Journal of Client-Centered Nursing Care
Year:2020 | Volume:6 | Issue:4|Papers Count:8

Background: Homelessness is a common phenomenon in all human societies and leads to many social, psychological, and physical consequences for the homeless people and society. This study aimed to determine the role of psychological and social security in predicting depression among women living in the homeless shelters of Tehran. Methods: It was a descriptive correlational study. The research population included all women living in the homeless shelters of Tehran, in 2020. The subjects were selected using random, multistage cluster sampling. Two homeless shelters were selected. The final sample included 150 women. The data were collected using the security-insecurity inventory and the Beck depression inventory. The collected data were analyzed using the multiple regression analysis in SPSS V. 22. Results: The results showed that the feeling of psychological security predicts depression in women (R=0. 48). Also, 23% of the variances in depression were explained by psychological security. Therefore, psychological security can predict depression (with 99% confidence) in these women. Moreover, the feeling of social security can predict the rate of depression in women (MR=-0. 55). This implies that approximately 30% of the variances of depression can be explained by social security. The beta coefficient for social security was-0. 55. Accordingly, social security can predict depression (with 99% confidence) in women living in homeless shelters. The negative signs of the beta coefficients indicated a negative relationship between the predictor and the criterion variables. In other words, the higher the psychological and social security, the lower the rate of depression in women. Conclusion: This study showed that the psychological and social security levels of these women were correlated with the degree of depression experienced. Using the insights from this study, counselors, psychiatric nurses, and other mental health professionals are suggested to create a friendly and safe environment for clients to express their feelings and lessen their depression.

Background: Health-promoting lifestyle as an important factor in psychological and physical well-being improves the quality of life. A health-centered approach to life can be facilitated through several social components, such as social and cultural capital. This study aimed to determine the relationship between social capital and the health-promoting lifestyle of nursing students. Methods: It was a descriptive correlational study. A total number of 200 undergraduate nursing students of Iran University of Medical Sciences were recruited using stratified proportional to size sampling. Also, data were collected by the Walker health-promotion lifestyle profile-II and the Onyx and Bullen social capital questionnaire and analyzed using descriptive statistics, the t test, the analysis of variance, and the Pearson correlation coefficient, in SPSS V. 20. Results: The mean scores of social capital and health-promoting lifestyle was 2. 44 and 2. 47, respectively. Social capital was significantly associated with the health-promoting lifestyle (P<0. 001). Moreover, economic status was significantly correlated with social capital (P=0. 004). Also, a significant relationship was observed between employment status and health-promoting lifestyle (P=0. 002). Conclusion: As a step toward having healthy nursing students, the officials, educational policymakers, and faculty members are suggested to take appropriate interventions to promote their social capital.

Background: Neonates require continuous and reliable intravenous routes to receive fluids, intravenous nutrition, and medications; accordingly, repeated interventions are essential to implant these routes. Percutaneous catheterization is a technology used for this purpose. Considering that central line infections are a major concern in Neonatal Intensive Care Units (NICUs), the present study aimed to assess the effects of using a care package on the incidence of infections and shelf life of peripheral central catheterization in the premature infants admitted to the NICU. Methods: This quasi-experimental study was a process assessment research conducted on 131 premature catheterized infants who were admitted to the NICU of Mofid Children’ s Hospital affiliated to Shahid Beheshti University of Medical Sciences, Tehran, Iran, in 2019. The study sample included 131 neonates who met the inclusion criteria. The neonates were enrolled in the study at two levels, including 53 subjects in the first four months before the intervention, and 78 in the second four months after application of the care package. The infants were selected via the convenience sampling method. Data were collected using the central line maintenance bundle and central line maintenance bundle daily checklists. The catheter insertion method and the degree of catheter tip infection were evaluated before and after the protocol training program for the nurses. The results of catheter tip culture after removal were considered as the training outcomes. Data analysis was performed in SPSS V. 16, using descriptive statistics, independent t test, the Fisher exact test, and the chi-squared test. Results: The results of the catheter tip culture confirmed the presence of pathogens in the catheter and culture of 18 samples (34%), before the intervention, while a reduction was denoted in 14 samples (17. 9%) after the intervention; the reduction was statistically significant (P=0. 036). Furthermore, the shelf life of the catheter increased after the intervention, however, the difference was not significant. Conclusion: According to the results, applying the care package reduces the incidence of central peripheral venous catheter infection in neonates admitted to the NICU. Therefore, it is suggested to incorporate this package into the care instructions of neonatal wards.

Background: Nurses are the largest group of healthcare providers. What is most important in acquiring nursing competency is knowing the competency levels and the factors, barriers, and strategies to increase nurses’ competency. This study aimed to investigate the different dimensions of Iranian nurses’ competency. Methods: The present study is a scoping review. The related Persian articles were searched for in SID, Magiran, ISI, Scopus, PubMed, and other databases, from 1988 to 2019. The searched keywords included skill, competency, and nurse. After identifying the relevant studies, the data were selected, screened, and charted. Finally, the results were collated, summarized, and reported. Also, data extracted from the studies included the study design, sample size, research population, sampling method, key results, the concept of competency, and other information (such as the level of competency, data gathering tools, the language of study, etc. ). Results: Totally, 210 studies were fully reviewed and the data from 160 studies were extracted and analyzed. The results of this study were summarized in five themes: nurses’ competency levels, nursing competency dimensions, effective factors in clinical competency, effective strategies for the promotion of clinical competency, and the relationship between nursing competency and other variables (such as job satisfaction, quality of work-life, emotional intelligence, and patient satisfaction). Conclusion: The studies did not reach a collective consensus regarding the relationship between some variables and nursing competency. Besides, the use of different questionnaires made the comparison difficult. Therefore, further research is recommended in this area.

