Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 2 2022 02 27 79 80 Raziyeh Beykmirza Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Reza Negarandeh Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran 2022 02 27 2022 02 27 No Abstract https://npt.tums.ac.ir/index.php/npt/article/view/1969 https://npt.tums.ac.ir/index.php/npt/article/download/1969/521

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 2 2022 02 02 81 83 Esmaeil Moshiri Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran Nooredin Mohammadi School of Nursing and Midwifery, Flinders University, Adelaide, Australia Sajad Yarahmadi Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran 2022 01 10 2022 02 01 No Abstract https://npt.tums.ac.ir/index.php/npt/article/view/1892 https://npt.tums.ac.ir/index.php/npt/article/download/1892/522

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 2 2021 12 15 84 101 Yayu Fithriyyah Department of Medical-Surgical Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia Khudazi Aulawi Department of Medical-Surgical Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia 2021 07 03 2021 10 13 Background & Aim: Prevention of healthcare-associated infections targets health workers. Considering the crucial role of nurses, potential applications of mobile phone-based interventions are innovative, attractive, and easily accessible. This study synthesizes mobile applications with the involvement of nurses or nursing students in outcomes to prevent healthcare-associated infections and their implications. Methods & Materials: Systematic review, database searches included: SCOPUS, EBSCO MEDLINE, PubMed, ProQuest, Institute of Electrical and Electronics Engineers, and SagePUb. Population involved nurses or nursing students with mobile-based interventions about healthcare-associated infectionsQuantitative design focused on publications between 2015-2021. Methodological quality applied the Cochrane and the National Heart, Lung, and Blood Institute tools. Analysis used narrative synthesis. Results: 11 studies met inclusion criteria from 1,792. Study populations were heterogeneous. Mobile phone interventions included: short message service (18.2%), (9.1%), mobile and computer access (18.2%), and iOs/Android-based (27.3%). healthcare-associated infections prevention focused on: surgical site infections (54.5%), central line-associated bloodstream infections (9.1%), catheter-associated urinary tract infections (9.1%), antimicrobials (9.1%), knowledge, attitude, and practice towards healthcare-associated infections (18.2%). Most bias risks were moderate to high. Participants showed positive responses. All studies described problems in implementing healthcare-associated infections applications. Five studies reported estimated cost savings. Conclusion: Using mobile phone applications has involved nurses as researchers, participants, and intervention providers to patients. The impact is promising in preventing healthcare-associated infections. Response of user is influenced by technology familiarity, which involves interactive features and problem anticipation. This review showed significant cost savings, so stakeholders and future research plans can consider it. https://npt.tums.ac.ir/index.php/npt/article/view/1657 https://npt.tums.ac.ir/index.php/npt/article/download/1657/523

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 2 2021 12 07 102 113 Atye Babaii Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran Eesa Mohammadi Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran Afsaneh Sadooghiasl Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran 2021 08 04 2021 11 17 Background & Aim: Artistic nursing care is defined as combining knowledge, skills, and judgment to provide the best care. Different studies have introduced different and even contradictory characteristics for this concept. Therefore, nurses are confused about it. This study aimed to clarify artistic nursing care. Methods & Materials: Rodgers' evolutionary method was used to clarify the concept of artistic nursing care. This method included the initial phase, core analysis phase, and further analysis phase. Literature from 1990 to 2020 was sought using Springer, PubMed, Scopus, Web of Science, OVID, and SID databases. In general, 28 articles and two books were selected and analyzed. Results: The attributes of artistic nursing care included discovering a unique way to establish a happy and integrated relationship with the patient, paying intuition attention to the patient individuality to recognize all their needs, creating a positive image of the patient's condition, manifesting love in caring behaviors, and creating opportunities for a healing presence. The antecedents for artistic nursing care include having knowledge and experience, commitment to ethical principles, altruism, and active presence in the field of care. Artistic nursing care improves the patient's physical and mental health, increases the patient's sense of well-being and happiness, increases patient and nurse satisfaction. Conclusion: In this study, the antecedents, attributes, and consequences of artistic nursing care are presented objectively and practically, which can be used to teach the methods of providing artistic nursing care and design tools for measuring this concept. https://npt.tums.ac.ir/index.php/npt/article/view/1682 https://npt.tums.ac.ir/index.php/npt/article/download/1682/524

