Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 4 2022 10 30 259 260 Maryam Esmaeili Nursing and Midwifery Care Research Center, Critical Care Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran 2022 09 15 2022 09 18 No Abstract  https://npt.tums.ac.ir/index.php/npt/article/view/2187 https://npt.tums.ac.ir/index.php/npt/article/download/2187/543

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 4 2022 10 30 261 266 Yahaya Jafaru Department of Nursing Science, College of Health Sciences, Federal University Birnin-Kebbi, Kebbi State, Nigeria 2022 08 25 2022 10 30 Background & Aim: Low-value care is care that has little or no benefit to the patient, with the potential to cause harm and incur unnecessary spending to patients and society or waste limited resources. This paper's aim is to reflect on how love and respect for patients are valuable in mitigating the occurrence of low-value care.  Methods & Materials: A descriptive theoretical and empirical literature analysis was employed to reflect on the impacts of love and respect for a patient on mitigating low-value care. Results: The feelings of uncomfortable atmosphere, dissatisfaction, and distrust by the patient due to a deficit of love and respect for the patient could lead to a high rate of patronizing low-value care from unprofessional health workers, which could lead to the occurrence of complications. However, when care is based on optimal love and respect, it eventually brings about patients' satisfaction and continued utilization of high-value care choices from experienced health professionals. Conclusion: It is imperative to apply love and respect for patients in healthcare practices; otherwise, a surge in the occurrence of low-value care caused by patients' requests and expectations is possible. There is a need for a deep understanding of low-value care in nursing through research studies.  https://npt.tums.ac.ir/index.php/npt/article/view/2167 https://npt.tums.ac.ir/index.php/npt/article/download/2167/544

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 4 2022 10 30 267 278 Luke Laari School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Accra, Ghana Oboshie Anim-Boamah School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Accra, Ghana Christian Boso School of Nursing and Midwifery, University of Cape Coast, Cape Coast, Ghana 2022 05 16 2022 09 11 Background & Aim: While hard skills refer to the technical ability and factual knowledge needed to do a job, soft skills allow you to use your technical abilities and knowledge more effectively. These two skills are complementary, but soft skills are prerequisites in every profession where human interaction and teamwork are needed to succeed. This integrative review examined the research on soft skills in nursing and made recommendations based on its findings. Methods & Materials: Whittemore and Knafl’s five-step integrative review framework was carried out using four electronic databases. These databases are the Cumulative Index to Nursing & Allied Health Literature (CINAHL), PubMed, Medline on EBSCOhost, and Scopus. Searches were conducted using keywords: soft skills, non-technical skills, nursing skills, nursing art, and aesthetics. The literature search explored no date ranges, and only the English language was considered. Full texts of relevant studies in both qualitative and quantitative research were retrieved. Critical appraisal was undertaken, and the findings of the relevant studies were analyzed using thematic analysis. Results: Seventeen studies were included, and the findings suggest an urgent need for soft skills in the nursing domain. Five themes emerged: the meaning of soft skills in nursing, the benefits of soft skills in nursing; the need for soft skills in nursing; the incorporation of soft skills into nursing practice; and the relationship between hard and soft skills. Findings show soft skills are the cognitive and social capabilities that complete the technical skills of the nurse. Conclusion: Incorporating soft skills into the nursing curriculum should be a resuscitative call that requires immediate attention. https://npt.tums.ac.ir/index.php/npt/article/view/2048 https://npt.tums.ac.ir/index.php/npt/article/download/2048/545

