Journal of Nursing and Midwifery Sciences

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In Collaboration with Mazandaran University of Medical Sciences

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Journal of Nursing and Midwifery Sciences (JNMS) contributes to the advancement of evidence-based nursing, midwifery, and healthcare by disseminating high-quality research and scholarship of contemporary relevance and with the potential to advance knowledge for practice, education, management, or policy. JNMS's intended readership includes practising nurses and midwives in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing and midwifery professions; nurse educators and nursing students; and researchers in other disciplines with interest in common issues and inter-disciplinary collaboration. Papers published in JNMS are increasingly cited in reviews of evidence and used by other healthcare professionals, policymakers, commissioners and users of services to inform their decision-making and practice. All JNMS papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JNMS promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JJNMS's worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.

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Now showing 1 - 20 of 403

The Relationship Between Happiness and Caring Behaviors in Nurses: A Descriptive-Analytical Study
(Brieflands, 2024-12-18) Seyed Ali Rasooli; Sima Babaei; Vajihe Atashi; Safoura Dorri
Background: Caring behaviors encompass the supportive actions undertaken by nurses to assist patients, with the primary aim of reducing the duration of illness. Enhanced happiness may positively influence these behaviors, which are essential for nurses in maintaining and promoting patient health. Objectives: This study investigates the factors affecting the happiness of Iranian nurses and examines whether increased happiness correlates with improved caring behaviors. Methods: This descriptive-correlational study employed random sampling to survey 220 nurses in Isfahan, Iran, in 2024. Data were collected through questionnaires evaluating demographics, happiness (measured by the Oxford Happiness Questionnaire-Short Form), and caring behaviors. Data analysis was performed using descriptive statistics, independent t-tests, ANOVA, and Pearson correlation coefficients in SPSS V.23. Results: The Iranian nurses in this study demonstrated above-average happiness (mean score: 34.48 ± 5.82). Happiness showed a significant correlation with caring behaviors (P < 0.05) and was also significantly associated with gender, work experience, and income level. No significant associations were found between happiness and age, marital status, education, employment type, or department (P > 0.05). Conclusions: Higher levels of nurse happiness are associated with improved caring behaviors, suggesting that initiatives aimed at enhancing nurse happiness can lead to better quality of patient care. It is imperative for government and healthcare organizations to prioritize programs and policies that focus on increasing nurse satisfaction to improve healthcare outcomes.
The role of maternal health literacy in breastfeeding pattern
(Brieflands, 2018-06-30) Narges Mirjalili; Ali Ansari Jaberi; Kimia Ansari Jaberi; Tayebeh Negahban Bonabi
Context: Today exclusive breastfeeding through the first 6 months of the infant’s life has become a challenging issue in the health-care system. It seems the health literacy to be an important element in the women’s ability to understanding, processing, and practice on health information.
Lifestyle and its related factors in elderly
(Brieflands, 2019-03-31) Sharareh Asadi Brojeni; Ehteram-Sadat Ilali; Zohreh Taraghi; Nouroeddin Mousavinasab
Context: Lifestyle recognition is important because of its ability to prevent diseases and promote the health of the body and mind.
The mediating role of emotional processing in the relationship between self-efficacy and tendency for virtual networks in gifted students
(Brieflands, 2020-06-30)
The effect of self‑care program based on the Orem self‑care model on fatigue and quality of life in patients with COPD
(Brieflands, 2022-12-31) Iman Reiszadeh; Shahla Abolhassani; Reza Masoudi; Soleiman Kheiri
Context: Fatigue and the reduced quality of life are among the most common problems of patients with chronic obstructive pulmonary disease (COPD), affecting all aspects of life in these patients.
Effectiveness of mindfulness based cognitive therapy on the distress tolerance of nurses and job burnout
(Brieflands, 2016-12-31) Haydeh Motaghedi; Reza Donyavi; Bahram Mirzaian
Background and Purpose: Distress is an important issue with significant effects on nurses and patients in the nursing profession. Thisstudy aimed to investigate the effects of mindfulness-based cognitive therapy (MBCT) on the distress tolerance of nurses with job burnout.Methods: This quasi-experimental study was conducted with a pretest-posttest design and a control group. Study population consistedof 202 female nurses employed at Fatemeh Zahra Hospital (heart center) of Sari, Iran in 2015. Collected data were indicative of jobburnout in 70 participants. In total, 30 nurses were selected as eligible subjects and equally divided into two groups of interventionand control. Pretest was performed on both groups. Nurses in the intervention group received eight sessions of training (two hourseach) twice per week, while the control group had no intervention. Both groups were evaluated after the intervention (posttest). Datawere collected using Maslach Burnout Inventory (MBI) and Simons and Gaher’s Distress Tolerance Scale (DTS). Data analysis wasperformed in SPSS version 21 using analysis of covariance.Results: In this study, use of MBCT was observed to positively affect the distress tolerance of nurses with job burnout.Conclusion: According to the results of this study, factors such as prompt decision-making, job difficulty, long working shifts, andstressful environments were significantly involved in the psychological and physical stress of nurses, and MBCT could effectivelyenhance distress tolerance in the participants.
