Avicenna Journal of Nursing and Midwifery Care
Year:2024 | Volume:32 | Issue:1|Papers Count:8

2Background and Objective: Self-care is one of the best and most cost-effective measures to deal with diabetes that has attracted the attention of several health planners today. The current study aimed to perform a psychometric analysis of the Diabetes Self-Care Scale-I (DSCS-I) in Qazvin medical centers in Iran. Materials and Methods: The present study was methodological. The statistical population consisted of all patients in the medical centers of Qazvin city. The sample size was determined to be 256 people. After collecting the data, they were subjected to exploratory factor analysis with the principal component analysis method. Data were analyzed in SPSS22 software. Kaiser-Meyer and Bartlett's tests were used to measure the suitability of the sample and the significance of the results. Results: The mean age of the participants was 59. 12±11. 14 years, and the mean years of diabetes was 10. 76±7. 55. Based on the results of exploratory factor analysis, self-care of diabetic people was observed in four factors, namely healthy diet, physical activity, blood sugar monitoring, and foot health monitoring. The results showed that four explanatory factors of self-care could explain 95. 22% of the variance of self-care in diabetic patients. Conclusion: The psychometric analysis of the DSCS-I in the Iranian population showed that this tool had very good validity and reliability. Therefore, it is necessary to use this scale to check the self-care status of diabetic patients

2Background and Objective: Menopause is associated with annoying symptoms, such as anxiety and sleep disorders. Acupressure, as one of the methods of complementary medicine, can replace pharmaceutical and hormonal methods. The present study aimed to determine the effect of auricular acupressure on anxiety and sleep quality of postmenopausal women. Materials and Methods: This randomized sham-controlled trial was conducted on 107 postmenopausal women in Mashhad in 2019. Using a table of random numbers, the subjects were randomly assigned to three groups, namely one intervention group (with auricular acupressure and granular needle) and two control groups (one without granular needle and acupressure and one with routine care). In the intervention group and the control group without seed, the tapes were attached to both ears at 8 points. The intervention group pressed the points 4 times a day for 3 min each time. Demographic information form, Hamilton Anxiety Rating Scale, and Pittsburgh Sleep Quality Index were completed at the baseline and after one month. Data analysis was performed in SPSS16 software using Wilcoxon, Mann-Whitney, and Kruskal-Wallis tests. Results: There is no significant difference between sleep quality and anxiety in the three groups before the intervention (P=0. 27 and P=0. 95, respectively). However, this difference was significant after the intervention for both sleep quality and anxiety variables in the intervention group compared to the two control groups (P<0. 001 and P=0. 03, respectively). Conclusion: Applying ear acupressure can reduce the anxiety in menopausal women and improve their sleep quality. It is recommended that healthcare professionals suggest this method to menopausal women

2Background and Objective: Women’s satisfaction with the experience and process of childbirth is a decisive factor in the mental health of the family and society and also affects fertility intentions in that many women with bitter memories of a previous birth do not want to have children again. Accordingly, this study aimed to compare childbirth satisfaction based on the type of delivery performed at Fatemieh Hospital in Hamadan, Iran. Materials and Methods: This cross-sectional study was conducted on 242 pregnant women referred to Fatemieh Educational and Medical Center in Hamadan, Iran. Sampling was performed through available sampling among individuals who met the inclusion criteria. Written informed consent was obtained from the participants. Data collection tools were the demographic characteristics questionnaire and the McKay Childbirth Satisfaction Rating Scale, which were completed two hours after delivery until the mother was discharged from the hospital. Study data were collected according to the objectives of the study and analyzed using the SPSS statistical software (version 23). The significance level was set at 0. 05. Results: The results of this study showed that there was no significant difference between the two groups in terms of demographic variables. Out of 120 deliveries with spinal analgesia, 93 (77. 5%) were dissatisfied with the delivery, and 27 (22. 5%) were satisfied. In the routine delivery group, out of 122 patients, 98 (80. 3%) were dissatisfied with the delivery, and 24 (19. 7%) were satisfied. There was no statistically significant difference between the two groups in terms of women’s satisfaction with childbirth (P=0. 6). Conclusion: The findings show no statistically significant difference in women’s satisfaction with childbirth between the two methods of delivery, including spinal analgesia and routine delivery without analgesia

2Background and Objective: Organizational commitment is a state in which a person considers the organization and especially its goals to be his representative and has the desire to remain a member of that organization. Clinical competence is the foundation of practical nursing work. This research was conducted with the aim of investigating the relationship between clinical competence and organizational commitment and related factors in nurses working in special departments of hospitals affiliated to Kermanshah University of Medical Sciences in 2017. Materials and Methods: In this correlational study, 227 nurses working in the special care departments of educational hospitals in Kermanshah were selected by available sampling method. The data collection tool included Allen and Mayer's questionnaire of nurses' clinical competence and organizational commitment, whose reliability and validity have been proven in various studies. Data were analyzed using SPSS version 22 software and at a significance level of P>0. 05. Results: The average scores of organizational commitment and clinical competence in nurses were 119. 9 ± 23. 5 and 73. 35 ± 2. 18 respectively. No significant relationship was found between clinical competence and organizational commitment. The average score of clinical competence in nurses who had clinical work experience between 6-10 years was higher than others (P < 0. 05). Conclusion: In this study, clinical competence and organizational commitment of intensive care unit nurses were high, but no significant relationship was observed. Therefore, the health service system can increase their commitment by improving the clinical qualification of nurses or employing nurses with higher qualifications

