative competence and clinical education condition of surgical technology students. Methods: A quasi-experimental study was conducted on 50 undergraduate surgical technology students of Hamadan University of Medical Sciences in 2021. Students were selected by the convenience sampling method and were randomized into one of the two groups of TBL or mentorship. Students completed a Perceived Perioperative Competence Scale-Revised questionnaire and a Clinical Education Conditions questionnaire before and after the intervention. Chi-square, independent, and pair samples t-tests were used for data analysis. Results: The pretest mean scores of perceived clinical competence and clinical education condition were, respectively, 106.56 ± 18.34 and 55.56 ± 9.45 in the TBL group and 99.72 ± 16.08 and 53.64 ± 6.89 in mentorship group. No significant difference was found between the two groups in mean overall clinical competence and mean clinical education condition (P > 0.05). After the intervention, the mean scores for perceived clinical competence and clinical education condition increased significantly to 128.92 ± 12.49 and 69.80 ± 6.38 in the TBL group (P < 0.001) and 120.24 ± 16.75 and 69.04 ± 7.23 in the mentorship group (P < 0.001). The posttest mean score of perceived clinical competence was significantly greater in the TBL group than in the mentorship group (P < 0.001). Conclusions: Both the TBL and mentorship methods are effective in improving the clinical competence and clinical education condition of undergraduate surgical technology students.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"183 - 189"},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43055647","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}
N. Babakhani, S. Masoumi, Batoul Khodakarami, Hossein Mohagheghi, M. Farhadian
Background: Premenstrual syndrome (PMS) is one of the most common causes of poor performance in girls and women. Objectives: The aim of this study was to examine the effect of group resilience counseling on PMS severity in adolescent girls. Methods: A randomized controlled trial was conducted on 120 high school girls in Hamadan, Iran. Participants were recruited conveniently and randomly assigned to an intervention group (n = 60) and a control group (n = 60). The intervention group participated in eight 1-h resilience counseling sessions, whereas the control group received no intervention. Data were collected using a demographic characteristics form, the Premenstrual Symptoms Screening Tool, and the Connor-Davidson Resilience Scale. The primary and secondary outcome measures were PMS severity and resilience score. The independent samples and paired samples t-tests were used to analyze the data. Results: Most of the participants in the intervention and control groups had severe PMS symptoms at baseline (61.7% and 63.3%, respectively). However, after the intervention, the majority of the intervention group reported mild (36.7%) or moderate (46.4%) symptoms (P < 0.001). No significant changes occurred in the control group. The mean total resilience score in the intervention group increased from 50.5 ± 14.9 to 67.3 ± 15.2 (P < 0.001). Conclusion: Resilience counseling for girls with PMS can reduce the severity of PMS.
{"title":"The effect of resilient counseling on the symptoms of premenstrual syndrome among adolescent girls in Hamadan, Iran, 2018: A clinical trial","authors":"N. Babakhani, S. Masoumi, Batoul Khodakarami, Hossein Mohagheghi, M. Farhadian","doi":"10.4103/nms.nms_3_22","DOIUrl":"https://doi.org/10.4103/nms.nms_3_22","url":null,"abstract":"Background: Premenstrual syndrome (PMS) is one of the most common causes of poor performance in girls and women. Objectives: The aim of this study was to examine the effect of group resilience counseling on PMS severity in adolescent girls. Methods: A randomized controlled trial was conducted on 120 high school girls in Hamadan, Iran. Participants were recruited conveniently and randomly assigned to an intervention group (n = 60) and a control group (n = 60). The intervention group participated in eight 1-h resilience counseling sessions, whereas the control group received no intervention. Data were collected using a demographic characteristics form, the Premenstrual Symptoms Screening Tool, and the Connor-Davidson Resilience Scale. The primary and secondary outcome measures were PMS severity and resilience score. The independent samples and paired samples t-tests were used to analyze the data. Results: Most of the participants in the intervention and control groups had severe PMS symptoms at baseline (61.7% and 63.3%, respectively). However, after the intervention, the majority of the intervention group reported mild (36.7%) or moderate (46.4%) symptoms (P < 0.001). No significant changes occurred in the control group. The mean total resilience score in the intervention group increased from 50.5 ± 14.9 to 67.3 ± 15.2 (P < 0.001). Conclusion: Resilience counseling for girls with PMS can reduce the severity of PMS.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"198 - 202"},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48005128","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}
