bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effect of an Educational Intervention Based on Protection Motivation Theory on Pregnant Women’s Knowledge and Self-Protection Regarding COVID-19. An Intervention Study
Authors: Elgzar Wafaa Taha , Sayed Samiha Hamdi , Hussien Naglaa Kamel , Allam Tahany Hassan 
Published: May 2024

Abstract

Background:
COVID-19 infection endangers pregnant women and newborns. Infection prevention measures are available and easy to apply, but the problem is the application continuity. Empowering pregnant women to increase their intention for self-protection is very important. This study explores the effect of educational intervention based on the Protection Motivation Theory (PMT) on pregnant women’s knowledge and self-protection regarding COVID-19.

Materials and Methods:
A randomized, controlled trial was conducted at the Obstetrics and Gynecology outpatient clinic at El Shatby Hospital, Alexandria governorate/Egypt, from November 2020 to May 2021. The study included a convenient sample of 163 pregnant women using the randomization block technique. A self-reported questionnaire was used for data collection. For the intervention group, the PMT-based education included need assessment, planning, implementation, and evaluation. Two months later, a reevaluation was done.

Results:
ANCOVA showed a significant improvement in the intervention group’s knowledge (F1 = 8.56, p < 0.001) when taking the pretest as a reference. The effect size shows that 25.8% of the intervention group’s knowledge improvement and 58.80% of the difference between the two groups were due to intervention. ANCOVA showed a significant improvement in the intervention group’s PMT constructs when taking the pretest or group as a reference (p <0.001). The effect size shows that 56.10% of the intervention group’s total PMT constructs improvement and 89.60% of the differences between the two groups were due to the intervention.

Conclusions:
PMT-based intervention is effective in improving pregnant women’s knowledge and self-protection intention regarding COVID-19. PMT is recommended to tailor educational intervention for pregnant women.
The Effects of Kinesio Tape on Low Back Pain and Disability in Pregnant Women
Authors: Aalishahi Tayebeh , Maryam-Lotfipur-Rafsanjani Seyede , Ghorashi Zohreh , Sayadi Ahmad Raza 
Published: May 2024

Background:
Low Back Pain (LBP) is one of the most common complaints during pregnancy, which could cause performance disability. Kinesio tape is a drug-free elastic therapeutic cotton tape used in treating musculoskeletal problems. This study aims to determine the effects of Kinesio tape on LBP and disability in pregnant women.

Materials and Methods:
A total of 80 pregnant women with LBP who were referred to the comprehensive health service centers were randomly assigned into the two groups of Kinesio tape and adhesive tape. Pain intensity was determined by the visual analog scale before and on the 1st, 2nd, 7th, and 14th day after the intervention and the disability by Roland-Morris disability questionnaire before and on the 7th and 14th day after the intervention. Data analysis was performed by, Two-way repeated-measures ANOVA, Friedman, and Wilcoxon tests.

Results:
The intensity of pain decreased in both groups compared to the pre-intervention period; Kinesio (χ2 = 48.94, df = 4, p < 0.001) control (χ2 = 22.94, df = 4, p < 0.001); however, the comparison results of pain intensity were not different in the two groups at different times (p ≥ 0.05). The effects of time was significant (Two-way repeated-measures ANOVA, F1,83= 10.63, p < 0.001), but the effects of time and group were not significant (F1,83= 0.31, p = 0.722) and indicated a decreasing trend of functional disability in two groups.

Conclusions:
The Kinesio tape reduced the disability caused by LBP during pregnancy and had a lasting effect after the tape was removed.
Resuscitation Team Members ‘Experiences of Teamwork
Authors: Hosseini Mohammad , Heydari Abbas , Reihani Hamidreza , Kareshki Hossein 
Published: May 2024

Background:
Despite the obvious importance of teamwork in emergency care, the dimensions of teamwork in resuscitation remain a subject of debate among specialists and researchers. The aim of this study was to identify the dimensions of teamwork based on the experiences of members of the resuscitation team.

