Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 1 2023 01 24 1 3 Elnaz Asghari Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Mandy Archibald College of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada 2022 09 15 2022 09 26 No Abstract No Abstract No Abstract https://npt.tums.ac.ir/index.php/npt/article/view/2188 https://npt.tums.ac.ir/index.php/npt/article/download/2188/553

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 1 2023 01 24 4 6 Zahra Yazdani Department of General, Fatemieh Hospital, Isfahan, Iran Shaghayegh Roofeh Department of Pharmacy, Fatemieh Hospital, Isfahan, Iran 2022 10 09 2022 11 26 Introduction: Medicines are the most widely used interventions in health care and adverse drug reactions alone are responsible for 5-10% of hospitalizations in elderly patients. Carbamazepine is an anticonvulsant drug and skin rash is one of its rare symptoms of it. It requires immediate medical attention and is sometimes life-threatening. Case Report: This case report is about a 72-year-old woman who witnessed the interaction of rivaroxaban and carbamazepine, and the side effects of carbamazepine simultaneously. Conclusion: Patient participation and patient-centered tools are needed to promote patient safety. https://npt.tums.ac.ir/index.php/npt/article/view/2222 https://npt.tums.ac.ir/index.php/npt/article/download/2222/554

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 1 2023 03 05 7 12 Damilare Arowolo Institute of Nursing Research, Osogbo, Osun State, Nigeria Oluwatosin Olarinde Institute of Nursing Research, Osogbo, Osun State, Nigeria Yetunde Tola Institute of Nursing Research, Osogbo, Osun State, Nigeria Bose Ogunlowo Institute of Nursing Research, Osogbo, Osun State, Nigeria Oluwadamilare Akingbade , Institute of Nursing Research, Osogbo, Osun State, Nigeria AND The Nethersole School of Nursing, The Chinese University of Hong Kong, Sha Tin, New Territories, Hong Kong, China 2023 01 09 2023 03 05 Background & Aim: To meet the changing global population needs and demands of patient care, healthcare systems worldwide are under restructuring and transformation. Advanced practice nursing has been adopted in many developed countries to meet pressing issues like workforce shortage and equitable distribution of competent healthcare professionals. However, Nigeria is yet to take advantage of this initiative despite being seriously affected by these issues. This article documents the need for and prospects of advanced practice nursing in Nigeria. Methods & Materials: A descriptive theoretical and empirical literature analysis was done to explain the impact of advanced practice nursing in advancing the Nigerian health system. Results: The expertise and capacity of the nursing workforce, especially its numerical strength, can be utilized to improve Nigeria’s health system and achieve the global goal of making quality healthcare accessible and available to all, thereby achieving universal health coverage. Conclusion: Elevating the competencies of nurses through investments in advanced practice nursing will make primary healthcare available to Nigerians living in poverty, rural dwellers, youth, and children, thereby reducing the burden of diseases and improving health promotion and disease prevention. https://npt.tums.ac.ir/index.php/npt/article/view/2349 https://npt.tums.ac.ir/index.php/npt/article/download/2349/555

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 1 2023 02 14 13 22 Bridget Hamilton Kaiser Permanente, Atlanta, United States Vallire Hooper Ascension Healthcare, St. Louis, United States 2023 01 31 2023 02 12 Background & Aim: Mutuality has been defined as being placed between paternalism and autonomy on the spectrum of patient engagement in care, which involves a shared experience and reciprocity between involved parties. Mutuality is foundational in creating growth and fostering relationships to improve health outcomes and address health disparities. This paper aims to examine and compare measurement instruments that measure the concept of mutuality. Methods & Materials: A systematic search was conducted to examine how mutuality has been measured. Eight studies were included in the analysis.  Results: The Mutuality Scale, the Mutuality and Interpersonal Sensitivity Scale, the Friendship Quality Questionnaire, and the Connection-Disconnection Scale were discovered. Theoretical frameworks and psychometrics were analyzed.    Conclusion: Mutuality has been applied in a variety of contexts and proves to be an important concept in understanding the needs and perspectives of culturally diverse communities. selection of a measurement instrument is going to be driven by a theoretical framework and definitions of mutuality.  All identified instruments demonstrated strengths and weaknesses. Therefore, it is important to weigh these strengths and weaknesses when selecting a measurement instrument in clinical practice or research.  https://npt.tums.ac.ir/index.php/npt/article/view/2381 https://npt.tums.ac.ir/index.php/npt/article/download/2381/556

