bluuebunny/crossref_metadata_2025_split huggingface dataset:
What are the Factors that Enhance Metacognitive Skills in Nursing Students? A Systematic Review
Authors: Asadzandi Shadi , Mojtahedzadeh Rita , Mohammadi Aeen 
Published: May 2024

Background:
Metacognitive skills have an important role in training efficient learners and competent clinicians in health professions education. The aim of this systematized review was to determine the factors enhancing metacognitive skills in nursing students.

Materials and Methods:
For data collection, we searched the databases of PubMed, Ovid, Cochrane, Scopus, Web of Science, ProQuest, Springer, EMBASE, Science Direct, PsycInfo, Nursing and Allied Health, and ERIC up to the end of March 2019, using the study key words. We used PRISMA flowchart diagram for reporting the results of the study. Peer-reviewed articles in English, addressing factors enhancing metacognition in nursing students, were included in our review. The Critical Appraisal Skills Program (CASP) checklist was used for assessing the quality of the included studies.

Results:
Out of 2355 studies, 16 were included for the review. Several factors, namely “specific curricular activities,” “self-regulated e-learning modules,” “e-portfolio,” “cognitive apprenticeship,” “specific teaching techniques for classroom and experiential settings,” “metacognitive wrappers,” “problem-based learning,” “blended learning,” “grit,” and “clinical log,” enhancing metacognition in nursing students, were extracted.

Conclusions:
The findings of our study can contribute to planning for improvement of learners' metacognitive skills. However, there is a need for future research on determining further factors influencing nursing students' metacognitive skills.
Iranian Women and Health Care Providers’ Perception of Oral Health in Pregnancy: A Qualitative Research
Authors: Ahmadi-Motamayel Fatemeh , Safabakhsh Deniz , Refaei Mansoureh 
Published: May 2024

Background:
Periodontal diseases during pregnancy are associated with adverse outcomes. This study aimed to explain the perception of healthcare providers and pregnant women about oral health during pregnancy.

Materials and Methods:
This qualitative study was conducted with the approach of conventional content analysis in health centers of Hamadan, Iran, in 2020. To collect the data, semi-structured in-depth interviews with sixteen pregnant women and eight healthcare providers (gynecologist, midwife, and dentist) were used. Pregnant women with a singleton fetus, lack of chronic diseases and complications of pregnancy, willingness to participate in the study, and the ability to communicate properly were included in the study. Sampling was done purposefully with maximum variety. Data analysis accomplished according to the proposed steps by Graneheim and Lundman using MAXQDA 10 software.

Results:
“Belief in the importance of oral health in pregnancy,” “Lack of a coherent structure for oral care,” “Accepting the negative effect of pregnancy on oral health,” and “The dilemma of treatment and non-treatment in pregnancy” were four categories extracted from the data. The theme of “Ignoring the mother for the fetus” was obtained as the main theme of the present study.

Conclusions:
The findings suggest that although mothers and healthcare providers have recognized the importance of oral health in pregnancy, underlying factors in society have led them to understand the mother’s oral health should be neglected because of the fetus. This perception can have a negative impact on their behavior, performance, and the oral health of mothers.
The Sexual Function, Desire, and Satisfaction of Couples during the Outbreak of COVID-19 in Qazvin
Authors: Yekefallah Leili , Mohammadi Saeide Dost , Namdar Peyman , Moghadam Somaye Minaei , Yekefallah Fereshteh , Mafi Mohamad Hossein 
Published: May 2024

Background:
The COVID-19 pandemic has significantly affected the lives of the community. The resulting social constraints and the physical and psychological consequences are also expected to affect sexual health. The present study aims to determine the status of sexual function, desire, and satisfaction of couples during the outbreak of COVID-19.