Materials and Methods:
This study was conducted between March 2020 and April 2021. By purposive sampling, participants were selected. Sixteen semi-structured interviews were conducted with experienced emergency nurses and emergency medicine residents individually and analysed through deductive content analysis by using the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) model. Interviews were encoded for analysis using MAXQDA software (version 2020).

Results:
Three main categories were identified around teamwork in resuscitation. These categories were as follows (1) leadership, (2) teamwork, and (3) essential prerequisites for resuscitation. The main leadership category consisted of three sub-categories of time management, resource allocation, and task management. From sub-categories, situation monitoring, communication, and mutual support, the main category of teamwork emerged. Also, the emerging category of essential prerequisites for regeneration included two generic categories: professional requirements and workplace requirements and the teamwork category included situation monitoring, communication, and mutual support.

Conclusions:
Based on the experiences of the resuscitation team members, leadership, teamwork, and essential prerequisites for resuscitation are the most important dimensions of teamwork in resuscitation. Recognizing the dimensions of teamwork in resuscitation is an initial step and then should be reflected in educational programs and future guidelines.
Psychometric Properties Evaluation of Persian Version of the Maastricht Clinical Teaching Questionnaire
Authors: Assarroudi Abdolghader , Zardosht Roghayeh 
Published: May 2024

Background:
Students are a significant source of data for the evaluation of clinical instructors’ performance. This study was undertaken with the aim of adaptation and validation of the Persian version of the Maastricht Clinical Teaching Questionnaire (MCTQ). The main objective of the researchers in this study was to evaluation the psychometric properties of the Persian version of the Maastricht Clinical Training Questionnaire (P-MCTQ) in Iran, considering cultural and social differences.

Materials and Methods:
This methodological study was conducted from 2019 to 2021 at four teaching hospitals affiliated with Sabzevar University of Medical Sciences, Iran. Qualitative and quantitative face and content validity, and construct validity methods were used for the validity evaluation. Stability and internal consistency methods were used, respectively, for the reliability evaluation of the questionnaire. Exploratory Factor Analysis (EFA) stage, 264 students studying in the fields of nursing, midwifery, anesthesiology, operating room, emergency medicine, and laboratory sciences completed the P-MCTQ.

Results:
The value of scale-content validity index (0.92) is indicative of the overall content validity of the questionnaire. EFA extracted a single-factor structure that could explain the overall variance of the clinical education structure at about 76.61%. The alfa and intraclass correlation values were equal to 0.98 and 0.82, respectively, indicating the excellent internal consistency and high overall stability of the questionnaire.

Conclusions:
The P-MCTQ is a valid and reliable tool for the evaluation of the teaching performance of clinical instructors.
Exploring the Motivations of Pregnant Women to Seek Health Information
Authors: Javanmardi Marzieh , Noroozi Mahnaz , Mostafavi Firouzeh , Ashrafi-Rizi Hasan 
Published: May 2024

Background:
Health information-seeking behavior is directed by various factors. Understanding the motivations of pregnant women to obtain health information can facilitate evidence-based policy-making to enhance their health literacy. Therefore, this study was conducted to explore the motivations of pregnant women to seek health information.

Materials and Methods:
In this qualitative study with a content analysis approach, 39 participants, including pregnant women, midwives, and gynecologists in Isfahan city, Iran, were selected via purposive sampling with maximum variation strategy. Individual interviews, field notes, and daily notes were used to collect data, which was then analyzed using conventional qualitative content analysis.

Results:
Analysis of data resulted in one main category of “strive to protect the health of mother and fetus.” This main category consisted of four subcategories, including “increasing information related to maternal and fetal health,” “preventing recurring problems or causing complications in pregnancy,” “reducing worry about pregnancy problem,” and “receiving encouragement from the spouse, relatives, and healthcare providers.”