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 2 2021 12 26 114 124 EN Khalid Alshlool Department of Nursing, Sheikh Khalifa Medical City Ajman, Ajman, United Arab Emirates Maysoon Abdalrahim Department of Clinical Nursing, School of Nursing, The University of Jordan, Amman, Jordan Wejdan Younis Department of Clinical Nursing, School of Nursing, The University of Jordan, Amman, Jordan 2021 08 02 2021 10 27 Background & Aim: The Critical Pain Observational Tool (CPOT) is one of the most valid and reliable pain assessment tools to assess pain in mechanically ventilated patients. This study aimed to investigate the Critical Care Pain Observational tool feasibility and clinical utility from the nurses’ perspective at a teaching hospital in Jordan. Methods & Materials: Descriptive design was used to collect data from 74 nurses working in five critical care units in a teaching hospital in Jordan. The study was conducted in August 2019. The Feasibility and Clinical Utility of Critical Pain Observation Tool collected the data. Data were analyzed using SPSS software version 22. Results: The mean feasibility score was 69.0 / 100 (SD=8.56) with a range of 18-33/36 (50.0-91.0 / 100), indicating a moderate category of feasibility. Also, the mean of the clinical utility scores was 68.53 / 100 (SD=9.78) with a range of 11-26/28 (39.29-92.8 / 100), indicating moderate clinical utility. Conclusion: Nurses reported moderate feasibility and clinical utility of the CPOT; thus, it is important to promote education and training of nurses to ensure maximum utilization of the tool. https://npt.tums.ac.ir/index.php/npt/article/view/1680 https://npt.tums.ac.ir/index.php/npt/article/download/1680/525

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 2 2021 12 18 125 135 EN Fatemeh Hosseinzadeh School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Sahar Ghaderi School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Sarieh Poortaghi Department of Community Health Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Reza Negarandeh Nursing Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran 2021 05 12 2021 10 02 Background & Aim: Relocation stress syndrome is one of the consequences of moving someone to a nursing home; it causes unbearable feelings of loneliness, anxiety, and depression. However, it can be prevented by conducting proper and timely nursing interventions. The present study aimed to examine the effect of participation in support groups on relocation stress syndrome in residents of nursing homes. Methods & Materials: In this single-blind randomized clinical trial, 32 elderly residents of Kahrizak nursing home were randomly assigned to control and intervention groups. The intervention included holding support groups. Demographic information questionnaires, the short form of Geriatric Depression Scale (15-GDS), Geriatric Anxiety Scale (GAS), and the short form of University of California, Los Angeles, UCLA loneliness scale (ULS-8) were used to collect data. The data were then analyzed using statistical tests in SPSS software version 16. Results: There was no statistically significant difference between the mean scores of loneliness, depression, and anxiety between the two groups in the pre-test (p> 0.05). The results of the ANCOVA test to compare the mean scores of loneliness, depression, and anxiety in the post-test with controlling pre-test scores revealed that the intervention was effective on depression (p<0.001) and anxiety (p= 0.003), but it had no effects on loneliness (p= 0.156). Conclusion: The development and implementation of support group programs for the elderly in a nursing home could improve the outcomes of relocation stress syndrome in terms of depression and anxiety. Nonetheless, it had no effects on the outcome of loneliness. Therefore, it is recommended to implement this intervention for the elderly in a nursing home if the cost-benefit analysis is positive. https://npt.tums.ac.ir/index.php/npt/article/view/1582 https://npt.tums.ac.ir/index.php/npt/article/download/1582/526

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 2 2022 01 05 136 144 Gloria Carrillo Universidad Nacional de Colombia, Bogotá, Colombia Elizabeth Vargas Rosero Universidad Nacional de Colombia, Bogotá, Colombia Oscar Franco Universidad Nacional de Colombia, Bogotá, Colombia July Forero Universidad Nacional de Colombia, Bogotá, Colombia Alejandra Moreno Universidad Nacional de Colombia, Bogotá, Colombia Melisa Castellanos Concordia University, Montreal, Canada 2021 07 13 2022 01 04 Background & Aim: The Memorial Symptom Assessment Scale measures the presence, frequency, severity, and distress of symptoms. The scale is available in Spanish, but it has not been validated in Colombia. This study aims to translate, validate, and culturally adapt the Memorial Symptom Assessment Scale for adults with cancer in Colombia. Methods & Materials: Adults with cancer undergoing chemotherapy in an oncological outpatient center in Bogota, Colombia, were invited to participate in the study. Patients in end-of-life care or with cognitive deficits were excluded. Psychometric research was carried out and included: 1) Translation and cultural adaptation of the scale from English, 2) Construct validity and reliability with a convenience sample of 249 cancer patients. A factorial analysis of principal components was carried out with the Varimax rotation method in IBM SPSS v26.0. The reliability of the scale was estimated using Cronbach's Alpha; subsequently, factor analysis was carried out using structural equations in MPlus. Results: The scale was adapted to the Colombian context. Two factors (physical and psychological) of the scale structure were produced by the factorial analysis that contributes 47.9% of the accumulated variance. The alpha coefficient of Cronbach ranged between 0.75 and 0.79. The final model goodness of fit was also adequate [X2 (128)=184.47, p = 0.008, CFI = 0.94, RMSEA: 0.04 [0.03, 0.06], SRMR: 0.06, TLI= 0.92]. Conclusion: The Memorial Symptom Assessment Scale has adequate validity and reliability to measure the prevalence, frequency, stress, and severity of symptoms in adults with cancer in Colombia. https://npt.tums.ac.ir/index.php/npt/article/view/1667 https://npt.tums.ac.ir/index.php/npt/article/download/1667/527

