bluuebunny/crossref_metadata_2025_split huggingface dataset:
Triage Training in Iran from 2010 to 2020
Authors: Javadi Naser , Rostamnia Leili , Raznahan Rasool , Ghanbari Vahid 
Published: May 2021

Background:
Accurate decision-making in triage requires continuous education, so triage nurses should receive annual refresher courses. Identifying the most effective method can make the provision of practical education to triage staff in hospitals possible. This review was conducted with the aim to determine the effectiveness of triage education methods in Iran.

Materials and Methods:
In this systematic review on educational intervention studies, international and Iranian medical sciences databases were searched using a defined search strategy compatible with each database. PubMed, Scopus, Web of Science, Google Scholar, SID, Islamic Science Center (ISC), and IranDoc databases were searched for literature published from January 2010 to January 2020. The MeSH terms of “health care staff,” “triage,” “education,” and “Iran” in English and Persian were combined to develop a search strategy. Initially, 768 article titles were retrieved. Finally, 16 articles were selected for the review.

Results:
All conducted studies were quasi-experimental. Half of the studies had used a face-to-face approach for education (workshop, lecture, and simulation), and four studies had used lectures and pamphlets. All studies (except 1) reported that their educational intervention significantly improved nursing knowledge on triage.

Conclusions:
Almost all studies had reported the effectiveness of an educational intervention in improving nurses' triage knowledge. However, it seems that the non-face-to-face method is superior to the face-to-face method because of its learner-centeredness and cost-effectiveness. Moreover, providing educational content using a blended learning approach (simulation and games) can enhance the effectiveness of triage education.
Barriers to Occupational Therapy Fieldwork Education in Iran
Authors: Pashmdarfard Marzieh , Shafaroodi Narges , Mehraban Afsoon Hassani , Arabshahi Kamran Soltani , Parvizy Soroor 
Published: May 2021

Background:
Clinical education is a vital factor in the process of learning in medical sciences universities. The aim of the present study was to explore the perspectives of fieldwork educators and students concerning barriers to occupational therapy fieldwork education in Iran.

Materials and Methods:
A qualitative research was conducted from May 2019 to April 2020 to address the study objectives. The data analysis was performed using conventional content analysis based on Graneheim and Lundman's approach. Purposive sampling was used to enroll 12 educators and 14 students of various backgrounds (physical disabilities-adult, physical disabilities-pediatrics, psychosocial-adult, and psychosocial-pediatrics) in the study.

Results:
The findings indicated that the main themes were related to fieldwork educators, fieldwork settings, educational planning, students, and educational regulation.

Conclusions:
It can be concluded that the perspectives of students and occupational therapy educators regarding the field of clinical education are not only important but also useful for the attainment of effective clinical education and the development of knowledge related to rehabilitation nursing education. Therefore, educational planners should develop effective programs based on these themes.
Reduction of the rate of hospitalization in patients with acute coronary syndrome
Authors: Dorri Safoura , Farahani Mansoureh Ashghali , Mohammadebrahimi Hossein , Shahraki Saied , Hakimi Hamideh 
Published: May 2021

Background:
Readmission of patients with Acute Coronary Syndrome (ACS) causes many problems for them and their family. This study aimed to improve the quality of care provided to patients with ACS and discover solutions to reduce the rate of readmission among them.

Materials and Method:
This participatory action research study was done based on Streubert and Carpenter approach. This study included 45 participants (31 patients and 14 stakeholders) and carried out in a hospital affiliated to Isfahan University of Medical Sciences, Iran, from 2013 to 2014. Solutions with high and moderate feasibility, flexibility, and suitability were implemented in each cycle until reaching <15% readmission rate. Data were analyzed using SPSS (V.16) and running descriptive and inferential statistics.

Results:
In this study, several actions were performed in each cycle such as assigning a free and 24-h telephone line was patients to contact nurses and face-to-face patient's education. Second cycle actions included active participation of all nurses in the education of patients and involvement of families in patient care. By carrying out the first action cycle, the readmission rate reached 35%, which was not favorable. By completing the second action cycle, the readmission rate reached 12%, which was desirable and significantly lower than the first cycle.