M. Shabestari, F. Tabrizi, Fariborz Roshangar, V. Zamanzadeh, A. Ghahramanian, P. Sarbakhsh
Background: Many nurses are uncertain when making clinical decisions, and this can lead to burnout and professional dissatisfaction. However, no study has addressed facilitators of uncertainty in clinical decision-making among Iranian nurses. Objectives: This study aimed to explore Iranian nurses' experiences of facilitators of uncertainty in decision-making. Methods: This qualitative content analysis study was conducted from June to December 2020. Participants were 17 nurses with bachelor's or higher degrees who were purposively recruited from three hospitals affiliated with Tabriz University of Medical Sciences. Data were collected through semi-structured interviews and analyzed through a content analysis method. Results: Participants' experiences were categorized into three main categories, namely, an unconfident nurse, complex situations, and unclear guidelines and policies. Each category included three to four subcategories. Conclusion: Nurses may experience uncertainty in clinical decision-making when confronted with ambiguous clinical situations or lack sufficient decision-making skills. Nurse leaders are suggested to develop educational programs and support interventions to promote nurses' decision-making skills and help them manage ambiguous situations.
{"title":"Facilitators of uncertainty in decision-making in Iranian nurses: A qualitative study","authors":"M. Shabestari, F. Tabrizi, Fariborz Roshangar, V. Zamanzadeh, A. Ghahramanian, P. Sarbakhsh","doi":"10.4103/nms.nms_37_22","DOIUrl":"https://doi.org/10.4103/nms.nms_37_22","url":null,"abstract":"Background: Many nurses are uncertain when making clinical decisions, and this can lead to burnout and professional dissatisfaction. However, no study has addressed facilitators of uncertainty in clinical decision-making among Iranian nurses. Objectives: This study aimed to explore Iranian nurses' experiences of facilitators of uncertainty in decision-making. Methods: This qualitative content analysis study was conducted from June to December 2020. Participants were 17 nurses with bachelor's or higher degrees who were purposively recruited from three hospitals affiliated with Tabriz University of Medical Sciences. Data were collected through semi-structured interviews and analyzed through a content analysis method. Results: Participants' experiences were categorized into three main categories, namely, an unconfident nurse, complex situations, and unclear guidelines and policies. Each category included three to four subcategories. Conclusion: Nurses may experience uncertainty in clinical decision-making when confronted with ambiguous clinical situations or lack sufficient decision-making skills. Nurse leaders are suggested to develop educational programs and support interventions to promote nurses' decision-making skills and help them manage ambiguous situations.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"221 - 227"},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45170523","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: Labor pain (LP) is one of the most severe types of pain among women, and hence, effective LP management is a main goal of maternity care. Objectives: The aim of this study was to compare the effects of heat therapy (HT) and cold therapy (CT) on LP intensity among primiparous women. Methods: This randomized controlled trial was conducted in 2017–2018 on 99 primiparous women purposively selected from a teaching hospital in Iranshahr, Iran. Participants were allocated, through simple randomization, to an HT, a CT, and a control group. Participants in the HT group received HT using a warm-water bottle with a temperature of 38°C–40°C, and participants in the CT group received CT using an ice pack with a temperature of 0°C–5°C. HT and CT were applied to the lumbar area in the first phase of labor and to the perineal and suprapubic areas in the second phase. LP intensity was measured using the Visual Analog Scale at five time points, namely at a cervical dilation of 4 cm (i.e., before intervention onset), at a cervical dilation of 4–5, 6–7, and 8–9 cm (i.e., during the active labor phase), and in the second stage of labor. The SPSS software (v. 16.0) was used to analyze the data through the Chi-square test, the one-way analysis of variance, and the repeated measures analysis of variance. Results: A total of 93 participants completed the study. There was no significant difference among the groups respecting LP intensity at different measurement time points, except at the cervical dilation of 8–9 cm in which LP intensity in the CT group was significantly less than both the HT and the control groups (P < 0.05). Conclusion: CT is effective in significantly reducing LP intensity among primiparous women.