Conclusions:
According to the findings, pregnant women seek health information for a variety of reasons, including learning more about their own health and that of their fetus, preventing recurring problems or complications, alleviating concerns about pregnancy problems, and receiving encouragement from husbands, relatives, and healthcare providers. Thus, health professionals, midwives, and antenatal care providers should be aware of these issues and provide more evidence-based information to pregnant women at the time they require it.
Relationship between Health Literacy and Knowledge, Attitude, and Performance Regarding Cancer Warning Signs
Authors: Koohpayeh Seyedeh Atefeh , Estebsari Fatemeh , Lashani Fatemeh , Homayouni Abdollsamad , Nasiri Malihe 
Published: May 2024

Background:
Health literacy (HL) is considered a cancer-preventive strategy. In addition, success in early diagnosis of cancer largely depends on individuals' knowledge, attitude, and performance regarding cancer warning signs. The aim of the present study was to investigate the potential relationship between HL and Knowledge, Attitude, and Performance (KAP) regarding cancer warning signs.

Materials and Methods:
This descriptive-correlational study was conducted on 280 adults who were referred to 3 health centers in Tehran, Iran, from January to March 2020. Data were collected using the Health Literacy Instrument for Adults (HELIA) and the researcher-made KAP regarding cancer warning signs questionnaire. Data were analyzed using the Pearson correlation test and linear regression in an adjusted model in the statistical package for social sciences software.

Results:
Total HL score was positively and significantly correlated with knowledge (r = 0.35; p < 0.001), attitude (r = 0.17, p = 0.003), and performance (r = 0.46, p < 0.001). Moreover, after controlling for potential confounders, a significant and positive relationship was found between HL and knowledge (β = 0.48; t275= 4.45; p < 0.001), attitude (β =0.17; t265= 4.64; p < 0.001), and performance (β = 0.62; t265= 8.23; p < 0.001).

Conclusions:
It seems that adults' KAP regarding cancer warning signs can be promoted by increasing their HL. Therefore, greater attention should be paid to individuals' HL at community health centers when designing and performing programs to improve their KAP regarding cancer warning signs.
Effect of Health Belief Model-Based Education on Infection Control Standard Precautions in Prehospital Emergency Staff
Authors: Amini Roya , Mohamadkhani Mahnaz , Khodaveisi Masoud , Karami Manoochehr 
Published: May 2024

Background:
Standard precautions are a basic strategy to prevent occupational exposure in prehospital emergency staff. The Health Belief Model (HBM)-based education can be used to promote and educate health behavior. The aim of this study was to investigate the effect of the HBM-based education on infection control standard precautions in prehospital emergency technicians.

Materials and Methods:
This clinical trial study was conducted on 84 prehospital emergency staff of Hamadan who were randomly assigned to two groups: Experimental (n: 42) and control (n: 42) using a cluster method. The data were collected by a researcher-developed questionnaire. Before education, the questionnaires were completed by both groups, and then three educational sessions were held for the experimental group within one month. Two months after the intervention, the two groups completed the questionnaire and the data were analyzed by SPSS 21 software.

Results:
Before education, there was no significant difference in the mean scores on HBM constructs and performance between the two groups (p > 0.05). The results of the Analysis of Covariance (ANCOVA) after educational intervention showed there was a significant difference in the mean scores of all constructs and performance between the two groups (p < 0.05).

Conclusions:
HBM-based educational intervention could affect the scores of the model's constructs and improve the use of standard precautions in emergency medical technicians. In-service training is recommended to be developed for the staff based on HBM.
Effectiveness of Lifestyle Modification on Health-Related Quality of Life among Women with Polycystic Ovary Syndrome
Authors: Abobakr Ibrahim Asmaa , Ghoneim Hanan M. , Elsaid Noha M Abu Bakr , Shalaby Nagat Salah 
Published: May 2024

Abstract

Background:
Polycystic Ovary Syndrome (PCOS) is the most common reproductive endocrine disorder, which affects approximately one in every five women at the age of reproduction. The first line of PCOS management is recommended to be lifestyle modification. This study aimed to evaluate the effectiveness of lifestyle modification on Health-Related Quality of Life (HRQoL) among women with PCOS.