Conclusion:
Discovering possible solutions with the participation of stakeholders in therapeutic settings that have feasibility, flexibility, and suitability can lead to improved care quality and reduced readmission rate in patients with ACS, especially if the families of the patients also participate in action cycles.
Developing and Psychometric Evaluation of a Reproductive Health Assessment Scale for Married Adolescent Women
Authors: Mardi Afrouz , Ebadi Abbas , Behboodi-Moghadam Zahra , Abazari Malek , Nezhad-Dadgar Nazila , Shadman Atefeh 
Published: May 2021

Background:
Adolescent women's reproductive health is often neglected despite the high prevalence of early marriage. Since no appropriate scales were found to assess the health status of adolescent women, this study aimed to develop a reproductive health scale in married adolescent women in Iran and investigate its psychometric properties.

Materials and Methods:
An exploratory mixed-methods study was conducted in Ardabil healthcare centers (Ardabil City, Iran) between May 2017 and December 2018. In the qualitative phase, 14 semi-structured in-depth interviews were conducted with married adolescent women, and two focus group discussions were held with 12 key informants. In the quantitative phase, the initial scales were validated using face, content, and construct validities. In a cross-sectional study among 300 women, Exploratory Factor Analysis (EFA) was used to assess the construct validity. Internal consistency and test-retest methods were used to review. The initial scale was designed with 45 items, but only 30 items reached the construct validity stage. EFA revealed five factors that explained 50.96% of the variance. Cronbach's alpha coefficient of 0.75 estimates the reliability of the scale.

Results:
The qualitative study identified 76 items that reached 88 items through literature confirmed its reliability, and test-retest with a two-week interval confirmed its consistency (ICC = 0.99, p < 0.001). Finally, the scale was approved with 27 items and four domains: sexual, pregnancy and childbirth, psychosocial, and family planning.

Conclusions:
This valid and reliable scale with cultural sensitivity can be used to help health professionals to improve the reproductive health of married adolescent women.
Efficacy of Knee Arthroplasty on the Outcomes of Knee Osteoarthritis in Iranian Elderly Individuals
Authors: Hamedi Roya , Pourghane Parand , Mansour-Ghanaei Roya , Atrkar-Roushan Zahra 
Published: May 2021

Background:
Knee osteoarthritis is a common musculoskeletal condition in elderly individuals. This survey was conducted with the aim to identify the problems of this group of patients for compilation of healthcare programs targeted at determining the outcome of osteoarthritis before and 3 months after knee arthroplasty.

Materials and Methods:
In the present cross-sectional study, 150 elderly individuals who had volunteered for knee arthroplasty were selected through nonrandomized sampling and were evaluated using the Knee Osteoarthritis Outcome Score (KOOS) questionnaire and a demographic characteristics form before and 3 months after the surgery via nonparametric statistical tests (Wilcoxon, Mann-Whitney U, and Kruskal-Wallis tests).

Results:
The mean (SD) age of the study subjects was 64.40 (7.20) years. A significant difference was observed between the mean scores of all subscales (pain with Z=10.62, knee pain/knee stiffness with Z=10.54, daily activity with Z=10.62, sport with Z=2.95, and quality of life with Z=10.48) before and after knee arthroplasty based on Wilcoxon test (<0.05). The results of the Mann-Whitney U test showed a significant statistical relationship between the difference in the mean score of daily activities and history of opium consumption (Z=1.90, p < 0.05) as well as that between knee pain/knee stiffness and gender (Z=2.57, p < 0.05) and educational level (Z=2.11, p < 0.05).

Conclusions:
Knee arthroplasty and history of opium consumption were correlated with improvement of patients' performance in their daily activities, and gender (women) and educational level (unread) were correlated with improvement of the score of the knee pain/knee stiffness subscale.
The effect of peer group education on anxiety, stress, and depression in older adults living in nursing homes
Authors: Mohammadbeigi Abolfazl , Khavasi Mohammad , Golitaleb Mohamad , Jodaki Kurosh 
Published: May 2021

Background:
The effects of peer education have been addressed in different populations, but this method of education has not been applied in the elderly population of Iran, and its effect has not been studied. The present study investigated the effects of peer group education on anxiety, stress, and depression of the older adults living in nursing homes.

