Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 3 2023 08 13 173 175 EN Masoud Rezaei Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran Naima Seyedfatemi Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran Tahereh Najafi Ghezeljeh Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran 2023 05 12 2023 06 20 No Abstract No Abstract https://npt.tums.ac.ir/index.php/npt/article/view/2516 https://npt.tums.ac.ir/index.php/npt/article/download/2516/574

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 3 2023 08 09 176 189 EN Getachew Asmare Adella School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia Yibeltal Assefa School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia Gizachew Ambaw Kassie School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia Molalegn Mesele Gesese School of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia Endeshaw Chekol Abebe Department of Biochemistry, College of Health Sciences, Debre tabor University, Debre Tabor, Ethiopia Denekew Tenaw Anley Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia Tadesse Asmamaw Dejenie Department of Medical Biochemistry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia Natnael Atnafu Gebeyehu School of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia 2023 04 20 2023 06 14 Background & Aim: Students are the most vulnerable group for reproductive health problems due to their inclination to be engaged in risky sexual behavior. The present study sought to determine the pooled prevalence of sexual and reproductive health service utilization and its determinant factors among students in Ethiopia. Methods & Materials: PubMed, Web of Science, Google Scholar, EMBASE, and the Ethiopian University online library were searched. The review took place between November 15, 2022, and December 15, 2022. Data were extracted using Microsoft Excel and analyzed using STATA statistical software version 14. The pooled prevalence of sexual and reproductive health service utilization was computed with 95% CI, whereas a log odds ratio was used to declare the statistical significance between associated factors and sexual and reproductive health service utilization. Results: There were 1520 research articles retrieved, but 18 articles with 12,338 participants were met the inclusion criteria and included in this systematic review and meta-analysis. The pooled estimates of sexual and reproductive health service utilization among students was 42.606% (95% CI: 32.917%–52.295%; I2 = 88.3%). Discussion with families/friends  (OR=3.033, 95% CI=2.217-4.150, P-value<0.001, I2=75%) and knowledge  (OR=2.215, 95%CI=1.105-4.515, P-value=0.025, I2= 85%) were predictors of sexual and reproductive health service utilization among students. Conclusion: In relation to the data from the studies under analysis, below half percent of students in Ethiopia utilized sexual and reproductive health services. Further health education and communication are crucial to improving knowledge about sexual and reproductive health services among students in Ethiopia. https://npt.tums.ac.ir/index.php/npt/article/view/2480 https://npt.tums.ac.ir/index.php/npt/article/download/2480/577

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 3 2023 08 09 190 197 Shadi Moshksar Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Mohammad Mehdi Nabavi Student Research Committee, Department of Community Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Mina Danaei Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran Mohsen Momeni Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Mehrdad Askarian Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran AND Health Behavior Science Research Center, Shiraz University of Medical Sciences, Shiraz, Iran 2022 12 04 2023 06 11 Background & Aim: Healthcare workers are exposed to certain infectious diseases through needlestick injuries and exposure to blood and other bodily fluids. This study aimed to determine the prevalence of needlestick injuries and blood and other body fluids exposure among healthcare workers at Namazi Hospital in Shiraz, Iran. Methods & Materials: This cross-sectional study was conducted on 656 Healthcare workers, including students and staff in medical, nursing, laboratory, service, and operating room groups, at the Namazi Hospital, in 2019. A questionnaire with four parts, including demographics, questions about using sharps containers, needle recapping, masks, and glasses, and the experience of sharps injuries or blood and body fluid exposure and reporting them, was distributed using the quota sampling method. To analyze the results, the T‑test and Chi-square test were performed. Results: Nearly 75.2% of the participants always used sharps containers, and 21.7% never recapped syringes. Sharps injuries and blood and body fluid exposure occurred in 40.7% and 39.8% of the participants. Occupation (P<0.001), being a student (P: 0.048), and age (P: 0.008) were associated with sharp injuries. Occupation (P: 0.001), gender (P: 0.016), and age (P<0.001) differed in exposed and no exposed participants to blood and body fluids. The prevalence of reporting exposure was not significantly different between men and women, occupation groups, students and staff, and different ages (P> 0.05). Conclusion: Hospital managers should provide effective educational interventions to protect against occupational hazard exposures. Also, they should provide protective equipment for Healthcare workers. https://npt.tums.ac.ir/index.php/npt/article/view/2303 https://npt.tums.ac.ir/index.php/npt/article/download/2303/578