2Background and Objective: Moral courage is considered a part of the requirements of the nursing profession, and its prerequisite is the training and strengthening of this characteristic during student’s study period. Therefore, this study aimed to explore nursing students' lived experiences of moral courage practiced in clinical settings. Materials and Methods: The current research was conducted using hermeneutic phenomenological approach. purposeful sampling method was performed among the 7th and 8th semester nursing students who had completed their theoretical courses. Data collection continued using semi-structured interviews until data saturation, and finally 10 individuals participated in this study, and data analysis was done based on Dickelmann approach. Results: The obtained results indicated two main themes, including moral conscience (decisiveness in correcting actions and moral governance) and ethical strategy development (personal commitment and moral evolusion). Conclusion: The findings of this research showed that students with moral courage have moral conscience, including determination to correct actions and moral governance, and this characteristic enhances professional ethics. Considering that the main mission of nursing education is to train capable and competent nurses who have the necessary knowledge and skills to provide quality nursing care, maintain and improve the health of society, educational systems can use the results of this study to evaluate their educational programs and correct their defects.

2Background and Objective: Due to the growing trend of the cesarean section rate in Iran in the past years, the natural childbirth promotion program was implemented as one of the health system transformation plans in 2014. The present study aimed to assess the trend of changes in the percentage of cesarean deliveries following the implementation of this program in Hamadan province. Materials and Methods: This longitudinal study was conducted using secondary data to investigate the changes in the rate of cesarean delivery during 22 years. The data required for this study included deliveries from April 1998 to March 2019 by delivery type. The statistical analysis of this study was performed in joinpoint software (version 3. 4) using the joining point regression method. Results: The percentage of cesarean deliveries in the whole province during the study period has constantly increased, from 32% in 2017 to 48% in 2019. The results of the joinpoint regression indicated an annual increase of 1. 9% in the trend of cesarean section in Hamadan province. The trend has some joinpoints, none of which correspond to the timing of the implementation of the health evolution plan. Conclusion: Based on the obtained results, although the transformation plan has been able to reduce the increasing percentage of cesarean births, this amount of change was not sufficient to achieve the predetermined goals of the health transformation plan

2Background and Objective: The present study was conducted to investigate the efficacy of self-compassion training on perceived stress and psychological coherence in elderly caregivers. Materials and Methods: This research was a quasi-experimental study with pretest-posttest and control group design and two-month follow-up period. The statistical population of the present study was consisted of elderly caregivers of centers under the supervision of the Ministry of Health, in Tehran, Iran, in 2022. A total of 27 elderly caregiver were selected through available sampling method and randomly assigned into Intervention and control groups. The experimental group received ten sessions of self-compassion training during two-and-a-half-months. The applied questionnaires in this study included Perceived Stress Scale (Cohen, Kamarck, T, Mermelstein, 1983) and Psychological Sense of Coherence Questionnaire (Flensborg, Ventegodt, Merrick, 2006). The collected data were analyzed using mixed ANOVA in SPSS software (version 23). Results: The obtained results showed that self-compassion training significantly affects the perceived stress (P<0001,Eta=0. 61,F=39. 69) and psychological coherence (P<0001,Eta=0. 63,F=43. 25) in elderly caregivers. Conclusion: According to the findings of the study, it can be concluded that self-compassion training can be used as an efficient method to decrease the perceived stress and increase psychological coherence in elderly caregivers

2Background and Objective: Spirituality has an undeniable impact on healing power, the ability to cope with and adapt to change, and health-related conditions. Spirituality is an essential component of health care,it is critical, vital, and distinct from other types of care. Therefore, the current study aimed to explain the perception of spiritual care from the perspective of hospitalized patients. Materials and Methods: The present study was carried out in the educational and medical centers of Qom University of Medical Sciences in 2020 using a qualitative approach and content analysis. Data were collected and analyzed concurrently through semi-structured, in-depth interviews with 12 participants using purposive sampling. Results: The participants included seven women and five men. The mean age score of participants was 44. 16±10. 1 years. From the analysis of interviews, 366 primary codes, 10 subcategories, and 3 main categories were extracted, indicating participants' understanding of spiritual care. The categories included religious (belief in the presence of God, observance of Sharia rules, respect for religious beliefs), moral (respect for privacy, responsibility, honesty, secrecy), and emotional (protection, support, follow-up, and continuity of care). Conclusion: In light of the findings of this study, spiritual care has a religious and ethical foundation, and its supportive aspects should receive more emphasis. According to patients, spiritual care entails responsibility, honesty, and confidentiality, as well as considering moral values and religious beliefs as a valuable resource that maximizes patient's self-care control and recovery