Materials and Methods:
This is a descriptive online cross-sectional study on 400 married individuals living in Qazvin, Iran, from October 15 to November 12, 2020. The multi-stage random cluster method is used for sampling. The following questionnaires have been used for data collection: Female Sexual Function Index (FSFI), Rosen male sexual function, Larson’s sexual satisfaction, and Hurlbert Index of Sexual Desire (HISD). The questionnaires were sent to participants through online messengers. The obtained data were analyzed by SPSS software (v25).

Results:
The findings show that only 19.20% of study participants had sex three or more times a week. Most of the participating women (56.90%) had sexual dysfunction, while most men (64.30%) had proper sexual function. Also, the majority of participants had moderate sexual desire (46%) and high sexual satisfaction. The primary predictors of sexual dysfunction in men and women during the outbreak of COVID-19 were “employment in health centers” (B = -9.34, p = 0.007) and “spouse working in health centers” (B = -6.16, p = 0.007), respectively.

Conclusions:
The psychological burdens of the COVID-19 pandemic and resulting measures, such as prevention protocols, affect couples’ sexual relations. Therefore, interventions are necessary to improve the quality and health of the sexual life of couples.
Support Received and Provided by Older Adults who Lost a Child
Authors: Safa Azade , Adib-Hajbaghery Mohsen , Rezaei Mahboubeh 
Published: May 2024

Background:
Despite the vulnerability of older adults and the importance of social support following the death of a child, little research has been conducted on the Iranian older population. This study aimed to explore perceived support among older adults after the death of a child.

Materials and Methods:
This study was carried out in Iran in 2020-2021 using a qualitative content analysis method. Semi-structured interviews with older adults who had experienced child death were used to collect data. To ensure the data's trustworthiness, Guba and Lincoln's criteria were applied. The Graneheim and Lundman method was used to analyze the data.

Results:
The participants' mean age was 70.41 years. The findings were organized into one theme, two main categories, and five subcategories based on 352 initial codes. Two main categories emerged from the participants' experiences: “supporting networks” and “giving support to others” with the theme of “healing emotional pain.” Following the death of a child, the older parents perceived support as recuperation from their hurt feelings.

Conclusions:
Receiving support from family, entourages, and society, as well as providing support to the family and parents with the same experience were protective factors against the effects of child death among older parents. To reduce the consequences of child death, older parents' health should be monitored through home care provided by nurses.
Design, Implementation, and Evaluation of Educational Program in Oral Health for Midwives and Other Antenatal Care Providers in Iran
Authors: Faghihian Reyhaneh , Saied-Moallemi Zahra , Zakizade Mehrnaz , Faghihian Elham , George Ajesh , Abbasi Somaye 
Published: May 2024

Abstract

Background:
Maintaining oral health during pregnancy has been considered an essential public health issue worldwide. One of the various preventive strategies is to train antenatal care providers to guide pregnant women. This study aimed to design, implement, and evaluate an educational program’s effect on the oral health-related knowledge, attitudes, and practice of antenatal care providers in Iran.

Materials and Methods:
All of the antenatal care providers working at Isfahan health centers were invited for this study in April 2019. A total of 340 volunteers (120 midwives and 220 others) finally participated in this interventional study with a pre-test–post-test design. A questionnaire was developed to assess the participants’ knowledge, attitudes, and practice before and after the intervention. A lecture-based educational session containing similar issues asked in the questionnaire was held for all the participants. The participant’s total knowledge scores before and after the intervention, and their attitudes and practice were evaluated and compared through paired t-test.

Results:
The participants’ mean total knowledge scores before and after the intervention were 42.87 and 52.25, respectively. The paired t-test revealed a statistically significant difference between pre- and post-intervention scores (p < 0.001). The frequency of participants’ answers to attitude and practice questions was also determined.