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 4 2022 10 30 279 292 Carla Fernandes Nursing School of Porto, Center for Health Technology and Services Research, Porto, Portugal Cheila Pessoa Nursing School of Porto, Center for Health Technology and Services Research, Porto, Portugal Paula Nogueira North Rehabilitation Center, Porto, Portugal 2022 08 04 2022 09 11 Background & Aim: A spinal cord injury is a critical event that results in significant life changes for the injured person and the family and caregiver. This study aimed to identify and describe the primary needs of family members that are caregivers of patients with spinal cord injuries. Methods & Materials: An integrative review study was conducted. The studies were collected from five databases, with no time limit until December 2021: MEDLINE® (Medical Literature Analysis and Retrieval System Online), CINAHL® (Cumulative Index to Nursing and Allied Health Literature), Psychology and Behavioural Sciences Collection, SCOPUS, SciELO (Scientific Electronic Library Online). The inclusion criteria for the accessed literature were: adults over 18 years of age who are caregivers of individuals with spinal cord injury; encompassing all the existing needs experienced by caregivers; including care recipients over 18 years old and who spinal cord injury patients are; and primary studies published without time limit. We performed a synthesis of the contents with an a priori categorization. Results: The search resulted in 1018 bibliographic records. A total of 17 articles published between 1981 and 2020 that met the inclusion criteria were selected. The priority categorization process resulted from the study by Fernandes and Angelo in the following five thematic areas: the transition to care, being responsible for everything, the importance of support, access to formal support, communication, and information processes. Conclusion: Family caregivers are important to support people with spinal cord injury, and they present numerous needs that should be the target of intervention by nurses at all stages of rehabilitation. https://npt.tums.ac.ir/index.php/npt/article/view/2144 https://npt.tums.ac.ir/index.php/npt/article/download/2144/546

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 4 2022 10 30 293 302 EN Cherdsak Duangchan College of Nursing, University of Illinois at Chicago, Chicago, Illinois, USA AND Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand Alana Steffen College of Nursing, University of Illinois at Chicago, Chicago, Illinois, USA Alicia Matthews College of Nursing, University of Illinois at Chicago 2022 04 12 2022 10 29 Background & Aim: Nurses play a vital role in discharge planning, especially for patients with colorectal cancer who require complex post-treatment care. However, there is a limited understanding of nurses’ discharge planning practice in oncology settings. This study aimed to examine current discharge planning practices for patients with colorectal cancer among oncology nurses in Thailand and associated factors. Methods & Materials: A cross-sectional survey study was conducted between October and November 2020. Oncology nurses involved in colorectal cancer care were recruited across Thailand via Facebook and the Line application. A convenience and snowball sample of 206 nurses completed the online survey. Descriptive statistics, t-test, and one-way ANOVA were used for data analysis. Results: The discharge planning activity with the lowest mean score was related to sharing discharge planning summaries and/or care plans with other healthcare facilities (M = 3.00, SD= 1.32), followed by providing information about returning to work (M= 3.06, SD= 1.28), financial resources (M= 3.12, SD= 1.26), and disease (M= 3.13, SD= 1.25). Factors significantly associated with discharge planning practice included nursing education levels, specialty training in cancer care, and experience in colorectal cancer care. Conclusion: Despite the availability of discharge planning guidelines, Thai oncology nurses did not perform the full scope of discharge planning activities required for patients with colorectal cancer. Additional strategies, resources, and support systems should be established to facilitate nurses’ performance of the full scope of their discharge planning practice in oncology settings. Moreover, our results suggest the need for additional education and training in the form of enhanced curriculums and continuing education seminars addressing cancer care to advance nurses’ discharge planning for patients with colorectal cancer. https://npt.tums.ac.ir/index.php/npt/article/view/2016 https://npt.tums.ac.ir/index.php/npt/article/download/2016/547