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 3 2023 08 09 198 207 Zacharenia Dimitriadou AHEPA University General Hospital, Thessaloniki, Greece Petros Kostagiolas Department of Archives, Library Science and Museum Studies, Ionian University, Corfu, Greece Georgios Kritsotakis Department of Business Administration and Tourism, Hellenic Mediterranean University, Crete, Greece Nikos Rikos Department of Nursing, Hellenic Mediterranean University, Crete, Greece Areti Stavropoulou Department of Nursing, University of West Attica, Athens, Greece Michael Rovithis Department of Business Administration and Tourism, Hellenic Mediterranean University, Crete, Greece 2023 03 15 2023 08 06 Background & Aim: Nursing staff are exposed to high levels of stress daily due to the demanding work environment. This study aimed to examine nursing staff occupational stress and coping mechanisms during the COVID-19 pandemic.‎ Methods & Materials: A cross-sectional study with a sample of 108 nursing staff was carried out. The Expanded Nursing Stress Scale (ENSS), the Brief Coping Orientation to Problems Experienced (Brief COPE) Scale, and constructed questions were used for data collection. Data were analyzed using chi-square (χ2), Pearson methods, and Multiple linear regression analysis. Statistical significance was determined at p-value ≤ 0.05. Results:  Overall Occupational stress was assessed with a mean score of 146.8 (SD±35.3). In Brief COPE Scale higher mean was assessed for “social support - information seeking” and lower for “substance use” or “withdrawal” (p<0.001). A significant difference in response distributions was observed regarding their degree of concern or fear about COVID-19 (p<0.01). Increased levels of Overall Occupational Stress (ENSS) were associated with higher levels of BCOPE. Emotional Focus and Venting and Diffusion of Emotions (β=5.15, p=0.026), younger age of the participants (β=-5.78, p=0.033), years of working in the healthcare sector (β=14.46, p=0.004) or the highest fear/concern about being infected and infecting their patients (β=6.22, p=0.032). Conclusion: Nursing staff experienced moderate levels of occupational stress, while challenges raised by the pandemic were handled through seeking social support, positive reframing and acceptance, taking protective measures, and turning to religion. Developing meaningful administrative and educational strategies for staff empowerment and resilience may reduce anxiety and occupational stress for nurses. https://npt.tums.ac.ir/index.php/npt/article/view/2427 https://npt.tums.ac.ir/index.php/npt/article/download/2427/579

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 3 2023 08 09 208 218 Fatemeh Kouhi Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran Razieh Froutan Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran AND Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran Ahmad Bagheri Moghaddam Department of Anesthesiology and Critical Care, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran 2023 04 05 2023 06 07 Background & Aim: This research was conducted to determine the effect of a pain management program based on the Critical Care Pain Observation Tool (CPOT) on the pain intensity and adjusting the dosage of analgesics in mechanically ventilated patients hospitalized in intensive care units. Methods & Materials: This randomized controlled clinical trial was conducted during 2019-2022 on 70 mechanically ventilated patients admitted to ICUs of the Imam Reza Hospital, Mashhad, Iran. In the intervention group, patients' pain intensity was measured during endotracheal suctioning using CPOT. Then the dosage of analgesics was adjusted based on the assessed pain level. The pain level was evaluated in the control group according to the department's routine. Data were analyzed using two-way repeated measures analysis of variance (RMANOVA). Results: CPOT and BPS showed a strong correlation (r>0.9, Pvalue<0.001) between the two pain intensity instruments. Based on the results of RMANOVA, a significant trend of pain intensity measures was observed during all three suctions (measurement effect P<0.05), which was different between the two groups (interaction effect P<0.05). The Sidak post hoc test results showed a significant difference in pain intensity measures between the intervention and control groups during all three suctions and 5 and 15 minutes after suctions (all P-values<0.05). Also, significant intervention effects were observed regarding the amount of analgesics prescribed in terms of total fentanyl blouse, total infused Fentanyl, and total Fentanyl (all P-values<0.05). Conclusion: Using CPOT is a positive step in the evaluation and control of dosage adjustment of analgesic medications for patients with mechanical ventilation. https://npt.tums.ac.ir/index.php/npt/article/view/2452 https://npt.tums.ac.ir/index.php/npt/article/download/2452/580

