Nursing Practice Today

Accepting Myocardial Infarction Diagnosis as an Important Challenge During Transition Process: A Qualitative Study

2025-08-05T15:26:37+0430

Background & Aim: The increasing prevalence of myocardial infarction has turned this disease into a global epidemic. With the diagnosis of myocardial infarction and health-illness transition, changes are made in a person's life. Special attention is needed to manage non-acceptance of a newly diagnosed disease and achieve a healthy transition. This study was conducted with the aim of investigating the causes of acceptance or non-acceptance of the first myocardial infarction.

Methods & Materials: This qualitative study utilized the directed content analysis approach based on Meleis transition theory. Data were collected between June 2023 and January 2024 through in-depth, semi-structured individual interviews with 11 participants selected through purposive sampling. Data analysis followed the three-step method proposed by Elo and Kyngas.

Results: The analysis revealed four main categories: Nature of Transition, Transition Condition, Patterns of Response and Nursing Therapeutics. In this study, the transition condition is discussed.

Conclusion: Illness Acceptance is accepting the possible problems that may happen due to getting sick and then starting a new life. In the meantime, it is necessary to improve some of the factors that affect the level of acceptance of a person and facilitate acceptance and reduce the obstacles as much as possible.

Emotional eating of adolescent students: A concept analysis

2025-08-05T15:25:40+0430

Background & Aim: Emotional eating is a concept commonly discussed in the fields of nursing and public health research. However, its interpretation and usage can differ significantly across these areas. To enhance the validity of measurements and inform effective interventions in nursing and public health, it is crucial to achieve a clearer understanding of emotional eating. This study aimed to define and clarify the attributes of emotional eating among adolescent students.

Methods & Materials: This study employed Walker and Avant’s eight-step method for concept analysis. A comprehensive literature review was conducted using Thai and English databases, including ThaiLIS, ThaiJo, CINAHL, ProQuest, Cochrane Library, PubMed, ScienceDirect, EBSCO, Web of Science, and Scopus. Based on predefined criteria, 45 studies published between 2014 and 2023 were selected for analysis.

Results: Emotional eating is defined as the excessive intake of food in response to emotional states both positive and negative instead of being driven by physical hunger or social circumstances. The attributes of emotional eating in adolescent students encompass emotional responses, excessive eating, food selection, and coping with stress and mood management. Antecedents included social-emotional problems and perceived stress, perceived self-efficacy, and eating styles and patterns. Consequences involve changes in physical health and well-being, along with unhealthy eating behaviors and compulsive eating.

Conclusions: This analysis clarifies the definition of emotional eating among adolescents, emphasizing its attributes, antecedents, and consequences. The insights gained from this study lay the groundwork for nursing assessments and tailored interventions aimed at promoting healthier eating practices among adolescent students.

Insomnia and the use of sleep medications among nurses in northwest Iran: A web-based survey of prevalence and correlates

2025-08-11T12:30:02+0430

Background & Aim: There is a growing global reliance on sleep medications among healthcare professionals, raising concerns about dependency and health outcomes. This study aimed to assess the prevalence of insomnia, sleep medication usage, and their correlates among nurses.
Methods & Materials: This cross-sectional study employed a web-based survey to recruit 1,213 nurses from university hospitals in East Azerbaijan Province, Iran, via institutional portals. Participants completed the Insomnia Severity Index (ISI) and a profile of insomnia medication usage. The data were analyzed using descriptive statistics, analytical tests, and multiple linear regression in SPSS 21(p < 0.05).
Results: Among 1,213 participants (84.3% female, mean age 36.9 ± 8.5 years), the majority had subclinical (52.6%) or moderate (38.3%) insomnia. While 41.2% reported using non-drug methods for insomnia, 73.5% did not use any sleep medication. Among medication users, benzodiazepines (10.5%) and herbal remedies (9.5%) were most common. Nurses working rotating shifts (t = -5.93, p < 0.001) and those with >3-night shifts per week (F = 19.41, p < 0.001) had higher ISI scores. Multiple linear regression revealed that female gender (β = 1.780, p = 0.009), married status (β = 0.740, p = 0.009), non-use of benzodiazepines (β = -1.284, p = 0.004), and use of non-drug methods (β = -1.789, p < 0.001) were significantly associated with higher ISI score.
Conclusion: Nurses exhibit high insomnia rates and medication dependence, necessitating urgent integration of non-drug approaches like optimized shifts and sleep hygiene programs to reduce severity and improve well-being.

Concept analysis of moral disengagement among nurses in the intensive care unit: A hybrid model

2025-08-12T12:44:15+0430

Background & Aim: Moral disengagement may result in unethical behavior, compromising patient safety in Intensive Care Units. This study aims to provide a clear and culturally grounded definition of moral disengagement among Iranian ICU nurses.
Methods & Materials: This research employed a hybrid concept analysis model based on Schwartz-Barcott and Kim’s approach in three phases: 1) Theoretical phase: A comprehensive literature review was conducted using relevant keywords in Iranian and international databases. Sixteen relevant peer-reviewed articles were selected and analyzed using conventional content analysis based on Graneheim and Lundman’s method. 2) Fieldwork phase: In-depth semi-structured interviews were conducted with 20 ICU nurses selected via purposive sampling. Data were coded and analyzed using qualitative content analysis to extract themes. 3) Final analysis phase: The data from the previous phases were integrated to develop a refined and context-based definition.
Results: In the theoretical phase, key attributes included moral justification, cognitive reconstruction, detachment from ethical standards, and absence of moral emotions. Fieldwork analysis yielded 301 codes categorized into three main themes and seven subthemes, emphasizing illegitimate legitimization through commitment avoidance, self-justification, and cognitive reconstruction, as well as assurance of job and psychological security, and feelings of individual and organizational satisfaction. The findings from these phases contributed to the final definition.
Conclusion: Moral disengagement among ICU nurses is defined as: “The employment of protective mechanisms of justification, pleasant cognitive reconstruction of the event, and commitment avoidance to legitimize unethical activities aimed at preserving job security, psychological safety, and individual and organizational satisfaction.” This definition offers a practical foundation for future research and ethical interventions in critical care.

PATIENTS' NEEDS IN PALLIATIVE CARE AND THEIR CAREGIVERS FROM THE PERSPECTIVE OF HOME CARE PROVIDERS

2025-08-05T15:24:33+0430

Introduction and Objective: Palliative care is an approach aimed at improving the quality of life and alleviating suffering associated with life-threatening illnesses. It should also be included in Home Care Services. This study aimed to identify the needs of patients in palliative care and their caregivers from the perspective of Home Care Service providers.

Method: This qualitative research study was conducted with a multidisciplinary team of providers under the Home Care Service program in the interior of São Paulo state, Brazil. Data were collected through semi-structured interviews and analyzed using the Content Analysis method.

Results: Three categories emerged from the provider's narratives: insufficient knowledge about palliative care, the needs of patients in palliative care, and the needs of caregivers of patients in palliative care. Additionally, nine subcategories were identified: palliative care as end-of-life care, palliative care as an opportunity to provide comfort measures, lack of palliative care training for the multidisciplinary team, pain management, nutrition, emotional support and psychological care, presence of family members, psychological support, and assistance in care management.

Conclusion: This study identified the needs of patients in palliative care and their caregivers from the perspective of Home Care staff. The main needs of patients, as identified by the staff, include pain management, nutrition, emotional support, psychological care, and the presence of family members. For these patient’s caregivers, staff emphasized the importance of psychological support and assistance in managing care. The study highlights the importance of continuous education in the home palliative care setting that recognize the needs of both patients and caregivers.