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 2 2022 01 05 145 157 Manal Al-Sutari Department of Acute and Chronic Care Nursing, Faculty of Nursing, Al-Ahliyya Amman University, Amman, Jordan Muayyad Ahmad Department of Clinical Nursing, School of Nursing, University of Jordan, Amman, Jordan 2021 10 08 2021 12 05 Background & Aim: Coronary Heart Disease (CHD) was responsible for 7.4 million deaths globally. Self-care is an integral element of standard medical management for CHD. The aims of this study were: (1) to describe self-care maintenance, self-care monitoring, self-care management, and self-care confidence among patients with CHD patients; and (2) to identify predictors of self-care maintenance, self-care monitoring, self-care management, and self-care confidence in Jordanian CHD patients. Methods & Materials: A descriptive cross-sectional design was used. A sample of 193 patients with CHD was interviewed. Self-care behaviors were measured by the Self-Care Coronary Heart Disease Index (SC-CHDI). Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HAD), and social support was assessed using the Multidimensional Scale of Perceived Social Support (MSPSS). Results: The mean age of the participants was 60.4 years (SD=10.61). 139 (72%) of the participants were males. Female patients were significantly worse than male patients in self-care management (P=0.045) ans="epublish"> 2022 06 13 234 242 Parisa Heydari School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Farahnaz Azizi School of Nursing and Midwifery, Astara Islamic Azad University, Gilan, Iran Zohre Khakbazan Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Mehrnaz Geranmayeh Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran 2022 01 19 2022 05 15 Background & Aim: Evening primrose is a medicinal plant with potential effects on labor. This study aimed to compare the effects of vaginal and oral evening primrose oil on cervical ripening and labor progress among primiparous women. Methods & Materials: This single-blind randomized clinical trial was conducted in 2020. Participants were 126 pregnant women with a gestational age of 39 weeks purposively selected from the obstetrics and gynecology ward of Valiasr hospital, Bafgh, Iran, and randomly allocated to vaginal evening primrose oil, oral evening primrose oil, and a control group. Participants in the vaginal evening primrose oil and the oral evening primrose oil groups received one 1000-mg evening primrose oil capsule per twelve hours for one whole week through the vaginal and the oral routes, respectively. The Bishop score and pregnancy outcomes were measured when participants referred to the study setting with labor pains. Results: After the intervention, the Bishop score in both intervention groups was significantly greater than the control group (P= 0.001). The length of the second stage of labor in the vaginal evening primrose oil group was significantly shorter than the control group (P= 0.009). There were no significant differences among the groups respecting the time interval between hospital admission and delivery (P= 0.21), 1 and 5-minute Apgar scores (P= 0.83), and (P= 0.37), need for induction (P= 0.26), and type of delivery (P= 0.26). Conclusion: Vaginal and oral evening primrose oil administrations have significant positive effects on cervical ripening and the Bishop score and vaginal evening primrose oil have significant positive effects on the length of the second stage of labor. https://npt.tums.ac.ir/index.php/npt/article/view/1909 https://npt.tums.ac.ir/index.php/npt/article/download/1909/538

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 3 2022 07 25 243 250 Ana Quesado Portuguese Red Cross Northern Health School, Oliveira de Azeméis, Portugal Manuela Estanqueiro Baixo Vouga Health Center Groups, Aveiro, Portugal Manuel Melo University Hospital Center of São João, Porto, Portugal Isabel Oliveira Portuguese Red Cross Northern Health School, Oliveira de Azeméis AND Centre for Health Studies and Research of the University of Coimbra, Coimbra, Portugal. 2022 04 10 2022 07 24 Background & Aim: Leadership style influences nursing team satisfaction, impacting organizational behavior, performance, outcomes, and quality of nursing care. This study aimed to describe the relationship between transformational leadership and nurses' satisfaction with their teams. Methods & Materials: A cross-sectional study with 95 participants enrolled by a snowball sample technique, using the Global Transformational Leadership Scale and the Group Satisfaction Scale for data collection, was developed. Quantitative data were analyzed with SPSS 26, and qualitative data were analyzed through conventional content analysis assisted by QDA Miner Lite 4. Results: A statistically significant difference between the participants' length of service and Group Satisfaction and an association between Transformational Leadership and Group Satisfaction was found. Communication skills are highlighted by the participants as characteristics a leader should have. Conclusion: Health organizations should value transformational leadership, especially nowadays, where health work environments are characterized by instability. Training leaders to assume this type of leadership is needed. https://npt.tums.ac.ir/index.php/npt/article/view/2018 https://npt.tums.ac.ir/index.php/npt/article/download/2018/539

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 3 2022 07 26 251 258 Habtamu Andualem Department of Emergency Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia Temesgen Beyene Department of Emergency Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia Wagari Tuli Department of Emergency Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia Nigusie Walelgn St. Peter Specialized Hospital, Addis Ababa, Ethiopia Samuel Habtegiorgis Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia