bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effect of Self-Care Education on Adherence to Treatment in Elderly Patients with Heart Failure: A Randomized Clinical Trial
Authors: Eimer Saeed , Mahmoodi-Shan Gholam Reza , Abdollahi Ali Akbar 
Published: May 2024

Background:
Noncompliance with treatment in the elderly with Heart Failure (HF) may result in a lack of recovery, a decrease in longevity, rehospitalization, and additional costs. Therefore, this study was conducted to determine the effect of self-care education on adherence to treatment among elderly patients with HF.

Materials and Methods:
This study was a parallel clinical trial on 90 elderly people over 60 years of age who were hospitalized in cardiac wards. Data were collected using a demographic characteristics form and the adherence to treatment questionnaire. Individuals who met the study inclusion criteria were randomly allocated to the intervention and control groups. The intervention group training was performed before and after discharge. The adherence to treatment questionnaire was completed again by both groups 2 months after discharge. Data were analyzed using Chi-squared test; ex. (?2 = 3.95, df = 1, p = 0.046), paired and independent t-tests, and analysis of covariance.

Results:
The mean (standard deviation) total score of adherence to treatment in the intervention group was 39.71 (4.51) and 78.72 (10.47) before and after the self-care education, respectively. Paired t-test showed a significant difference in both groups after the intervention compared to before the intervention, and independent t-test showed a significant difference between the groups after the intervention (p = 0.001).

Conclusions:
Self-care education before discharge and home-based education were effective in promoting adherence to treatment among patients with HF. Therefore, self-care education before discharge may improve adherence to treatment among elderly patients with HF.
An Investigation of Undergraduate Nursing Students’ Therapeutic Communication with Patients
Authors: Ghiyasvandian Shahrzad , Abdolrahimi Mahbobeh , Zakerimoghadam Masoumeh , Ebadi Abbas 
Published: May 2024

Background:
Therapeutic Communication (TC) is the process of purposeful and understandable communication between patients and caregivers, which helps facilitate optimized care. Here, we assessed nursing students’ interaction with patients and its related factors.

Materials and Methods:
In this descriptive-analytical study, a convenience sample of 240 undergraduate nursing students from Tehran University of Medical Sciences, Tehran, Iran, completed consent forms, a demographic information questionnaire, and a TC questionnaire in 2018. Data were analyzed using descriptive and inferential statistics.

Results:
TC score of most students was moderate and good, with the mean (SD) of 143.07 (12.86). Factors, including gender (Χ2 = 8.02, p ≤ 0.01), semester (Χ2 = 4.01, p ≤ 0.05), employment (r = 0.49, p ≤ 0.01), and workshop attendance (r = 0.80, p ≤ 0.01), influenced the students’ TC knowledge and skills.

Conclusions:
Future nurses’ TC can be improved by part-time employment and practical training. Conducting more research with a larger sample size from all nursing faculties is suggested.
The Relationship between Perineal Trauma and Striae Gravidarum
Authors: khamseh Fatemeh Khademol , Zagami Samira Ebrahimzadeh , Ghavami Vahid 
Published: May 2024

Background:
Perineal trauma is a common problem seen after vaginal delivery, which has negative effects on different aspects of women's lives. Poor skin elasticity has been introduced as a predictor of perineal trauma, and the appearance of striae gravidarum is associated with poor skin elasticity. This review aimed to determine the association between perineal trauma and striae gravidarum through a systematic review and meta-analysis.

Materials and Methods:
We searched with MeSH terms (“Perineum” AND “Lacerations” OR “Rupture” AND “Striae Distensae”) and their equivalents in databases PubMed, Scopus, Science direct, Web of Science, ProQuest, Scientific Information Database (SID), Magiran, and Google Scholar search engine without time and language restrictions from the beginning of May until the beginning of September 2020. After reviewing the inclusion and exclusion criteria, and quality evaluation, ten articles were included in the systematic review, and we analyzed data of 6 articles using Stata ver 11.2.

Results:
The results indicated that the rate and severity of perineal trauma were directly related to the severity of striae gravidarum (OR = 8.28, 95%CI = 2.49–27.54, I2 = 86.64%).