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 3 2023 08 09 219 228 Annamária Pakai Szombathely Campus, Faculty of Health, University of Pécs, Pécs, Hungary Amira Mohammed Ali Department of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, Smouha, Alexandria, Egypt Mohammed ALBashtawy Princess Salma Faculty of Nursing, Al al-Bayt University, Al-Mafraq, Jordan Miklós Zrínyi Szombathely Campus, Faculty of Health Sciences, University of Pécs, Pécs, Hungary Ilona Karácsony Szombathely Campus, Faculty of Health Sciences, University of Pécs, Pécs, Hungary Ibrahim Ayasreh Faculty of Nursing, Jerash University, Jerash, Jordan Rana Al Awamleh Faculty of Nursing, Jerash University, Jerash, Jordan Haitham Khatatbeh Faculty of Nursing, Jerash University, Jerash, Jordan 2023 05 02 2023 07 29 Background & Aim: Hungary started to administer several COVID-19 vaccines; however, attitudes toward COVID-19 and vaccination are still poorly understood. This study aimed to explore how the attitudes toward COVID-19 disease are associated with the attitudes toward COVID-19 vaccination in Hungary and compare the attitudes of health and non-health workers toward COVID-19 disease and vaccination in Hungary. Methods & Materials: Using a descriptive, cross-sectional design, we recruited a sample of 1820 persons through an electronic survey. In addition to the sociodemographic questions, the attitudes towards COVID-19 disease and vaccination were assessed through self-developed, literature-based questionnaires. Principal component analysis, Spearman's correlation, linear regression, and the Mann-Whitney test were used in the data analysis. Results: The mean age for the study participants (n=1735) was 43.8 ± 6.2 years, and females were the majority (84.6%). Overall, participants showed good attitudes toward COVID-19 disease (mean score= 3.48, SD= 0.43) as compared to their attitudes toward COVID-19 vaccination (Mean score= 2.67, SD=  0.44). A positive correlation was found between the attitudes toward COVID-19 disease and attitudes toward vaccination in Hungary (r= 0.247, p< 0.01). Nurses and other health workers showed more positive attitudes toward COVID-19 vaccination than non-health workers. Conclusion: Hungarian decision-makers should intervene to improve the public's willingness to be vaccinated against COVID-19 or future pandemics. Health workers' knowledge and positive attitudes should be utilized in the media to encourage the general population to be vaccinated. The suggested questionnaires need to be validated for future pandemics' use. https://npt.tums.ac.ir/index.php/npt/article/view/2492 https://npt.tums.ac.ir/index.php/npt/article/download/2492/581

