No Abstracts No Abstracts

No Abstracts No Abstracts

Background & Aim: This study aims to assess the surgical site infection (SSI) rate in obese women undergoing C-sections, comparing negative pressure wound therapy (NPWT) and standard dressings.
Methods & Materials: In this systematic review and meta-analysis, databases including Science Direct, Medline/PubMed, Web of Science, Scopus, and Cochrane Library were searched for articles published up to January 2024. The selection criteria included randomized controlled trials and cohort studies comparing the effect of (NPWT) with standard dressings on wound complications in women with obesity undergoing C-sections. Data collection and analysis Pooled effect sizes were calculated using random effects models based on heterogeneity.
Results: Out of 20 included studies, 18 reported SSI rates, which included 9243 cases and showed that NPWT reduces the rate of SSIs in obese women undergoing C-section (RR: 0.8, 95% CI: 0.66–0.96, I² = 24.5%, P = 0.01). An in-depth examination of 13 high-quality studies, in which NPWT devices were used, reveals a pooled Mantel-Haenszel (M-H) Risk Ratio (RR) of 0.92 for Prevention- Reduction - Epithelialization- Vacuum- Environment- Negative pressure- Advanced (PREVENA) (95% CI: 0.67–1.26, I² = 0%, P = 0.6) and 0.76 for Pressure- Incision- Closed- Optimization (PICO) (95% CI: 0.44–1.33, I²= 15%, P= 0.05), with a significant difference among devices (P=0.05).
Conclusion: NPWT reduces the SSI rate in obese women undergoing C-sections, regardless of the type or device used. Economic evaluations are crucial to justify NPWT device costs against expenses for treating surgical infections, supporting its widespread use in infection prevention.

Background & Aim: Dependent elderly people have difficulty carrying out activities of daily living and need help with essential life-sustaining activities such as bathing. Nursing care includes technique, organization, and care for the patient's physical and emotional well-being. This study aimed to map the scientific evidence on home bathing care for dependent elderly people.
Methods & Materials: A scoping review on home bathing care for dependent elderly people according to the methodology proposed by the Joanna Briggs Institute Collaboration. Nine databases were searched, as well as sources of gray literature. Rayyan software was used to select the studies by two reviewers and a third for the final assessment.
Results: 24 studies were selected. The most important aspects of bathing were communication, considering the elderly person's preference for bathing, considering conflict resolution, safety, comfort, and privacy, planning the necessary materials and actions, paying attention to the temperature of the water and the environment, cleaning and tidying the bed, as well as hygiene care such as trichotomy, and nail clipping.
Conclusion: It was identified that care is related to specific skincare and planning to carry out the steps in body hygiene. The studies show the importance of guidance from nursing professionals in the process of bathing dependent elderly people at home from the perspective of a person-centered approach and their uniqueness.

Background & Aim: Assessment of safety culture and nursing students’ competencies in patient safety is essential for readiness to provide quality and safe care. The objectives of the study are to examine how nursing students perceive patient safety culture and to evaluate factors that may influence their perceptions.
Methods & Materials: A descriptive cross-sectional study was conducted using the Slovak version of the Hospital Survey on Patient Safety Culture for Nursing Students and the Questionnaire for Measuring Demographic Variables and Information on the Education Process. The study involved 242 nursing students from two faculties in Slovakia. Data were analyzed using descriptive and inferential statistics.
Results: None of the dimensions of patient safety culture was rated by the nursing students above the necessary level of 75 %. Statistically significant correlations and differences were found between the nursing students’ perceptions of patient safety culture and some selected sociodemographic variables. Multiple regression analysis revealed significant associations between the nursing students’ perceptions of patient safety culture and overall patient safety grade, the number of reported events in the workplace, and the number of reported events by nursing students.
Conclusion: Recognising nursing students’ perceptions of patient safety culture enables identification of weaknesses, and early implementation of targeted interventions and educational initiatives to increase overall patient safety in care provision. Future research should focus on recognizing relationships between perceived patient safety culture, teamwork, education, and indicators of safe and quality care during clinical training from nursing students’ perspective.

Background & Aim: Post the COVID-19 pandemic, there has been an observable escalation in the propensity of nurses to resign from their positions, which exerts substantial pressure on healthcare systems worldwide. Perceived Organizational Support has been acknowledged as a pivotal factor in the retention of nursing personnel after the pandemic. This study aims to provide valuable insights into the intricate interplay between Perceived Organizational Support, Psychological Well-being, Organizational Commitment, and Nurses’ Intention to Stay in Vietnamese healthcare.
Methods & Materials: This study adopted a cross-sectional quantitative design using a structured questionnaire to collect data from diverse professionals in Vietnam through an online platform. Data analysis was conducted using PLS-SEM on a robust dataset of 302 valid observations. A hybrid sampling method combining convenience and snowball techniques was employed. The questionnaire was disseminated via Google Forms during March and April 2024, allowing for an insightful examination of the research phenomena within Vietnam's unique sociocultural context.
Results: The study showed a significant positive impact of Perceived Organizational Support on Psychological Well-being, Organizational Commitment, and Nurses’ Intention to Stay. Perceived Organizational Support directly affects Nurses’ Intention to Stay, and Psychological Well-being emerges as a strong determinant of Nurses’ Intention to Stay and a mediator between Perceived Organizational Support and Nurses’ Intention to Stay.
Conclusion: Healthcare managers play a key role in promoting Nurses’ Intention to Stay by increasing Organizational Support, promoting Psychological Well-being, and enhancing Organizational Commitment. These strategies are critical to maintaining stability within the healthcare organization, addressing nursing turnover, and maintaining a resilient workforce.