Conclusions:
Based on the research results, the probability of perineal trauma was higher in individuals with moderate to severe striae than those with mild or without striae; therefore, we suggest evaluating striae score in the third trimester of pregnancy as a simple and noninvasive method to predict the risk of perineal trauma during childbirth. For reducing perineal injuries in women at risk, some supportive measures such as episiotomy and perineal massage are recommended.
Assessment and Reduction of Human Error using SHERPA Technique in Chemotherapy Department of a Large Military Hospital
Authors: Teymourzadeh Ehsan , Mehdizadeh Parisa , Yaghoubi Maryam , Firoozjaie Iman Taghizadeh 
Published: May 2024

Abstract

Background:
Medical errors are numerous in medical activities. Considering the sensitivity and importance of the medical group’s professions, the emergence of an apparently simple error can cause the death of an individual or even a group of individuals. The present study aims the evaluation and reduction of human error using a system human error reduction and prediction approach System Human Error Reduction and Prediction Approach (SHERPA) in the nurses of Baqiyatallah hospital’s chemotherapy ward in 2019.

Materials and Methods:
A cross-sectional study was conducted in the chemotherapy ward using the SHERPA technique. Then, the duties were determined in detail using Hierarchical Task Analysis (HTA). The errors were identified using the SHERPA checklist, and the risk outcomes and intensities were finally evaluated.

Results:
Based on the study findings, there are 109 possible errors for 48 sub-duties. The most frequent errors fall in the functional area (54%) and the least frequent errors pertain to the area of selection (3%).

Conclusions:
In order to reduce the errors and increase the quality of the services and safety of the patients, errors can be identified by using the SHERPA technique; after identifying these errors, using this technique, it is possible to prevent the recurrence of the identified errors by careful planning. Considering the fact that the most frequent error was found in the functional domain, modern protocols can be codified in this area, and standards can be observed for putting the problems of this section atop of the priority list and reducing the errors and increasing safety of the patients.
The Process of Deciding Mother’s Role for Preparing Children as Part of an Online Sexual Crime-Free Digital Society: A Grounded Theory
Authors: Saleha Nurmukaromatis , Andreswari Desi , Aprilatutini Titin , Nurlaili Nurlaili , Ema Komala Encik Putri 
Published: May 2024

Background:
In this technological era, there is a serious global threat to child development, the phenomenon of child sexual abuse via the internet (Internet Child Sexual Abuse/ICSA), and mothers must adapt to the era’s needs. The purpose of this study is to explore the decision-making process regarding the role of mothers in protecting their children from sexual harassment in the digital age.

Materials and Methods:
A grounded theory approach was used in Bengkulu, Indonesia, in 2021. Data were obtained through focus group discussions on 12 mothers, 4 girls, and 4 female activists (who were selected by theoretical sampling), which were analyzed using thematic analysis. Memos were generated after categorical analysis was sorted after saturation occurred.

Results:
Five theoretical categories formed the core category. The five categories of the theory were “mother’s views on sexual education in children,” “strategies for sexual communication with children,” “the negative impact of online media,” “limits in carrying out supervision,” and “preparation needed by children.” The memo was drawn theoretically, “new challenges in parenting,” which was then made into a core category. The core category was “preparing children to be part of a sex crime-free digital society.”

Conclusions:
Parents teach their kids self-control, awareness, and the importance of using virtual media wisely and selectively. The parenting and technology recommendations assist mothers in protecting their children from internet-based sexual crimes. Maternity nurses should promote reproductive health through the creation of relevant media.
Effect of Implementing a Life Skills Program on the Perceptions of Aging and Self-efficacy in Postmenopausal Women
Authors: Dibaj Zahra , Boromandfar Zahra , Maghsoudi Jahangir 
Published: May 2024

Background:
Complications experienced by women during menopause affect their self-efficacy and can cause a negative attitude toward this period and lifestyle changes. The aim of this study was to investigate the effects of a life skills program on the perception of aging and self-efficacy in postmenopausal women.