Materials and Methods:
This research is a quasi-experimental study with an intervention and control group and it was conducted on 70 elderly citizens living in Qom nursing homes in July 2017. For the intervention group, a relaxation and stress reduction program was trained through the peer group. The control group received routine care. Data were collected using a Demographic information questionnaire and Depression Anxiety Stress Scale-21 (DASS-21). Data were collected at the beginning, 10 and 30 days after the intervention. Data analysis was performed using SPSS 19, descriptive statistics, and repeated measure analysis of variance.

Results:
The results of the study showed no significant difference between any of the demographic variables at the beginning of the study (p > 0.05). The statistical test showed that the effects of time (p < 0.001) and group (p < 0.011) were significant on anxiety, stress, and depression.

Conclusions:
The results of this study showed that peer education could decrease anxiety, stress, and depression in the elderly. Therefore, this educational method can be used by nurses to promote various health education programs, e.g., to health promotion and prevent disease especially in the elderly community.
DIGCOMP ΚΑΙ DIGCOMP EDU ΣΤΟ ΕΛΛΗΝΙΚΟ ΣΧΟΛΕΙΟ. ΠΛΑΙΣΙΟ ΨΗΦΙΑΚΩΝ ΙΚΑΝΟΤΗΤΩΝ ΣΤΟ ΕΛΛΗΝΙΚΟ ΝΗΠΙΑΓΩΓΕΙΟ / DIGCOMP AND DIGCOMP EDU IN GREEK SCHOOL DIGITAL COMPETENCIES FRAMEWORK IN GREEK KINDERGARTEN
Authors: Foti Paraskevi 
Published: May 2021

<p>This paper will cover in detail the key points of DigComp, (European Digital Skills Framework) and DigComp Edu, (European Digital Skills Framework for Teachers). Concepts will be explored in terms of what is digital competence and what are the areas and competencies of DigComp and DigComp Edu, while then a proposal will be presented for the indicators of digital abilities of children in the Greek kindergarten. The paper will be presented in Greek language so that it can be easily accessed by Greek teachers.</p><p> </p><p>Σε αυτή την εργασία θα αναφερθούμε στα βασικά σημεία του DigComp, του Ευρωπαϊκού Ψηφιακού πλαισίου ικανοτήτων και του DigComp Edu, του Ευρωπαϊκού Ψηφιακού πλαασίου ικανοτήτων των εκπαιδευτικών και θα πλαισιωθούν έννοιες αναφορικά με το τι είναι ψηφιακή ικανότητα και ποιοι είναι οι τομείς και αρμοδιότητες ικανοτήτων του DigComp και του DigComp Edu ενώ στη συνέχεια θα παρουσιαστεί μια πρόταση για τους δείκτες αξιολόγησης των ψηφιακών ικανοτήτων για μαθητές νηπιαγωγείου και πρώτων τάξεων δημοτικού. Η εργασία μας θα παρουσιαστεί στην ελληνική γλώσσα ώστε να μπορεί να είναι εύκολα προσβάσιμη από τους έλληνες εκπαιδευτικούς. </p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0769/a.php" alt="Hit counter" /></p>
Effect of Nursing Care Strategy on Functional Outcomes among Patients after First Time Stroke
Authors: Ali Marwa M. , Mohamed Rasha F. , Mahmoud Amina A. 
Published: May 2021