Materials and Methods:
This quasi-experimental study was conducted on 124 women with PCOS recruited from the outpatient clinic at El-Takhassosy Obstetrics Hospital, Port-Said, Egypt, in 2021 and allocated to two groups; an educational group (n = 62) and a control group (n = 62). For data gathering, two tools were used; an interviewing questionnaire for assessing the demographic characteristics and a standardized HRQoL questionnaire. Healthy lifestyle modification educational sessions included nutritional guidelines for PCOS, physical exercise (walking for 30 min five times weekly), and instructions to relieve stress.

Results:
The mean (SD) of HRQoL score was 97.52 (8.75) in the educational group higher than the control group 87.32 (18.68) at 3 months postintervention and at 6 months postintervention; it reached 106.74 (11.53) in the educational group and 89.47 (22.14) in the control group. They were statistically significant after intervention (3 and 6 months) between studied groups (after 3 months was t86,563 = 3.891, p < 0.001 and after 6 months was t91,826.

Conclusions:
Women with PCOS should receive structured education about lifestyle modification next to treatment to ensure improvement, particularly in patient-centered care.
Psychological Impact of the COVID-19 on Hospitalized Patients
Authors: Ghapanvari Fatemeh , Namdar Peyman , Moradi Mahnaz , Yekefallah Leili 
Published: May 2024

Background:
As the 2019 coronavirus spreads rapidly around the world, it has caused widespread fear and anxiety in various populations. This study aimed to explore the psychological effects of COVID-19 on patients with this disease.

Materials and Methods:
A qualitative study was conducted with a phenomenological approach. A purposive sample of 11 patients with COVID-19 was recruited. Data were collected from the beginning of March to the beginning of June 2020 using semi-structured interviews and they were analyzed according to Van Manen's method. Interviews were audiotaped, transcribed verbatim, and analyzed using thematic analysis.

Results:
Initially, 315 codes were extracted. During data analysis and comparisons, the codes were reduced to 108. Ultimately, 10 categories, 38 subcategories, and 3 themes emerged. The theme of “behavioral responses” including 5 categories (Remorse, Fear and despair, Death anxiety, Growth, Support), “disease-caused helplessness” including two categories (Failure, Denial), and “decline of social networks” including three categories (Rejection, Stigma, Feeling guilty).

Conclusions:
After understanding the findings of this research, nurses working in the wards of patients with COVID-19 can better consider the importance of assessing and analyzing the psychological challenges and experiences of these patients during the course of illness and quarantine. Findings also enhance the identification and organization of training needs during such a pandemic and the design of nursing programs to meet them.
Designing a Supportive Program based on the Real Needs of Mothers with Children Undergoing Hemodialysis
Authors: pourghaznein Tayebe , Heydari Abbas , Manzari ZahraSadat , MousaviBazaz SeyedMojtaba 
Published: May 2024

Background:
Mothers with children undergoing hemodialysis play the role of primary caregivers for their child and fully sacrifice themselves for care, leading to social isolation, suffering, stress, and negative effects on their health. Therefore, this study was conducted to design a supportive program based on the real needs of mothers with children undergoing hemodialysis.

Materials and Methods:
This qualitative study was conducted in the Hemodialysis Division of Doctor Sheikh Pediatric Hospital in Mashhad City, Iran, from September 2016 to February 2019. The research included phenomenological study, meta-synthesis of qualitative studies, focused group, and nominal group. Participants were selected based on purposive sampling. Eleven mothers with children undergoing hemodialysis and seven key people related to these mothers participated in the study. MaxQDA software was used to facilitate data management.

