Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 3 2021 02 14 167 169 Ingalill Hallberg Department of Health Care Sciences, Lund University, Lund, Sweden 2021 01 21 2021 01 21 No Abstract No Abstract No Abstract No Abstract https://npt.tums.ac.ir/index.php/npt/article/view/1429 https://npt.tums.ac.ir/index.php/npt/article/download/1429/487

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 3 2021 02 14 170 172 EN Sima Sadat Hejazi Student Research Committee, Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Meimanat Hosseini Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Abbas Ebadi Behavioral Sciences Research Center, Life Style Institute, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran Hamid Alavi Majd Department of Biostatistics, Faculty of Paramedicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2020 12 01 2020 12 21 No Abstract No Abstract No Abstract No Abstract https://npt.tums.ac.ir/index.php/npt/article/view/1363 https://npt.tums.ac.ir/index.php/npt/article/download/1363/486

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 3 2021 03 08 173 178 Fitri Ainy Faculty of Nursing, Universitas Jember, Jember, Indonesia Tantut Susanto Department of Community, Family and Geriatric Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia Latifa Susumaningrum Department of Community, Family and Geriatric Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia 2021 01 10 2021 02 23 Background & Aim: Unhealthy environmental sanitation contributes to stunting among under-five children that correlated several factors, such as the house components, sanitation facilities, and behavior of poor food sanitation hygiene. This study aims to identify the relationship between family and stunting's environmental sanitation among under-five children in the Public Health Center in Indonesia. Methods & Materials: A cross-sectional study was conducted among 393 families with under-five children in the public health center of Panti of Jember district, East Java of Indonesia, using consecutive sampling from December 2019 to January 2020. A self-administered questionnaire was used to measure participants’ characteristics and environmental sanitation. A Chi-square test was used to analyze the data. Results: Among 67.2% of families were unhealthy environmental sanitation. Meanwhile, children who suffer from stunting were 56.2%. There was a significant correlation between environmental sanitation of family and stunting among under-five children (χ2=38,440; p <0,001), The environmental sanitation of family had 0.254 times for a chance of stunting among under-five children (OR= 0.254; 95% CI= 0.163-0.397). Conclusion: The family’s unhealthy environmental sanitation of family is a relationship with stunting among under-five children. Improving healthy environmental sanitation should be maintained by involving the family to fulfill under-five children’s nutrition requirement based on height for age. https://npt.tums.ac.ir/index.php/npt/article/view/1416 https://npt.tums.ac.ir/index.php/npt/article/download/1416/493

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 3 2021 02 16 179 193 EN Reza Negarandeh Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Zahra Yazdani Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Sarina Ramtin Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Leila Janani Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran 2021 01 16 2021 02 05 Background & Aim: Shared decision making belongs to the continuum between the two decision-making paradigms of the paternalistic perspective and the client’s complete independence. Various interventions, including the Question Prompt List have been developed to facilitate patients’ participation in counseling. This study aims to investigate the effects of question prompt list on shared decision making among cancer patients. Methods & Materials: For this study, the researchers performed a systematic review of the manuscripts available in Embase, PubMed, Scopus, and Web of Science databases which were published until January 2021. And then, the eligible studies investigating the effect of question prompt list on shared decision making were included in the study. The quality of the studies was assessed using the Cochrane risk of bias tool. Results: Two eligible papers were included in the study, and it was reported that question prompt list was provided before the patients’ consultation with the physician. Both studies have used OPTION 12 to measure shared decision making. The two articles reported that patient communication aid and question prompt list had no significant effect on improving shared decision making through OPTION 12. Conclusion: The findings of this systematic review could not confirm the impact of using question prompt list on shared decision making. more preliminary studies are needed to answer the question expressed by this systematic review study. https://npt.tums.ac.ir/index.php/npt/article/view/1420 https://npt.tums.ac.ir/index.php/npt/article/download/1420/495

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 3 2021 02 14 194 205 Leila Sayadi Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Alireza Nikbakht Nasrabadi School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Amin Hosseini School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran 2020 07 02 2020 10 13 Background & Aim: Drug dosage calculation is one of the main skills in the drug administration process that requires sufficient knowledge about mathematical calculations and drug dosage; in addition, lack of math anxiety is required for drug dosage calculation as well. The aim of this study was to determine the effect of mathematical calculation and drug dosage training programs on math anxiety and nursing students’ drug dosage calculation skills. Methods & Materials: The present research was a non-randomized trial study. As a result of available sampling, 80 nursing students (40 in the control group and 40 in the intervention group) participated in the study. The study intervention included a mathematical and drug dosage training program including lecture, workshop, and practicing mathematical and drug calculations at the patient’s bedside. The data were collected using a demographic, Betz’ math anxiety, and drug dosage calculation skills questionnaires. Finally, descriptive and analytical statistics were used to analyze the data. Results: The two groups were homogeneous in terms of demographic variables, math anxiety, and drug calculation scores in the baseline. Two-way ANOVA with repeated measures indicated the significant effect of the group on math anxiety (P = 0.024). Given the interaction between group effect and time for the drug dosage calculations, the comparison of the differences between the second time and third time scores of the baseline scores ​​showed a statistically significant difference between the two groups in terms of drug dosage calculations (P <0.001). Conclusion: Implementation of a drug dosage calculation training program for nursing students can lead to the reduction of math anxiety and improvement of the drug dosage calculations; this can ultimately help improve patient safety. https://npt.tums.ac.ir/index.php/npt/article/view/1156 https://npt.tums.ac.ir/index.php/npt/article/download/1156/489