Conclusions:
Improving oral health-related knowledge of antenatal care providers can be achieved through a single educational session designed by accurately assessing their needs. The participants’ attitudes revealed barriers to seeking dental care by pregnant women; however, the participants’ oral health-related practice was acceptable.
Maternal Plasma Lipid Profile and Risk of Spontaneous Preterm Labor Study in a Sample of Iranian Women in 2019
Authors: Aghaei Zohreh , Hajian Sepideh , Darvish Soodabeh 
Published: May 2024

Abstract

Background:
Neonatal problems and adverse outcomes may be minimized by up to 90–75% when preterm delivery is diagnosed early and managed properly. This study aimed to determine the association of maternal plasma lipid indices with the occurrence of spontaneous preterm labor.

Material and Methods:
This matched pair case–control study was performed on 80 pregnant women referred to a teaching hospital in Tehran for childbirth in 2019. The lipid profile was assessed in women with spontaneous preterm labor and term birth. According to age, Body Mass Index (BMI), pregnancy number, employment status, and educational level, the women in each group were paired. Data were analyzed using an independent-samples t-test, Mann–Whitney U-test, Chi-square, linear regression, and conditional logistic regression.

Results:
Mean serum levels of total cholesterol, triglycerides, and low-density lipoprotein were all significantly higher in the case group compared with the control group (p < 0.05). The conditional logistic regression test confirmed that this association remained significant even after adjusting the effect of potentially confounding factors such as maternal age and body mass index. In addition, in linear regression the increased levels of triglyceride, total cholesterol, and low-density lipoprotein were found to be associated with 3.33-fold (1.32.–5.32 95% CI, p < 0.001), 2.94-fold (1.60–3.14 95% CI, p = 0.002), and 2.46-fold (1.31.–2.91 95% CI, p = 0.006) increased risk of preterm labor, respectively.

Conclusions:
High triglyceride, total cholesterol, and low-density lipoprotein serum levels may be linked to an increased chance of spontaneous preterm labor, which might be considered a risk factor for this pregnancy problem.
Health Information Needs of Couples Undergoing Assisted Reproductive Techniques
Authors: Latifi Masoomeh , Allahbakhshian Leili , Eini Fatemeh , Karami Nader Alishan , Al-Suqri Mohammed Nasser 
Published: May 2024

Background:
Couples undergoing Assisted Reproductive Techniques (ART) come across various information needs. This study aimed to identify the health information needs of couples undergoing ART.

Materials and Methods:
The methodology of the present applied study was qualitative and the research method was conventional qualitative content analysis performed with the participation of 25 infertile couples under ART. The study took nine months (July 2020 to March 2021). The samples were objectively screened based on the criteria from the couples referred to the infertility center affiliated to Hormozgan University of Medical Sciences (Public) and Ome-Leila Specialized infertility clinic (Private) in Bandar Abbas (Iran). Data collection was performed by semi-structured interviews. The typical content analysis method was used in this research. Data analysis was carried out based on coding by the use of MAXQDA a software for qualitative and mixed methods data analysis.

Results:
Information needs of couples under ART were categorized into three main categories and ten subcategories: 1) main cause of infertility [feminine or masculine cause, and etiology (nature and origin)], 2) treatment of infertility [identifying ART, treatment success rate, complications and risks (outcomes) of the treatment method, and treatment duration], and 3) healthcare [advice on medication, healthy nutrition (diet), sexual relations, and daily routine].

Conclusions:
The results of this study emphasize that the country's health officials, especially those in charge of the healthcare of infertile couples under ART, must necessarily pay more attention to meeting the needs of this group of people in society.
The Beneficial Effects of Emotional Intelligence Training for Critical Care Nurses on Job Burnout: A Quasi-Experimental Study
Authors: Fattah Hadya Abboud Abdel , Sallam Gehan Karawan , Hendy Abdelaziz Said , Abozeid Ahmed , Rodenhurst Nigel 
Published: May 2024

Abstract

Background:
Critical care nurses are at especially high risk of burnout. Burnout is a maladaptive response to work-related stress that is associated with negative consequences for patients. Emotional intelligence enables nurses to make better decisions and manage their patients more effectively. It impacts positively on the quality of care. This study aimed to assess the effect of emotional intelligence training on job burnout for nurses at the critical care units.

