bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical instructors’ Motivational roles and perceived effect on absenteeism among student nurses in a tertiary hospital, Benin-City, Nigeria
Authors: Olorunfemi Olaolorunpo , Oduyemi Rachael Olufunmilayo , Sowunmi Christiana Olanrewaju , Okafor Vitalis , Chukwuka Lucy O. , Osunde Ngozi Rosemary , Ezinne Achi Favour 
Published: April 2024

BACKGROUND:
Absenteeism is a situation whereby students absence themselves from clinical posting without good reason, this incidence among student nurses contributed a significant problem that if not addressed will adversely affect the quality of nursing care; therefore, motivation of student during clinical posting found to be an important ingredient needed in eradicating absenteeism. Consequently, this study aims to determine the reasons why student nurses absenting themselves from clinical posting, its effect and how clinical instructor can motivate student nurses since they are the first role models and have a significant impact in their skill development.

MATERIALS AND METHODS:
A descriptive, quantitative design was used to elicit the information from a sample of 80 nurses and 80 students’ nurses. Nurses: 25 medical surgical ward, 23 surgical ward, 17 obstetrics and gynecology ward, 15 theaters, and 80 student nurses, statistically drawn through a stratified sampling technique across the wards and school of nursing. Data collected were analyzed using tables, percentages, means, and standard deviation at 0.05 level of significance through the Statistical Package for the Social Sciences software.

RESULTS:
The student participants reported that non conducive working environment, working in infectious ward without adequate protection, noncooperation from clinical instructor, excessive number of clinical hours, embarrassment faced in front of patients and other medical personnel, lack of prompt medical treatment and care when sick, too much workload, and other number of clinical assignments as a major reason why they absenting themselves from clinical posting. The effect of student absenteeism and how students can be motivated is identified in this study.

CONCLUSION:
Reported factors leading to absenteeism among nursing students and identified motivating care should be handled carefully by the hospital managers to produce better health-care delivery’ nurses in future.
The relationship between sexual health and personality type in women with epilepsy
Authors: Sheikhalishahi Alieh , Jahdi Fereshteh , Haghani Hamid 
Published: April 2024

BACKGROUND:
Sexual health in the development of the human personality, personal, and social health and in achieving to comfort plays an important role. Women with epilepsy are at high risk of sexual dysfunction, which has a multifactorial etiology. This study is aimed to investigate the correlation between the sexual function of women with epilepsy and personality factors.

MATERIALS AND METHODS:
this cross-sectional study was conducted on 100 women with epilepsy referred to selected centers in Tehran university of medical sciences by using continuous and availability sampling method between January and March 2014 (Iran) and evaluated with women's sexual function index questionnaire female sexual function index and NEO-five-factor of personality inventory. Data were analyzed using SPSS software version 16 and Pearson correlation test.

RESULTS:
The mean sexual function overall score in participations was 23.33 ± 2.82 there was a significant negative correlation between neuroticism and sexual function (P = 0.00, r = −0.03) and was significant positive correlation between personality traits as extraversion (P = 0.00, r = 0.63), agreeableness (P = 0.008, r = 0.26) and conscientiousness (P = 0.04, r = 0.20) and openness to new experiences (P = 0.03, r = 0.21) and sexual function in women with epilepsy.

CONCLUSIONS:
Results indicate that the personality traits can affect on sexual health and sexual function of women with epilepsy. Therefore, it is recommended that health-care providers with assess personality factors in women with epilepsy as a prognostic factor, take steps to prevent sexual dysfunction.
The effects of educational intervention on breast self-examination and mammography behavior
Authors: Pirzadeh Asiyeh , Ansari Sakine , Golshiri Parastoo 
Published: April 2024

BACKGROUND:
Breast cancer is the most common type of cancer among women and it is the second leading cause of mortality among cancers in women and a major health issue in developed countries. Although there are simple and effective screening methods, just minority of women use them. Given the high prevalence of breast cancer in Isfahan women and the low prevalence of screening behavior, the present study aimed to determine the impact of theory-based educational intervention on breast self-examination (BSE) behavior and mammography.