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 4 2022 10 30 303 313 EN Ahmad Abu Raddaha Department of Nursing, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, AlKharj, Saudi Arabia Amirat Al-Sabeely Department of Nursing, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, AlKharj, Saudi Arabia AND Department of Pediatric Health Nursing, Faculty of Nursing, Zagazig University, Egypt 2022 07 28 2022 10 25 Background & Aim: Tobacco use is a leading cause or contributor to several chronic health illnesses. Smokers should be encouraged to quit smoking by healthcare providers. Nursing students represent a substantial part of the health delivery workforce in the future. It is crucial to know their knowledge and involvement in tobacco smoking control. We investigate smoking knowledge, attitudes, beliefs, and behaviors toward tobacco smoking among undergraduate nursing program female students. Methods & Materials: A cross-sectional, descriptive correlational design was used to achieve the study aims. The subjects were 134 female undergraduate nursing students who were recruited in 2016 from a school in a governmental university located in Riyadh, Saudi Arabia. A questionnaire that included the Global Health Professional Student Survey along with additional relevant questions was utilized. Results: Throughout their lifetime, 80.6% reported not smoking any type of tobacco product (never called smokers), and 19.4% reported smoking either cigarettes or waterpipes (called smokers ever). Female nursing students were less likely to become smokers if they thought that a smoker who quits smoking would ‘very likely’ or ‘likely’ avoid or decrease serious health problems [OR: 8.08 (95% CI: 2.00, 32.70), p = < 0.01]. Whereas students who were allowed to smoke at home, or were allowed to smoke in the presence of children, were more likely to become smokers. Conclusion: Knowledge about the harmful consequences of smoking alone was not enough to motivate smokers to quit. Nursing students should receive training on smoking cessation techniques. https://npt.tums.ac.ir/index.php/npt/article/view/2137 https://npt.tums.ac.ir/index.php/npt/article/download/2137/548

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 4 2022 10 30 314 325 EN Sahar Khoshkesht Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Masoumeh Zakerimoghadam Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Maryam Esmaeili Nursing and Midwifery Care Research Center, Critical Care Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Mehrzad Rahmanian Department of Cardiovascular Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran Shahrzad Ghiyasvandian Department of Medical-Surgical Nursing, School of Nursing and‎ Midwifery, Tehran University of Medical Sciences, Tehran, Iran 2022 06 30 2022 10 29 Background & Aim: Transitional care is considered an effective strategy to ensure continuity of care. The comprehensive investigation of this concept and its requirements during patient transfer has been neglected. The aim of this study is to explore nurses' experience of transitional care in the open-heart surgery intensive care unit and its requirements. Methods & Materials: This qualitative study was conducted using the conventional content analysis approach. A purposeful sampling method with maximum variation was performed among the nurses involved in the transfer process. Data were collected using 8 in-depth semi-structured interviews and analyzed using the Granheim and Lundman method.‎ Results: The main categories included the process of patient transfer and transitional care requirements. The sub-categories of the patient transfer process included pre-transfer, handover, and care measures after settlement in the general ward. The sub-categories of transitional care requirements included psychological preparation of the patient, the necessity of consolidating communication, maintaining continuity of care, patient education, and support, and considering the family's position in transitional care. Conclusion: The study concluded that transitional care is an interactive and dynamic process that extends from the physician's decision to transfer the patient from the ICU to the discharge phase in the general ward. Paying attention to the requirements of transitional care can provide solutions to strengthen and organize this process. Therefore, it is suggested to apply the findings of this study in planning the strategies related to transitional care. https://npt.tums.ac.ir/index.php/npt/article/view/2101 https://npt.tums.ac.ir/index.php/npt/article/download/2101/549