{"title":"The effectiveness of heat therapy and cold therapy in labor pain intensity in primiparous women: A randomized controlled trial","authors":"Mahnaz Didevar, Shahin-Dokht Navvabi-Rigi, Seidamalek Dadkhah","doi":"10.4103/nms.nms_87_21","DOIUrl":"https://doi.org/10.4103/nms.nms_87_21","url":null,"abstract":"Background: Labor pain (LP) is one of the most severe types of pain among women, and hence, effective LP management is a main goal of maternity care. Objectives: The aim of this study was to compare the effects of heat therapy (HT) and cold therapy (CT) on LP intensity among primiparous women. Methods: This randomized controlled trial was conducted in 2017–2018 on 99 primiparous women purposively selected from a teaching hospital in Iranshahr, Iran. Participants were allocated, through simple randomization, to an HT, a CT, and a control group. Participants in the HT group received HT using a warm-water bottle with a temperature of 38°C–40°C, and participants in the CT group received CT using an ice pack with a temperature of 0°C–5°C. HT and CT were applied to the lumbar area in the first phase of labor and to the perineal and suprapubic areas in the second phase. LP intensity was measured using the Visual Analog Scale at five time points, namely at a cervical dilation of 4 cm (i.e., before intervention onset), at a cervical dilation of 4–5, 6–7, and 8–9 cm (i.e., during the active labor phase), and in the second stage of labor. The SPSS software (v. 16.0) was used to analyze the data through the Chi-square test, the one-way analysis of variance, and the repeated measures analysis of variance. Results: A total of 93 participants completed the study. There was no significant difference among the groups respecting LP intensity at different measurement time points, except at the cervical dilation of 8–9 cm in which LP intensity in the CT group was significantly less than both the HT and the control groups (P < 0.05). Conclusion: CT is effective in significantly reducing LP intensity among primiparous women.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"171 - 176"},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45567262","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: Cardiovascular disease is the most common chronic disease and the leading cause of death in the world. Stress and anxiety are among the most important risk factors of cardiovascular disease. Objectives: The aim of this study was to assess the effects of ceiling display and natural sounds on stress and anxiety among cardiac patients. Methods: This randomized controlled trial was conducted in 2018–2019 in the coronary care units (CCUs) of two teaching hospitals affiliated to Kerman University of Medical Sciences, Kerman, Iran. Participants were 220 cardiac patients randomly allocated through block randomization to four 55-person groups, namely ceiling display group, natural sounds group, combined ceiling display and natural sounds (display sound) group, and control group. The Spielberger State-Trait Anxiety Inventory and the Perceived Stress Scale were used for data collection at the beginning of the study and at the time of discharge from CCU. Data were analyzed by the Chi-square and paired-sample t-tests and the analysis of variance. Results: The mean scores of state and trait anxiety and stress significantly decreased in all intervention groups (P < 0.05) and did not significantly change in the control group (P > 0.05). There were significant differences among the groups respecting the posttest mean scores of state and trait anxiety and stress (P < 0.05). The posttest mean scores of state and trait anxiety in the combined display-sound group and the posttest mean scores of stress in the natural sounds group were significantly less than other groups. Conclusion: Ceiling display and natural sounds are effective in significantly reducing state and trait anxiety and stress among cardiac patients in CCU and their combination produces more significant effects.
