Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 1 2020 08 31 1 3 Violeta Lopez School of Nursing, Hubei University of Medicine, China 2020 08 31 2020 08 31 No Abstract No Abstract No Abstract No Abstract No Abstract https://npt.tums.ac.ir/index.php/npt/article/view/1243 https://npt.tums.ac.ir/index.php/npt/article/download/1243/469

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 1 2020 07 22 4 6 Nasrin Nikpeyma Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Saman Maroufizadeh Department of Biostatistics, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran Maryam Esmaeili Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran 2020 05 08 2020 05 16 No Abstract No Abstract No Abstract No Abstract No Abstract https://npt.tums.ac.ir/index.php/npt/article/view/1070 https://npt.tums.ac.ir/index.php/npt/article/download/1070/468

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 1 2020 07 22 7 10 Soha Mirreza Department of Obstetrics and Gynecology, Preventative Gynecology Research Center, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Manijeh Yousefi Moghaddam Department of Anesthesiology, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran Forough Mortazavi Noncommunicable Diseases Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran 2020 01 30 2020 05 18 Introduction: A complete heart block is a cardiac electrical conduction disorder with a very rare occurrence in pregnancy, which may be asymptomatic. There are no specific guidelines for the management of asymptomatic complete heart block in labor, vaginal delivery, and cesarean with only a few reports of cesarean management of patients with complete heart block. Case report: A 30-year-old woman, Gravida 4, abortion 3, gestational age of 41 weeks without any specific problems, was referred to our maternity hospital. The pulse rate and blood pressure were 68 and 60/110, respectively. Labor was induced with oxytocin and, after three hours, was discontinued due to late decelerations of fetal heart rate. Electrocardiography confirmed a maternal pulse rate of 42. Cardiac consultation led to the diagnosis of a complete heart block. Due to the frequent late decelerations of fetal heart rate and no response to atropine therapy, the patient was a candidate for a cesarean. Before cesarean, the pacemaker was installed. Cesarean was performed with general anesthesia, and the infant was delivered in good condition. In Postpartum, the pacemaker was removed (PR = 55, BP = 125/80), and the mother was discharged the next day. Due to the lack of specific guidelines, fetal indication for an emergency cesarean, mother poor obstetrics history, and none response to atropine therapy, we chose to incorporate pacemakers and remove it after cesarean safely. Conclusion: Vital signs assessment during pregnancy and childbirth is recommended to detect cases of complete heart block and provide optimal care. https://npt.tums.ac.ir/index.php/npt/article/view/938 https://npt.tums.ac.ir/index.php/npt/article/download/938/467

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 1 2020 07 22 11 24 Bijan Nouri Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran Mohammad Hajizadeh School of Health Administration, Faculty of Health, Dalhousie University, Halifax, Canada Kaveh Bahmanpour Nursing and Midwifery College, Islamic Azad University of Sanandaj, Sanandaj, Iran Mahsa Sadafi Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran Satar Rezaei Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran Sina Valiee Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran 2020 04 04 2020 06 06 Background & Aim: Adherence of nurses to hand hygiene is important for the prevention of healthcare-associated infections. This study aims to systematically review the existing studies that assess Iranian nurses' adherence to hand hygiene and estimate their amount with meta-analysis. Methods & Materials: We performed a systematic search for peer-reviewed journals published from 2005 to 2018. The systematic search was conducted using both international (Google Scholar, PubMed, SCOPUS, and Web of Sciences) and Iranian databases (Scientific Information Database, IranMedex, Magiran, and MedLib). The search was carried out using a combination of the following terms: “adherence”, “compliance”, “hand hygiene”, “nurse”, “Iran”, “nursing practice”, “nursing”, and “guidelines”. The combinations of these words with Boolean operators like ‘AND’, ‘OR’ and ‘NOT’ were used. Results:  A total of 22 articles were used in the final analyses. The pooled proportion of hand hygiene adherence was 40.5 percent [95% confidence interval [CI]: 31.1–49.8]. Sensitivity analysis confirmed that the overall estimated pooled proportion of hand hygiene adherence did not vary significantly with the elimination of any of the 22 studies, observer or self-reported hand hygiene, instrument of measurement, unit of measurements, sample size, and time. Conclusion: The level of adherence of Iranian nurses to hand hygiene can potentially increase the chance of healthcare-associated infections and put patients and nurses at risk. Hospital and nursing managers should take practical steps to investigate factors contributing to the failure of hand hygiene adherence among nursing staff. They should ensure the continuous implementation of hand hygiene improvement strategy. https://npt.tums.ac.ir/index.php/npt/article/view/1005 https://npt.tums.ac.ir/index.php/npt/article/download/1005/473

