Tehran University of Medical Sciences Nursing Practice Today 2383-1154 11 3 2024 06 26 201 203 Sahar Keyvanloo Shahrestanaki Department of Community Health Nursing and Geriatric Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Zahra Amrollah Majdabadi Kohne Department of Community Health Nursing and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Tahereh Najafi Ghezeljeh Cardiovascular Nursing Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran 2024 05 04 2024 06 09 No Abstracts No Abstracts https://npt.tums.ac.ir/index.php/npt/article/view/3192 https://npt.tums.ac.ir/index.php/npt/article/download/3192/617

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 11 3 2024 07 27 204 206 Yusrita Zolkefli Pengiran Anak Puteri Rashidah Sa’adatul Bolkiah, Institute of Health Sciences, Universiti Brunei Darussalam, Brunei-Muara, Brunei Darussalam AND School of Health in Social Science, The University of Edinburgh, Edinburgh, United Kingdom 2024 06 21 2024 07 27 No Abstracts No Abstracts https://npt.tums.ac.ir/index.php/npt/article/view/3298 https://npt.tums.ac.ir/index.php/npt/article/download/3298/618

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 11 3 2024 06 26 207 223 EN Mahdieh Arian 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 Azadeh Kamali Department of Nursing, Bojnurd Faculty of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran 2024 03 30 2024 06 09 Background & Aim: This study aims to assess the surgical site infection (SSI) rate in obese women undergoing C-sections, comparing negative pressure wound therapy (NPWT) and standard dressings. Methods & Materials: In this systematic review and meta-analysis, databases including Science Direct, Medline/PubMed, Web of Science, Scopus, and Cochrane Library were searched for articles published up to January 2024. The selection criteria included randomized controlled trials and cohort studies comparing the effect of (NPWT) with standard dressings on wound complications in women with obesity undergoing C-sections. Data collection and analysis Pooled effect sizes were calculated using random effects models based on heterogeneity. Results: Out of 20 included studies, 18 reported SSI rates, which included 9243 cases and showed that NPWT reduces the rate of SSIs in obese women undergoing C-section (RR: 0.8, 95% CI: 0.66–0.96, I2 = 24.5%, P = 0.01). An in-depth examination of 13 high-quality studies, in which NPWT devices were used, reveals a pooled Mantel-Haenszel (M-H) Risk Ratio (RR) of 0.92 for Prevention- Reduction - Epithelialization- Vacuum- Environment- Negative pressure- Advanced (PREVENA) (95% CI: 0.67–1.26, I2 = 0%, P = 0.6) and 0.76 for Pressure- Incision- Closed- Optimization (PICO) (95% CI: 0.44–1.33, I2= 15%, P= 0.05), with a significant difference among devices (P=0.05). Conclusion: NPWT reduces the SSI rate in obese women undergoing C-sections, regardless of the type or device used. Economic evaluations are crucial to justify NPWT device costs against expenses for treating surgical infections, supporting its widespread use in infection prevention. https://npt.tums.ac.ir/index.php/npt/article/view/3118 https://npt.tums.ac.ir/index.php/npt/article/download/3118/619

