bluuebunny/crossref_metadata_2025_split huggingface dataset:
Living with Mental Distress, Social Anger, and In-Group Commitment among Working Children: A Qualitative Study
Authors: Jafari Haleh , Varaei Shokoh , Brand Serge , Dehghan Nayeri Nahid , Fazeli Nematollah , Khoshnavay Fomani Fatemeh , Nasrabadi Alireza Nikbakht 
Published: May 2024

Background:
Working as a child can have various effects on all aspects of children’s health. Investigating and identifying issues related to the health of working children can be useful in promoting their health. Therefore, in this qualitative study, we examined issues related to the mental health and behavior of working children.

Materials and Methods:
This qualitative study was conducted in Tehran, Iran, in 2021 with the contractual content analysis approach. The main participants (N = 32) in this study were working children aged 10 to 18 years. To collect data, in-depth and semi-structured interviews were conducted with working children, their parents, and the center officials. In addition to the interview, some field notes were also taken from interactions between working children. After each interview, they were transcribed and coded. After 27 interviews, the data were saturated, no new code was extracted, and further interviews were conducted to ensure data saturation. Data analysis was performed based on the proposed method of Lundman and Graneheim.

Results:
The results revealed the three main categories of mental distress (fear and anxiety, depression, loneliness and isolation, decreased self-confidence, and decentralized mind), social anger (negative social role modeling, harassment and harm of others, reprehensible and antisocial behavior, disregard for the property of others, disrupted relationships, and violence), and in-group commitment (self-censorship outside the group, individual independence and group cohesion, and caring for the group).

Conclusions:
Most working children suffer from various forms of mental and behavioral issues, which, if not taken care of, can have irreparable consequences.
Nursing Intervention for Quality of Life in Patients with Ostomy: A Systematic Review
Authors: Heydari Abbas , Manzari Zahra Sadat , Pouresmail Zohre 
Published: May 2024

Abstract

Background:
Ostomy-related challenges in everyday life may negatively affect patients’ Quality of Life (QL), even long after ostomy surgery. Nurses provide care interventions that may have a significant effect on the patients’ QL. Therefore, the purpose of the present study was to determine evidence of effective nursing interventions on the QL of patients with an ostomy.

Materials and Methods:
A systematic review was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. English articles published from 2000 to 2021 were identified and retrieved from PubMed, Medscape, MedlinePlus, ScienceDirect, Web of Science, Scopus, Wiley Online Library, ProQuest, ClinicalKey, SAGE, IRCT, and Cochrane. We assessed all included studies (18 articles) using the JBI Critical Appraisal Checklist.

Results:
Interventions reviewed in the study were categorized based on intervention, content of nursing intervention, training method, and target group of the nursing intervention. The nursing interventions involved natural treatments, self-care, and psychological support for patients. The training methods used in the studies included demonstration and lecture, mixed media presentation including PowerPoints, and Internet tools such as WeChat Applications. Some interventions were only presented to patients, caregivers, caregivers and patients together, or peer patients.

Conclusions:
According to the results of the present study, it is suggested that a regular care plan be used with the participation of families and patients from pre-operational to discharge along with nurses’ follow-ups and home care to promote the QL. A combination of self-care and psychological education can promote these patients’ QL.
Psychometric Properties of Persian Version of the Bakas Caregiving Outcomes Scale
Authors: Pishkhani Maryam Khoshbakht , Ebadi Abbas , Dalvandi Asghar , Aroogh Manijeh Dehi , Vosoghi Nazila , Ghorbanzadeh Kobra 
Published: May 2024

Background:
Caregivers of stroke patients have many problems due to caring for patients. This study aimed to evaluate the psychometric properties of the Persian Version of the Bakas Caregiving Outcomes Scale (BCOS) in caregivers of stroke patients.

Materials and Methods:
This methodological study was conducted in 2018 with 191 caregivers of stroke patients. In order to assess the scale validity and reliability, the face, content, internal consistency, stability of the scale, and construct validity (exploratory and confirmatory factor analysis) were done.