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 3 2023 08 09 229 238 EN Tran Ha Faculty of Nursing, Da Nang University of Medical Technology and Pharmacy, 99 Hung Vuong Street, Hai Chau District, Da Nang City, Vietnam. Luu Thuy Faculty of Nursing, Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam Do Thanh Faculty of Nursing, Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam 2023 05 03 2023 07 29 Background & Aim: Turnover intention can predict the actual turnover behavior of nurses. Previous studies identified a variety of factors influencing nurses' turnover intention. However, few studies investigate nursing students' career turnover intention. This study aimed to examine turnover intention and associated factors among nursing students in Central Vietnam. Methods & Materials: A cross-sectional study was implemented among 425 nursing students recruited through a multistage sampling technique from April to May 2022. Data were collected using a questionnaire including demographic characteristics, fear of COVID-19, perceived academic stress, and turnover intention. Descriptive statistics were used to describe demographic characteristics and study variables. Independent t-test, one-way analysis of variance, and Pearson's correlation coefficients were computed to examine the association between variables. Results: Approximately one-third (32.5%) of the respondents will look for jobs without patient contact, 32.2% would not study nursing if given a choice, and 31.1% often think of not staying in the nursing profession. The sum scores of turnover intention ranged from 3 to 15 with a mean of 9.19 (SD= 2.49). The turnover intention was associated with the year of study, the reason to study nursing, and preparation for nursing school (p<.05). Perceived academic stress had a moderate correlation with turnover intention (r= -.325, p<.05). In contrast, the association between fear of COVID-19 and turnover intention was not significant. Conclusion: A considerable number of nursing students had turnover intention upon graduation. Factors affecting turnover intention should be considered to retain students in educational programs and avoid a future nursing shortage. https://npt.tums.ac.ir/index.php/npt/article/view/2494 https://npt.tums.ac.ir/index.php/npt/article/download/2494/582

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 3 2023 08 09 239 249 EN Masoumeh Asgari Faculty of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran Masoomeh Adib Nursing and Midwifery School of Shahid Beheshti, Guilan University of Medical Sciences, Rasht, Iran Nahid Dehghan Nayeri Nursing and Midwifery Care Research Centre, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Fatemeh Rezayat Department of Psychiatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran 2023 05 07 2023 07 29 Background & Aim: Schizophrenia significantly burdens family members when a member of their family is afflicted with this condition. Family caregivers play a pivotal role in providing care and support to individuals experiencing schizophrenia within the community. Therefore, an in-depth study of family caregivers' experiences is crucial for developing effective care quality improvement programs. This study aimed at exploring family caregivers' experiences of the barriers to caregiving to patients with schizophrenia. Methods & Materials: This study was conducted in 2021–2022 through in-depth semi-structured. The duration of the interviews varied in length from 45 to 90 minutes. Interviews were conducted with sixteen family caregivers of patients with schizophrenia. The conventional content analysis proposed by Graneheim and Lundman was used for data analysis. Results: The findings can be classified into three primary categories. The category "Inefficiency of Support Resources" encompasses the subcategories of "Inadequate Support by Family Members," "Inadequate Support by the Healthcare System," and "Financial Predicament." The category "Limited Public Knowledge about Psychiatric Disorders" includes the subcategories of "Social Stigmatization" and "Being Social Rejection." Lastly, the category "destructive nature of schizophrenia" encompasses the subcategories of "Gradual Loss of Abilities" and "Gradual Patient Passivity." Conclusion: Family caregivers encounter various barriers in providing patient care. Thus, they require support from the treatment team and family members, as well as financial and the development of rehabilitation programs. Additionally, involving caregivers in the patient's treatment plan and planning programs to reduce the stigma associated with caregivers is crucial. https://npt.tums.ac.ir/index.php/npt/article/view/2500 https://npt.tums.ac.ir/index.php/npt/article/download/2500/583