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 11 3 2024 06 26 224 238 EN Pollyanna Braga Federal University of Paraiba, João Pessoa, Brasil Karina Mendes College of Nursing, Ribeirão Preto-University of Sao Paulo, Ribeirão Preto, Brasil Daiane Fernandes College of Nursing, Ribeirão Preto-University of Sao Paulo, Ribeirão Preto, Brasil Mauriely Silva College of Nursing, Ribeirão Preto-University of Sao Paulo, Ribeirão Preto, Brasil Adriano Ferreira Federal University of Mato Grosso, Mato Grosso, Brasil Wender Coêlho Federal University of Paraiba, João Pessoa, Brasil Rosalina Rodrigues College of Nursing, Ribeirão Preto-University of Sao Paulo, Ribeirão Preto, Brasil 2024 04 05 2024 06 18 Background & Aim: Dependent elderly people have difficulty carrying out activities of daily living and need help with essential life-sustaining activities such as bathing. Nursing care includes technique, organization, and care for the patient's physical and emotional well-being. This study aimed to map the scientific evidence on home bathing care for dependent elderly people. Methods & Materials: A scoping review on home bathing care for dependent elderly people according to the methodology proposed by the Joanna Briggs Institute Collaboration. Nine databases were searched, as well as sources of gray literature. Rayyan software was used to select the studies by two reviewers and a third for the final assessment. Results: 24 studies were selected. The most important aspects of bathing were communication, considering the elderly person's preference for bathing, considering conflict resolution, safety, comfort, and privacy, planning the necessary materials and actions, paying attention to the temperature of the water and the environment, cleaning and tidying the bed, as well as hygiene care such as trichotomy, and nail clipping. Conclusion: It was identified that care is related to specific skincare and planning to carry out the steps in body hygiene. The studies show the importance of guidance from nursing professionals in the process of bathing dependent elderly people at home from the perspective of a person-centered approach and their uniqueness. https://npt.tums.ac.ir/index.php/npt/article/view/3140 https://npt.tums.ac.ir/index.php/npt/article/download/3140/620

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 11 3 2024 06 26 239 248 EN Andrea Solgajová Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Slovakia Dominika Kohanová Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Slovakia Dana Zrubcová Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Slovakia Ľuboslava Pavelová Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Slovakia 2024 05 13 2024 06 15 Background & Aim: Assessment of safety culture and nursing students’ competencies in patient safety is essential for readiness to provide quality and safe care. The objectives of the study are to examine how nursing students perceive patient safety culture and to evaluate factors that may influence their perceptions. Methods & Materials: A descriptive cross-sectional study was conducted using the Slovak version of the Hospital Survey on Patient Safety Culture for Nursing Students and the Questionnaire for Measuring Demographic Variables and Information on the Education Process. The study involved 242 nursing students from two faculties in Slovakia. Data were analyzed using descriptive and inferential statistics. Results: None of the dimensions of patient safety culture was rated by the nursing students above the necessary level of 75 %. Statistically significant correlations and differences were found between the nursing students’ perceptions of patient safety culture and some selected sociodemographic variables. Multiple regression analysis revealed significant associations between the nursing students’ perceptions of patient safety culture and overall patient safety grade, the number of reported events in the workplace, and the number of reported events by nursing students. Conclusion: Recognising nursing students’ perceptions of patient safety culture enables identification of weaknesses, and early implementation of targeted interventions and educational initiatives to increase overall patient safety in care provision. Future research should focus on recognizing relationships between perceived patient safety culture, teamwork, education, and indicators of safe and quality care during clinical training from nursing students’ perspective. https://npt.tums.ac.ir/index.php/npt/article/view/3216 https://npt.tums.ac.ir/index.php/npt/article/download/3216/621

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 11 3 2024 07 03 249 258 Cong Duong College of Management, Chang Jung Christian University, Tainan, Taiwan AND Faculty of Accounting, Thai Nguyen University of Economics and Business Administration, Thai Nguyen, Vietnam Yi-Hui Ho College of Management, Chang Jung Christian University, Tainan, Taiwan Thi Kim Thoa Hoang C Hospital, Thai Nguyen, Vietnam 2024 04 17 2024 06 29 Background & Aim: Post the COVID-19 pandemic, there has been an observable escalation in the propensity of nurses to resign from their positions, which exerts substantial pressure on healthcare systems worldwide. Perceived Organizational Support has been acknowledged as a pivotal factor in the retention of nursing personnel after the pandemic. This study aims to provide valuable insights into the intricate interplay between Perceived Organizational Support, Psychological Well-being, Organizational Commitment, and Nurses’ Intention to Stay in Vietnamese healthcare. Methods & Materials: This study adopted a cross-sectional quantitative design using a structured questionnaire to collect data from diverse professionals in Vietnam through an online platform. Data analysis was conducted using PLS-SEM on a robust dataset of 302 valid observations. A hybrid sampling method combining convenience and snowball techniques was employed. The questionnaire was disseminated via Google Forms during March and April 2024, allowing for an insightful examination of the research phenomena within Vietnam's unique sociocultural context. Results: The study showed a significant positive impact of Perceived Organizational Support on Psychological Well-being, Organizational Commitment, and Nurses’ Intention to Stay. Perceived Organizational Support directly affects Nurses’ Intention to Stay, and Psychological Well-being emerges as a strong determinant of Nurses’ Intention to Stay and a mediator between Perceived Organizational Support and Nurses’ Intention to Stay. Conclusion: Healthcare managers play a key role in promoting Nurses’ Intention to Stay by increasing Organizational Support, promoting Psychological Well-being, and enhancing Organizational Commitment. These strategies are critical to maintaining stability within the healthcare organization, addressing nursing turnover, and maintaining a resilient workforce. https://npt.tums.ac.ir/index.php/npt/article/view/3160 https://npt.tums.ac.ir/index.php/npt/article/download/3160/622