Results:
The scale face and content validity qualitatively were checked and confirmed by caregivers' and experts' opinions. In the reliability, Cronbach's alpha was obtained to be 0.93. The test-retest was conducted on 30 participants and showed good stability after 2 weeks. The Intraclass Correlation Coefficient (ICC) for the total scores was reported to be 0.94. The Kaiser-Meyer-Olkin p value was 0.90, Bartlett's sphericity test was significant (p < 0.001), in the exploratory factor analysis, 2 factors with 14 items were extracted. The confirmatory factor analysis confirmed the appropriate model with 14 items (removal of item 13) with two factors at the expected level.

Conclusions:
The Persian version of the 14 items of the BCOS indicates satisfactory reliability, and validity in the Iranian caregivers of stroke patients.
Effectiveness of Developmentally Supportive Education Program on Nursing Knowledge of Retinopathy of Prematurity in Neonatal Intensive Care Unit
Authors: Sankar Bindu Kunnumpurath , Marakkar Riaz Karoly , Varghese Shalu 
Published: May 2024

Background:
Retinopathy of Prematurity (ROP) is a preventable cause of childhood blindness. India accounts for nearly 10% of the worldwide estimate of blindness and visual impairment due to ROP. Nurses are pillars of neonatal intensive care units (NICUs) and play a critical role in the prevention and management of ROP. The primary aim of this study was to evaluate the effect of developmentally supportive education program on knowledge regarding prevention and management of ROP among nurses working in NICU.

Materials and Methods:
A hospital based pre-experimental, one group pre-test–post-test study was carried out among 32 staff nurses working in the NICU of a tertiary care center during January to February 2019. Knowledge regarding the prevention and management of ROP was assessed before and after the implementation of developmentally supportive education program using a structured knowledge questionnaire.

Results:
Pre-test knowledge score was mean (Standard Deviation [SD]) 9.00 (3.68) and after the educational program post-test knowledge score was found to be mean (SD) 14.53 (2.39). Paired t-test was used to evaluate the effect of developmentally supportive education program and was found to be statistically significant (t32= 10.09, p < 0.001).

Conclusions:
Developmentally supportive educational program can be used as an effective intervention for improving the knowledge regarding ROP among nurses in NICU.
The Effect of Gentle Touch on Cardiorespiratory Indices and Pain Behaviors Related to Venipuncture and Blood Sampling in Preterm Infants Under Intensive Care
Authors: Bahrami Pariya , Sheikhan Elaheh , Soulari Zohre Shams , Golchin Mehri 
Published: May 2024

Abstract

Background:
Infants undergo extremely painful procedures in a Neonatal Intensive Care Unit (NICU), which if left uncontrolled may cause complications. Therefore, this study was conducted to investigate gentle touch effect on cardiorespiratory indices and pain behaviors related to venipuncture and blood sampling in preterm infants.

Materials and Methods:
A quasi-experimental study was undertaken in gentle touch and control groups in three stages. The population included premature infants in NICU of Al-Zahra Hospital, Isfahan, Iran. Using convenience sampling, 52 infants were randomly selected and assigned to two groups (n = 26). Gentle touch technique and measurement of cardiorespiratory indices were performed 5 minutes before, during, and 5 minutes after procedure, and routine care was provided for control group. Neonatal pain and cardiorespiratory indices were assessed using the Neonatal Infant Pain Scale (NIPS) and an intensive care monitor. Data was analyzed using repeated measures ANOVA, independent t-test, and Chi-square test in SPSS software.

Results:
The independent t-test revealed a significant difference between mean pain score of the infants in two groups during the procedures (t50 = -3.32, p = 0.002), but no significant different was between groups before and after the procedure (p > 0.05). However, the cardiorespiratory indices were not significantly different before, during, and after the procedure (p > 0.05).

Conclusions:
The results suggest that gentle touch reduced the infants’ pain during venipuncture and blood sampling. Thus, it is recommended this method be applied to mitigate pain in premature infants.
Medication Errors among Iranian Intensive Care Nurses: A Systematic Review
Authors: Marznaki Zohreh Hosseini , Zeydi Amir Emami , Ghazanfari Mohammad Javad , Salisu Waliu Jawula , Amiri Mehdi Mohammadian , Karkhah Samad 
Published: May 2024

Background:
Medication Error (ME) is a major patient safety concern in Intensive Care Units (ICUs). Critical care nurses play a crucial role in the safe administration of medication. This study was conducted to comprehensively review the literature concerning the prevalence of ME and associated factors and outcomes in Iranian ICU nurses.