MATERIALS AND METHODS:
The present experimental study was conducted on 93 women referred to comprehensive health centers in Isfahan through convenience sampling, and by this way 46 women were included in the control group and 47 in the intervention group. Data collection was done by a valid and reliable questionnaire. Furthermore, educational interventions were performed for the intervention group in three sessions. Furthermore, the data were completed in the intervention group before, immediately after, and 3 months after intervention and before and 3 months after intervention in the control group. The data were analyzed by SPSS (16); and paired t-test and repeated measure test were used for analysis in the intervention group and also independent t-test and paired t-test were employed to analyze data of the control group.

RESULTS:
The results showed significant changes in perceived benefit constructs (P = 0.023), knowledge (P < 0.001), self-efficacy (P < 0.001), and behavioral intention regarding BSE (P = 0.035) in the intervention group over time, but changes were not significant in both perceived susceptibility and severity in the intervention group. As far as mammography behavior is concerned, only the perceived benefit construct in the intervention group had significant changes. In terms of the screening behavior, only BSE behavior significantly changed before and after intervention.

CONCLUSION:
The study showed that theory-based education by applying of constructs such as perceived benefits and self-efficacy and intention for BSE model could promote breast cancer screening behavior such as BSE. Therefore, it is suggested that health educators utilize educational texts based on these constructs to increase their influence on individuals via screening behavior for breast cancer.
Behavioral drivers and observation of face covering use during the COVID-19 pandemic among outpatients and visitors at a tertiary hospital in Thailand
Authors: Kliangkird Nanta , Naknual Sommanas , Liabsuetrakul Tippawan , Wichaidit Wit 
Published: April 2024

BACKGROUND:
Use of face covering may help prevent COVID-19 transmission. However, there is a lack of data on behavioral drivers of face covering use and compliance to mandatory face covering policy at health facilities. This study aimed to describe behavioral drivers and observed face covering use among outpatients and visitors at a tertiary hospital in Southern Thailand during the COVID-19 pandemic.

MATERIALS AND METHODS:
We conducted a hospital-based, cross-sectional study in June 2020. We developed, pilot-tested and finalized an interview questionnaire in Thai. We also developed a structured observation questionnaire. Two trained enumerators recruited outpatients and visitors at the hospital's internal medicine outpatient department (OPD), surgery OPD, and the pharmacy using the convenience sampling. Another enumerator conducted structured observation of face covering use among outpatients and visitors when interviews were not taking place. We analyzed the data using the descriptive statistics.

RESULTS:
A total of 206 persons that our interview enumerators approached agreed to participate (n = 206; response rate = 62.4%). Nearly all participants stated that the use of face covering was beneficial in preventing COVID-19 infection from others and preventing others from being infected (94.0% and 98.0%, respectively). Common barriers included inconvenience in breathing and speaking (19.7%) and pain at the ears (9.6%). Structured observation of 408 outpatients and visitors showed that nearly everyone (>99%) had a face covering on their person, most of whom (94.6%) covered both their nose and mouth.

CONCLUSION:
We found near-universal perceived benefits and compliance, but variations in perceived barriers, cues, and social norms for the use of face coverings. The findings of this study can inform future intervention programs on face covering use promotion.
A content analysis of social media on outbreak of infodemic amidst COVID-19 pandemic
Authors: Divvi Anusha , Kengadaran Shivashankar , Katuri Lakshmi Subhashini , Kavitha M. , Sundaragopal Arunkumar , Anusha Vani , Kengadaran Sivabalakumaran , Sekar Hemachandran 
Published: April 2024

BACKGROUND:
With so much content on social media platforms about COVID-19, determining which information is reliable can be a daunting task. Hence, this study is aimed to analyze various posts with regard to COVID-19 on various social media platforms for their reliability and also examined various factors that influence information reliability.