Quality of Life of Patients Before and After Hemorrhoid Surgery: A Single-Center Study in Vietnam
(Brieflands, 2024-06-30) Nguyen Thi Thuy Anh; Nguyen Ngoc Huynh Nhu; Tran Ngoc Hong; Pham Thi Ly; Nguyen Thi Hong Huyen; Doan Thi Minh; Ho Tat Bang; Nguyen Trung Tin
Background: Hemorrhoids are a prevalent condition that significantly impacts the quality of life (QoL) of affected patients. Despite their common occurrence, few studies have thoroughly investigated the changes in health-related QoL in patients undergoing hemorrhoid surgery, particularly in Vietnam. Objectives: This study aims to assess and compare the mean quality of life (QoL) scores across various dimensions before and after hemorrhoid surgery, providing insights into the effectiveness of surgical interventions. Methods: This before-and-after study was conducted on 246 patients at the University Medical Center HCMC, Vietnam, from February 2023 to February 2024. Participants were evaluated using the HEMO-FISS-QoL questionnaire before and eight weeks post-surgery. The Wilcoxon Signed Rank test was used to determine the association between the patients' quality of life (QoL) and the scores of each dimension before and after hemorrhoid surgery at eight weeks, with statistical significance set at P < 0.05. Results: The study included 246 participants with a mean age of 42.80 ± 14.22 years. The results indicated a significant enhancement in QoL post-surgery, with mean scores decreasing from 42.37 ± 12.74 before surgery to 23.54 ± 2.19 after surgery (P < 0.001), reflecting considerable improvements across all measured dimensions. Conclusions: The findings demonstrate a statistically significant improvement in both overall QoL and individual health dimensions following hemorrhoid surgery, confirming the procedure's effectiveness. This study contributes valuable data to the limited existing literature on the impact of hemorrhoid surgery on patient outcomes in Vietnam.
Evaluation of quality of life in the students of islamic Azad University
(Brieflands, 2015-09-30) Mahmood Nouri Shadkam; Khadijeh Nasiriani; Seid Saeed Mazloomy Mahmoodabad; Fatemeh Zare Harofteh
Background and Purpose: Quality of life is a ubiquitous concept, and improving quality of life plays a pivotal role in the promotion ofindividual and social health. This parameter requires exclusive attention in case of students since quality of life remarkably affects learningand academic achievement.This study aimed to evaluate quality of life among the students of Islamic Azad University of Yazd, Iran.Methods: This descriptive cross-sectional study was conducted on 400 participants randomly selected from the student populationof Yazd Islamic Azad University, Iran. Data were collected via self-report questionnaires about quality of life. Data analysis wasperformed using SPSS V.16.0.Results: In this study, mean of quality of life score was 16.16±146.91. In addition, a significant difference was found between qualityof life and gender (t=2.7, P=0.007), place of residence (t=2.0, P=0.04) and insurance status (t=3.16, P=0.002) of the subjects. However,there was no significant difference between quality of life and field of study, education level and family size (P>0.05).Conclusion: According to the results of this study, student quality of life was at an average level.Therefore, it is recommendedthat special attention be given to the enhancement of this parameter among students. In this regard, programs focusing on conflictresolution, effective decision-making, self-defense and relationship improvement, as well as provision of recreational facilities, couldbe beneficial in increasing student quality of life.
The mediating role of emotional distress tolerance in relationship between self-discrepancy with anxiety in people suffering from special phobias
(Brieflands, 2019-06-30) Alireza Sangani; Paria Jangi; Nahid Ramak; Aniseh Ahmadi
Context: The basis of anxiety disorders in cognitive and emotional fields can be effective in coping strategies to anxiety.
