Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 2 2020 11 01 91 95 EN Mahdieh Arian Student Research Committee, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran Ali Valinejadi Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran Mohsen Soleimani Nursing Care Research Center, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran 2020 05 18 2020 08 31 No Abstract No Abstract No Abstract No Abstract https://npt.tums.ac.ir/index.php/npt/article/view/1085 https://npt.tums.ac.ir/index.php/npt/article/download/1085/479

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 2 2020 11 01 88 90 Theofanidis Dimitrios Department of Nursing, International Hellenic University, Thessaloniki, Greece 2020 11 01 2020 11 01 No Abstract No Abstract No Abstract No Abstract  https://npt.tums.ac.ir/index.php/npt/article/view/1306 https://npt.tums.ac.ir/index.php/npt/article/download/1306/478

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 2 2020 12 23 96 102 Vahid Zamanzadeh Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Samira Orujlu Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Raziyeh Beykmirza Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Marjan Ghofrani Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran 2019 11 24 2020 12 21 Background & Aim: The purpose of this integrative literature review was to find, critically evaluate, and describe publications about barriers against nurse participation and collaboration in multidisciplinary ward rounds. Although multidisciplinary ward rounds are the right place for doctors and nurses to communicate, nurses’ attendance in these rounds is missed. The nurses' absence at the multidisciplinary ward rounding has apparent negative effects on the patients, their relatives, other team members, and patients’ care. Methods: A systematic approach to searching, screening, and analyzing the literature was applied. The original and review papers were used. This study was an integrative review based on Whittemore and Knafl’s framework. Web of Science, PubMed, Scopus, Cochrane, Magiran, and SID were searched by time limitation for ten years (2009-2019). The search was conducted between February 2019–March 2019. The language was limited to English and Persian. Results: After duplicate removal, title, and abstract review, 63 papers remained. After full-text control, finally, 7 papers chased for this review. Barriers for rounding were divided into 4 main categories: time limitation, reluctance to participate, ineffective communication, and infrastructure & administration. Nurse time limitation, feeling not being valued by MDs, lack of standard and structure, and nurse unawareness from time of round are the most repeated barriers.  Conclusion: Barriers may need to be removed until nurse participation in multidisciplinary ward rounds improves. Some study needs to take place about this issue in Iran to identify the situation, facilitators, and barriers specific to our country. Based on them, a relevant intervention can be chased. https://npt.tums.ac.ir/index.php/npt/article/view/859 https://npt.tums.ac.ir/index.php/npt/article/download/859/485

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 2 2020 11 01 103 112 Tahereh Najafi Ghezeljeh Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran Samira Gharasoflo Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran Shima Haghani Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran 2020 01 24 2020 08 04 Background & Aim: Missed nursing care can reduce nursing care quality by eliminating or delaying any aspect of the patient’s necessary nursing care. Teamwork has been a solution to improve the quality of care and safety of patients. The present study was conducted to determine the relationship between missed nursing care and emergency nurses’ teamwork in the educational-medical centers affiliated to Iran University of Medical Sciences in 2019. Methods & Materials: This cross-sectional study is predictive correlational in nature. It was conducted on 213 nurses working in the emergency department who were selected based on the census method from March 2018 to December 2019. The self-report data were collected using Nursing Teamwork Survey and Missed Nursing Care questionnaires. The data were analyzed through conducting ANOVA, t-test, Pearson correlation, and multiple regression analysis in SPSS version 16. Results: The mean score of missed nursing care in the emergency nurses was 2.25±0.65, and the nurses’ average teamwork was 3.53±0.55. There was a statistically significant yet inverse correlation between teamwork and missed nursing care (p<0.001) (r= -0.29). The determination coefficient of the multiple linear regression modeling was used to predict the missed nursing care based on the total teamwork score indicated that 14% of the missed nursing care was explained under the influence of independent variables. Conclusion: Due to the inverse relationship between teamwork and missed nursing care, it is necessary to design and plan training courses to further enhance the nurses’ ability to perform teamwork and collaborative work. https://npt.tums.ac.ir/index.php/npt/article/view/931 https://npt.tums.ac.ir/index.php/npt/article/download/931/482