Background: Aging is associated with changes in some capabilities. Using technology can help older adults to continue living independently at home. This study aimed to develop the Older Adults’ Technology Use at Home Scale (OATUHS) and evaluate its psychometric properties in the Iranian context. Methods: It was a sequential-exploratory mixed-method study for the development and psychometric testing of OATUHS. A draft scale with 15 items was generated based on a literature review and interviews with 20 older adults. The psychometric properties were assessed by testing the scale on 200 older adults referring to the Urban Comprehensive Health Service Centers of Kashan province, Iran. The multistage cluster sampling method was used to recruit the participants. Then, the face, content, and construct validities as well as internal consistency and stability reliability were assessed. The obtained data were analyzed using the SPSS, version 16. Also, the exploratory factor analysis was conducted using the principal component analysis and the varimax rotation method to determine the factors of the scale. Results: The OATUHS consisted of 12 items. Exploratory factor analysis resulted in two factors explaining 69. 6% of the variance. The internal consistency of the scale was acceptable (r=0. 88); it was 0. 93 for the “ in-kitchen technologies” and 0. 87 for “ out-of-kitchen technologies” dimensions. Besides, an intraclass correlation coefficient of 0. 95 was estimated between the test and retest scores. Conclusion: The OATUHS is a valid and reliable tool for the measurement of the use of technology by older adults at home, in daily life.

Background: Long-term marital satisfaction depends on various factors in couples’ lives. Shared interests, beliefs, and goals can guarantee couples’ long and satisfying relationships. However, mate selection is one of the primary requirements for establishing a marital relationship in both modern and traditional societies. Based on the narratives of couples, the present study aimed to explore the role of mate selection in marital satisfaction. Methods: This study employed a qualitative narrative research design. The participants were couples who lived together at least for 10 years, were satisfied with their married life, and had children. They were selected through the purposive sampling method from the family entertainment centers of health houses affiliated with Qom Municipality, in 2019. The data were generated using in-depth in-person interviews. After interviewing 13 couples, theoretical saturation was obtained. The data were recorded, transcribed, and analyzed manually using the textual analytic approach. Results: The analysis of the participants’ narratives showed that the couples believed that four main themes, including spouse personality traits, shared religious beliefs, shared socioeconomic positions, and mutual respect and understanding affected their marital satisfaction. Conclusion: The couples who were satisfied with their marriage believed that realistic and correct mate selection played a vital role in the survival and stability of their marital life. It is very important to pay attention to the role and conditions of mate selection and its impact on the stability of marriage. Results from this study help counselors, couples’ therapists, mental health professionals, psychiatric nurses, and midwifery consultants prepare couples for premarital programs.

Background: Marital conflicts partly happen due to the psychological disorders of couples, issues related to children, and the long periods of depression, all of which may lead to the failure of relationship and divorce. The present study aimed to investigate the effectiveness of schema therapy and emotional self-regulation therapy in the components of marital conflict in women referred to the psychological centers of Ahvaz City. Methods: It was a quasi-experimental study with a pre-test-post-test design and a control group. The research population consisted of all women with marital conflicts referring to the psychological centers of Ahvaz, in 2019. Using convenience sampling, 45 women who were willing to participate in the project were recruited and randomly assigned into two experimental groups (schema therapy and emotional self-regulation therapy) and a control group (n=15 per group). Data were collected with the Marital Conflict Questionnaire. Besides, the first and second intervention programs consisted of eight 90-minute sessions of schema therapy and eight 90-minute sessions of emotional self-regulation therapy, respectively. The obtained data were analyzed using the multivariate analysis of covariance in SPSS V. 24. Results: Schema therapy and emotional self-regulation therapy effectively improved the components of marital conflict in women (P<0. 01). Also, the effects of the two interventions on the components of marital conflict did not significantly differ (P>0. 05). Conclusion: According to the findings, schema therapy and emotional self-regulation therapy are suggested to be employed by psychologists and psychiatric nurses to improve the components of women’ s marital conflict.

Background: As the number of elderly people referred to hospitals increases, so does the number of discrimination reports in the care of the elderly, compared with younger people. This study aimed to investigate the status of ageism in caring for elderly patients from nurses’ perspective. Methods: It was a descriptive cross-sectional study that was conducted in three selected hospitals of Ardabil province, Iran, in 2019. A total of 482 nurses were recruited by convenience sampling. The data were collected using a demographics questionnaire and the Ageism Scale in Hospital Care and analyzed using descriptive (frequency, percentage, mean, and standard deviation) and inferential statistics (the Pearson correlation coefficient, independent t-test, one-way ANOVA, and Scheffe post hoc test) in SPSS V. 20. Results: The mean age of the participants was 33 years. Most nurses showed moderate ageism when providing care to older adults. The level of ageism was significantly associated with age (P=0. 002), gender (P=0. 001), work experience (P=0. 032), and the ward in which the nurses worked (P=0. 001) Conclusion: The findings revealed that the study hospitals suffered ageism. Also, the level of ageism was associated with the age, gender, admission ward, and work experience of the nurses. Thus, it is suggested to consider appropriate interventions to prevent ageism, when designing and planning care for older adults.