Journal of Research Development in Nursing and Midwifery
Volume:20 Issue: 2, Autumn-Winter 2023

Shift handover is one of the critical tasks and major challenges among health care providers in hospitals. Most serious errors are caused by communication problems related to shift handover. Thus, it is essential to implement effective programs to overcome shift handover challenges in hospitals. This study aimed to evaluate the effects of the I-PASS (illness severity, patient summary, action list, situation awareness and contingency planning, and synthesis by receiver) program on nursing shift handover in hospital wards in southeastern Iran.

This study used a quasi-experimental design with a before-and-after method (without a control group) and was conducted in Pasteur Hospital in Bam City from January to March 2021. Sampling was performed using the census method. Participants included 47 nurses who work in critical care unit (CCU) and intensive care unit (ICU) wards. All nurses received shift-handover training based on the I-PASS program for 4 weeks (45-minute sessions weekly). The standardized I-PASS assessment tool was used in this study. Data were analyzed using SPSS version 25, along with the chi-square test, independent t test, and paired t test. P values less than 0.05 were considered statistically significant.

Among the participants, 89.4% were female, and 68.1% worked in the ICU ward. The mean age of the nurses was 33.25 ± 5.00 years old, and the mean year of their work experience was 8.08 ± 5.27 years. There was a significant difference in the mean scores of nursing shift handover before and after the intervention in the CCU ward from 1.88 ± 0.32 to 3.62 ± 0.98 (P = 0.018) and in the ICU ward from 2.37 ± 0.84 to 2.93 ± 0.35 (P = 0.013). Also, the mean scores of the CCU ward were higher than those of the ICU ward after the intervention (P = 0.01).

The I-PASS program can overcome many challenges in nursing shift handover and workflow. Therefore, this method can be a suitable alternative to the common methods of shift handover and patient delivery in hospital wards.

Sleep disorder is common in women with mastectomy. Previous studies have shown that relaxation technique improves sleep quality. However, the effects of these interventions on the sleep quality of breast cancer patients who underwent mastectomy surgery is still unclear. This study aimed to determine the effect of the Benson relaxation technique (BRT) on sleep quality in women with breast cancer after mastectomy.

This randomized clinical trial study was performed on 72 eligible patients who were referred to the screening and chemotherapy center of Shahid Modares Hospital of Kashmar City from April to July 2021. The patients were selected through convenient sampling and randomly allocated to intervention (n = 36) and control (n = 36) groups. In the intervention group, in addition to the routine treatments, BRT was performed once in the morning and once in the evening for 2 months, each time for 20 minutes. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the score of sleep quality at the beginning of the study and 2 months later. Data were analyzed using the paired t test and independent t test at 95% CI.

The mean score of sleep quality before the intervention in the intervention and control groups was 9.25 ± 2.50 and 8.47 ± 2.13, respectively. After the intervention, the mean score of sleep quality in the intervention and control groups was 6.63 ± 1.92 and 8.41 ± 2.15, respectively, and the difference was significant between the 2 groups (P = 0.001)

The Benson relaxation technique improves sleep quality in women with breast cancer after mastectomy. Therefore, it can be considered an adjunct therapy to improve the sleep quality in these people.

Urinary incontinence (UI) is a prevalent health issue that has a psychological impact on those affected. Urinary incontinence, which affects approximately 1 in every 3 women, is a distressing condition that significantly impairs their quality of life (QOL). This study aimed to investigate the frequency of UI in women, identify risk factors, and assess its impact on the QOL.

This analytical, cross-sectional study involved 300 women aged 20 and above who were admitted to the Obstetrics Clinic of a university hospital between June 21, 2022, and August 15, 2022. Data were collected through a questionnaire that included the Descriptive Characteristics Form, International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and Wagner QOL Scale. Data analysis was performed using SPSS version 25, and results were evaluated with a 95% CI. P values less than 0.05 were considered statistically significant.

The frequency of UI among the participants was 48% according to the ICIQ-SF and 62% according to the Wagner QOL Scale. Participants reported experiencing mild UI and psychological distress. The psychosocial well-being of women with UI was found to be moderately and negatively affected (48%). It was determined that 52.2% of the variation in the UI variable could be explained by factors such as body mass index (BMI), history of miscarriage, education level, and age. Miscarriage (Odds ratio [OR], 3.102; 95% CI, 1.502-6.408), lower education level (OR, 3.211; 95% CI, 1.282-8.408), and age (OR, 1.061; 95% CI, 1.024-1.100) were identified as risk factors for UI (P < 0.05). A significant correlation (r = 0.89; P < 0.001) was observed between the QOL and ICIQ-SF measurement tools.

Nearly half of the women experience UI, which has a detrimental impact on their QOL. Higher education levels, healthy lifestyle, and post-miscarriage risk assessment can help protect women from UI.

Humor creates intimacy between the patient and the nurse, develops a feeling of trust, and positively affects care quality. This study aimed to determine nursing students' humor styles and care behaviors and evaluate the relationship between their humor styles and perceived care behaviors.

This was a cross-sectional and analytical research. The sample comprised 124 second-, third-, and fourth-year nursing students at a university located in Istanbul between December 2019 and December 2020. The data collection tools were a Personal Information Form, Humor Styles Scale, and Care Assessment Questionnaire. Frequency tables, descriptive statistics, independent samples t-test, analysis of variance, Mann-Whitney-U test, Kruskal-Wallis H test, Bonferroni correction, and Spearman correlation were employed to analyze the data.  

It was determined that 86.3% of the nursing students were female, 97.6% were single, their mean age was 20.80±1.94 years, and 49.2% of the students were second-year students. The total mean score of the students on the Care Assessment Questionnaire was 6.38±0.51. A positive humor style was significantly related to the subscales of the Care Assessment Questionnaire (P<0.05).

There was a significant relationship between nursing students' humor styles and perceived care behaviors. The positive humor style had a positive effect on the caring behavior.

Cancer patients can experience different conditions depending on the quality of the treatment they receive. Chemotherapy is one of the most widely used treatments for cancer patients, leading to a wide range of consequences and outcomes. The present study aimed to investigate the lived experiences of cancer patients undergoing chemotherapy.

Using a phenomenological method, this qualitative study was conducted on 13 cancer patients undergoing chemotherapy in Rizgary Teaching Hospital, Erbil, Iraq, from September 2021 to July 2022. The participants were chosen using a purposive sampling method. The required data were collected using in-depth semi-structured interviews. The interviews were started by asking general questions (such as “Could you tell me about your chemotherapy experience?) and then analyzed by the Van Manen method (1990).

The results of data analysis showed that patients described their experience as “regaining hope in life,” which was drawn as the main theme that included 5 subthemes, namely, new lifestyle, new goals for life, optimism, value of life, and re-trust in God.

According to the results of the present study, since the recovery of patients and the effectiveness of treatments are greatly dependent on the patients’ psychological state, their lives improved, they took up new lifestyles and goals in their lives, became more optimistic, understood value of life, and regained their trust in God after they had received chemotherapy. Nurses working in chemotherapy wards are highly recommended to pay more attention to the psychological and spiritual state of cancer patients to promote hope in life among them and help them live normal lives with their families after undergoing chemotherapy

Nursing notes are among the most critical tasks for nurses, and not performing it in a correct manner will lead nurses to face numerous issues and problems. Nursing notes can be written in a variety of ways. One approach is the nursing process-based SOAPIE (Subjective, Objective, Assessment, Plan, Intervention, Evaluation) method. Thus, the present research was conducted to determine of the SOAPIE Nursing note Method on the quality of Nursing Documentation.

The present semi-experimental study was conducted in 2021 at Yasuj hospitals, in Iran. The samples consisted of 120 nurses selected through the convenience sampling method based on the inclusion criteria. The samples were assigned to two intervention and control groups through a random allocation method. Nursing notes using the SOAPIE method was implemented for 3 weeks in the intervention group after obtaining informed consent. The data were collected using the checklist of nursing documentation principles, which involved two sections of demographic information and nursing documentation-related items before the intervention and one month after the intervention. The mean score of each of the eleven principles was determined from the total score of 100. Three levels were considered in the tool’s scoring: Poor (0-33), moderate (34-66), and favorable (67-100). The descriptive and inferential statistics methods (the chi-square test, independent t-test, and paired t-test) and SPSS software version 21 were used for data analysis.

The total score of quality of nursing documentation had no statistically significant difference in the intervention and control groups before the intervention (P<0.05). However, one month after the intervention, the total score of the quality of nursing documentation showed a statistically significant difference between the intervention and control groups (P=0.001). Before the intervention, the mean total scores of the quality of nursing documentation were 46.66±14.45 and 48.22±12.45 between the two intervention and control groups, respectively, and one month after the intervention, they were 91.53±5.98 and 48.52±12.61, respectively.

According to the results of this study, nursing notes using the SOAPIE method lead to promoting the quality of nursing documentation. Nursing documentation based on the high quality of nursing notes should always be taken into account. It is suggested that the findings of this study be employed for educational and research planning in nursing.

Husband attendance during labor provides psychological support for her, and may also affect the duration of childbirth. Therefore, the present study was conducted to investigate the effect of the husband attendance in delivery ward on duration of labor and mode of delivery of primigravid women.

The present study is a field trial study that was performed on 57 couple in Kalaleh hospital in 2021 of primigravid women. The samples were assigned to two groups using a quadratic block method. The intervention group husbands attended beside their wife for at least two hours during active phase and control group received routine care. Data were collected using information form and checklist and analyzed using Mann-Whitney, Chi-square and Fisher's exact test.

The mean of husband attendance during labor in minute was 152.32±32.25 in the intervention group. The mean of active phase in minute was 279.43±169.78 in the intervention and 345.69±167.94 in the control groups, despite the difference of 66.26 minutes in the averages, it was not statistically significant (p>0.05). In addition, there was no significant difference in the mode of delivery in the two groups.

There was no difference in the duration and mode of delivery in the two groups under investigation, thus 2 hours husbands' attendance in delivery ward did not affect time and mode of delivery.

Hearing loss is a common condition during the aging process. Improving hearing loss through hearing aids may impact satisfaction and the quality of life of elderly individuals. Therefore, this study was conducted to determine the association between Hearing Aid Use Satisfaction (HAUS) and the quality of life among the elderly with hearing loss in Gorgan, Iran.

This study is a cross-sectional investigation conducted in 2019 at the health insurance office in Gorgan, Iran. The study included elderly individuals aged over 60 who were fitted with hearing aids. Sixty subjects meeting the inclusion criteria were conveniently selected. The assessment tools included a demographics checklist, the Satisfaction with Amplification in Daily Life (SADL) scale, and the Short Form Health Survey (SF-12). Data analysis was performed using SPSS-18 and involved the Chi-squared test, independent t-test, Mann-Whitney U, and Spearman correlation coefficient. A significance level of P < 0.05 was considered.

The participants' mean age was 76.85±8.16, falling within the age range of 75-89. The average satisfaction score for the use of the HAUS was 63.90±11.07. A significant statistical association was observed between HAUS and economic status (P=0.03), the type of hearing aid used (P=0.024), and the level of daily hearing aid usage (P=0.0001). With an increase in the number of hours of hearing aid use, the mean satisfaction score also showed an increase. The mean score for the quality of life among the elderly individuals was 32.77±2.02, and no correlation was observed between satisfaction with HA use and quality of life (r=0.068, P=0.511).

The findings suggest that hearing aid devices can enhance the satisfaction and quality of life of elderly individuals, thereby increasing their engagement in daily activities.

Uterine fibroids (UFs) are a common gynecological problem among reproductive-age women and lead to poor quality of life (QOL). This research aimed to evaluate the effect of a supportive educational intervention on knowledge and QOL among women with UFs.

This quasi-experimental study (1 group/pre- and posttest), including supportive education intervention, was performed at the outpatient clinic, Gynecological Department, Benha University Hospital. The samples consisted of 100 women diagnosed with UFs. Three tools were used for data collection: a structured interviewing questionnaire, women's knowledge regarding UFs, and health-related QOL (HRQOL) questionnaire.

There was a highly statistically significant difference in women’s knowledge of UFs before and after the intervention (P = 0.0001). In addition, women had a high level of QOL score after the intervention. Moreover, there was a highly positive association between total women's knowledge and QOL score (P = 0.0001). Based on the pre- and post-intervention results, the mean difference for the variables of “total score of severity symptoms” and “total HRQL score” was -6.25 and +12.38.

Educational intervention has a positive effect on improving women's knowledge and enhancing QOL regarding UFs. It is suggested that an educational program should be incorporated as a nursing intervention to improve women's knowledge and QOL for those with UFs.

Swift diagnosis and treatment of cardiac patients can avert unnecessary hospitalizations. Emergency departments routinely assess patients using the Emergency Severity Index (ESI) method. This study compares the effects of two triage methods, cardiac triage, and ESI, on the admission time of acute coronary syndrome patients.

This intervention study aimed to enhance the quality of therapeutic interventions through an intervention design featuring a control group. The research sample comprised all patients referred to the Sayad Shirazi Educational and Medical Center triage unit in Gorgan, Iran. All patients were randomly allocated into two groups: the control group (23 patients) and the intervention group (46 patients), utilizing a simple random allocation method. The control group underwent triage using the Emergency Severity Index, whereas the intervention group received cardiac triage. Triage forms and time-related indices were completed for both groups. Statistical analysis was conducted using descriptive statistics, the Shapiro-Wilk, and the Mann-Whitney tests to compare these characteristics between the two groups, utilizing SPSS version 18.

Significant statistical differences were observed between the two groups in several aspects: the average time from the emergency department to the cardiac intensive care unit (p < 0.001), the average duration of presence of a cardiac specialist physician (p < 0.001), the average time from arrival to triage room exit (p < 0.001), and the average hospitalization time (p < 0.001). These time intervals were shorter in the cardiac triage group.

Implementing specialized cardiac triage for cardiac patients plays a pivotal role in reducing response times. Cardiac triage can furnish the medical team with more comprehensive information, thereby improving the management of these patients in the emergency department.

Nursing organizations are an essential part of the nursing profession. The main mission of nursing organizations is to establish new nursing roles based on changes in societal needs. This study conducted a situational analysis of the nursing organizations' life cycle and their effects on nursing role development in Iran.

This study used a grounded theory methodology called situational analysis based on the Clack framework (2018). The sources of data collection included interviews, analysis of documents at Dr Madah Association and the National Library of Iran, statistics, government documents, international reports, and historical articles about nursing organizations, as well as reports on the role of licensed practical nurses (LPNs) and registered nurses (RNs). Data were collected through semi-structured and in-depth interviews with 33 nurses. Interviews continued until data saturation was reached.

Researchers identified 7 trends that reflect the evolution of nursing organizations and the health care system, as well as the factors that influenced the development of nursing roles. The 7-step trends were marked with letters A to G. Each letter indicated a map of concepts related to the role of nursing.

The process of developing the role of nurses in Iran, at the senior management level, struggles with the unbalanced distribution of budget in the health system. Therefore, nursing leaders need to foster their interaction and diplomacy to be able to strike a balance between the micro, middle, and macrostructures of nursing.

Clinical competency is one of the performance indicators of nurses requiring the use of technical and communication skills, knowledge, clinical reasoning, emotions, and professional values at the bedside. The present study’s aim was to assess the clinical competency of nurses working at intensive care units (ICUs) and explore some of its associated factors in hospitals affiliated with the Golestan University of Medical Sciences.

This descriptive-analytical study was conducted on ICU nurses working at the hospitals affiliated with the Golestan University of Medical Sciences in the northeast of Iran. A total of 160 eligible nurses were recruited using the simple random sampling method. The data were collected through the Intensive and Critical Care Nursing Competence Scale (ICCN-CS), which evaluates the 4 areas of knowledge, skill, attitudes and values, and work experience via 80 statements. The data were analyzed by SPSS 16 software using the Kruskal-Wallis and Mann-Whitney tests at a significance level of 5%.

Most of the participants (69.2%) attained an excellent clinical competency score, and the overall level of clinical competency was excellent. Also, the highest level of competency belonged to the knowledge area (85.11 ± 82.63), and the lowest level was related to the field of skills (80.40± 17.19). Clinical competency showed a significant association with demographic features, including age (P<0.001), type of contract (P<0.001), work experience (P<0.001), marital status (P<0.001), and average overtime hours (P<0.003).

Evaluation of nurses’ clinical competency can help improve the quality of care. It is suggested that health policymakers focus on upgrading the clinical competency of ICU nurses by improving their clinical skills.

Self-awareness and sexual satisfaction can be affected by the fear following the spread of disease. The study was done to compare self-awareness and sexual satisfaction scores before and during the COVID-19 period in married women covered by health service centers.

Descriptive-analytical research was conducted on 60 reproductive-age women who participated in an intervention study before COVID-19 (2017). The Persian self-awareness and sexual satisfaction tools of the first study were provided online to the participants. Data analysis was done through Spss-16 and Shapiro-Wilk, Machelli, repeated analysis of variance, Bonferroni, and Tukey with a confidence factor of 0.95.

The results indicated, except for general self-awareness, in other variables; sexual satisfaction (P=0.007), private self-awareness (P=0.001), and social anxiety (P=0.02), the interaction effect of time and intervention is significant. Therefore, the changes in behavior in the two groups were not the same over time, so the assessed variables examined in the control group did not have changes significantly at any time. In the intervention group, the average score of sexual satisfaction (101.77±10.59) at times one (before the intervention in the first study), two (After the intervention in the first study) (110.51± 8.37), and times one and three (COVID-19 period) (107.06±9.21), there was a statistically significant change. These changes in other variables were significant only in times one and two, but not in other times. Despite the lack of statistical difference between the two groups during the COVID-19 period, the scores of all variables, even the social anxiety of the intervention group, were higher than the control group.

In the intervention group, despite the increase in the social anxiety score during COVID-19, the sexual satisfaction score is still higher than the control group. Even though there is no statistically significant difference, this difference is clinically valuable and can be taken into consideration for future interventions.