{"title":"The effects of ceiling display and natural sounds on stress and anxiety among cardiac patients: A randomized controlled trial","authors":"Roghayeh Lalezari, Roghayeh Mehdipour-Rabori, Tania Dehesh, Esmat Nouhi","doi":"10.4103/nms.nms_67_21","DOIUrl":"https://doi.org/10.4103/nms.nms_67_21","url":null,"abstract":"Background: Cardiovascular disease is the most common chronic disease and the leading cause of death in the world. Stress and anxiety are among the most important risk factors of cardiovascular disease. Objectives: The aim of this study was to assess the effects of ceiling display and natural sounds on stress and anxiety among cardiac patients. Methods: This randomized controlled trial was conducted in 2018–2019 in the coronary care units (CCUs) of two teaching hospitals affiliated to Kerman University of Medical Sciences, Kerman, Iran. Participants were 220 cardiac patients randomly allocated through block randomization to four 55-person groups, namely ceiling display group, natural sounds group, combined ceiling display and natural sounds (display sound) group, and control group. The Spielberger State-Trait Anxiety Inventory and the Perceived Stress Scale were used for data collection at the beginning of the study and at the time of discharge from CCU. Data were analyzed by the Chi-square and paired-sample t-tests and the analysis of variance. Results: The mean scores of state and trait anxiety and stress significantly decreased in all intervention groups (P < 0.05) and did not significantly change in the control group (P > 0.05). There were significant differences among the groups respecting the posttest mean scores of state and trait anxiety and stress (P < 0.05). The posttest mean scores of state and trait anxiety in the combined display-sound group and the posttest mean scores of stress in the natural sounds group were significantly less than other groups. Conclusion: Ceiling display and natural sounds are effective in significantly reducing state and trait anxiety and stress among cardiac patients in CCU and their combination produces more significant effects.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"130 - 136"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48546217","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}
Farzin Mollazadeh, Y. Moradi, H. Habibzadeh, M. Jasemi, P. Karimi
Background: Nurses' caring behaviors (CBs) are affected by several factors, including their moral intelligence (MI). However, nurses' MI and its association with their CBs have not been well studied, and the published studies have also found conflicting results. Objective: This study aimed to determine the association between nurses' MI and their CBs. Methods: A descriptive, correlational study was conducted on nurses and patients in Urmia, Iran, in 2020. Using random sampling, 100 nurses and 300 patients were recruited for the study. Demographic characteristic form, the Lennick and Kiel Moral Competency Index, and the CB Inventory were used to collect data. Descriptive statistics and the Pearson's correlation test were used to analyze the data. Results: A direct correlation was found between the total scores of MI and CB (r = 0.54, P < 0.001). Furthermore, the subscales of MI were correlated with the most subscales of CB, including ensuring human respect, respect for others, and attentiveness to the other's experience (P < 0.05). Conclusion: Authorities should establish in-service training programs to strengthen the nurses' MI and CBs.
{"title":"Association between nurses' moral intelligence and their caring behaviors","authors":"Farzin Mollazadeh, Y. Moradi, H. Habibzadeh, M. Jasemi, P. Karimi","doi":"10.4103/nms.nms_8_22","DOIUrl":"https://doi.org/10.4103/nms.nms_8_22","url":null,"abstract":"Background: Nurses' caring behaviors (CBs) are affected by several factors, including their moral intelligence (MI). However, nurses' MI and its association with their CBs have not been well studied, and the published studies have also found conflicting results. Objective: This study aimed to determine the association between nurses' MI and their CBs. Methods: A descriptive, correlational study was conducted on nurses and patients in Urmia, Iran, in 2020. Using random sampling, 100 nurses and 300 patients were recruited for the study. Demographic characteristic form, the Lennick and Kiel Moral Competency Index, and the CB Inventory were used to collect data. Descriptive statistics and the Pearson's correlation test were used to analyze the data. Results: A direct correlation was found between the total scores of MI and CB (r = 0.54, P < 0.001). Furthermore, the subscales of MI were correlated with the most subscales of CB, including ensuring human respect, respect for others, and attentiveness to the other's experience (P < 0.05). Conclusion: Authorities should establish in-service training programs to strengthen the nurses' MI and CBs.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"166 - 169"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42848339","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}
R. Baghaei, Mohammad Asl, Rozita Cheraghi, H. Khalkhali, R. Naderi
Background: Medication errors (MEs) threaten patient safety and can lead to patient death. Some studies have shown the relationship between spirituality and professional commitment, but no study has been conducted on the relationship between nurses' professional commitment, spiritual well-being, and MEs. Objectives: This study aimed to examine the relationship between nurses' professional commitment, spiritual well-being, and MEs. Methods: This cross-sectional study was conducted in 2018 on 326 nurses working in educational hospitals of Urmia University of Medical Sciences, Urmia, Iran. Data were collected using four questionnaires, including a demographic data form, a researcher-made self-report questionnaire about nurses' MEs, the Palutzian and Ellison Spiritual Well-being Questionnaire, and the Nurses' Professional Commitment Scale. The Pearson correlation coefficient, independent samples t-test, analysis of variance, and regression analysis were used to analyze the data. Results: The mean ME in the past 3 months was 1.1 ± 1.64. The mean professional commitment and spiritual well-being were also 30.67 ± 7.6 and 56.99 ± 13.8, respectively. Significant correlations were found between spiritual well-being and MEs (r = −0.32, P < 0.001), but no significant correlation was found between professional commitment and MEs (r = 0.035, P = 0.52). However, a significant correlation was observed between professional commitment and spiritual well-being (r = 0.3, P < 0.001). Conclusion: Higher professional commitment among nurses would enhance their spiritual well-being and reduce MEs. Professional commitment may promote spiritual well-being, resulting in fewer MEs as an indirect effect.