Materials and Methods:
An extensive search of the literature was carried in international databases including PubMed, Web of Science, Scopus, and Google Scholar, as well as Persian databases such as Magiran and Scientific Information Database (SID) using ME-related keywords and the Persian equivalent of these keywords, from the first article written in this field to artcles published on March 30, 2021. The appraisal tool (AXIS tool) was used to assess the quality of the included studies.

Results:
Fifteen studies were included in this systematic review. The prevalence of MEs made by ICU nurses was 53.34%. The most common types of MEs were wrong infusion rate (14.12%), unauthorized medication (11.76%), and wrong time (8.49%) errors, respectively. MEs occurred more frequently in morning work shifts (44.44%). MEs happened more frequently for heparin, vancomycin, ranitidine, and amikacin. The most important influential factor in the occurrence of MEs in ICUs was management and human factors.

Conclusions:
The prevalence of MEs made by Iranian ICU nurses is high. Therefore, nurse managers and policymakers should develop appropriate strategies, including training programs, to reduce the occurrence of MEs made by nurses in ICUs.
Improving Nurses’ Knowledge, Practice, and Self-Efficacy Regarding Caring Patients with Tuberculosis: A Quasi-Experimental Design
Authors: Elgazzar Samia Eaid , Elkashif Mirfat Mohamed Labib , Elbqry Mohamed Goda , Elmansy Fatma Mohamed 
Published: May 2024

Abstract

Background:
Tuberculosis (TB) control depends on healthcare professionals ‘knowledge, practice, and self-efficacy when managing high-risk groups. So the study aimed to evaluate the effectiveness of a structured educational program in improving nurses’ knowledge, practice, and self-efficacy in caring for patients with TB.

Material and Methods:
A pre-test post-test quasi-experimental design was conducted on 36 nurses at Chest hospital Al Masah al Bahri in port said city and the Chest Hospital in Damietta City, Egypt. Data were collected using three self-administered questionnaires to assess knowledge, practice, and self-efficacy by using convenience sampling from March to August 2019. Data analyses were done by using a paired t-test, a Student t-test, and an F-test analysis of variance.

Results:
Based on data related to the two groups before and after the study in knowledge, practice (t = 8.27, p < 0.001), and self-efficacy (t = 28.91, p < 0.001), there was a significant difference between knowledge and overall knowledge scores (t=14, p < 0.001). Mean scores were significantly increased for practice items about the nursing role in medication, directed observed therapy, and the overall practice score; and for self-efficacy, which increased from 27.58 to 37.86 (p = <0.001). The results indicate that nurses’ knowledge, practice, and self-efficacy were enhanced by the implementation of the educational program.

Conclusions:
There is scope for development in knowledge, practice, and self-efficacy using the educational program among nurses. Training programs must be implemented in quality control to aid nurses in realizing the significance of information in reducing disease and death and enhancing the quality of care.
Comparing the Effectiveness of Arnebia euchroma with ClotrimazoleVaginal Cream for the Treatment of Vulvovaginal Candidiasis
Authors: Mohammadi Solmaz , Pajohideh Zahra Sadat , Iravani Mina , Mojab Faraz , Maraghi Elham 
Published: May 2024

Background:
Vulvovaginal candidiasis is the second most common cause of vulvovaginal infections. Due to the increasing resistance to synthetic antifungal drugs, the use of drugs with a natural origin is a priority. The aim of the present study was to compare the effectiveness of Arnebia euchroma with vaginal cream clotrimazole 1% United States Pharmacopeia (USP) for the treatment of vulvovaginal candidiasis.

Materials and Methods:
This triple-blind trial study was performed on 112 women with diagnosed Candida vaginitis clinically and by a laboratory test, patients were randomly divided into two groups receiving Arnebia euchroma and vaginal clotrimazole (56 people per group) in clinics and medical centers Ahvaz (Iran) from April 2018 to April 2019. Clinical and laboratory symptoms were recorded at the beginning of the study and 1 week after the end of treatment by a researcher-made questionnaire. Data analysis were performed using SPSS software v-23. p < 0.05 was considered significant.