Pressure ulcer healing by daily topical sucralfate and silver sulfadiazine: A case report study
(Brieflands, 2021-09-30) Yasaman Pourandish; Fatemeh Mehrabi; Nima Abbasi Veldani; Reza Mansouri Tabar
Pressure ulcers are localized damage to the skin and/or underlying tissue that usually occurs over a bony prominence as a result of pressure. The patient was a 60‑year‑old male who was admitted to the intensive care unit for 1 month due to decreased consciousness in February 2019. He had a Grade 4 pressure ulcer in the sacrum area measuring 15 cm × 15 cm with 4 cm deep and exudate secretion and discoloration of the ulcer to yellow (ancestral tissue) and necrotic tissue around the ulcer. The ulcer was first bandaged with the daily silver sulfate ointment, but no healing process was achieved. After the patient was conscious and transferred to the inpatient ward, the necrotic tissue was debrided and washed with normal saline every day. Then, the ulcer was coated with 2 g of sucralfate tablets (4 tablets of 500 mg) dissolved in 5 cc of distilled water and mixed with 15 g of silver sulfadiazine ointment and was finally bandaged with sterile gauze. The Pressure Ulcer Scale for Healing instrument was used to evaluate the ulcer healing process. After 40 days, the patient’s ulcer changed to a Grade 2 pressure ulcer measuring about 5 cm × 5 cm with pink color (granular tissue enclosed by epithelial tissue) on the skin.
Relationship between depression and social support and morale in the elderly
(Brieflands, 2019-12-31) Fatemeh Pourtaghi; Monir Ramezani; Hamidreza Behnam Vashani; Zahra Hamedi; Zahra Emami Moghadam
Context: The priority of health issues in each community changes with aging and some problems related to aging, especially morale. Many factors such as social support and depression affect morale in the elderly.
Development and psychometric evaluation of the contraceptive attitude questionnaire
(Brieflands, 2022-03-31) Sidika Pelit Aksu; Mehtap Uzun Aksoy; Esra Arslan Gurcuoglu; Ayten Senturk Erenel
Context: Individual attitudes are a factor that affects the use of contraceptive methods. It is known that positive or negative attitudes affect the use of contraceptives.Aims: This study aimed to develop an intelligible tool which can measure attitudes toward contraceptive methods that the healthcare personnel in Turkey can easily apply.Setting and Design: This study is a methodological research. A simple random sampling method was used. The sampling of the study was made up of 300 women and men aged 15 and over who were referred to the two family healthcare centers. An information form and the final primary version of Contraceptive Attitude Scale consisting of 35 attitude items were used for data collection.Materials and Methods: This study was conducted in two phases. Developing the items of the contraceptive attitude questionnaire (CAQ) was conducted in Phase I using the deductive method. In phase 2, the psychometric properties of the questionnaire were evaluated.Statistical Analysis Used: Content validity ratio, content validity index, Kaiser‑Meyer‑Olkin coefficient, Bartlett’s test of Sphericity, Pearson Product‑Moment Correlation Coefficient, and Cronbach’s alpha reliability coefficient were used. Furthermore, fit indices were calculated (Root Mean Square Error of Approximation [RMSEA], normed fit index [NFI], comparative fit index [CFI] non‑NFI [NNFI], adjusted goodness of fit index [AGFI], goodness of fit index [GFI]).Results: After the exploratory factor analyses, it was determined that the 25 items in the questionnaire were grouped under three factors. The internal consistency coefficient was found to be 0.90, 0.89, 0.84, and 0.77 for CAQ, Factor 1, 2, and 3, respectively. In the confirmatory factor analyses, it was determined that the Chi‑square value of CAQ was significant and that the data were sufficient for the model (χ2 = 1080.90, df = 272, χ2/df = 3.97, P = 0.000). Of the fit indices in CFA, the following values were found: RMSEA = 0.059, NFI = 0.95, NNFI = 0.97, CFI = 0.98, AGFI = 0.73, and GFI = 0.78.Conclusion: The CAQ was determined to be a valid and reliable measurement tool in Turkey. The questionnaire is suitable for use to protect and improve the reproductive health of women and men as it determines attitudes toward the use of contraceptive methods.