Materials and Methods:
A quasi-experimental study was conducted at two critical care units: the Cardiac Surgery Academy and El Demerdash Hospital, both of which are affiliated to Ain Shams University. The subjects were 200 critical care nurses. Each group of nurses trained for five sessions, each lasting about two hours, in the form of seminars. Researchers collected data through self-administered questionnaires containing three parts (demographic data of nurses, Wong and Law’s Emotional Intelligence Scale and Maslach burnout inventory).

Results:
For emotional intelligence, the mean (SD) score of studied nurses pre-intervention was 19.95 (6.30), while post intervention it was 36.4 (9.57), a significant difference (t = 14.01 p = <0.01). Regarding burnout, the mean score of studied nurses pre-intervention was 59.61 (19.58), while post intervention it was 89.90 (19.60), (t = 16.05 p = <0.01). The regression model explains 67% of the variation in total emotional intelligence detected through R
2 value 0.67 (F = 12.980 p = <0.001).

Conclusions:
The present study revealed that emotional intelligence training had positive effects on nurses’ experience of burnout at work. Providing educational training programs about emotional intelligence for newly hired nurses is recommended.
Promoting Health Literacy and Perceived Self-Efficacy in People with Chronic Obstructive Pulmonary Disease
Authors: Aliakbari Fatemeh , Tavassoli Elahe , Alipour Forouzan Mohammad , Sedehi Morteza 
Published: May 2024

Background:
Chronic Obstructive Pulmonary Disease (COPD) is an irreversible condition and it is of great importance for the patients to practice self-care. Given the impact of inadequate health literacy on people's self-efficacy in a self-care program, the aim of this study was to improve health literacy and self-efficacy in people with COPD.

Materials and Methods:
The present quasi-experimental study was conducted on 70 patients with COPD admitted to Shahrekord educational hospitals in 2019. Using random allocation software, the samples were randomly divided into intervention and control groups. Data collection tools included three questionnaires including demographic, health literacy, and perceived self-efficacy questionnaires. A training program, with three weekly sessions of theoretical and practical trainings, was conducted for the intervention group in classes in the hospital. The time of each session was 40 min. Data were collected three times i.e., before, immediately after, and three months after the trainings. Data were analyzed by means of SPSS 21 statistical software using descriptive and inferential statistics.

Results:
Before the intervention, the mean scores of perceived self-efficacy and health literacy did not differ significantly between the two groups, but after the intervention, the scores of the members in the intervention group increased significantly (f = 62.15, p < 0.05).

Conclusions:
The results of the study indicated an increase in the scores of perceived self-efficacy and health literacy in people with COPD. The use of targeted educational interventions can have a positive effect on the treatment and control of the disease.
Self-evaluation of Conflict Management Skills
Authors: Long Nguyen Hoang , Long Ngo Xuan 
Published: May 2024

Background:
Effective conflict management requires various skills. However, evidence suggests that nurses are unprepared to deal with conflicts at work. Accordingly, this study aimed to examine nurses' evaluations of their conflict management skills.

Materials and Methods:
This cross-sectional descriptive study involved 202 nurses who were enrolled in short professional training courses at the Faculty of Nursing, Thai Nguyen University of Medicine and Pharmacy (TUMP). From March to June 2021, they completed self-administered questionnaires which included evaluations of ten common conflict management skills. The four-point rating scale ranged from very bad (0 points) to very good (3 points). Descriptive statistics, Mann–Whitney U, Kruskal–Wallis, and Spearman's rho tests were used for data analysis.