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 3 2023 08 13 250 260 Eman Ahmed Community Health Nursing Department, Faculty of Nursing, Fayoum University, Fayoum, Egypt Hassanat Abdel-Aziz Gerontological Nursing Department, Faculty of Nursing, Zagazig University, Zagazig, Egypt AND Department of Nursing, College of Applied Medical Sciences in Al-Kharj, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia Soad Ahmed Community Health Nursing Department, Faculty of Nursing, Fayoum University, Fayoum, Egypt 2023 06 22 2023 07 29 Background & Aim: Older adults with chronic diseases are usually required to manage multiple medications and complex medication regimens. Medication adherence is crucial in older adults which is increasingly being recognized due to its potential to impact healthcare utilization and treatment efficacy. The current study aimed to assess medication adherence and its influencing factors in community-dwelling older adults with chronic illnesses in rural areas. ‎ Methods & Materials: A cross-sectional study design was used to achieve the study aim. The study sample was composed of 310 older patients from a rural area in Sharkia Governorate, Egypt. Medication adherence was assessed by the Arabic version of the General Medication Adherence Scale. Association between medication adherence and older patients' characteristics was identified through the Chi-square test, Pearson's correlation coefficient, and Logistic regression. Results: Among 310 older patients, 84.8% of them were non-adherent to their medications. Significant relationships were found between medication adherence and age, gender, educational level, marital status, and monthly income. Aging less than 70 years, female gender, sufficient income, fewer illnesses, and medication number were significant predictors for medication adherence. Conclusion: The current study findings revealed that most rural older adults with chronic illnesses were non-adherent to their medications, with many influencing factors such as age, gender, educational level, monthly income, and illnesses and medication number. So, the study recommends the importance of developing strategies to improve medication adherence in community-dwelling older adults in rural areas. https://npt.tums.ac.ir/index.php/npt/article/view/2593 https://npt.tums.ac.ir/index.php/npt/article/download/2593/584

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 10 3 2023 08 13 261 272 Thi Dung Ngo Faculty of Nursing and Medical Technology, Can Tho University of Medicine and Pharmacy, Can Tho, Viet Nam Miranda Hawks WellStar College of Health and Human Services, Kennesaw State University, Georgia, USA María Ruzafa-Martínez Faculty of Nursing, University of Murcia, Murcia, Spain Thi Kim Chi Le Can Tho University of Medicine and Pharmacy Hospital, Can Tho University of Medicine and Pharmacy, Can Tho, Viet Nam Thi Thanh Truc Nguyen Faculty of Nursing and Medical Technology, Can Tho University of Medicine and Pharmacy, Can Tho, Viet Nam Hong Thiep Nguyen Faculty of Nursing and Medical Technology, Can Tho University of Medicine and Pharmacy, Can Tho, Viet Nam Van Hieu Phan Can Tho University of Medicine and Pharmacy Hospital, Can Tho University of Medicine and Pharmacy, Can Tho, Viet Nam Thi Ngoc Han Nguyen Faculty of Nursing and Medical Technology, Can Tho University of Medicine and Pharmacy, Can Tho, Viet Nam 2023 05 25 2023 08 12 Background & Aim: Establishing strategies to enhance evidence-based practice (EBP) requires a reliable instrument for assessing EBP competency. This study focused on translating and validating the Evidence-Based Practice Competency Questionnaire for Registered Nurses (EBP-COQ Prof©) in the Vietnamese context. Methods & Materials: Through a methodological approach, this study performed cross-cultural adaptation and psychometric validation. The study involved 372 nurses selected through convenience sampling. Content validity was established using the Content Validity Index for Items (I-CVI) and the Content Validity Index for Scales (S-CVI). Construct validity was assessed via exploratory (EFA) and confirmatory factor analysis (CFA). Reliability was determined using Cronbach's alpha and the intra-class correlation coefficient (ICC). Criterion validity was examined by comparing EBP-COQ Prof© competency between nurses with and without prior EBP education. Results: The Vietnamese version of EBP-COQ Prof© maintained consistency with the original version following cross-cultural adaptation. Content validity was confirmed with I-CVI> 0.78 and S-CVI/AVE= 0.97. EFA and CFA revealed consistent components with the original version: attitude (8 items), knowledge (11 items), skills (6 items), and utilization (10 items). Cronbach's alpha values were high: attitudes (0.965), knowledge (0.962), skills (0.909), and utilization (0.926). ICC values were also significant: attitudes (0.754), knowledge (0.895), skills (0.823), and utilization (0.966). Nurses with prior EBP education demonstrated higher EBP-COQ Prof© competency. Conclusion: The translated and validated EBP-COQ Prof© provides a robust tool for assessing EBP competency among Vietnamese nurses. Its reliability, validity, and sensitivity to educational effects underscore its potential for promoting EBP in nursing. https://npt.tums.ac.ir/index.php/npt/article/view/2534 https://npt.tums.ac.ir/index.php/npt/article/download/2534/585