Materials and Methods:
This study was performed as a field trial on 70 postmenopausal women referring to Imam Ali and Navaab Safavi health centers in Isfahan, Iran, in 2018–19. The eligible subjects were randomly divided into experimental and control groups using a number table. The experimental group received the life skills program in five sessions and the control group shared their experiences in two sessions. Data were collected using a demographic characteristics form and the Ageing Perceptions Questionnaire (APQ) and General Self-Efficacy Scale (GSE) and were analyzed using descriptive and inferential statistical tests in SPSS software.

Results:
The results revealed that the mean score of aging perception immediately and 1 month after the intervention in the experimental group was significantly lower than that in the control group (p < 0.001). There was a significant increase in the self-efficacy score in the experimental group immediately (F1,67 = 121.89, p < 0.001) and 1 month after the intervention (F1,67 = 121.89, p < 0.001) compared to the control group.

Conclusions:
This life skills program was able to reduce the perception of aging and physical complaints during menopause and improve self-efficacy in women. Therefore, the implementation of this intervention is recommended in women.
Relationship among Maternal Perception of Childbirth Experience, Spiritual Health and Maternal-Infant Relationship in the Postpartum Women: A Cross-Sectional Study
Authors: Akhtarkia Zohreh , Kamrani Mahnaz Akbari , Farid Maliheh , Dana Hoorvash Faraji 
Published: May 2024

Abstract

Background:
Birth represents an influential moment in women’s lives that can be a powerful or traumatic experience. Therefore, the aim of this study was to assess the relationship among maternal perception of childbirth experience, spiritual health, and maternal-infant relationship in the postpartum women.

Materials and Methods:
This descriptive-analytical study was conducted on 305 postpartum women referred to Health Centers in Karaj. The data were collected using the Perception of Birth Scale (POBS), maternal postnatal relationship scale, and spiritual health questionnaire.

Results:
In this study, the mean (standard deviation (SD) age of the participants was 27.50 (5.56) years. The Spearman’s correlation test results showed that there was a significant positive relationship among the maternal perception of childbirth experience, the general maternal-infant relationship (r = 0.34, p < 0.001), quality of relationship (r = 0.17, p = 0.002), pleasure with interaction (r = 0.32, p < 0.001), and absence of hostility (r = 0.28, p < 0.001). In addition, a positive relationship was observed among spiritual health and general maternal-infant relationship (r = 0.21, p < 0.001), pleasure in interaction (r = 0.08, p = 0.164), absence of hostility (r = 0.15, p = 0.008), and the maternal perception of childbirth experience (r = 0.11, p = 0.039).

Conclusions:
It seems that to promote maternal-infant relationship, health care providers should not only try to promote physical intimacy between mother and infant but also create a positive emotional state for the mother during birth.
Current State of Palliative Care in Iran and Related Issues
Authors: Bagheri Imane , Hashemi Narges , Bahrami Masoud 
Published: May 2024

Background:
Palliative research studies seem to be limited and disperse in Iran. The present study was therefore conducted to review and categorize the Palliative Care (PC) studies performed in Iran in terms of the research type, the type/focus of PC, the measured outcomes in interventional palliative studies and their related results, the disease type, and their geographical distribution.

Materials and Methods:
This narrative review was conducted in 2021 in which both Iranian and international databases including PubMed, Scopus, Web of science, CINAHL, ProQuest, Magiran, SID, Noormags, ISC were searched. The inclusion criteria were original articles conducted in Iran and results published in Persian or English journals ab initio in which PC was assessed as a variable (dependent or independent) or the main concept.

Results:
A total of 1096 articles were identified from which only 44 articles were reviewed. The research studies were mainly focused on cancer and majority conducted in Tehran. Majority of studies were quantitative-interventional leading to a variety of positive changes in dependent variables, including reduce in pain severity, change in life pattern, a good response to therapy, increase life expectancy, improve in dysphagia, improve quality of life, reduce patients' metastasis, and increase in nurses' self-efficacy.