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 1 2023 01 24 23 31 EN Mahmud Yuwanto Nursing School, Universitas Brawijaya, Malang, Indonesia AND Nursing School, Universitas dr. Soebandi, Jember, Indonesia Kuswantoro Putra Nursing School, Universitas Brawijaya, Malang, Indonesia Heni Windarwati Nursing School, Universitas Brawijaya, Malang, Indonesia 2022 04 05 2022 10 26 Background & Aim: The perceived implicit rationing of nursing care is a tool for evaluating the rationing of nursing care. This tool has been used and psychometrically validated previously in different countries but never in Indonesia. This study aimed to assess the psychometric properties of the Indonesian version of the perceived implicit rationing of nursing care. Methods & Materials: A descriptive cross-sectional design was chosen to investigate psychometric properties of the perceived implicit rationing of nursing care. The data collection period was during May 2021. Statistical analyses were performed using Partial Least Square-Structural Equation Models (PLS-SEM) on the SPSS software with the assistance of the Smart PLS-3 program. A multivariate analysis was conducted to assess construct validity. Cronbach's alpha coefficient was used to evaluate instrument reliability. Results: Outer loading for the entire instrument was > 0.7. Cronbach’s alpha for assistance with physical care= 0.964; monitoring-safety-support= 0.980; documentation-supervision= 0.994; communication= 0.931; and implementation of the prescribed treatment plan= 0.984. Using both statistical methods when evaluating the perceived implicit rationing of nursing care, in the confirmation that the tool is valid and reliable. Conclusion: This version of the perceived implicit rationing of the nursing care instrument showed acceptable psychometric properties for use as an assessment instrument in an Indonesian-speaking country. https://npt.tums.ac.ir/index.php/npt/article/view/2010 https://npt.tums.ac.ir/index.php/npt/article/download/2010/557

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 1 2023 01 24 32 43 Yuichi Iwamoto School of Nursing, Faculty of Medicine, Oita University, Yufu, Japan Narumi Fujino Department of Nursing, Faculty of Medicine, Saga University, Saga, Japan Takaomi Furuno Department of Nursing, Faculty of Medicine, Saga University, Saga, Japan Yuji Fujimoto Department of Nursing, Faculty of Medicine, Saga University, Saga, Japan 2022 08 31 2022 12 03 Background & Aim: Many patients with dementia experience sleep-related issues. However, the nursing practices that address those issues are unclear. Therefore, to develop a self-assessment scale of nursing practices to improve sleep quality in patients with dementia taking sleep medication and confirm its validity and reliability. Methods & Materials: In this mixed-methods study, qualitative research was conducted by interviewing six expert-level nurses with a wealth of experience in caring for patients with dementia; then, quantitative survey questions were administered. The preliminary scale was created and evaluated its face validity. This quantitative study was conducted using questionnaire surveys among nurses with psychiatric ward experience employed at dementia treatment centers across Japan. Data from 525 nurses were used to verify the validity and reliability of the scale. Results: Exploratory factor analysis resulted in a three-factor, 16-item scale. Criterion validity was confirmed by calculating correlation coefficients with existing scales (the self-evaluation scale of oriented problem-solving behavior in nursing practice) as external criteria (r= 0.574, p< .05). The sum of scale scores and Cronbach’s α coefficients for the three factors all exceeded 0.7. Conclusion: The development of this scale will improve the quality of nursing practice for patients with dementia who take sleeping pills. Additionally, it provides foundational research on nursing practice for the appropriate use of medications, as it offers evidence that nurses participate in drug treatment. https://npt.tums.ac.ir/index.php/npt/article/view/2170 https://npt.tums.ac.ir/index.php/npt/article/download/2170/558