Background & Aim: Exclusive breastfeeding (EBF) is essential for infant health, yet the global prevalence is below target. Tanzania is facing challenges in promoting EBF due to sociocultural and economic factors. Despite efforts, rates remained low, especially among working mothers. The experience of healthcare-working mothers in EBF is underexplored despite facing unique challenges like irregular schedules and workplace stressors. This study aims to explore healthcare-working women's experiences with EBF.
Methods & Materials: This qualitative study involves fifteen participants from two referral hospitals in Tanzania. We employed semi-structured interviews to explore the significance of their lived experiences while keeping the interview on track. We sampled our participants using purposive and snowball sampling. The interviews were recorded using a digital audio recorder and transcribed verbatim. Then, thematic analysis was used to analyze data.
Results: Participants shared insights into their EBF practices, highlighting the significance of breastfeeding knowledge and its benefits for mothers and children. Key themes identified were healthcare-working mothers' knowledge and practice of EBF, balancing EBF and work, and barriers to EBF while working. Mothers emphasized EBF's health and emotional benefits, noting strategies to ensure sufficient milk supply and challenges in maintaining EBF due to work demands, fatigue, and physiological discomforts. Support systems at home and workplace policies were crucial for facilitating EBF, yet the availability of alternative milk sometimes hindered sustained EBF.
Conclusion: This research provides valuable insights into the experiences of healthcare-working mothers in EBF. The findings underscore the importance of promoting supportive environments, workplace policies, and social networks to facilitate exclusive breastfeeding continuation for working mothers.

Background & Aim: Patients who receive percutaneous coronary interventions often display inadequate levels of self-care actions, which could create difficulties in managing the disease and achieving favorable treatment results. This study investigates the impact of using an educational mobile application on self-care behaviors in patients undergoing percutaneous coronary intervention.
Methods & Materials:  A randomized clinical trial was conducted with 110 patients undergoing percutaneous coronary interventions at Shahid Rajaei Hospital in Karaj, Iran, in 2023. The study enrolled and assigned them to either the intervention group (n=55) or the control group (n=55) by block randomization. In addition to training upon discharge, the experimental group received educational resources via a mobile phone application. The data collection instruments included MSCBS. Patients completed the MSCBS before the intervention and 4 weeks later. The data were analyzed with SPSS 21. The study's level of significance was set to P<0.05.
Results: Before the intervention, there was no significant difference in the self-care scores and the subscales between the two groups (P<0.05). Nonetheless, After the intervention, a significant difference was observed in the self-care scores and the subscales between the control and intervention groups, (p=0.001), and the difference in scores between the control and intervention groups increased significantly after the intervention and the scores of the intervention group had a significant increase compared to the scores of the control group.
Conclusion: The study showed that the mobile phone educational application could improve self-care behaviors in patients undergoing percutaneous coronary interventions. Therefore, it can be recommended that nurses working in medical centers use this educational application to enhance self-care in these patients.

Background & Aim: Results of previous studies on the role of personality traits and resilience in explaining health-oriented behaviors such as social/physical distance and self-isolation were inconsistent. The present study was conducted to determine the role of the five big personality traits and resilience in adherence to self-isolation during the COVID-19 pandemic.
Methods & Materials: A prospective longitudinal cohort study tracked 112 healthcare providers who tested positive for SARS-CoV-2. Using GPS data from their cell phones, researchers assessed self-isolation adherence over 14 days. Participants completed NEO-Five-Factor Inventory (NEO-FFI) and Connor–Davidson Resilience Scale (CD-RISC) questionnaires.
Results: Sixty-one (58.7%) of the subjects violated their self-isolation, and 43 (41.3%) did not violate it during the 14 days after PCR positivity for COVID-19. After adjustment for potential confounders, results showed that only two of the five big personality traits included, conscientiousness (AOR=1.37; 95%CI: 1.15–1.63) and neuroticism (AOR=0.85; 95%CI: 0.74–0.98), were significantly related to the self-isolation adherence. This means a one-unit increase in conscientiousness is associated with 37% higher odds of self-isolation adherence, while a one-unit increase in neuroticism reduces self-isolation adherence by 15%.  Resilience was the main predictor for self-isolation adherence in which a one-unit increase in resilience score, the odds of adherence to self-isolation significantly increased by 18% (AOR=1.18, 95%CI: 1.07–1.30) (P<0.001).
Conclusion: The study suggests that fostering conscientiousness and resilience among individuals may enhance self-isolation commitment during pandemics. Further research is needed to explore the influence of agreeableness, extraversion, and openness to experience on self-isolation adherence.

Background & Aim: There is limited evidence regarding pain management practice and its associated factors among nurses in Vietnam. Therefore, the study aimed 1) To examine the current state of pain management practices among nurses at Hai Duong Provincial General Hospital, Vietnam; and 2) to identify its associated factors.
Methods & Materials: A cross-sectional study design was performed on 200 nurses and 200 medical records needed to be reviewed to match the number of nursing samples. The data collection was conducted from May to June 2022. The modified Cancer Pain Practice Index included 13 evidence-based pain management Indicators applied to measure nurses’ pain management practice by reviewing medical records, and the Knowledge and Attitudes Survey Regarding Pain tool was used to assess the pain management knowledge and attitude of nurses by self-completed questionnaire.
Results: A significant majority, comprising 146 nurses (73%), demonstrated inadequate pain management practices. Several crucial indicators of pain management were suboptimally performed by the majority of nurses. These included failure to document the execution of pain assessments for new patients, inadequate monitoring for side effects of opioid analgesics, and insufficient assessment and care for bowel status when opioids were prescribed. Additionally, participation in prior pain management training courses, along with knowledge and attitude toward pain management, emerged as significant variables associated with pain management practices (p<0.001).
Conclusion: The study highlighted widespread poor pain management practices among nurses. Participation in training courses and good knowledge and attitude correlate with better practices.