Conclusions:
The PC studies distributed across different fields and cities in Iran resulted to a number of positive outcomes for patients. More focused and robust research studies with different patients need to be conducted in this emerging field in Iran.
Protection Behaviors and Related Factors Against COVID-19 in the Healthcare Workers of the Hospitals in Iran
Authors: Toghanian Reyhaneh , Ghasemi Saeed , Hosseini Meimanat , Nasiri Malihe 
Published: May 2024

Background:
Protective behaviors play a key role in reducing the incidence of COVID-19 in HealthCare Workers (HCWs), and these behaviors are related to other factors. These related factors have not been comprehensively evaluated and determined in the literature. This study aimed to determine protection behaviors against COVID-19 and their related factors using the Protection Motivation Theory (PMT) among HCWs of hospitals in Tehran, Iran, in 2021.

Materials and Methods:
For this cross-sectional study, 270 HCWs of different wards in 3 hospitals in Tehran, Iran, were selected through multistage sampling (April to July 2021). The participants completed a self-reporting questionnaire which consisted of a demographic characteristics form and questions about protective behaviors against COVID-19 and other constructs of the PMT (60 items). Data analysis was performed using descriptive and inferential methods.

Results:
The mean score of the protective behaviors of the HCWs was 4.20 (SD = 0.56) and was significantly higher in the nurses, women, married individuals, and those with a BSc degree compared with others (p < 0.05). Furthermore, the results of multiple regression analysis showed that protection behavior among HCWs could be strongly predicted by the type of profession, protection motivation/intention, and self-efficacy constructs (F14, 255 = 16.34, p < 0.001).

Conclusions:
The protection behaviors of HCWs against COVID-19 were relatively desirable and these behaviors were related to and predicted by various factors. These results could apply to developing plans for protective behaviors against COVID-19 and possibly other infectious diseases among HCWs. Further research in this regard is recommended.
Safety and Health Management System, Safety Climate, and Accident Occurrences in Hospitals: The Study of Needlestick, Sharp Injuries and Recidivism Rates
Authors: Akbari Jafar , Ghadami Ahmad , Taheri Mohammad Reza , Khosravi Nasrin , Zamani Shirin 
Published: May 2024

Background:
Hospital Safety and Health Management System (HSH-MS) and Hospital Safety Climate (HSC) are the significant elements to develop safe work practices. The current study aimed to examine the dimensions of HSH-MS and HSC and the association with the prevalence of Needlestick and Sharp Injury (NSI) and NSI recidivism.

Materials and Methods:
A cross-sectional study was conducted among 1070 nurses in Iranian hospitals (89% response rate).

Results:
More than 54% (n = 579) had sustained at least 1 NSI in the previous year. The NSI recidivism rate was 8.6% and recidivists were more likely to be younger, female, married, with higher Body Mass Index (BMI), and on night shift. Two aspects of HSH-MS including management leadership and employee participation were associated with the incidence of NSIs Odds Ratio (OR): 1.91 and 95% Confidence Interval (CI): 0.69–1.21; OR: 1.29 and 95% CI: 0.92–1.82) and NSI recidivism rate (OR: 1.98 and 95% CI: 0.55–1.74; OR: 1.12 and 95% CI: 0.83–1.49). Furthermore, three dimensions of HSC comprising management support (OR: 1.02 and 95% CI: 0.93–1.11 for NSIs; OR: 1.21 and 95% CI: 0.77–1.22 for NSI recidivism), absence of job hindrances (OR: 1.06 and 95% CI: 0.98–1.16 for NSIs; OR: 1.11 and 95% CI: 0.96–1.30 for NSI recidivism) and cleanliness/orderliness (OR: 1.07 and 95% CI: 0.98–1.08 for NSIs; OR: 0.84 and 95% CI: 0.87–0.97 for NSI recidivism) were correlated with reduced NSIs risk.

Conclusions:
This study suggests that HSH-MSs and employees’ safety climate are significant factors, which are correlated with not only the prevalence of recurrent NSIs but also the single NSI in hospitals.
Challanges of Meeting the Palliative Care Needs of Colorectal Cancer patients in Iran
Authors: Bahrami Masoud , Sadeghi Alireza , Mosavizadeh Rohallah , Masoumy Masoumeh 
Published: May 2024

Background:
Despite the high prevalence of Colorectal Cancer (CRC) in Iran and the need to pay more attention to the Palliative Care (PC) needs of patients with this disease, a few studies have previously examined the PC needs of them by gaining the patients', family members', and treatment team's views. This study aimed to investigate the challenges in the way of meeting the PC needs of CRC patients.