MATERIALS AND METHODS:
A cross-sectional study was conducted, with 934 samples related to coronavirus pandemic published on Twitter, Instagram, and Facebook using systematic random sampling. We adopted the criteria given by Paul Bradshaw and modified to assess the characteristics of the samples. Training and calibration of the investigators were carried out for 3 consecutive days before beginning the study. The data were analyzed using the Chi-square test and multinomial logistic regression to estimate the odds ratios.

RESULTS:
Out of 934 samples studied, only 570 (61%) were found to be reliable of which 243 (42.6%) were from Twitter, 117 (20.6%) from Instagram, and 210 (36.8%) from Facebook. We found that the reliability of the information on social media platforms is significantly influenced by network (odds: 1.32; 95% confidence interval [CI]: 1.16–1.52; P = 0.036), content (odds: 1.83; 95% CI: 1.69–1.92; P = 0.009), contextual update (odds: 1.41; 95% CI: 1.24–1.53) and age of the account (odds: 1.92; 95% CI: 1.64–2.09; P = 0.002).

CONCLUSION:
Our study shows that the reliability of the social media posts significantly depends on the network, contextual update, and age of the account. Hence, cross verifying the information from a reliable source is the need of the hour to prevent panic and mental distress.
Organizational impact of faculty development programs on the medical teacher's competencies
Authors: Salajegheh Mahla 
Published: April 2024

BACKGROUND:Faculty development programs as useful approaches for organizational development improved competencies in faculty members which assist them to cope with workload and environment changes. Evaluating organizational development for faculty development programs provides insight into the impact of these programs on system development. The aim of present study was conducted to study the organizational development for faculty development programs at Kerman University of Medical Sciences.MATERIALS AND METHODS:This analytical and cross-sectional study was conducted between October and December 2020. The organizational development for faculty development questionnaire was sent to a simple random sampling of 100 faculty members who had been participated in the “Medical Education Fellowship” program. The data were analyzed using descriptive statistics including independent samplet-test, one-way ANOVA, andpost hoc, using version 24.0 of SPSS.RESULTS:The response rate was 82%. Most of the faculty highly agreed that the “Medical Education Fellowship” program had produced organizational development. The score of the “Development and sustaining faculty development programs” domain (mean = 3.35, standard deviation [SD] =0.96) was higher than “Development and innovation in teaching and learning process” (mean = 3.31, SD = 0.74).CONCLUSIONS:Specific characteristics of the organizational development process for faculty development programs in health profession education were recognized. The findings emphasized on the importance of these interventions on creating developments in the broader community system.
The effect of situation, background, assessment, recommendation-based safety program on patient safety culture in intensive care unit nurses
Authors: Etemadifar Shahram , Sedighi Zeynab , Sedehi Morteza , Masoudi Reza 
Published: April 2024

BACKGROUND:
Patient safety culture is an integral part of patient care standards and a prerequisite for safe care. SBAR is an acronym for Situation, Background, Assessment, Recommendation; this communication model has gained popularity in health-care settings, especially among professions such as nursing. However, there is little evidence that nursing professional education can enhance patient safety culture. The aim of this study was to investigate the effect of a SBAR-based training program on patient safety culture in intensive care unit (ICU) nurses.

MATERIALS AND METHODS:
The quasi-experimental study was carried out in 2018–2019 at areas covered by Shahrekord University of Medical Sciences, Iran. This study was performed on 60 nurses working in ICU. The participants were randomly assigned to two experimental and control groups of 30 each. For the experimental group, five workshop sessions of SBAR-based program were held. For the control group, the patient delivery process was performed according to the ward routine. Data were collected using patient safety culture questionnaires before and 1 month after the intervention, and were analyzed using descriptive and analytical tests such as paired t-test, independent t-test, and Chi-square test by SPSS 22.

