Nursing And Midwifery Journal
Year:2022 | Volume:20 | Issue:5 (154)|Papers Count:9

Background & Aim: Following the hospitalization of a patient in intensive care unit, his/her family is exposed to a series of physical, psychological, social and spiritual reactions. At this stage, one of the factors that help families to deal with the crisis is communication with staff working in critical care units. Therefore, this study was conducted aimed investigating the quality of communication between the staff and the families of patients admitted to the intensive care units. Materials & Methods: This review study was conducted in 2022 through searching related articles in scientific databases including Science Direct, Web of Science, PubMed, Irandoc, Magiran, SID. All articles in Persian and English that were published during 2005-2022, reviewed. After screening process, fourteen articles were analyzed. Results: According to the studies, the quality of communication between patients' families and ICU staff has been reported to be weak and undesirable. Several factors that have a role in this condition dividing in personal and occupational-environmental factors and cause weakness of communication. Conclusion: All ICU staff including doctors and nurses, as the main members of medical team, should pay special attention to families as effective elements of patients’,treatment process. They must try to implement some approaches such as family-centered care and try to boost quality of communication that is considered as the core element of patients’,families support.

Background & Aims: Cancer is one of the main causes of death and disability in the world. One of the main ways to treat this disease is chemotherapy. Despite its importance, some patients neglect to do it. This study aimed to investigate the patient's experience of the obstacles to participating in chemotherapy. Materials & Methods: The present study is a qualitative study that was conducted using in-depth and semi-structured interviews with 44 participants. The data were analyzed by conventional content analysis using MAXQDA version 10 software. Results: By analyzing the findings, there are nine subcategories including 1-lack of support from the surrounding environment, 2-cultural and social bottlenecks in front of chemotherapy, 3-personal helplessness of the patient, 4-personal beliefs of the patient, 5-non-compliance with the conditions of the disease and treatment, 6-economic conditions of the patient, 7-non-availability of appropriate treatment facilities, 8-Poor professional skills of the treatment staff, and 9-bad outcome despite the treatment. These subclasses were finally formed into three main classes: 1-lack of support from the surrounding environment, 2-Obstacles related to the patient, and 3-Obstacles related to treatment. Conclusion: The experience of patients showed that there are three main obstacles against chemotherapy. Dealing with some of these obstacles requires education to the patient and family, as well as micro and macro changes at the level of medical centers. Others require structural changes in the culture of the society and the policies of the Ministry of Health.

Background & Aims: Iincrement in life expectancy, aging of the population, and changes in the family structure has led to a decrease in intergenerational relationships and have affected the mental health of everyone, especially the elderly. Therefore, the present study was conducted to determine the effect of an intergenerational interaction program on the mental health of the elderly. Materials & Methods: In this randomized clinical trial, 20 elderly people over 60 years old participated in an intergenerational interaction program along with their grandchildren in One of the primary schools for girls in Qom in the form of a game in 6 sessions of 90 minutes for 6 weeks. Data were collected before, immediately after, and 4 weeks after the intervention using a demographic questionnaire and Goldberg general health questionnaire, and analyzed by independent t-test, repeated measures analysis of variance, paired t-test, chi-square, and Fisher's exact. test. Results: The results showed that in the intervention group, the mean score of mental health immediately after and one month after the intervention was significantly different from the beginning of the study, and changed from 21. 10 ±,10. 67 at the beginning of the study to 7. 15 ±,45. 4 immediately after the study and to 13. 10 ±,6. 31 one month after the study. In addition, there was not a significant difference in the mental health score of the elderly in the control group. Conclusion: Intergenerational programs can be used as an effective way to enhance the mental health of the elderly, and the fields of intergenerational communication between the elderly and their grandchildren should be provided.

Background & Aims: With the spread of the SARS‑, CoV‑, 2 virus in the world, emergency medical services (EMS) workers have suffered physical and mental problems, which required therapeutic interventions. The present study was conducted with the aim of determining the effectiveness of compassion-based treatment on blood pressure, heart rate, and body mass index of emergency medical workers infected with the Covid-19 Materials & Methods: The current research was of semi-experimental study using pre-test and post-test statistical analyzes along with the control group. The statistical population in this research included all emergency medical staff of Mashhad city, Iran infected with Corona in 2021. From this population, 40 people were selected by purposeful sampling method and were randomly selected by lottery method in two experimental groups (20 people) and control group (20 people). The treatment was based on compassion and implemented in the form of 8 sessions of 90 minutes and once a week for the experimental group, and the control group did not receive any intervention. The measuring tool was a German Richter mercury sphygmomanometer with an arm cuff. The participants were measured in terms of blood pressure, heart rate, and body mass index in the pre-test and post-test stages. For data analysis, univariate covariance analysis was used with SPSS version 26 software. Results: According to the results of this research, compassion-based treatment had an effect on blood pressure, heart rate, and body mass index of emergency medical workers infected with the SARS‑, CoV‑, 2 (P < 0. 01). The extent of this effect was 0. 32 on systolic blood pressure, 0. 51 on diastolic blood pressure, 0. 41 on heart rate, and 0. 35 body mass index, based on Eta-squared measure. Conclusion: Considering the effect of compassion-based treatment on blood pressure, heart rate, and body mass index of emergency medical workers infected with the SARS‑, CoV‑, 2 virus, it is suggested that counselors and therapists use the approach of compassion-based treatment in reducing the problems of emergency medical workers.

