S. Valiee, Syede mona. Nemati, Midia Hossaini, H. Kashefi, H. Mohammadi
Background: Pressure ulcer (PU) is a common problem in intensive care unit (ICU). Risk assessment is the first step to PU prevention. Nonetheless, there is no consensus over the best PU risk assessment scale. Objectives: The objective of the present study was to compare the accuracy of the Braden and the Waterlow scales in predicting the risk of PU in ICU. Methods: This cross-sectional study was conducted in 2019 on 186 patients hospitalized in ICUs of Tohid and Kowsar teaching hospitals, Sanandaj, Iran. The Braden and the Waterlow scales were simultaneously used by two trained nurses for daily PU risk assessment for 15 consecutive days. The predictive validity of the scales was assessed in terms of sensitivity, specificity, and positive and negative predictive values. Results: The mean of participants' age was 55.6 ± 20.3 years. In total, 102 participants (54.8%) developed PU during the study. The sensitivity and the specificity of the Braden scale at the cutoff score of 18 were 97% and 34.5% and the sensitivity and the specificity of the Waterlow scale at the cutoff score of 10 were 95% and 28.5%, respectively. Conclusion: Compared with the Waterlow scale, the Braden scale has a slightly better predictive validity for PU risk assessment.
{"title":"Comparing the accuracy of the braden and the waterlow scales for pressure ulcer risk assessment in intensive care unit","authors":"S. Valiee, Syede mona. Nemati, Midia Hossaini, H. Kashefi, H. Mohammadi","doi":"10.4103/nms.nms_88_21","DOIUrl":"https://doi.org/10.4103/nms.nms_88_21","url":null,"abstract":"Background: Pressure ulcer (PU) is a common problem in intensive care unit (ICU). Risk assessment is the first step to PU prevention. Nonetheless, there is no consensus over the best PU risk assessment scale. Objectives: The objective of the present study was to compare the accuracy of the Braden and the Waterlow scales in predicting the risk of PU in ICU. Methods: This cross-sectional study was conducted in 2019 on 186 patients hospitalized in ICUs of Tohid and Kowsar teaching hospitals, Sanandaj, Iran. The Braden and the Waterlow scales were simultaneously used by two trained nurses for daily PU risk assessment for 15 consecutive days. The predictive validity of the scales was assessed in terms of sensitivity, specificity, and positive and negative predictive values. Results: The mean of participants' age was 55.6 ± 20.3 years. In total, 102 participants (54.8%) developed PU during the study. The sensitivity and the specificity of the Braden scale at the cutoff score of 18 were 97% and 34.5% and the sensitivity and the specificity of the Waterlow scale at the cutoff score of 10 were 95% and 28.5%, respectively. Conclusion: Compared with the Waterlow scale, the Braden scale has a slightly better predictive validity for PU risk assessment.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"160 - 165"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42024419","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}
Mahla Salarfard, Maryam Alikamali, Faezah Tadayonfar, S. Emadi
{"title":"The effects of Citrus aurantium and lavender aromas on nausea and vomiting of pregnancy in nulliparous pregnant women: A randomized clinical trial","authors":"Mahla Salarfard, Maryam Alikamali, Faezah Tadayonfar, S. Emadi","doi":"10.4103/nms.nms_121_21","DOIUrl":"https://doi.org/10.4103/nms.nms_121_21","url":null,"abstract":"","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70837596","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}
{"title":"Preparing teacher to be a lifesaver: A preexperimental study","authors":"Nawaf R. N. Amro, A. Kamel, Salam Khatib","doi":"10.4103/nms.nms_56_22","DOIUrl":"https://doi.org/10.4103/nms.nms_56_22","url":null,"abstract":"","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70838240","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: Dedication is one of the components of professional nursing. However, no clear consensus exists on the definition of dedication in nursing, and it is difficult to understand and operationalize this concept in clinical settings. Objectives: This study aimed to analyze the concept of dedication in nursing. Methods: This concept analysis was done using the hybrid model from February to June 2021. In the theoretical phase, the existing literature on dedication in nursing was reviewed in international databases of PubMed, Science Direct, ProQuest, Ovid, and Scopus. The keywords were “dedication” and “nursing”. After excluding duplicate and irrelevant records, 34 documents were reviewed. In the field phase, semistructured interviews were conducted with six nurses to gather new qualitative data on their experiences of dedication. In the integration phase, the findings of the earlier phases combined to provide a comprehensive definition of the concept. Content analysis was used to analyze the data. Results: Dedication in nursing was defined as a feeling and state of mind and heart, like an untiring commitment that is the art and essence of nursing. It is caring from one's heart with all human beings and technical resources available, doing beyond regular work hours and organizational and legal duty. This act usually happens without expectation for any reward or incentives in such a way that may lead to neglecting one's own needs. Conclusion: This concept analysis can be a good guide for nurses, teachers, and managers to know the meaning of dedication and recognize how to breed the spirit of dedication in nursing and prevent its negative consequences.