Results:
The six main areas including information needs, how to deal with the child, maintaining the mother's physical and functional health, maintaining family relationships, income earning and maintaining financial resources, and emotional-psychological support were extracted. Based on the needs of mothers, 28 support strategies were presented; then, 19 ideas were presented to screen the needs, and finally, the best idea was selected for each need.

Conclusions:
According to the findings of this study, mothers with children undergoing hemodialysis need support in various physical, psychosocial, informational, economic, and functional dimensions. The supportive program designed provides a systematic framework for screening the needs of these mothers and providing multifaceted support measures with the participation of a multidisciplinary care team.
Assessment Knowledge, Attitude, and Willingness to Care for Patients with HIV/AIDS among Midwifery Students of Selected Universities in Iran in 2020
Authors: Mokhtari Fatemeh , Kamranpour Bahareh , Shakiba Maryam , Akhavanamjadi Marjan , Goli Marjan , Pourmohsen Masoumeh 
Published: May 2024

Abstract

Background:
Stigmatization and discrimination by health workers, particularly midwives are obstacles to the achievement of universal access to Human Immunodeficiency Virus (HIV) prevention, treatment, and care programs. Therefore, it is necessary to evaluate midwifery students’ knowledge and attitude regarding Acquired Immune Deficiency Syndrome (AIDS) and HIV, and their willingness to care for patients with AIDS and HIV before they enter the field of health and medical activities. Thus, the aim of this study was to investigate the level of knowledge and attitude in this regard, and willingness to care for patients with AIDS and HIV among midwifery students of selected universities in Iran in 2020.

Materials and Methods:
A descriptive-analytical, cross-sectional study was performed on 618 midwifery students in Iran in 2019–2020. Data were collected using a five-part questionnaire: a demographic characteristics form, an academic profile form, the HIV Knowledge Questionnaire (HIV-KQ), the AIDS Attitude Scale (AAS), and the Jordan Standard Questionnaire. Data analysis was performed through descriptive and inferential statistical methods. p value of ≤ 0.05 was considered significant.

Results:
The mean (SD) age of the subjects was 23.10 (5.63) years. The mean (SD) of knowledge, attitude, and willingness scores were 26.93 (6.64), 80.45 (9.27), and 29.55 (9.10), respectively. Single individuals had higher attitude scores.

Conclusions:
Iranian midwifery students had the desired level of knowledge, although the mean score was not much higher than the threshold. The level of the midwifery students’ attitude was appropriate and more than that, but none of them had a 100% positive attitude. They had a moderate or neutral willingness to provide services to and care for patients with AIDS.
Nursing Assessment of Vascular Complications after Cardiac Catheterization through the Distal Radial Artery
Authors: Khodabandehlooie Sara , Saleh Davood Kazemi , Hosseini Meimanat 
Published: May 2024

Abstract

Background:
Distal Radial Artery (DRA) is a new arterial access for coronary catheterization. Assessment of the vascular complications of this new procedure is important in the provision of nursing care to cardiac patients. The aim of this study was the nursing assessment of vascular complications of DRA in angiography and angioplasty.

Materials and Methods:
This qualitative longitudinal study was conducted on 315 consecutive patients who were candidates for coronary catheterization via DRA from 2017 to 2020 in three hospitals in Tehran, Iran. Patients who had palpable DRA and were capable and willing to consent to inclusion in the study were evaluated. Moreover, patients whose DRA access failed, and those who had previously undergone coronary artery bypass graft were excluded from the study. Vascular complications were assessed on the day of the procedure and about 1 month later.

Results:
After the procedure, 29 cases of ecchymosis, 8 cases of hematoma, and 1 case of arteriovenous fistula in the DRA were observed. We did not observe any major vascular complications.

Conclusions:
Nursing assessment of the snuffbox area indicated that this approach is a safe and convenient technique for cardiac catheterization with few minor complications.