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 2 2020 11 01 113 122 Yonas Terfa School of Nursing, Faculty of Health Sciences, Institute of Health Science, Jimma University, Jimma, Ethiopia Samuel Aliyu School of Nursing, Faculty of Health Sciences, Institute of Health Science, Jimma University, Jimma, Ethiopia Ebrahim Reta School of Nursing, Faculty of Health Sciences, Institute of Health Science, Jimma University, Jimma, Ethiopia Gugsa Germossa School of Nursing, Faculty of Health Sciences, Institute of Health Science, Jimma University, Jimma, Ethiopia Adugna Akuma School of Nursing, Faculty of Health Sciences, Institute of Health Science, Jimma University, Jimma, Ethiopia 2020 05 08 2020 07 26 Background & Aim: Breast cancer is the leading cause of death among women worldwide. Good knowledge of breast cancer enhances timely screening, early detection, and treatment; however, women's knowledge about breast cancer is very low. Thus, this study assesses the level of knowledge regarding breast cancer among women of childbearing age living in Jimma town.  Methods & Materials: A community based cross-sectional study was conducted in Jimma town in 2018. Respondents were identified using multistage sampling methods. Data was collected using a standard questionnaire developed by cancer research UK and used in different languages in many parts of the world. Multiple logistic regression analyses were used to identify a variable with a significant association based on OR, with 95%CI and P-value of less than 0.05. Results: Out of 724 respondents, 686 gave their complete responses. The majority of 496 (72.3%) of the respondents were young adults with a mean age of 31, and about 307 (44.8%) of them had completed secondary school (9-12).  Only 35% of respondents knew breast cancer; more specifically, 20% had knowledge of risk factors, 45% had knowledge of signs and symptoms, and 39 % had knowledge of screening methods. Maternal age, educational level, marital status, occupation, source of information, and monthly income, and positive family history of breast cancer were significantly associated with women’s breast cancer knowledge. Conclusion: Just over one-third (35%) of women are knowledgeable about breast cancer. However, women's breast cancer knowledge plays a great role in controlling before reaching an advanced stage. https://npt.tums.ac.ir/index.php/npt/article/view/1071 https://npt.tums.ac.ir/index.php/npt/article/download/1071/476

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 2 2020 11 01 123 131 EN Masume Shahpasand Department of Medical Surgical Nursing, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran Ali Mohammadpour Department of Medical Surgical Nursing, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran Samane Najafi Department of Medical Surgical Nursing, School of Nursing, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran Mansooreh Sobhani Department of Internal Medicine, School of Medicine, Allameh Bohlool Hospital, Gonabad University of Medical Sciences, Gonabad, Iran 2020 04 22 2020 06 24 Background & Aim: Fatigue is one of the most prevalent symptoms among people with chronic obstructive pulmonary disease (COPD). Heat therapy is considered as one of the proposed methods to relieve the symptoms in these patients. Therefore, the aim of this study was to determine the effect of local heat therapy on fatigue among patients with COPD. Methods & Materials: This randomized controlled clinical trial study was conducted on 46 patients with chronic obstructive pulmonary disease referred to Allameh Bohlool Hospital in Gonabad, Iran in 2019. The participants were selected according to the inclusion criteria and were then randomly assigned to the two groups of intervention and placebo. Local packs were placed on the anterior of the chest twice a day for 23 minutes and for five days among the participants of both groups. The hot pack was 50ºC for the patients in the intervention group, but it was equal to body temperature in the placebo group. The severity of fatigue was once measured before the intervention and then one day after the final intervention in both groups. The demographic information form and Krupp fatigue severity scale were used to collect the data. Descriptive statistics and chi-square, Mann-Whitney, and Wilcoxon tests were used to analyze the data. Besides, the level of significance was considered at least 0.05. Results: The results indicated that the two groups were homogenous in terms of demographic information and the type of disease (P>0.05). There was no statistically significant difference between the mean score of fatigue before the intervention in the experimental and placebo groups (P=0.9). However, the mean score of fatigue decreased significantly among the intervention group patients compared to those in the placebo group (P<0.001) after the intervention. There was also a significant difference between the two groups in the mean score of fatigue before and after the intervention (P<0.01). Conclusion: According to the results, topical heat therapy is effective in reducing fatigue among patients with COPD, but it is recommended to conduct further studies before the implementation of this approach. https://npt.tums.ac.ir/index.php/npt/article/view/1035 https://npt.tums.ac.ir/index.php/npt/article/download/1035/484