背景:用药错误(MEs)威胁患者安全并可能导致患者死亡。一些研究显示了灵性与专业承诺之间的关系，但尚未对护士的专业承诺、精神幸福感和MEs之间的关系进行研究。目的:本研究旨在探讨护士专业承诺、精神幸福感与MEs之间的关系。方法:对2018年在伊朗乌尔米娅医科大学教育医院工作的326名护士进行横断面研究。数据采用四份问卷收集，包括人口统计数据表、研究人员自述护士MEs问卷、Palutzian和Ellison精神健康问卷和护士专业承诺量表。采用Pearson相关系数、独立样本t检验、方差分析和回归分析对数据进行分析。结果:近3个月平均ME为1.1±1.64。职业承诺和精神幸福感的平均值分别为30.67±7.6和56.99±13.8。精神幸福感与中小企业价值显著相关(r = - 0.32, P < 0.001)，而职业承诺与中小企业价值无显著相关(r = 0.035, P = 0.52)。然而，职业承诺与精神幸福感之间存在显著相关(r = 0.3, P < 0.001)。结论:提高护士的专业承诺能提高护士的精神幸福感，减少MEs。专业承诺可以促进精神健康，间接影响较小的微环境。
{"title":"The relationship between professional commitment, spiritual well-being, and medication errors among iranian nurses","authors":"R. Baghaei, Mohammad Asl, Rozita Cheraghi, H. Khalkhali, R. Naderi","doi":"10.4103/nms.nms_72_21","DOIUrl":"https://doi.org/10.4103/nms.nms_72_21","url":null,"abstract":"Background: Medication errors (MEs) threaten patient safety and can lead to patient death. Some studies have shown the relationship between spirituality and professional commitment, but no study has been conducted on the relationship between nurses' professional commitment, spiritual well-being, and MEs. Objectives: This study aimed to examine the relationship between nurses' professional commitment, spiritual well-being, and MEs. Methods: This cross-sectional study was conducted in 2018 on 326 nurses working in educational hospitals of Urmia University of Medical Sciences, Urmia, Iran. Data were collected using four questionnaires, including a demographic data form, a researcher-made self-report questionnaire about nurses' MEs, the Palutzian and Ellison Spiritual Well-being Questionnaire, and the Nurses' Professional Commitment Scale. The Pearson correlation coefficient, independent samples t-test, analysis of variance, and regression analysis were used to analyze the data. Results: The mean ME in the past 3 months was 1.1 ± 1.64. The mean professional commitment and spiritual well-being were also 30.67 ± 7.6 and 56.99 ± 13.8, respectively. Significant correlations were found between spiritual well-being and MEs (r = −0.32, P < 0.001), but no significant correlation was found between professional commitment and MEs (r = 0.035, P = 0.52). However, a significant correlation was observed between professional commitment and spiritual well-being (r = 0.3, P < 0.001). Conclusion: Higher professional commitment among nurses would enhance their spiritual well-being and reduce MEs. Professional commitment may promote spiritual well-being, resulting in fewer MEs as an indirect effect.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"153 - 159"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48016457","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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