Results:
After the intervention, vaginal culture was negative in terms of Candida in 17 (36.17%) patients of the Amoeba euchroma group and 37 (69.81%) patients of the clotrimazole group. The Chi-square showed that there was a significant difference between the culture results in both groups (χ
2 = 10.10, df = 1, p = 0.001). No differences were observed between the two groups in terms of vaginal symptoms based on adjustment for age and using a logistic regression model.

Conclusions:
A vaginal cream containing Arnebia euchroma could reduce the complaints of vulvovaginal candidiasis. But, future studies with larger sample sizes and different dosages are recommended.
Comparison of the Impacts of Benson Relaxation Technique and Foot Reflexology Massage on Sleep Quality of Patients with Systolic Heart Failure: A Randomized Clinical Trial
Authors: Bakavoly Masoumeh Emami , Sajjadi Moosa , Ghasemi Reza , Ajamzibad Hosein 
Published: May 2024

Abstract

Background:
Cardiovascular diseases can affect sleep quality. The use of non-pharmacological methods to improve the sleep quality of heart failure patients is essential. Therefore, this study compared the effects of the Benson relaxation technique and foot reflexology massage on sleep quality of those patients.

Materials and Methods:
In this clinical trial study, 93 patients with systolic heart failure referred to Javad Al-Aeme heart clinic in Torbat Heydarieh were selected with purposive sampling method and divided into the foot reflexology massage, Benson relaxation technique, and control groups using the balanced blocking randomization method. The Benson relaxation technique and the foot reflexology massage were performed for 20 and 30 minutes three days per week for four weeks, respectively. The control group only received routine care. Sleep quality was measured by the Pittsburgh sleep quality index and then compared among the groups before and after the intervention. The data were analyzed using ANOVA, Tukey’s post hoc tests, paired t test, and Chi-square at the significant level of p < 0.05.

Results:
After interventions, the mean (SD) quality of sleep significantly increased in both intervention groups (Reflexology: pre-intervention 10.80 (3.40), post-intervention 6.60 (3.10), Benson relaxation: pre-intervention 15.50 (2.40) post-intervention 12 (2.60), compared to the control group (pre-intervention 10.50 (1.90) post-intervention 9.40(1.70) (p < 0.001). There was no significant difference between the two intervention groups (p = 0.53).

Conclusions:
The interventions improved the quality of sleep in patients with systolic heart failure. Therefore, these methods can be used as a suitable complementary treatment to improve the quality of sleep by nurses and midwives.
A Thematic Analysis of Dimensions of Spiritual Care
Authors: Abbasi Mohammad , Eskandari Narges , Heidari Akram , Heidari Morteza , Yoosefee Sadegh , Adeli Seyed-Hasan , Kazemi Abdolhassan 
Published: May 2024

Background:
An overview of spiritual care studies can help reveal the dimensions of spiritual care and summarize the findings of available studies. Thus, we designed the present study based on existing studies to explain the dimensions of spiritual care.

Materials and Methods:
In this thematic analysis, we gathered the related articles published in Persian and English in the last 8 years (2013–2021) with the help of the keywords of Care, Support, Spirituality, Religion, Treatment, Hospice, and Palliative, and searching in electronic databases, including PubMed, Scopus, Web Of Sciences, Magiran, Islamic Science Citation (ISC), and Scientific Information Database (SID). We accurately studied 79 articles that met the inclusion criteria, and then the spiritual care components were extracted and coded, and finally, the codes were categorized as themes and sub-theme.

Results:
Thematic analysis of available studies revealed that the dimensions (theme) of spiritual care include: spiritual and religious assessment, developing a structure for providing spiritual care, establishing effective and supportive communication with the patient, training the patient, answering his questions, encouraging, maintaining, and improving social communications, encouraging the patient to live happily, helping the patient to achieve peace and calmness, supporting for spiritual rituals and activities, supporting and training the patient's family, and supporting the dying patient.

