Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 2 2023 05 20 81 83 Sue Turale DEd, MNursSt, FACN, FACMHN, Faculty of Nursing Chiang Mai University, Chiang Mai, Thailand 2023 05 20 2023 05 20 No Abstract No Abstract No Abstract https://npt.tums.ac.ir/index.php/npt/article/view/2525 https://npt.tums.ac.ir/index.php/npt/article/download/2525/563

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 2 2023 05 01 84 85 Soheila Shamsikhani Shazand School of Nursing, Arak University of Medical Sciences, Arak, Iran Fazlollah Ahmadi Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran 2023 04 26 2023 04 30 No Abstract No Abstract No Abstract   https://npt.tums.ac.ir/index.php/npt/article/view/2486 https://npt.tums.ac.ir/index.php/npt/article/download/2486/564

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 2 2023 05 20 86 98 Germano Couto Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal Isabel Oliveira Portuguese Red Cross Northern Health School, Oliveira de Azeméis, Portugal Carla Fernandes School of Health, University Fernando Pessoa, Porto, Portugal Kristen Mark Institute for Sexual and Gender Health, University of Minnesota, Minneapolis, United States 2023 04 10 2023 05 17 Background & Aim: Providing adolescents with information to understand their sexual health is critical to promote healthy sexual development, reducing the negative consequences of risky sexual behaviors, and creating a foundation for healthy adulthood. This study aimed to identify the recent empirical evidence on new methodologies for improved sexual health outcomes among adolescents. Methods & Materials: A systematic review of randomized controlled trials guided the PICO question, "What knowledge and attitudes do high school students obtain when confronted with new methodologies for teaching sexuality compared to traditional teaching?" regardless of geographic location, race/ethnicity, or gender criteria, concerning adolescents, was conducted. The databases CINAHL, MEDLINE, PsycINFO, SCOPUS, and Cochrane Central Register of Controlled Trials, were searched in December 2022. The Joanna Briggs Institute Critical Appraisal tools for use in JBI Systematic Reviews were used to assess methodological quality. Data were synthesized across studies and presented narratively. Results: Thirteen articles were included for review, involving 11.262 participants. The duration of the interventions with new methodologies ranged from a few hours to three months. New methodologies on sexual health education to improve high school student's knowledge and attitudes were divided into four types: digital and Internet-based intervention, curriculum-based intervention, training-based intervention, and peer group bonding-based intervention. Conclusion: These results provide healthcare professionals with additional strategies that may be integrated into school health programs regarding sex education. https://npt.tums.ac.ir/index.php/npt/article/view/2465 https://npt.tums.ac.ir/index.php/npt/article/download/2465/566

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 2 2023 04 03 99 107 Atye Babaii Department of Internal Surgical Nursing, Faculty of Nursing, Qom University of Medical Sciences, Qom, Iran Mohammad Abbasinia Department of Internal Surgical Nursing, Faculty of Nursing, Qom University of Medical Sciences, Qom, Iran Abbas Ahmadi Department of Anesthesiology, Critical Care and Pain Medicine, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran Seyed Hasan Adeli Department of Internal Medicine, School of Medicine, Qom University of Medical Sciences, Qom, Iran Seyed Yaser Foroghi Ghomi Department of Emergency Medicine, School of Medicine, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran Samaneh Pakzaban Department of Intensive Care Units, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran 2022 09 13 2023 03 06 Background & Aim: Mechanical ventilation is a life-saving method for acute respiratory distress syndrome. The present study aimed to investigate the impact of airway pressure release ventilation-low tidal volume mode on COVID-19 patients’ peripheral capillary oxygen saturation and ventilation indices. Methods & Materials: This clinical trial was conducted on 70 COVID-19 patients hospitalized in the Intensive care unit in Qom, Iran. Patients were selected using convenience sampling and randomly allocated to intervention and control groups. In the control group, patients were ventilated using synchronized intermittent mandatory ventilation mode and in the intervention group, patients were ventilated using airway pressure release ventilation-low tidal volume mode. Patients’ peripheral capillary oxygen saturation, and ventilation indices were checked and recorded before and after intervention. The data were analyzed using SPSS 11.5. Results: According to the results of the repeated-measures ANOVA test, before the intervention and the 2 and 4 hours after the intervention, there were no significant differences between the intervention and control groups regarding the fraction of inspired oxygen, volume minute per minute, and peripheral capillary oxygen saturation (P>0.05). However, in the intervention group compared to the control group, the mean of PIP was significantly reduced (P<0.05). Conclusion: In patients with COVID-19, the two modes of mechanical ventilation, APRV, and control, had no significant differences in the fraction of inspired oxygen, volume minute per minute, and peripheral capillary oxygen saturation. However, the mean peak inspiratory pressure reduction in the intervention group was greater than that in the control group. Considering that several factors can affect peripheral capillary oxygen saturation and ventilation indices, these results should be considered with caution. https://npt.tums.ac.ir/index.php/npt/article/view/2181 https://npt.tums.ac.ir/index.php/npt/article/download/2181/567