Materials and Methods:
This study was a qualitative content analysis study conducted on 43 participants (including 15 patients, 20 health care providers, and eight family members) through purposive sampling and semi-structured individual interviews in Omid Educational and Medical Center and Iranian Cancer “Control Center (MACSA) in Isfahan from May 2020 to December 2021. Data analysis was performed simultaneously with data collection using conventional qualitative content analysis with the Graneheim and Lundman approach. In order to assess the trustworthiness of the obtained data, credibility, dependability, confirmability, and transferability criteria were used.

Results:
Data analysis led to the production of 615 primary codes, 16 sub-categories, and five main categories. These five main categories included “Lack of facilities and equipment”, “Lack of quality of services provided by the treatment team”, “Insufficient financial support to the patient and family”, “Insufficient psychological and emotional support from the patient and family”, and “Inefficiency of the patient and community awareness process”.

Conclusions:
To improve the quality of care and increase patients’ satisfaction with the provided services, it is recommended that policymakers should meet the challenges of the PC.
Correlation between Quality of Work-Life and Job Burnout in Midwives
Authors: Malekzade Najme , Janighorban Mojgan , Dadkhahtehrani Tahmineh 
Published: May 2024

Background:
Job burnout of healthcare professionals results in poor quality of care, making them leave the profession. A direct relationship between quality of work-life and job burnout is not clear among midwives. The aim of this study was to investigate the correlation between the quality of work-life and burnout in midwives.

Materials and Methods:
This correlational cross-sectional study was conducted by using census sampling and participation of 282 midwives working in all private and public hospitals with labor wards (n = 17) in Isfahan, Iran, in 2018. Quality of Work-life Questionnaire and Maslach Burnout Inventory were used. Partial correlation and regression analysis were used to analyze the data in SPSS.19 software.

Results:
Regarding the three dimensions of job burnout, an average level of emotional exhaustion and personal accomplishment as well as a low level of depersonalization were observed in the participants. The total score of quality of work-life had a significant inverse correlation only with the dimension of emotional exhaustion (r = −0.43, p > 0.001). The dimensions of quality of work-life were predictive of 28% and 12% variance of job burnout in the dimensions of emotional exhaustion and personal accomplishment (R2 = 0.28 and R2 = 0.12, respectively).

Conclusions:
Job burnout is correlated to the quality of work life among midwives. To improve the quality of midwives’ services and prevent their job burnout, especially emotional exhaustion, more attention should be paid to improving the quality of their work-life.
The Experiences of Nurses of Infectious and Non- Infectious Wards of Caring COVID-19 Patients in a Big Hospital in Iran
Authors: Yousefi Mehdi , Ebrahimi Zahra , Fazaeli Somayeh 
Published: May 2024

Background:
Nurses play a very important role in caring for patients with coronavirus disease-19 (COVID-19). They are on the frontline fighting COVID-19. The objective was to explore the experiences of nurses in the surgical and infectious wards about caring for patients with COVID-19 in a large and tertiary care hospital in Iran.

Materials and Methods:
This was a qualitative study. Semi-structured qualitative interviews were conducted with 18 nurses in the Imam Reza Hospital Complex from April to May 2020, Mashhad, Iran. Data analysis was performed using the method proposed by Lundman and Granheim. The Maxqda10 software was used.

Results:
The experiences were summarized into three categories: (1) experiencing new feelings and relationships with colleagues and patients, (2) viewpoints about managers' performance, and (3) concern about getting infected with COVID-19. Findings reflected similar experiences on personal protective equipment between nurses in the surgical and infectious wards. Experiencing new feelings and relationships with colleagues and patients and concern about getting infected and spreading the COVID-19 were mostly expressed by infectious nurses and surgical nurses, respectively.

Conclusions:
This research results provide evidence of the experiences of infectious and non-infectious disease nurses who are currently caring for COVID-19 patients. Due to some differences between the experiences of these two groups in COVID-19, it is suggested to pay more attention to the needs and required skills in the staff mix during a crisis.