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 1 2020 07 22 25 39 Artemio Gonzales Department of Midwifery, College of Arts, Sciences and Technology, Occidental Mindoro State College, Philippines 2020 02 22 2020 04 24 Background & Aim: Breastfeeding self-efficacy refers to a mother’s perceived ability to breastfeed her new infant and is a salient variable in breastfeeding duration. This study aimed to review the current state of knowledge, including the predictors and interventions, and discuss relevant findings and gaps in the breastfeeding self-efficiency theory. Methods & Materials: Scoping review of peer-reviewed articles between the years of 2009-2019. Using the keyword breastfeeding, self-efficacy, and breastfeeding confidence, an extensive search of the PubMed, Scopus, and ProQuest databases was performed. A total of 1,200 publications were found, from which, after excluding duplication and non-related papers, only 34 publications were considered relevant to the subject and examined in-depth. This study utilized the data extraction form developed by the Joanna Briggs Institute. Results: There were various predictors of breastfeeding self-efficacy, such as fetal attachment, social support, and positive prenatal experience. Studies have claimed that educational programs through educational sessions, information packages, and peer education have a positive effect on breastfeeding self-efficacy and the duration of exclusive breastfeeding. Conclusion: To facilitate successful breastfeeding, health care institutions could promote interventions regarding positive breastfeeding experiences. The data suggest that breastfeeding self-efficacy moves beyond our current understanding of motherhood. However, this evidence is limited to the study conducted in western and developed countries, and results are coming from studies with limited sample size. To provide an assessment and information on Asian mothers in developing countries, data are needed to describe their experiences and to examine factors associated with breastfeeding self-efficacy in this population. https://npt.tums.ac.ir/index.php/npt/article/view/960 https://npt.tums.ac.ir/index.php/npt/article/download/960/466

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 1 2020 07 22 40 50 OK-Hee Cho Department of Nursing, College of Nursing and Health, Kongju National University, Gongju, Republic of Korea Kyung-Hye Hwang Department of Nursing, Suwon Science College, Hwaseong, Republic of Korea 2020 03 24 2020 06 05 Background & Aim: Bioethics education nourishes consciousness in bioethics and influences the attitude and perception of death. The purpose of this study was to investigate the effect of bioethics education by employing standardized patients for freshmen nursing students. Methods & Materials: A quasi-experimental single group pretest-posttest design was used to assess the effect of bioethics education employing standardized patients on 33 freshman nursing students’ perception of dignified death and empathy who took the course of bioethics of a university. Results: The perception of dignified death appeared higher in post-education than pre-education, and the subdomain of personal distress under empathy appeared higher in post-education than pre-education. In regard to the replies on the question of “disclosure of diagnosed cancer”, 54.6% of respondents approved, while 90.9% expressed “it should be at the discretion of doctors.” Conclusion: bioethics education employing standardized patients appeared assisting students experiencing changes in perception of a dignified death. It may be useful in applying the teaching module for students with courses in bioethics. https://npt.tums.ac.ir/index.php/npt/article/view/983 https://npt.tums.ac.ir/index.php/npt/article/download/983/471