Health care provided by youth can support homebound and bedridden older adults. The purpose of this study was to develop a program for homebound and bedridden older adults in rural areas of northeastern Thailand.

The methodology was a mixed method, including 1) exploration of the current situation through qualitative method, 2) development of a training program, and 3) implementation and evaluation of the program developed through a quasi-experimental method from February to June 2020 in Ta-Muang Subdistrict, Selaphum District, Roi Et Province, Thailand. Data were collected through focus group discussions, in-depth interviews, Thai version of the brief form of the World Health Organization Quality of Life (WHOQOL-BREF-THAI), and Srithanya Stress Test (ST-5) questionnaires. Quantitative data were analyzed using percentages, means, SDs, and paired t tests, while qualitative data were analyzed using content analysis.

The qualitative method showed 4 major themes, including 1) lack of caregivers, 2) lack of knowledge, 3) loneliness and stress, and 4) under the poverty line. The training program involved 6 activities: 1) providing knowledge in caring for older adults to educate and support youth, 2) demonstrating and practicing in caring for older adults to educate and support youth, 3) caring for older adults with love and care, 4) providing hygiene care to older adults, 5) promoting self-worth and self-confidence in youth, and 6) enhancing community participation. The quantitative method showed after the implementation of this training program.  Findings showed that quality of life had higher mean scores, and stress had lower mean scores compared to the prior implementation.

This training program could promote bonding among youth and homebound and bedridden older adults through peer support from health volunteers.

Because of the numerous problems created by neurofibromatosis type 1, particular quality-of-life evaluation measures are quite significant. In Iran, general instruments are used to assess the quality of life of the target group. This study aimed to translate and examine the psychometrics of the Persian version of the Neurofibromatosis Type 1 Adult Health-related Quality of Life (NF1-AdQOL) questionnaire.

This was a methodological and cross-sectional study. A total of 414 adult patients with neurofibromatosis type 1 in the Iranian Association of Neurofibromatosis were selected via convenience sampling. With the permission of the questionnaire's developer, the English version was translated into Persian using the standard back-translation procedure. Validity was assessed using face validity, content validity, exploratory, and confirmatory factor analysis. The reliability and internal consistency of the questionnaire were assessed by Cronbach's alpha and Spearman's correlation, respectively.

The participants' mean age was 34.48±8.3 years. The 31-item questionnaire was translated into Persian, and based on content validity analysis, 2 items were removed. The adequacy of the sample size was acceptable (KMO = 0.940). Exploratory factor analysis revealed 4 factors. The scale had good reliability (Cronbach's alpha: 0.95), and the intraclass coefficient was 0.91. The total mean quality of life score was 93±25.18.

The finding showed that the Persian version of the questionnaire has good structural characteristics and is a reliable and valid instrument for measuring the quality of life of patients with neurofibromatosis 1.

Young women, especially those with disabilities suffering from primary dysmenorrhea (PD), should be a cause for concern, as it negatively affects both their physical and mental health, as well as their future productivity. This study aimed to evaluate the effect of implementing audio-educational measures on the severity of PD among blind female students.

This quasi-experimental study was conducted at 2 schools for blind females in Egypt in 2022. The sample consisted of 40 blind female students who were selected randomly. The WaLIDD (working ability, location, intensity, days of pain, dysmenorrhea) scale was used to assess the degree of dysmenorrhea, while the 12-Item Short Form Health Survey (SF-12) was used to evaluate their physical and mental well-being. The intervention program involved audio education sessions designed to improve their health, education, and skills, as well as reduce the severity of dysmenorrhea. These audio education sessions took place twice a week, with each session lasting 45 minutes for a duration of 3 months. Data analysis was performed using chi-square and paired sample t tests at a significance level of α = 0.05.

The average age of the participants was 15.5 ± 1.91 years. The findings showed that the implementation of the audio-educational intervention led to a significant reduction in the severity of dysmenorrhea symptoms, significant increase in general knowledge, and significant improvements in the physical and mental health of the participants (P < 0.001). Listening training was a positive and significant predictor for the health status of blind female students (ß = 0.614; P = 0.028), while the severity of dysmenorrhea was a significant negative predictor for their health status (ß = -0.046; P = 0.05).

The use of audio-educational measures is an effective strategy for increasing knowledge, practice, and health status while reducing the severity of dysmenorrhea among blind female students. Therefore, it is recommended that nurses educate blind teenage girls about menstruation and standard menstrual care to reduce dysmenorrhea and enhance their overall health. Additionally, dysmenorrhea and its management strategies should be included in school curricula for females.