Conclusions:
Spiritual care includes various and numerous dimensions. Considering the widespread dimensions of spiritual care, it seems necessary to design and plan appropriate studies to reveal other spiritual care dimensions from the perspective of patients and care providers in different cultures.
The Relationship Between Professional Autonomy and Job Stress Among Intensive Care Unit Nurses
Authors: Asl Rasool Gharaaghaji , Taghinejad Roghaie , Parizad Naser , Jasemi Madine 
Published: May 2024

Background:
Autonomy is an essential factor in the nursing profession. Nurses' autonomy can improve care quality, decrease mortality in patients, and attenuate job stress. This study aimed to investigate professional autonomy and its relationship with job stress among nurses working in Intensive Care Units (ICUs).

Materials and Methods:
This descriptive correlational study was conducted at Urmia nursing school in Iran in 2020. Three hundred ninety-eight nurses working at the ICUs entered the study. Data was collected using the Dempster Practice Behavior Scale (DPBS) and the Health and Safety Executive (HSE) questionnaire. Independent t-test and analysis of variance (ANOVA) were used to examine the relationship between demographics and study variables. Pearson's correlation coefficient was used to investigate the relationship between professional autonomy and job stress of nurses.

Results:
The mean (SD) of total professional autonomy and job stress score of nurses was, respectively, 102. 11(91. 88), and 115. 53(12. 42), indicating moderate autonomy and job stress. Professional autonomy had a significant positive correlation with job stress (r = 0.51, p < 0.001). It also had a significant positive correlation with work experience in ICU (r = 0.12, p = 0.014).

Conclusions:
ICU nurses have moderate autonomy and job stress, and their autonomy is a significant positive predictor of their job stress. University authorities are recommended to develop practical strategies to enhance nurses' autonomy and eliminate factors that cause job stress in ICU nurses in order to preserve nurses' health, improve the quality of nursing care, and increase patient safety.
Early Enteral Nutrition Met Calories Goals Led by Nurse on Improve Clinical Outcome
Authors: Koontalay Apinya , Suksatan Wanich , Teranuch Aumpornpun 
Published: May 2024

Background:
Critically ill patients face challenges in hypercatabolism due to crisis states, as it may lead to malnutrition. An early Enteral Nutrition (EN) within 24–48 h is recommended to use in order to improve clinical outcomes. This systematic scoping review is examined recently with the evidence of the early EN protocol led by nurses to drive and achieve the daily calorie target and improve clinical outcomes.

Materials and Methods:
The database of CINAHL, MEDLINE via PubMed and Scopus, Web of Science, and Embase through Ovid from January 2019 to September 2020, comprised of 221 articles which four articles are chosen and entered into the final analysis.

Results:
The findings show the benefits of the early EN to guide nurses to start the EN as soon as possible after admitted to the Intensive Care Unit or when hemodynamic is stable in order to achieve a daily calorie target regarding the reduced hospitalization, duration of mechanical ventilation, morbidity, and mortality.

Conclusions:
The synthesized results show the early EN led by a nurse to address the specific needs and the vital role of nutritional support, and also drive the enteral feeding for critically ill patients to reach the calorie target goals in short times to enhance clinical outcomes.
Barriers to Providing Spiritual Care from a Nurses' Perspective
Authors: Momeni Ghodratollah , Hashemi Maryam Sadat , Hemati Zeinab 
Published: May 2024

Background:
Spirituality is an important dimension of holistic nursing, and spiritual care is essential to ensure the achievement of optimal care in nursing profession. The aim of this study was to explain the obstacles to providing spiritual care from the perspective of nurses.

Materials and Methods:
The present qualitative study was conducted between November 2020 and June 2021 with a content analysis approach. Participants included 30 nurses, selected through purposive sampling, working in the general wards and intensive care units of Isfahan University hospitals. Data collection method was semi-structured personal interviews. After recording and transcription word by word, all data were analyzed through qualitative content analysis. MAXQDA 11 was used for data analysis.

Results:
Research findings included 323 primary codes and two main categories “individual barriers and organizational barriers” and eight subcategories “non-compliance with human resources standards, lack of attention of organizational managers to the importance of holistic care, motivational barriers, training barriers, barriers to interprofessional collaboration, environmental barriers, barriers related to the nurses, and communication barriers.”

Conclusions:
Using the results of the study, policymakers and nursing managers will be able to help facilitate spiritual care, and ultimately, improve the quality of nursing care by improving the infrastructure and removing existing barriers.