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 1 2023 01 24 44 52 EN Yi-Jun Cheng Faculty of Nursing, Burapha University, Chonburi, Thailand Khemaradee Masingboon Faculty of Nursing, Burapha University, Thailand Niphawan Samartkit Faculty of Nursing, Burapha University, Chonburi, Thailand Saifone Moungkum Faculty of Nursing, Burapha University, Chonburi, Thailand 2022 07 27 2022 12 07 Background & Aim: Foot ulceration and amputation have increased significantly among Chinese patients with type 2 diabetes mellitus. Proper foot care behavior is an important strategy for reducing the risk of diabetes-related foot issues. The current study aimed to assess foot care behavior and its influencing factors, including self-efficacy, foot care knowledge, and social support, among patients with type 2 diabetes mellitus who have a high-risk diabetic foot in Wenzhou, China. Methods & Materials: This research used a correlational predictive design. In total, 107 participants who were eligible for the study were randomly selected. Five self-reported questionnaires, including the demographic questionnaire, Diabetes Self-Efficacy Scale, Foot Care Knowledge questionnaire, Perceived Social Support Scale, and Chinese version of the Nottingham Assessment of Functional Footcare, were utilized. Descriptive statistical and standard multiple linear regression analyses were performed to evaluate data. Results: Approximately 90.7% of participants had poorly controlled diabetes (HbA1c≥ 7%), and 95.3% presented with foot deformities. Further, 51.4% of participants reported moderate foot care behavior, and 42.1% had poor foot care behavior. The multiple regression analysis revealed that self-efficacy, foot care knowledge, and social support significantly explained 31.1 % of the variability in foot care behavior. However, self-efficacy could predict foot care behavior (β= .490, p< .001). Conclusion: It is important to improve foot care behavior among patients with type 2 diabetes who have a high-risk diabetic foot. Nursing interventions to enhance foot care behavior should focus on improving self-efficacy and providing foot care education regularly. https://npt.tums.ac.ir/index.php/npt/article/view/2135 https://npt.tums.ac.ir/index.php/npt/article/download/2135/559