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 3 2021 02 14 206 215 Cris Adolfo Department of Nursing, College of Applied Medical Sciences, Majmaah University, Majmaah, Saudi Arabia Abdulrhman Albougami Department of Nursing, College of Applied Medical Sciences, Majmaah University, Majmaah, Saudi Arabia Mark Roque Department of Maternity and Childhood, College of Nursing, Taibah University, Madina, Saudi Arabia Joseph Almazan Department of Medicine, School of Medicine, Nazarbayev University, Nursultan, Kazakhstan 2020 07 16 2020 10 11 Background & Aim: Quality improvement in hospitals is a systematically widely used framework that improves patient care quality delivered by health care professionals. This study assessed the attitude of nurses toward Quality Improvement. Methods & Materials: A quantitative research approach was used. A total of 361 nurses working in two government hospitals and two private hospitals in the Philippines were selected using convenience sampling. The data collected using a self-administered questionnaire was started in March-April 2019. To identify the association between nurse demographic characteristics and perceived quality improvement, an independent sample t-test, a one-way analysis of variance with a post-hoc Tukey HSD test, and a Pearson’s product-moment correlation were conducted using SPSS. Results: Nurses have high positive quality improvement attitude scores. The age, salary, and hospital type, influence quality improvement attitude scores. Conclusion: Nurses have a positive attitude towards qualitative improvement. In addition, nurses’ age, salary, and public hospitals' work have a positive qualitative improvement than nurses working in private hospitals. https://npt.tums.ac.ir/index.php/npt/article/view/1182 https://npt.tums.ac.ir/index.php/npt/article/download/1182/488

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 3 2021 02 16 216 225 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 Jongmi Lim Department of Nursing, Shinsung University, Dangjin, Republic of Korea 2020 08 04 2020 09 27 Background & Aim: Approximately 40% of lupus patients experience anxiety and depression. This study aimed to determine the effects of anxiety and depression on lupus patients’ quality of life. Methods & Materials: This study adopted a correlational predictive survey design. Using convenience sampling, we recruited 117 patients who had been diagnosed with lupus at a general tertiary hospital in Korea. Structured questionnaires were used to assess their demographic and clinical characteristics, the Hospital Anxiety and Depression Scale, and Lupus Quality of Life. Data analyses included descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation analysis, and stepwise multiple regression analysis and were performed with the SAS program (version 9.4). Results: The participants obtained a mean overall quality of life score of 63.49 out of 100. The highest and lowest means emerged for physical health and burden to others, respectively. Anxiety emerged as the strongest predictor of quality of life, followed by disease activity, depression, and disease duration. These variables explained 53 % of the variance in lupus patients’ quality of life. Conclusion: Medical professionals should pay close attention to each lupus patient's disease activity and duration to improve his or her quality of life. In particular, multidisciplinary efforts are needed to take proactive steps to screen for anxiety and depression in lupus patients. https://npt.tums.ac.ir/index.php/npt/article/view/1214 https://npt.tums.ac.ir/index.php/npt/article/download/1214/492

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 3 2021 02 16 226 233 EN Mohammad Abbasinia Department of Nursing, Qom University of Medical Sciences, Qom, Iran Atye Babaii Department of Nursing, Qom University of Medical Sciences, Qom, Iran Zahra Nadali Open Heart Surgery Intensive Care Unit, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran Samaneh Pakzaban Department of Nursing, Qom University of Medical Sciences, Qom, Iran Mohammad Abbasi Spiritual Health Research Centre, Qom University of Medical Sciences, Qom, Iran Mahdi Shamali Department of Clinical Research, University of Southern Denmark, Odense, Denmark 2020 08 26 2020 12 21 Background & Aim: Delirium is a frequent complication in patients hospitalized in the intensive care unit following cardiac surgery. This study aimed to assess the effect of a tailored delirium preventive intervention on postoperative delirium and agitation reduction and length of intensive care unit stay in patients who underwent coronary artery bypass graft. Methods & Materials: In this single-blinded, single-center, randomized controlled design, 60 patients from a hospital in Qom, Iran, were randomly allocated to an intervention or a control group. In the control group, patients received routine care. 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 att