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 2 2020 11 01 132 138 Jin-Hwa Park College of Nursing, Daegu Catholic University, Daegu, Republic of Korea Eun-Kyung Lee College of Nursing, Daegu Catholic University, Daegu, Republic of Korea 2020 06 27 2020 08 26 Background & Aim: Recently, there has been a growing interest in the nursing shortage. Although the number of nursing school has been increased and refreshment programs for inactive nurses have been run, the lack of nurses is still a common problem in Korea. Considering the importance of nurses' role in hospitals, it is important to investigate how to reduce turnover rates. This study aimed to investigate the mediating role of compassion satisfaction on the relationship between leader-member exchange (LMX) and intention to stay in Korea. Methods & Materials: A cross-sectional study design was used. Data were collected from 131 nurses from three university hospitals in South Korea. A demographic data form, LMX-7 scale, compassion satisfaction of the professional quality of life scale, and the nurses’ retention index were used to collect data. Results: Our results indicate that LMX has a positive effect on compassion satisfaction and intention to stay and compassion satisfaction has a positive effect on the intention to stay. In addition, compassion satisfaction was found to mediate the impact of LMX on the intention to stay. Conclusion: The present study is significant in that it confirms the relationship between LMX and intention to stay and the mediating role of compassion satisfaction. The nursing managers should pay attention to find ways to improve LMX and compassion satisfaction in hospitals in order to increase nurses’ intention to stay. https://npt.tums.ac.ir/index.php/npt/article/view/1135 https://npt.tums.ac.ir/index.php/npt/article/download/1135/477

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 2 2020 11 01 139 145 Mahshid Mahdavi Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Mansour Ghafourifard Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Azad Rahmani Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran 2020 04 24 2020 07 05 Background & Aim: Nursing presence is an essential element of nursing care. Since the perception of nu Uki Noviana Department of Mental Health and Community Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia 2023 11 07 2024 03 05 Background & Aim: While virtual reality holds promise for enhancing patient management and experience during chemotherapy, its use remains limited. The present study aimed to test the feasibility, acceptability, and preliminary efficacy of smartphone-based virtual reality relaxation (SVR) in chemotherapy patients. Methods & Materials: In this pilot study, 29 participants were divided into two groups. The SVR group (n=14) experienced a 10-minute virtual reality intervention, while the control group (n=15) received standard care and guided imagery leaflets. Outcomes such as comfort, anxiety, pain, systolic blood pressure (SBP), diastolic blood pressure (DBP), and pulse rate were evaluated at baseline and post-chemotherapy. The Technology Acceptance Model (TAM) questionnaire and open-ended questions evaluated SVR’s acceptability. Data was analyzed using descriptive statistics, non-parametric t-tests, and thematic analysis. Results: The SVR intervention appears feasible, as evidenced by a high recruitment rate of 93.75% (30 out of 32 eligible patients) and a retention rate of 96.67% (29 out of 30 participants), despite one withdrawal. The SVR group showed significant comfort improvement (P=0.002), significant changes in pulse rate (P=0.047), and SBP (P=0.023) compared to the control group. Anxiety, pain, pulse rate, and DBP showed no significant differences. A significant TAM variable (P<0.001) confirmed the intervention's acceptability. Qualitative feedback showed no serious side effects and patients reported positive experiences. Conclusion: The SVR intervention, feasible and acceptable, significantly improved comfort and altered pulse rate and SBP in chemotherapy patients. It shows potential as an oncology care strategy. Further validation is needed through large-scale trials. https://npt.tums.ac.ir/index.php/npt/article/view/2864 https://npt.tums.ac.ir/index.php/npt/article/download/2864/613