{"title":"Dedication in nursing: A concept analysis","authors":"Raheleh Sabetsarvestani, Emine Geçkil, Z. Shirazi","doi":"10.4103/nms.nms_52_21","DOIUrl":"https://doi.org/10.4103/nms.nms_52_21","url":null,"abstract":"Background: Dedication is one of the components of professional nursing. However, no clear consensus exists on the definition of dedication in nursing, and it is difficult to understand and operationalize this concept in clinical settings. Objectives: This study aimed to analyze the concept of dedication in nursing. Methods: This concept analysis was done using the hybrid model from February to June 2021. In the theoretical phase, the existing literature on dedication in nursing was reviewed in international databases of PubMed, Science Direct, ProQuest, Ovid, and Scopus. The keywords were “dedication” and “nursing”. After excluding duplicate and irrelevant records, 34 documents were reviewed. In the field phase, semistructured interviews were conducted with six nurses to gather new qualitative data on their experiences of dedication. In the integration phase, the findings of the earlier phases combined to provide a comprehensive definition of the concept. Content analysis was used to analyze the data. Results: Dedication in nursing was defined as a feeling and state of mind and heart, like an untiring commitment that is the art and essence of nursing. It is caring from one's heart with all human beings and technical resources available, doing beyond regular work hours and organizational and legal duty. This act usually happens without expectation for any reward or incentives in such a way that may lead to neglecting one's own needs. Conclusion: This concept analysis can be a good guide for nurses, teachers, and managers to know the meaning of dedication and recognize how to breed the spirit of dedication in nursing and prevent its negative consequences.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"62 - 70"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47914060","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: Family caregivers of patients with cancer experience high levels of anxiety and mental health problems. Relaxation methods have seldom been used in these caregivers. Objectives: This study tested the effect of Benson's relaxation method (BRM) on state anxiety in family caregivers of patients with cancer. Methods: A randomized controlled trial was conducted on 50 primary family caregivers of patients with cancer. Family caregivers were randomly assigned to a control group and an experimental group, each group consisted of 25 people. In the experimental group, the subjects were trained to practice the BRM at home, once a day for 6 weeks. Family caregivers' anxiety was measured at the start of the study and at the end of the 6th and 10th weeks by using Spielberger's State Anxiety Inventory (i.e., form y–1). The data were analyzed using descriptive and inferential statistics such as the Fisher's exact, independent samples t, and Mann–Whitney U tests as well as the repeated-measures analyses of variance. Results: No significant difference was found between the mean baseline state anxiety of the control and experimental groups (P = 0.329). However, during the study, the mean anxiety was decreased in the experimental group, whereas it did not significantly change in the control group. The repeated-measures analysis showed that BRM could significantly reduce the mean state anxiety (P <0.001) over time. Conclusion: Regular use of BRM for 6 weeks could decrease the mean scores of state anxiety in family caregivers of patients with cancer. Nurses and other healthcare providers are suggested to teach BRM to the family caregivers of cancer patients and advise them to use this method regularly for the reduction of their own anxiety.
{"title":"Effect of benson's relaxation technique on anxiety in family caregivers of patients with cancer: A randomized controlled trial","authors":"B. Ebrahimi, M. Adib-Hajbaghery","doi":"10.4103/nms.nms_22_21","DOIUrl":"https://doi.org/10.4103/nms.nms_22_21","url":null,"abstract":"Background: Family caregivers of patients with cancer experience high levels of anxiety and mental health problems. Relaxation methods have seldom been used in these caregivers. Objectives: This study tested the effect of Benson's relaxation method (BRM) on state anxiety in family caregivers of patients with cancer. Methods: A randomized controlled trial was conducted on 50 primary family caregivers of patients with cancer. Family caregivers were randomly assigned to a control group and an experimental group, each group consisted of 25 people. In the experimental group, the subjects were trained to practice the BRM at home, once a day for 6 weeks. Family caregivers' anxiety was measured at the start of the study and at the end of the 6th and 10th weeks by using Spielberger's State Anxiety Inventory (i.e., form y–1). The data were analyzed using descriptive and inferential statistics such as the Fisher's exact, independent samples t, and Mann–Whitney U tests as well as the repeated-measures analyses of variance. Results: No significant difference was found between the mean baseline state anxiety of the control and experimental groups (P = 0.329). However, during the study, the mean anxiety was decreased in the experimental group, whereas it did not significantly change in the control group. The repeated-measures analysis showed that BRM could significantly reduce the mean state anxiety (P <0.001) over time. Conclusion: Regular use of BRM for 6 weeks could decrease the mean scores of state anxiety in family caregivers of patients with cancer. Nurses and other healthcare providers are suggested to teach BRM to the family caregivers of cancer patients and advise them to use this method regularly for the reduction of their own anxiety.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"37 - 43"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49385206","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}