Context: Strokes are life-changing events not merely affect a person physically but also emotionally as it may result in physical disabilities, which lead to functional disabilities as difficulties carrying out daily activities as working, walking, talking, eating, bathing, with loss of energy in addition to depressive status as a result of functional disabilities. Daily nursing care strategies are essential to stroke management. Since, it can overcome spasticity and hemiplegia through sustained stretching by various positioning, repetitive performance of a specific movement, and teaching patient to use and adapt the affected limb during functional activities.
Aim: The aim of this study is to evaluate the effect of nursing care strategy on functional outcomes among patients after the first-time stroke.
Methods: A quasi-experimental design used to conduct the current study in neurology department to be followed through neurology outpatient clinic at Benha University Hospital. During the period from the beginning of February 2018 till the beginning of January 2019.Subjects: Purposive sample of 171 patients to be at the end of study period (Intervention group 72 & control group 69), recruited according to the study formula based on the total number admitted to the study settings during 2017. Tools: Two tools utilized for data collection, (1)Structured interviewing questionnaire for patients, (II)Functional outcomes scales, involving: Modified Ashworth scale, Modified Barthel index, as well as the Center for Epidemiologic Studies Depression Scale (CES-D Scale).
Results: Showed that there was highly statistically significant difference in term of increased knowledge score among the intervention group compared to controls, as well as a significantly lower degree of spasticity, a higher level of independence in performing activity of daily living (ADL), besides, lower depression score among intervention group compared to controls. It also showed a significant correlation between the degree of spasticity with both of independence in performing ADL and degree of depression among intervention group after nursing care strategy implementation.
Conclusion: The nursing care strategy was effective in improving patients’ knowledge as well as the functional outcomes among intervention group revealing a significant correlation between the degree of spasticity with both independence in performing ADL and degree of depression. The study suggested continuous education and training program planned and offered regularly to stroke patients in the neurology and rehabilitation unit. Also recommended written, a simple booklet about stroke and its management should be provided & be available for patients and their families (relatives).
Effect of Authentic Leadership Educational Program for Head Nurses on Staff Nurses' Organizational Commitment
Authors: Ali Aziza Z. F. , Saad Ehsan S. S. , Alshammari Fadhah T. 
Published: May 2021

Context: Authentic leadership is required to build trust and achieving positive organizational outcomes. Organizational commitment acts as one of the outcomes of authentic leadership. Head nurses, as leaders can use an authentic leadership style that positively influence staff nurses and increase their organizational commitment.
Aim: The present study aimed to examine the effect of authentic leadership educational program for head nurses on staff nurses' organizational commitment.
Methods: A quasi-experimental research design utilized to achieve the aim of the current study. The study was conducted in all inpatients units at Benha University Hospital, Egypt. Subjects included all available (32) head nurses and a purposive sample of (120) staff nurses who were working in the setting mentioned above. Three tools were utilized for data collection namely; authentic leadership knowledge self-assessment questionnaire, authentic leadership attitude self-assessment questionnaire, and organizational commitment assessment questionnaire.
Results: There was a statistically significant correlational improvement in both the studied head nurses' knowledge and attitude regarding authentic leadership after the implementation of the program. Besides, there was a statistically significant improvement of the studied staff nurses' organizational commitment after implementation of the program. Also, there was a highly statistically significant correlation (P-value<0.001) between the studied head nurses' knowledge and attitude regarding authentic leadership and the studied staff nurses' organizational commitment post-program.
Conclusion: The study concluded that there was a positive effect of the authentic leadership educational program for head nurses on the staff nurses' organizational commitment. The study recommended that an authentic leadership educational program should be recognized and implemented for all head nurses and who in a management position in the nursing field in other hospitals as needed. Hospitals and Nursing administrators should do their best for keeping and enhancing staff nurses' organizational commitment.
Effect of Designed Practice Guidelines on Nurses’ Performance and Outcome of Children with Head Injuries
Authors: Said Khadiga M. , Deraz Safaa F. , Sebaq Amal G. 
Published: May 2021

Contexts Acute head injury resulting from a trauma to the head, leading to brain injury or bleeding within the brain, it can cause edema and hypoxia. Head injury is the leading cause of death in the first four decades of life. Effective nursing management strategies for children with severe traumatic brain injury are still a remarkable issue and a difficult task for neurologists, neurosurgeons, and nurses.
Aim: To evaluate the effect of designed practice guidelines on nurses' performance regarding the care of children with head injuries.
Methods: A quasi-experimental research design utilized to conduct the current study on pediatric neurosurgery departments of Benha University Hospital and Benha Teaching Hospital. A purposive sample of 72 children with head injuries and a convenient sample of all available nurses. They were 62 nurses who are working on the previously mentioned study settings. Four tools used to collect data in this study. A structured interviewing questionnaire sheet developed to assess the studied nursing personal characteristic of the studied nurses and nurses' knowledge regarding head injuries. Child medical data record developed to assess children's personal and head injuries characteristics for children. Glasgow coma scale adopted to assess the child conscious level. Observational checklists to assess the actual nurses' practices regarding the care of children with head injuries.
Results: There was a statistically significant improvement in nurses' knowledge and practice regarding the care of children with head injuries before and after the implementation of designed practice guidelines (p˂0.001). There was a statistically significant improvement regarding the occurrence of convulsion after the implementation of the program.
Conclusion: The study concluded that the implementation of designed practice guidelines for nurses improves their knowledge and practice as well as reduced occurrence of frequency, duration, and timing of convulsion, which support the current research hypotheses. The study emphasizing the importance of implementing of designed practice guidelines for nurses caring of children with a head injury to reduce the occurrence of head injury complications, which is an effective and safe non-invasive intervention in neurosurgery and emergency departments as a standard of care for all head-injured children.
Penggunaan Smartphone Sebagai Sumber Belajar Anak Pada Masa Covid-19 di Komplek Bulakindo Kota Banjarmasin
Authors: Nur Rahmat , Azis Fatimah , Apriati Yuli 
Published: May 2021