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 9 4 2022 10 30 326 336 Hyerim Seo Department of Nursing, Chungnam National University Sejong Hospital, Sejong, Korea Ok-Hee Cho Department of Nursing, College of Nursing and Health, Kongju National University, Gongju, Korea 2022 09 12 2022 10 26 Background & Aim: The activities ofceived health status on happiness among nursing students: A cross-sectional study 295 303 Nguyen Nga Yen Bai General Hospital, Yen Bai, Vietnam Diep Mai Faculty of Nursing, Da Nang University of Technology Medical and Pharmacy, Danang, Vietnam Pham Thuy Faculty of Nursing, Da Nang University of Technology Medical and Pharmacy, Danang, Vietnam Tran Linh Faculty of Nursing, Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam 2024 12 01 2025 03 21 Background & Aim: Happiness is essential for the success of nursing students, but it is often challenged by academic, clinical, and personal stressors. The COVID-19 pandemic further disrupted nursing education, adversely affecting mental health and potentially impacting students’ happiness. This study aimed to examine factors influencing nursing students’ happiness in the post-pandemic era to inform interventions for improved well-being and future success. Methods & Materials: A cross-sectional study was conducted on 250 full-time nursing students at a university in Vietnam. A proportional sampling method was applied. The Brief Resilience Scale, Multidimensional Scale of Perceived Social Support, and Oxford Happiness Questionnaire were used to assess participants’ resilience, social support, and happiness, respectively. The ANOVA test, Pearson's correlation coefficient, and multiple linear regression were employed to analyze data with a p-value less than 0.05. Results: The mean happiness score of nursing students was 3.99 (SD=0.51) out of 6. Reason for enrolling in nursing (p=0.021), satisfaction with the nursing field (p<0.001), perceived health status (p<0.001), resilience (r=0.493, p<0.001), and social support (r=0.628, p<0.001) were related to happiness. Perceived health status (β=-0.214, t=-0.214, p<0.001), resilience (β=0.322, t=7.373, p<0.001), and support from family (β=0.361, t=5.316, p<0.001) were predictors of happiness. Conclusion: The study revealed a moderate level of happiness among nursing students in the post-pandemic era. Key determinants of happiness included perceived health status, resilience, and family support. These findings emphasize the importance of institutions to prioritize interventions aimed at enhancing resilience, promoting healthy lifestyles, and strengthening family support systems. https://npt.tums.ac.ir/index.php/npt/article/view/3662 https://npt.tums.ac.ir/index.php/npt/article/download/3662/664

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 12 3 2025 04 23 304 315 Roghaieh Keykha Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Naima Seyedfatemi Geriatric Mental Health Research Center, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran Seyedeh Narjes Mousavizadeh Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Parvaneh Vasli Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2025 02 26 2025 04 09 Background & Aim: Providing quality care to hospitalized psychiatric patients is vital, but many barriers hinder it. This study aimed to identify the barriers faced by nurses working in psychiatric wards in providing care for inpatients with mental disorders. Methods & Materials: This qualitative study used a conventional content analysis approach and was conducted from July 2023 to September 2024 in three hospitals in Iran. Twenty psychiatric nurses with at least six months of experience were selected through purposive sampling. Data were collected through 20 semi-structured interviews (about 45 minutes each) and analyzed using conventional content analysis with MAXQDA software (Version 10). Results: The findings revealed two main categories of barriers that psychiatric nurses face. The first, individual-social-professional factors, include nurses' inappropriate perceptions and actions, societal and family misconceptions about psychiatric care, and mental fatigue. The second, organizational-managerial factors, include staff shortages in both quantity and quality, excessive workload, management misunderstandings about psychiatric care, lack of organizational support, lack of effective guidelines, unfavourable physical environment, inadequate healthcare and recreational facilities, and lack of financial support for nurses. In particular, lack of knowledge about mental disorders and perceived institutional neglect emerged as major barriers that significantly reduced nurses' motivation and compromised the overall quality of psychiatric care. Conclusion: This study highlights the complex barriers to optimal psychiatric care. Overcoming these challenges through targeted interventions, such as enhancing professional support systems and organizational reforms, is essential to fostering a more conducive care environment. These measures can improve psychiatric care quality. https://npt.tums.ac.ir/index.php/npt/article/view/3874 https://npt.tums.ac.ir/index.php/npt/article/download/3874/665

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 12 3 2025 04 23 316 326 Alireza Arman Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Shahrzad Ghiyasvandian Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Zahra Abbasi Dolatabadi Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran AND Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran Meysam Khoshavi Department of Cardiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran Ali Yavari Department of Plastic and Reconstructive Surgery, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Masoumeh Zakerimoghadam Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran 2025 01 20 2025 03 09 Background & Aim: Patient dignity is a fundamental aspect o