RESULTS:
The mean score of safety culture was 31 ± 23.5 and 55.2 ± 28.6 in frequency of reporting events, 32.8 ± 17.8 and 54.3 ± 19 in overall perception of patient safety, 23 ± 20.1 and 52.9 ± 26 in communication channel openness, and 35.2 ± 19.8 and 52.4 ± 18.8 in information exchange and conveyance before and after training intervention, respectively, so that they improved from poor level to neutral-moderate level. There was no strength in any dimensions of safety culture; however, the implementation of the SBAR-based program was significantly associated with patient safety culture (P < 0.001).

CONCLUSIONS:
Improving patient safety culture requires attention to patient safety models such as SBAR approach that provides an appropriate and reliable structure for quality improvement. SBAR-based program training is effective in promoting patient safety culture; therefore, it is recommended that managers use this technique to promote patient safety culture.
Identifying drivers and factors affecting behavioral risk factors of noncommunicable diseases
Authors: Alidoost Saeide , Maleki Mohammadreza , Pourasghari Hamid 
Published: April 2024

BACKGROUND:
A large proportion of noncommunicable diseases (NCDs) can be prevented by reducing unhealthy nutrition, inadequate physical activity, smoking, and alcohol consumption. The high burden of NCDs underlines the need for a greater understanding of the causes of these risk factors. This paper aims to identify factors affecting smoking, alcohol consumption, unhealthy nutrition, and inadequate physical activity in current and future times.

MATERIALS AND METHODS:
A scoping review was conducted in Iran University of Medical Sciences, Tehran, Iran, in 2020 to identify factors affecting smoking, alcohol consumption, unhealthy nutrition, and inadequate physical activity. The review was guided by the five-step Arksey and O'Malley model. A deductive qualitative content analysis was employed to identify the factors synthesized through descriptive and narrative synthesis. The search was conducted in English without date restrictions up to January 2020.

RESULTS:
We identified 1437 studies through database search and other sources and finally included 72 studies in the review. The content analysis of the data led to the identification of 27 factors affecting smoking, alcohol consumption, nutrition, and physical activity. The factors categorized into social, technological, environmental, economic, political, and values factors.

CONCLUSION:
Political and economic factors have a significant effect on all risk factors, and it is necessary to take comprehensive measures to improve these factors. Technological factors have a greater impact on healthy nutrition. Physical activity is more affected by environmental factors than other risk factors. However, smoking and alcohol consumption are more influenced by social factors and individual attitudes.
Psychological consequences of lockdown on dental professionals during the early phase of the COVID-19 pandemic
Authors: Jyoti Bhuvan , Kiran Manisha , Srivastava Rahul , Jaiswal Vikas , Kumari Swati , Sinha Amitabh K. 
Published: April 2024

BACKGROUND:
Severe acute respiratory syndrome coronavirus 2, the virus that causes COVID-19, mainly spreads through respiratory droplets. The dental profession is particularly at risk. Routine dental care was suspended after the announcement of the first lockdown in India. This makes the group vulnerable to psychosocial consequences. The present study aims to evaluate the psychosocial issues among dental professionals during COVID-19 pandemic.

MATERIALS AND METHODS:
A cross-sectional study was conducted among 627 dental professionals of India, using online Google Forms from April 23, 2020, through April 30, 2020. Participants were evaluated using self-constructed and self-administered personal and professional hardship and fear checklist specifically developed for this study. The 9-item Patient Health Questionnaire (PHQ-9) Depression Scale and 7-item Generalized Anxiety Disorder Scale and PHQ-15 were used to assess the depression, anxiety, and somatic symptoms.