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 11 3 2024 07 06 259 271 Elihuruma Eliufoo Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China AND Department of Clinical Nursing, School of Nursing and Public Health, The University of Dodoma, Dodoma, Tanzania Shedrack Mgeyekwa Department of Clinical Nursing, School of Nursing and Public Health, The University of Dodoma, Dodoma, Tanzania Victoria Majengo Department of Nursing and Midwifery, Decca College of Health and Allied Science, Dodoma, Tanzania Yusheng Tian Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China Yamin Li Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China 2024 05 13 2024 07 02 Background & Aim: Exclusive breastfeeding (EBF) is essential for infant health, yet the global prevalence is below target. Tanzania is facing challenges in promoting EBF due to sociocultural and economic factors. Despite efforts, rates remained low, especially among working mothers. The experience of healthcare-working mothers in EBF is underexplored despite facing unique challenges like irregular schedules and workplace stressors. This study aims to explore healthcare-working women's experiences with EBF. Methods & Materials: This qualitative study involves fifteen participants from two referral hospitals in Tanzania. We employed semi-structured interviews to explore the significance of their lived experiences while keeping the interview on track. We sampled our participants using purposive and snowball sampling. The interviews were recorded using a digital audio recorder and transcribed verbatim. Then, thematic analysis was used to analyze data. Results: Participants shared insights into their EBF practices, highlighting the significance of breastfeeding knowledge and its benefits for mothers and children. Key themes identified were healthcare-working mothers' knowledge and practice of EBF, balancing EBF and work, and barriers to EBF while working. Mothers emphasized EBF's health and emotional benefits, noting strategies to ensure sufficient milk supply and challenges in maintaining EBF due to work demands, fatigue, and physiological discomforts. Support systems at home and workplace policies were crucial for facilitating EBF, yet the availability of alternative milk sometimes hindered sustained EBF. Conclusion: This research provides valuable insights into the experiences of healthcare-working mothers in EBF. The findings underscore the importance of promoting supportive environments, workplace policies, and social networks to facilitate exclusive breastfeeding continuation for working mothers. https://npt.tums.ac.ir/index.php/npt/article/view/3213 https://npt.tums.ac.ir/index.php/npt/article/download/3213/623

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 11 3 2024 07 08 172 182 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=0.001) are statistically significant factors that affect knowledge of palliative care. The aspect of Knowledge/skills in EBP is the most significant (β=0.122; p=0.005). Conclusion: An insufficient level of nurses' knowledge about palliative care and a neutral or negative attitude towards caring for dying patients were revealed. The results also indicate that much attention and resources should be directed toward improving the level of knowledge of nurses in the field of evidence-based practice. https://npt.tums.ac.ir/index.php/npt/article/view/3073 https://npt.tums.ac.ir/index.php/npt/article/download/3073/615

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 11 2 2024 04 24 192 200 Hadis Ashrafizadeh Student Research Committee, Faculty of Nursing, Dezful University of Medical Sciences, Dezful, Iran Azam Shirinabadi Farahani Pediatric Gastroenterology, Hepatology and Nutrition Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran Maryam Karami Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Fatemeh Khademi Department of Nursing, Faculty of Nursing, Arak University of Medical Sciences, Arak, Iran Azam Eshaghian Dorcheh Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran Leila Khanali Mojen Pediatric Congenital Hematologic Disorders Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran Maliheh Nasiri Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Maryam Rassouli