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 1 2020 07 22 51 59 Liliana Mota Portuguese Red Cross Northern Health School, Oliveira de Azeméis, Portugal Fernanda Príncipe Portuguese Red Cross Northern Health School, Oliveira de Azeméis, Portugal Adelaide Cruz Centro Hospitalar Universitário do Porto, Porto, Portugal Manuel Melo Centro Hospitalar Universitário de São João, Porto, Portugal 2020 03 27 2020 06 05 Background & Aim: The leadership role adopted by nurse managers has a fundamental role in the quality of care. Leadership is fundamental to the successful provision of health services due to its effect on health professionals and patients. This study aims to characterize the leadership roles of nurse managers in clinical nurse’s perspective. Methods & Materials: This is a descriptive and correlational study. Non-probabilistic convenience sampling with 219 nurses from different health institutions in Portugal. Data collection occurred from November 2019 to January 2020 using the Leadership Skills Questionnaire adapted by Parreira and collaborators o the Portuguese population, based on Quinn’s framework and the instrument developed by him. The data were analyzed using SPSS (version 22) with descriptive and inferential statistics according to the nature of the variables. Results: The results demonstrated that the study participants recognize the leadership roles of their nurse managers in a balanced manner: Mentor (4.85±1.53), Director (4.62±1.32), Coordinator (4.56±1.34), Producer (4.55±1.31), Monitor (4.40±1.30), Broker (4.36±1.40), Facilitator (4.35±1.40), and Innovator (4.03±1.38). Conclusion: It is observed greater orientation to the fulfillment of goals. There is a clear orientation to compliance with rules and, therefore, to internal orientation and control. The current study has different implications for nurse managers, education, and research. https://npt.tums.ac.ir/index.php/npt/article/view/992 https://npt.tums.ac.ir/index.php/npt/article/download/992/472

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 1 2020 07 22 60 69 Reynold Padagas College of Nursing and Health Sciences, Jose Rizal University, Mandaluyong, Philippines John Panuelos Our Lady of Guadalupe Colleges, Mandaluyong, Philippines Kim Odoya Our Lady of Guadalupe Colleges, Mandaluyong, Philippines Rhencel Cabardo Our Lady of Guadalupe Colleges, Mandaluyong, Philippines Vincent Castro Our Lady of Guadalupe Colleges, Mandaluyong, Philippines Mary Manio Our Lady of Guadalupe Colleges, Mandaluyong, Philippines Alexandrae Nabablit Our Lady of Guadalupe Colleges, Mandaluyong, Philippines Mikaela Papilla Our Lady of Guadalupe Colleges, Mandaluyong, Philippines 2020 04 25 2020 06 24 Background & Aim: This study aimed to explore the transitional challenges of newly hired psychiatric nurses in the care of clients with schizophrenia and the coping mechanisms that they use to overcome their transitional challenges. Methods & Materials: This descriptive-qualitative study interviewed six purposively selected newly hired psychiatric nurses caring for patients with schizophrenia who work for about six months to two years in a Psychiatric Training Hospital in the Philippines.  An interview protocol was used to obtain data with strict observance of relevant ethical considerations. In determining the emerging themes and subthemes from the transcribed data with trustworthiness, thematic analysis was employed. Results: Two majoazreati Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran Zahra Rahemi School of Nursing, Clemson University, South Carolina, USA Mohammad Aghajani Infectious Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran Neda Mirbagher Ajorpaz Autoimmune Diseases Research Center, Department of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran Elaheh Mianehsaz Clinical Research Center, Shahid Beheshti Hospital, Kashan University of Medical Mciences, Kashan, Iran 2021 01 24 2021 05 01 Background & Aim: Chronic low back pain is a common disease among nurses. According to the literature, complementary medicine can reduce low back pain, one of which is craniosacral therapy. This study was designed to investigate the effect of craniosacral therapy on the intensity of chronic back pain of nurses. Methods & Materials: This randomized clinical trial study was conducted on 60 nurses with chronic back pain. The participants were randomly assigned into intervention and control groups. The intervention group’s participants received eight individual sessions of craniosacral therapy. In the control group, a light-touch in the lumbar region was performed as a placebo. The therapist met each participant separately in a private room of the hospital. The two groups completed the McGill Pain Questionnaire at the baseline, immediately after the intervention, and one month after the intervention.  The collected data was analyzed in SPSS (v.16) using descriptive and analytical tests such as t-test, Chi-Square, ANCOVA, and repeated measures ANOVA. Results: The ANCOVA test results showed a significant difference between the two groups’ mean scores of pain intensity and its subscales (P<0.05). The results of repeated measures ANOVA showed that the mean scores of pain intensity and its subscales (sensory, affective, pain evaluation, and miscellaneous) decreased over the three time points in the intervention group (P<0.05). Conclusion: The findings affirmed the positive effects of the craniosacral therapy on the intensity of pain in nurses with chronic back pain. Therefore, it is recommended that this approach be performed as a complementary, effective, non-invasive intervention to decrease chronic back pain. https://npt.tums.ac.ir/index.php/npt/article/view/1433 https://npt.tums.ac.ir/index.php/npt/article/download/1433/508