{"title":"The effect of motivational interviewing on self-efficacy and decision-making about type of delivery in primigravid women: A randomized clinical trial","authors":"Maryam Navaee, Yassamin Hassanzei, A. Navidian","doi":"10.4103/nms.nms_16_21","DOIUrl":"https://doi.org/10.4103/nms.nms_16_21","url":null,"abstract":"","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70837777","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}
{"title":"Development and psychometric evaluation of the Mothers' breastfeeding empowerment scale: A mixed methods study","authors":"Z. Heidari, Fatemeh Mohammadi, Shahnaz Kohan","doi":"10.4103/nms.nms_58_21","DOIUrl":"https://doi.org/10.4103/nms.nms_58_21","url":null,"abstract":"","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70838314","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: Safe care requires acquiring special competencies. Suitable instruments are needed to evaluate such competencies. Objectives: This study aimed to assess the psychometric properties of the Persian version of the Health Professionals Education in Patient Safety Survey (H-PEPSS). Methods: A methodological study was conducted in 2020, on the students who were spending their last year of study in nursing, medicine, pharmacy, midwifery, surgical technology, and anesthesia, in the Isfahan University of Medical Sciences. The H-PEPSS was translated into Persian based on the Brislin translation model. Face validity, content validity index (CVI), and content validity ratio (CVR) were examined. The construct validity of the scale was assessed using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Cronbach's alpha coefficient and interclass correlation coefficient were also calculated as reliability criteria. Results: The face validity of the Persian translation of H-PEPSS was confirmed by a panel of experts, and the items' impact scores were greater than 1.5. Three items were modified, and the CVI of the scale was calculated at 0.91. Besides, the items' CVR ranged from 0.64 to 1.00. In EFA, six factors were extracted, which shows the competencies the students possessed both in the classroom and clinical setting, which then were confirmed through the CFA. All items had a factor loading value greater than 0.4. Goodness-of-fit indices were obtained: Root Mean Square Error of Approximation (RMSEA) = 0.064, Tucker-Lewis Index (TLI) = 0.922, and Comparative Fit Index (CFI) = 0.931 for the classroom and RMSEA = 0.076, TLI = 0.912, and CFI = 0.923 for clinical setting. The Cronbach's alpha of the scale was 0.936 for the classroom and 0.949 for the clinical setting. Conclusions: The Persian version of H-PEPSS includes six factors with 23 items. This scale is a valid and reliable instrument for assessing patient safety education in the classroom and clinical setting.
{"title":"Psychometric properties of the persian version of the health professionals education in patient safety survey","authors":"Niloufar Alidousti-Shahraki, S. Farzi, M. Tarrahi","doi":"10.4103/nms.nms_39_21","DOIUrl":"https://doi.org/10.4103/nms.nms_39_21","url":null,"abstract":"Background: Safe care requires acquiring special competencies. Suitable instruments are needed to evaluate such competencies. Objectives: This study aimed to assess the psychometric properties of the Persian version of the Health Professionals Education in Patient Safety Survey (H-PEPSS). Methods: A methodological study was conducted in 2020, on the students who were spending their last year of study in nursing, medicine, pharmacy, midwifery, surgical technology, and anesthesia, in the Isfahan University of Medical Sciences. The H-PEPSS was translated into Persian based on the Brislin translation model. Face validity, content validity index (CVI), and content validity ratio (CVR) were examined. The construct validity of the scale was assessed using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Cronbach's alpha coefficient and interclass correlation coefficient were also calculated as reliability criteria. Results: The face validity of the Persian translation of H-PEPSS was confirmed by a panel of experts, and the items' impact scores were greater than 1.5. Three items were modified, and the CVI of the scale was calculated at 0.91. Besides, the items' CVR ranged from 0.64 to 1.00. In EFA, six factors were extracted, which shows the competencies the students possessed both in the classroom and clinical setting, which then were confirmed through the CFA. All items had a factor loading value greater than 0.4. Goodness-of-fit indices were obtained: Root Mean Square Error of Approximation (RMSEA) = 0.064, Tucker-Lewis Index (TLI) = 0.922, and Comparative Fit Index (CFI) = 0.931 for the classroom and RMSEA = 0.076, TLI = 0.912, and CFI = 0.923 for clinical setting. The Cronbach's alpha of the scale was 0.936 for the classroom and 0.949 for the clinical setting. Conclusions: The Persian version of H-PEPSS includes six factors with 23 items. This scale is a valid and reliable instrument for assessing patient safety education in the classroom and clinical setting.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"51 - 61"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44252779","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}
{"title":"Development and psychometric assessment of barriers to postoperative pain management in dementia scale: A mixed methods exploratory study","authors":"A. Shamsalinia, Farzaneh Didvar, F. Ghaffari","doi":"10.4103/nms.nms_24_22","DOIUrl":"https://doi.org/10.4103/nms.nms_24_22","url":null,"abstract":"","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70837987","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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