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 2 2023 05 01 108 123 Samiha Sayed Department of Community Health Nursing, Faculty of Nursing, Damanhour University, Damanhour, Egypt AND Department of Public Health, College of Health Sciences, Saudi Electronic University, Riyadh, Saudi Arabia Sahar El-Sakkar Faculty of Nursing, Damanhour University, Damanhour, Egypt Sabreen Elsaka El-Beheria Governorate Ministry of Health and Population, Damanhour, Egypt Amira El-Houfey Department of Community Health Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt 2023 02 04 2023 04 30 Background & Aim: The trans-theoretical model suggests that stage-matched interventions improve the effectiveness of behavior changes such as quitting. This study aims to examine the effect of stage-matched smoking cessation educational intervention based on the trans-theoretical model using motivational interviewing on Egyptian males' knowledge, stage movement, and smoking cessation rate. Methods & Materials: A randomized controlled trial was conducted in the main building of Damanhour University, Egypt. The participants were selected using simple random sampling (N=165), then allocated to both experimental (N=82) and control (N=83) groups using the randomization block technique. Data was collected using a structured interview schedule. The instrument contained five parts: Personal Characteristics and Smoking data, Fagerstrom Tolerance Questionnaire, Tobacco Cessation Readiness Scale, Smoking Knowledge Scale, and trans-theoretical Model constructs questionnaire. The experimental group received ten months of educational intervention using face-to-face and phone-based motivational interviewing. Results: A significantly higher stage movement was revealed among the experimental group post-intervention (80.5%); 35.4% transitioned to the preparation stage, 32.9% were in the action stage, and 12.2% were in the maintenance stage. According to the ANCOVA test, significant negative mean differences post-intervention was achieved for nicotine dependence and decision pros (P=0.000) with a large effect size (η2=0.341, η2=0.503). However, significant positive mean differences were proved for other variables (knowledge, tobacco cessation readiness, and TTM constructs) (P<0.05) with a large effect size (η2>0.14). Stage analysis revealed significant mean differences in most studied variables, where the action stage had the highest significant mean improvements (P<0.05). Conclusion: The trans-theoretical model-based educational intervention using motivational interviewing effectively improves smoking knowledge and facilitates quitting with successful stage movement among Egyptian male smokers. https://npt.tums.ac.ir/index.php/npt/article/view/2387 https://npt.tums.ac.ir/index.php/npt/article/download/2387/568