Background & Aims: Clinical education is an essential part of the nursing curriculum. Clarifying the professional role and responsibilities of nursing students is one of the strategies for the developing clinical education, which will cause the provision of quality and safe care by improving the performance of students and ensuring the professional life of nursing. This study was conducted with the aim of determining the professional responsibilities of the nursing students in the process of clinical education of nursing students. Materials & Methods: This study is a modified Delphi one, which was conducted in two rounds. The participants were 30 nursing instructors who were selected based on the purposive sampling. The data collection tool was a questionnaire. Data analysis was done with descriptive statistics and conventional content analysis using SPSS version 17 software. Results: Based on the results, the professional responsibility of nursing students in clinical education had six dimensions including: performing educational tasks with eight components, holistic patient care with four components, communication, interaction and information exchange with six components, acquiring professional competence with six components, strengthening individual capabilities with five components, and observing the principles of professional ethics with eight components. Conclusion: Nursing students need to be informed of their professional responsibilities for effective learning in the clinical environment, because knowledge and understanding of professional responsibilities can facilitate the education process and provide safe and high-quality care to clients and improve the student's personality. It can also be a basis for the evaluation of students by instructors and development of appropriate interventions to promote the professional responsibility of the students.

Background & Aims: Care is a complex and subjective concept, and most nursing theorists consider it the most important action of nurses in dealing with patients. However, inaccuracy in providing comprehensive care by the medical staff has caused disintegration of care and thus the concept of fragmented care (FC) is formed. Although this concept is often used by researchers, its dimensions have not been fully identified. The aim of this study was to analyze the concept of FC. Materials & Methods: Concept Analysis of FC based on the Walker and Avant's method (2019) was carried out in eight steps by searching and analyzing studies from reliable information databases such as Scopus, PubMed, Web of Sciences, and Google Scholar search engine. We used the keywords: Fragmentation, Fragmented, and Care without time limit until May 2022. Finally, 26 articles related to the concept were analyzed. Results: FC had different dimensions. Lack of coordination, planning, teamwork, and holistic view were the most important dimensions. This type of care can occur at different relationship levels of nursepatient, both within and between wards and different medical centers. Conclusions: The present study identified different dimensions of the concept of FC. Future studies can use the results of this study to develop a scale as well as to design interventions effective in reducing its incidence.

Background & Aims: The anxiety level of dentistry and nursing students increase in hospital wards and dental environment during the Covid-19 pandemic. This study aimed to compare the anxiety level of dentistry and nursing students during the Covid-19 pandemic. Materials & Methods: In this cross-sectional descriptive study, 369 second semester and above students of dentistry and nursing were selected by convenience sampling method. A demographic information questionnaire and the Corona Disease Anxiety Scale (CDAS) with 18 statements were used for gathering data. The questionnaires were given to the students through WhatsApp application. The data was analyzed using SPSS v. 21 software and descriptive and inferential statistics. P values less than 0. 05 were considered significant. Results: The anxiety level of dentistry and nursing students was mild, and there was no significant difference between them in terms of corona anxiety score. In both groups of students, the level of anxiety in females was higher than males (p=0. 049 for nursing and p=0. 001 for dentistry students). There was a significant difference in anxiety scores between nursing and dentistry students in married and nonnative students (p=0. 01), which was higher in dentistry students. Conclusion: The results of this study revealed new evidence about the anxiety of dentistry and nursing students in the Covid-19 pandemic. It is recommended that interventions and appropriate strategies be applied by university officials and teachers during the Covid-19 pandemic to reduce anxiety level of dentistry and nursing students, especially females, married and non-native students.

Background & Aims: Adolescence is one of the most important and valuable periods of every person's life, because it is the beginning of physical and psychological changes. Separation from a parent, however, can disrupt the family framework and extend the tension of this period. On the other hand, the adolescent learns how to organize the society around him and take responsibility for his actions through the family. It seems that being a single parent can disrupt the process of adolescents' commitment. This study aimed to determine the effect of life skills education on the responsibility of adolescent girls with a single parent. Materials & Method: This research was a quasi-experimental study with a pre-test-post-test design and a control group. It was conducted in 2021 on 100 adolescent girls with a single parent aged 15-18 years. In this study, multistage sampling was performed to select participants,then they were randomly allocated to control and intervention groups. Eligible participants completed the demographic characteristic and adolescent responsibility questionnaire before and after the intervention and 4-6 weeks after the intervention. Virtual group education sessions were implemented on Sky room for 6090 minutes. Each group included 6-10 people, and ten group training sessions with one-week interval were conducted. Data were analyzed using an independent t-test and analysis of variance with repeated measures by SPSS software version 22. P-values less than 0. 05 were considered significant. Result: The results showed a statistically significant difference between the mean score of responsibility of female adolescents in the intervention and control groups after the intervention (P <0. 001). Conclusion: According to the results of this study, life skills educations could increase their responsibility. Considering the responsibility for the growth and personal, academic and social health of students and ultimately the progress of society, life skill programs are recommended for adolescent girls with a single parent.