Results:
The nurses ranked their ability to identify their and others' emotions and feelings as the highest [mean (SD): 1.99 (0.42)]. Their ability to self-manage conflict-induced stress was rated as the lowest [1.86 (0.56)], with managing own feelings and emotions [1.88 (0.56)], and negotiation [1.90 (0.53)] rated as second and third lowest, respectively. There were no differences in skills between nurses based on gender (Mann–Whitney U = 2814.50, p = 0.720), department (Kruskal–Wallis = 5.89, df = 3, p = 0.117), job position (Mann–Whitney U = 1502.50, p = 0.522), and education (Mann–Whitney U = 3304.00, p = 0.394). Additionally, nurses who demonstrated better skills reported higher effectiveness in previous conflict management (r = 0.45, p < 0.001).

Conclusions:
Conflict management skills varied and seemed suboptimal. Important areas that require proper attention include emotional intelligence and negotiations.
The Effect of Culturally Appropriate Self-Care Intervention on Health Literacy, Health-Related Quality of Life and Glycemic Control in Iranian Patients with Type 2 Diabetes: A Controlled Randomized Clinical Trial
Authors: Amoozadeh Behnaz , Parandeh Akram , Khamseh Feryal , Goharrizi Mohammad Ali Sheikh Beig 
Published: May 2024

Abstract

Background:
Cultural and language differences are necessary factors for diabetes management and self-care education programs in patients suffering from diabetes. This study aims to investigate the effectiveness of culture-based self-care intervention on health literacy, quality of life, and glycemic parameters in patients with type 2 diabetes.

Materials and Methods:
This randomized clinical trial has been carried out in selected centers in Darreh Shahr, Iran; 80 participants were randomly assigned into intervention and control groups. The intervention group received an educational program for 6 sessions twice a week, but the control group only received routine services. Data were collected using health literacy and life quality scales for diabetic patients, which were completed by both groups before, immediately after, and 3 months after the intervention; hemoglobin A1C (HbA1c) was checked before and 3 months after the intervention. SPSS software was also analyzed data using χ2, Fisher’s exact, independent t, and repeated measures analysis of variance tests.

Results:
There were no significant differences between the 2 groups before the study (p >0.05) goes forward. But, mean scores of health literacy (F
2,40 = 5.61, p =0.007), quality of life (F
2, 40 = 4.09, p =0.01), and HbA1c levels (t, 39 = 6. 91, p <0.001) have shown significant differences between the 2 groups immediately and 3 months after the intervention have been applied.

Conclusions:
Culturally appropriate intervention should be offered as a part of the nurse’ care program for diabetic to control HbA1c, and improve their life quality and health literacy.
Personality Traits and the Clinical Environment`s Stress Resources in Nursing Students
Authors: Kamali Mohsen , Mousavi Seyed Kazem , Saed Omid 
Published: May 2024

Background:
The clinical environment always has been the most stressful course of nursing education. Personality traits can be influential factors in stress resources and responding to stress. The present study investigates the correlation between personality traits and nursing students’ stress resources in the clinical environment.

Material and Methods:
This descriptive correlational study was planned and performed on Zanjan University of Medical Sciences nursing students. The research population was 215 students selected by stratified random sampling method from all nursing students in the third to eighth semesters. We used an electronic questionnaire for data gathering, including three sections: demographic characteristics, NEO personality traits, and stress resources in the clinical environment. The data were analyzed using descriptive and inferential statistics.

Results:
The most and least stressful resources were related to the score of unpleasant emotions and interpersonal relationships. We found a significant positive correlation between neuroticism personality traits and all four stress resources (p < 0.05). The results also showed a significant correlation between all scores of personality traits and perceived stress from unpleasant emotions except the openness to experience trait (p < 0.05). Furthermore, the relationship between age, gender, semester, interest, and stress resources in the clinical environment was statistically significant (p < 0.05).

Conclusions:
Paying attention to the nursing student’s clinical performance to maintain the patient’s health is vital and unavoidable. Therefore, more than ever in the preclinical course of nursing education, improving the psychological readiness and simulation training method can reduce the harmful effects of the clinical environment’s stress resources on their clinical performance.