Perkembangan teknologi handphone dapat dilihat dari terobosan handphone jenis baru yang lebih canggih yaitu smartphone. Zaman sekarang smartphone menjadi barang penting dalam kegiatan sehari-hari termasuk kegiatan pembelajaran. Informan sebagai sumber informasi dipilih dengan menggunakan teknik purposive sampling. Penggalian data dilakukan dengan observasi, wawancara secara mendalam (in-depth interview) terhadap informan yang telah terpilih dan Catatan harian merupakan salah satu sumber data yang penting di dalam penelitian yang digunakan. Hasil penelitian akan dianalisis dengan analisis fenomenologi. Hasil penelitian menunjukkan bahwa:(1) fungsi smartphone sebagai sumber belajar dimasa Pandemi covid 19 yaitu dapat berfungsi sebagai alat komunikasi untuk untuk proses pembelajaran, Membantu guru dan anak-anak dalam mengajar dan mengerjakan atau menyelesaikan tugas yang diberikan oleh guru; (2) respon anak-anak menyukai smartphone digunakan sebagai sumber belajar karena mudah untuk digunakan dan cepat untuk menemukan jawaban yang dicari; anak-anak banyak mengajukan pertanyaan kepada guru karena anak-anak bingung menemukan jawaban yang cocok dan bahasa yang sulit dipahami. Respon guru selalu mengawasi anak-anak saat mengunakan smartphone untuk melakukan browsing di internet
TRATAMENTO DA COVID-19 -PROTOCOLOS ATUAIS E PERSPECTIVAS FUTURAS
Authors: Costa Carneiro Cristiene , Pires Ferreira Ana Carolina , Matos Garcias Lopes Samili , Ribeiro de Morais Sandra 
Published: May 2021

Considerando a relevância da covid-19 na atualidade, este trabalho teve como objetivo apontar as principais drogas que se tornaram alvo de estudo e uso clínico no tratamento da doença. Foi utilizada a metodologia de revisão narrativa da literatura sobre os tratamentos até então testados para a covid-19, onde se reuniu os estudos de maior relevância e robustez sobre cada medicamento. Das drogas avaliadas, algumas apresentaram influência positiva no tempo de cura e diminuição dos sintomas causados pela doença. Dentre os medicamentos estudados, o remdesivir foi o de maior destaque, reduzindo o tempo de permanecia na UTI e também a taxa de mortalidade. A heparina, apresentou grande influência positiva ligada aos casos com tendência ao desenvolvimento de trombose. A dexametasona demonstrou poder de redução da chance de mortalidade e a ivermectina atuou na redução do tempo de duração da doença. Outras drogas como Azitromicina e Hidroxicloroquina não se mostraram eficazes nos estudos de maior relevância e não foram encontrados dados que justificassem seu uso para o tratamento da Covid-19. Apesar da pouca quantidade de dados que comprovem seu efeito contra a Covid-19, os interferons apresentaram potencial positivo e reduziram o tempo de permanência dos pacientes no hospital. Até o momento, nenhum medicamento específico foi aprovado para tratar a covid-19. O tratamento da doença se concentra principalmente nos cuidados de suporte. Contudo, nossa pesquisa bibliográfica evidenciou que alguns protocolos medicamentosos apresentaram um desfecho positivo quando comparado ao tratamento sem a utilização de nenhum fármaco.