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) an 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=0.00