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 11 2 2024 04 06 172 182 EN Matshediso Ntuli School of Nursing, Idalia Loots Building, University of the Free State, Bloemfontein, South Africa Cynthia Spies School of Nursing, Idalia Loots Building, University of the Free State, Bloemfontein, South Africa 2023 10 20 2024 03 13 Background & Aim: The challenges of mothers residing at hospital while their ill babies are admitted to a neonatal care unit are understudied and poorly documented. Unfavorable living arrangements and tension between mothers and staff can disrupt their well-being and create feelings of helplessness. This study explored how mothers experienced having to stay at a lodging residence of a public hospital while their newborns were admitted to a neonatal care unit. Methods & Materials: This qualitative content analysis study was conducted through face-to-face, in-depth interviews between March 2021 – April 2021. Data were gathered from 13 mothers who lodged at a public hospital for at least two weeks, were able to speak Sesotho, English, and/or Afrikaans, and were above 18 years of age. Data were analyzed using Tesch's eight steps in the coding process. Results: Data analysis resulted in five categories, each with subcategories. The main categories are "Lodging environment", "Emotional experiences", "Nursing care of babies", "Interaction with staff", and "Participant perspectives". Participants' ages ranged between 23 and 37 years. Three participants had a spouse while the other ten were unmarried and were single parents. Conclusion: The mothers were not optimistic about their lodging experiences, the nursing care of their newborns, and their interaction with healthcare professionals. Hence, they require intervention to alleviate conditions that cause unnecessary stress and anxiety. Health professionals and hospital managers must accommodate the needs of mothers who have no choice but to reside at the hospital when their newborns are admitted for extended periods. https://npt.tums.ac.ir/index.php/npt/article/view/2825 https://npt.tums.ac.ir/index.php/npt/article/download/2825/614

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 11 2 2024 04 07 183 191 Alexandra Masharipova Astana Medical University, Astana, Kazakhstan Nassikhat Nurgaliyeva Astana Medical University, Astana, Kazakhstan Gulmira Derbissalina Astana Medical University, Astana, Kazakhstan 2024 03 08 2024 04 03 Background & Aim: Palliative care is an approach designed for critically ill patients, improving their quality of life and alleviating suffering through early detection, proper assessment, and treatment of pain and other problems, whether physical, psychosocial, or spiritual. The purpose of this study was to assess nurses' knowledge of palliative care and attitudes toward caring for dying patients and their relationship with evidence-based practice. Methods & Materials: A cross-sectional study design was employed to collect data from 565 nurses working in primary healthcare organizations from January 2022 to March 2023. An online questionnaire included four parts: demographic and professional characteristics, PCQN, FATCOD, and EBPQ questionnaires. An independent T-test, One-Way ANOVA, and Kendall tau rank correlation coefficient, hierarchical multiple regression were performed. Results: Nurses’ palliative care knowledge level was low (mean score: 9.06±2.93). The majority of nurses (93%) have a neutral or negative attitude toward caring for dying patients (94.50±12.41). The obtained score (4.39 ±1.05) on the EBPQ scale indicates an average level of competence in evidence-based practice. Work experience (β=0.534; <0.001) and competencies in evidence-based practice (β=0.136; p=0.001) are statistically significant factors that affect knowledge of palliative care. The aspect of Knowledge/skills in EBP is the most significant (β=0.122; p=0.005). Conclusion: An insufficient level of nurses' knowledge about palliative care and a neutral or negative attitude towards caring for dying patients were revealed. The results also indicate that much attention and resources should be directed toward improving the level of knowledge of nurses in the field of evidence-based practice. https://npt.tums.ac.ir/index.php/npt/article/view/3073