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 1 2023 01 24 53 61 Nahyeni Bassah Department of Nursing, Faculty of Health Sciences, University of Buea, Buea, Cameroon Ngueng Epie Department of Nursing, Faculty of Health Sciences, University of Buea, Buea, Cameroon AND Regional Hospital Limbe, Fako, Cameroon Palle Ngunde Department of Nursing, Faculty of Health Sciences, University of Buea, Buea, Cameroon 2022 07 31 2022 11 07 Background & Aim: Although the nursing process can help ensure the quality of nursing care, some nurses do not implement it in patient care. This study assessed nurses' knowledge and use of the nursing process in two major hospitals in Fako. Methods & Materials: A cross-sectional design with a purposive sample of 101 nurses was used. In addition, 310 randomly selected files of hospitalized patients were examined for the presence and effective use of a nursing care plan. A questionnaire was used to collect data on knowledge and use of the nursing process among nurses, while a checklist was used to audit hospital files for adequate use of the nursing care plan. Data were analyzed using both descriptive and inferential statistics, with the aid of SPSS version 20, with all statistics at Alpha=0.05. Results: The majority (85.1%) of participants had a mean knowledge score of 8.5/10 (1.06). There was a statistically significant association between nurses' knowledge and gender (χ2=17.998, P=0.003), age group (χ2=49.809, P=0.000), qualification (χ2=65.989, P=0.003) and duration of work experience (χ2=28.158, P=0.021). Most nurses (62.6%) reported using the nursing process only sometimes during patient care. There was a statistically significant association between nurses' age (χ2=9.723, P=0.049), qualification (χ2=34.67, P=0.000), and use of the nursing process. Only 42 files had a complete nursing care plan. Increased workload and nursing shortages were found to hinder the use of the nursing process. Conclusion: Nurses had good knowledge of the nursing process but did not effectively use it. Thus, the quality of care received by patients in these hospitals azreati Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran Zahra Rahemi School of Nursing, Clemson University, South Carolina, USA Mohammad Aghajani Infectious Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran Neda Mirbagher Ajorpaz Autoimmune Diseases Research Center, Department of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran Elaheh Mianehsaz Clinical Research Center, Shahid Beheshti Hospital, Kashan University of Medical Mciences, Kashan, Iran 2021 01 24 2021 05 01 Background & Aim: Chronic low back pain is a common disease among nurses. According to the literature, complementary medicine can reduce low back pain, one of which is craniosacral therapy. This study was designed to investigate the effect of craniosacral therapy on the intensity of chronic back pain of nurses. Methods & Materials: This randomized clinical trial study was conducted on 60 nurses with chronic back pain. The participants were randomly assigned into intervention and control groups. The intervention group’s participants received eight individual sessions of craniosacral therapy. In the control group, a light-touch in the lumbar region was performed as a placebo. The therapist met each participant separately in a private room of the hospital. The two groups completed the McGill Pain Questionnaire at the baseline, immediately after the intervention, and one month after the intervention.  The collected data was analyzed in SPSS (v.16) using descriptive and analytical tests such as t-test, Chi-Square, ANCOVA, and repeated measures ANOVA. Results: The ANCOVA test results showed a significant difference between the two groups’ mean scores of pain intensity and its subscales (P<0.05). The results of repeated measures ANOVA showed that the mean scores of pain intensity and its subscales (sensory, affective, pain evaluation, and miscellaneous) decreased over the three time points in the intervention group (P<0.05). Conclusion: The findings affirmed the positive effects of the craniosacral therapy on the intensity of pain in nurses with chronic back pain. Therefore, it is recommended that this approach be performed as a complementary, effective, non-invasive intervention to decrease chronic back pain. https://npt.tums.ac.ir/index.php/npt/article/view/1433 https://npt.tums.ac.ir/index.php/npt/article/download/1433/508

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 8 4 2021 05 24 322 332 Junaidy Rustam Department of Nursing, Yarsi Health Science College, West Sumatra, Indonesia Waraporn Kongsuwan Faculty of Nursing, Prince of Songkla University, Songkla, Thailand Luppana Kitrungrote Faculty of Nursing, Prince of Songkla University, Songkla, Thailand 2020 07 15 2021 03 14 Background & Aim: Most mechanically ventilated patients reported decreasing comfort during their treatments, especially in Muslim patients. Nursing comfort care needs to be addressed by integrating the principles of Islamic daily rituals to fulfill the spiritual need and also to promote holistic comfort of Muslim patients with mechanical ventilation. This study aimed to investigate the effect of nursing comfort care integrating with the Islamic daily rituals on comfort among mechanically ventilated Muslim patients. Methods & Materials: A pretest-posttest with a control group design was used. Fifty-six participants recruited from intensive care units of three public hospitals in Indonesia were randomly assigned into either the experimental group (n=28) or control group (n=28) by matching technique based on gender, age, and duration using a ventilator. Those in the experimental group received nursing comfort care developed based on Kolcaba’s Theory of Comfort integrating with the Islamic daily rituals while those in the control group received usual care. Comfort was measured on the first day before receiving the intervention, and on the second day after the intervention was completed by using Comfort Questionnaire for Mechanically Ventilated Patients (CQMVP). Results:  Data analysis by using an independent t-test found there is no significant difference in data between the experimental group and control group at baseline (t = .134, p .894). The mean comfort score of patients in the experimental group after receiving the intervention was significantly higher than those in the control group (t=6.70, p<.05).   Conclusion:  Nursing comfort care integrated with Islamic daily rituals increased comfort in Muslim patients while receiving mechanical ventilation. Thus, this nursing comfort care program can be recommended to use in practice. https://npt.tums.ac.ir/index.php/npt/article/view/1178 https://npt.tums.ac.ir/index.php/npt/article/download/1178/507

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