RESULTS:
Fear had a remarkable impact on 80.7% of responders. Among the participants, 40.5%, 24.5%, and 30.6% reported symptoms of depression, anxiety, and somatic symptoms, respectively. Somatic symptoms were significantly associated with gender (P = 0.000). Work setting was significantly associated with depression (P = 0.011) and anxiety symptoms (P = 0.001). Concern, worry, and fear due to COVID-19 were significantly associated with depression (P = 0.000), anxiety (P = 0.033), and somatic symptoms (P = 0.009). There was a positive correlation between depression and anxiety symptoms (P = 0.01) and between age and somatic symptoms (P = 0.5).

CONCLUSIONS:
This group reported a high level of depression, anxiety, and somatic symptoms. Female dental professionals and private practitioners had more depression, anxiety, and somatic symptoms. Immediate and special intervention is needed for this group. Further exploration into the nature and its effects of the psychological symptoms may be required.
Factors affecting emergency evacuation of Iranian hospitals in fire
Authors: Sahebi Ali , Jahangiri Katayoun , Alibabaei Ahmad , Khorasani-Zavareh Davoud 
Published: April 2024

BACKGROUND:
Fire is one of the most important threatening factors for hospitals and needs special attention. The present study was conducted to explain the factors affecting hospital emergency evacuation following fire based on hospital administrators’ experiences.

MATERIALS AND METHODS:
This was a qualitative study conducted employing the content analysis approach. Participants included 22 hospital administrators in Tehran, Lorestan, Kurdistan, and Ilam provinces. The participants were purposefully selected and included until reaching principle of data saturation. Data were collected through in-depth semi-structured interviews from November 2019 to August 2020 and analyzed by the content analysis method.

RESULTS:
Factors affecting hospital emergency evacuation during fire were categorized into five main categories and 17 subcategories including response to incident (five subcategories of fire nature, emergency evacuation, service provision, coordination and communication; and collaboration and companionship), human factors (two subcategories of individual characteristics and competencies), hospital preparedness (three subcategories of planning, safety and security; and information management system), environmental factors (two subcategories of hospital design and infrastructure; and weather condition), and finally ethical values (five subcategories of human dignity, trust, altruism, responsibility and accountability; and empathy).

CONCLUSION:
The results of this study indicated that during fire in Iranian hospitals, several factors in addition to available standard guidelines affect the emergency evacuation process that need to be considered. Hospital emergency evacuation during fire is a complex process and necessitates a full and high-level hospital preparedness, so using the results of this study can be used to develop and practice evacuation plans and improve the hospital preparedness.
The relationship between the willingness to mobile learning and educational achievements in health-care professional students
Authors: Baghcheghi Nayereh , Koohestani Hamid Reza 
Published: April 2024

BACKGROUND:
The relationship between willingness to mobile learning (m-learning) and educational achievement was examined in health-care professional students.

MATERIALS AND METHODS:
This is a descriptive correlative study that was conducted from January 2020 to February 2020. A total of 295 students in Saveh University of Medical Sciences in Iran were selected through census method. The data were collected using the standard willingness to m-learning questionnaire. The data collected were analyzed statistically using Pearson's correlation coefficient and concurrent regression analysis.

RESULTS:
The mean score of willingness to m-learning was 165.55 ± 13.4, which is an indicative of a higher willingness level in the health-care professional students for m-learning. There was a positive and significant relationship between willingness for m-learning and educational achievement (r = 0.77, P < 0.01). The predictive variable, i.e., willingness to m-learning, predicted 53.8% of the variance of educational achievement (F = 58.801, P = 0.00). Among the variables of willingness to m-learning, the regression coefficients of perceived ease, attitude, self-management in learning, educational use, and efficiency of m-learning were significant (P < 0.05). This means that these variables are direct predictors of educational achievement.

CONCLUSIONS:
Willingness to m-learning had a positive and significant relationship with educational achievement. Although this study was performed just before the corona outbreak, paying attention to the results of this study can be helpful for students, faculty members, and policymakers in filling the educational gap during the coronavirus disease 2019 outbreak.