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 2 2023 04 25 124 137 EN Elif Gürsoy Department of Nursing, Faculty of Health Sciences, Eskisehir Osmangazi University, Eskisehir, Turkey Havva Yesildere Saglam Department of Nursing, Faculty of Health Sciences, Kütahya Health Sciences University, Kütahya, Turkey Nurgül Şimal Yavuz Department of Midwifery, Faculty of Health Sciences, Lokman Hekim University, Ankara, Turkey 2023 01 05 2023 04 03 Background & Aim: The outbreak of the COVID-19 pandemic has disrupted healthcare systems. Nurses were deeply affected physically, psychologically, and socially. This study was conducted to examine the experiences and perceptions of intensive care nurses who provide care for patients with COVID-19 during the pandemic process. Methods & Materials: This qualitative study was conducted using the content analysis approach. This research was carried out with 11 nurses working in the intensive care unit and caring for COVID-19 patients between May and September 2021. Purposive sampling method was used to include nurses in the study. The data of the research were collected with an eight-question semi-structured interview form and in-depth interview technique. The data were analyzed by using the content analysis method. Results: The six main categories identified in this study were challenging working conditions, tiredness, isolation and loneliness, fear, and helplessness, lack of management support, and expectations and needs. Conclusion: This study has shown that intensive care nurses who care for COVID-19 patients in Turkey are greatly adversely affected physically, psychologically, and socially by the pandemic process. In this process, it is extremely important to improve the financial and moral support for nurses. Policymakers and managers should try to reduce the physical, psychological, and social impacts of the pandemic on nurses by focusing on their experience and taking appropriate action. https://npt.tums.ac.ir/index.php/npt/article/view/2342 https://npt.tums.ac.ir/index.php/npt/article/download/2342/569

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 2 2023 05 01 138 146 EN Dawa Gyeltshen Department of Emergency, Jigme Dorji Wangchuk National Referral Hospital, Thimphu, Bhutan Kinley Gyaltshen Faculty of Nursing and Public Health, Khesar Gyalpo University of Medical Sciences of Bhutan Thimphu, Bhutan Nima Dorji Punakha Hospital, Punakha, Bhutan Kinley Yangdon Department of Adult Intensive Care Unit, Jigme Dorji Wangchuk National Referral Hospital, Thimphu, Bhutan Neten Wangchuk Department of Emergency, Jigme Dorji Wangchuk National Referral Hospital, Thimphu, Bhutan Loday Drakpa Jigme Dorji Wangchuk National Referral Hospital 2023 02 18 2023 04 30 Background & Aim: Napping is one of the evidence-based countermeasures to fatigue and decreased alertness during night shift work. We aimed to understand night shift nurses' napping practices and study the effectiveness of different nap lengths on sleepiness, fatigue, well-being, and the quality of nursing care. Methods & Materials: A comparative descriptive design was used. Data were self-reported by 305 nurses using the Questionnaire on Night Shift Napping Practices, the Karolinska Sleepiness Scale, the Fatigue Visual Analog Scale, the Everyday Feeling Questionnaire, and the Quality of Nursing Care Questionnaire. Data collection was done over 4 months between August and November 2022. Frequency tables, Mean, and standard deviation were used to describe data, and One-way analysis of variance (ANOVA) was used for means comparisons. Results: About 40% of the nurses reported that they took naps during their night shifts. The majority (82.92%) reported that they napped for more than 45 minutes (N= 305). Napping was found to significantly reduce sleepiness (P= 0.002) and fatigue (P= 0.001), and improve the quality of nursing care (P= 0.03). The group who napped for more than 45 minutes reported significantly reduced levels of sleepiness (P= 0.02) and fatigue (P= 0.01) when compared to the group who either didn’t nap or napped for less than 45 minutes. Conclusion: This study suggests that implementing nap interventions for nurses on night shift can be an effective method to reduce sleepiness and fatigue, and improve patient care. https://npt.tums.ac.ir/index.php/npt/article/view/2395 https://npt.tums.ac.ir/index.php/npt/article/download/2395/570

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 2 2023 05 01 147 155 Azeem Kaleem DAKSON Institute of Health Sciences, Dr. Saeed Akhtar College of Nursing, Islamabad, Pakistan 2023 01 24 2023 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 Wodaje Gietaneh Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia Molla