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 4 2021 05 24 322 332 Junaidy Rustam Department of Nursing, Yarsi Health Science College, West Sumatra, Indonesia Waraporn Kongsuwan Faculty of Nursing, Prince of Songkla University, Songkla, Thailand Luppana Kitrungrote Faculty of Nursing, Prince of Songkla University, Songkla, Thailand 2020 07 15 2021 03 14 Background & Aim: Most mechanically ventilated patients reported decreasing comfort during their treatments, especially in Muslim patients. Nursing comfort care needs to be addressed by integrating the principles of Islamic daily rituals to fulfill the spiritual need and also to promote holistic comfort of Muslim patients with mechanical ventilation. This study aimed to investigate the effect of nursing comfort care integrating with the Islamic daily rituals on comfort among mechanically ventilated Muslim patients. Methods & Materials: A pretest-posttest with a control group design was used. Fifty-six participants recruited from intensive care units of three public hospitals in Indonesia were randomly assigned into either the experimental group (n=28) or control group (n=28) by matching technique based on gender, age, and duration using a ventilator. Those in the experimental group received nursing comfort care developed based on Kolcaba’s Theory of Comfort integrating with the Islamic daily rituals while those in the control group received usual care. Comfort was measured on the first day before receiving the intervention, and on the second day after the intervention was completed by using Comfort Questionnaire for Mechanically Ventilated Patients (CQMVP). Results:  Data analysis by using an independent t-test found there is no significant difference in data between the experimental group and control group at baseline (t = .134, p .894). The mean comfort score of patients in the experimental group after receiving the intervention was significantly higher than those in the control group (t=6.70, p<.05).   Conclusion:  Nursing comfort care integrated with Islamic daily rituals increased comfort in Muslim patients while receiving mechanical ventilation. Thus, this nursing comfort care program can be recommended to use in practice. https://npt.tums.ac.ir/index.php/npt/article/view/1178 https://npt.tums.ac.ir/index.php/npt/article/download/1178/507

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 4 2021 05 24 333 344 Mohammadreza Rajabloo Department of Medical Surgical Nursing, School of Nursing, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran Ali Mohammadpour Department of Medical-Surgical Nursing, School of Nursing, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran Moosa Sajjadi Departmant of Medical-Surgical Nursing, Faculty of Nursing, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran 2021 02 07 2021 04 05 Background & Aim: Hypertension is a prevalent and significant health problem; moreover, lack of treatment adherence can cause precarious complications. The present study aims to determine the effect of education based on Leventhal's model on adherence to treatment and control of blood pressure in patients with hypertension. Methods & Materials: This quasi-experimental study was performed on 59 patients with hypertension in Gonabad in 2020. The participants were selected based on convenience sampling; they were randomly assigned to the intervention and control groups. In addition to the routine treatment for hypertension, the patients in the intervention group received a training program based on Leventhal's model in 45-minute sessions and three times a week. In contrast, the patients in the control group received only the routine treatment for hypertension. A demographic and Hill-Bone Adherence Questionnaires were completed for the participants. Moreover, their blood pressure was recorded using the blood pressure record form. The data were analyzed in SPSS v.22 software, at the significance l