Anxiety disorder of 3-6 year-old children
(Brieflands, 2021-06-30) Reza Zeighami; Mohammad Ebrahim Sarichloo; Zahra Hosseinkhani; Saedeh Zeynalzadeh
Context: Anxiety is the most common disorder in childhood. Several factors may play a role in anxiety, such as child’s emotional and social behavior and mother employment.Aims: the present study aims to evaluate the anxiety disorders of 3–6‑year‑old children of nurses working in the educational hospitals in the city of Qazvin.Settings and Design: This cross‑sectional study was performed in September 2018.Materials and Methods: This is a descriptive‑analytical study. Spence anxiety scale for preschool children was used to collect data. In this self‑report instrument, parents are asked to rate the frequency of child behavior on a 5‑point Likert scale from Never (0) to Ever (4). The children with a score above 34 were rated as having anxiety disorder. One hundred and fifty‑five nurses were willing to participate in the study. Inclusion criteria for children were 3–6 years of age, for nurses were being employed in educational hospitals of Qazvin University of Medical Sciences and the exclusion criteria of this study moving from Qazvin to another city.Statistical Analysis Used: Data were analyzed using SPSS version 20 ( SPSS Inc., Chicago, IL, USA), univariate and multivariate regression coefficients. P < 0.05 were considered as significant levels.Results: The results showed that 32.9% of children of the nurses had anxiety disorder and there was a significant positive relationship between child gender (P = 0.008), child care during hospital shifts (P = 0.013) and anxiety among in these children. Furthermore, the prevalence of anxiety disorder in girls and child care by other family members were associated with the anxiety.Conclusions: Nurses are exposed to work‑family conflicts due to their occupational conditions, which play an important role in children’s anxiety and it declares the need to pay more attention to this large segment of society. To generalize the results, it is suggested that this study be conducted on the statistical population of other regions of the country.
Designing and evaluation of patient safety management questionnaire: A mixed method study
(Brieflands, 2021-09-30) Seyed Jalil Hosseini Irani; Leila Riahi; Ali Komeili; Reza Masoudi
Context: Health system managers have a responsibility to prioritize their policies, procedures, and guidelines to ensure patient safety.Aim: Design and evaluation of patient safety management questionnaire in Shahrekord teaching hospitals.Settings and Design: This study was a mixed and exploratory research.Materials and Methods: This study was conducted in 2017–2019 in Shahrekord. To analyze the factor load, the entire study population participated including 450 manager, nurse manager, supervisors, head nurses, and patient safety practitioner.Statistical Analysis Used: The scope and items of the questionnaire were confirmed by examining the face validity, content, and structure and its reliability by internal consistency and stability. After collecting data, SPSS software version 18 was used to analyze and evaluate the information.Results: In the qualitative stage and interview professors and experts and reviewing scientific texts, 116 items were extracted in 8 dimension of patient safety management, which after reviewing the face and content validity, 19 items were removed. In the quantitative stage, in the content validity ratio study, two items were removed due to the ratio of< 0.56 and one item in the content validity index review was removed due to the ratio of
Behavioral brain systems activation with postpartum blue: According revised reinforcement sensivity theory
(Brieflands, 2019-03-31) Bahman Alimoradi; Hamid Nejat
Context: Mood disorders such as postpartum blue are very prevalent in the postnatal period, while the underlying mechanism of postpartum blue is not well known.
Comparison of the effect of aromatherapy with essential of Damask Rose and Citrus aurantium on the sleep quality of the elderly people
(Brieflands, 2021-03-31) Zahra Khalili; Zohreh Taraghi; Ehteramsadat Ilali; Nouroeddin Mousavinasab
Context: Aromatherapy is a complementary therapy to improve the sleep quality.Aims: The aim of the current study was to compare the effect of aromatherapy with essential of Damask Rose and Citrus aurantium on the sleep quality of the elders.Setting and Design: This quasi‑experimental study conducted in the day‑care centers.Materials and Methods: Sixty elderly people were randomly selected and inhaled essential of Damask Rose 10% on the pillows concurrently, for three nights, before sleeping. After 1 month wash out, they were under aromatherapy with C. aurantium 10%, as the same method. At both periods, sleep quality were assessed by Pittsburgh Sleep Quality Index.Statistical Analysis Used: Data were analyzed by SPSS version 25 and using independent t‑test, paired t‑test, and Wilcoxon signed‑ranks test.Results: Although the total sleep quality score was improved at two periods of aromatherapy, it was significantly better at Damask Rose period, compared to C. aurantium (P < 0.001). Regarding to sleep domains, at both periods, aromatherapy had no effects on sleep disturbance. The score changes of subjective sleep quality (P = 0.001), sleep efficacy (P = 0.013), and daytime dysfunction (P = 0.033) were significantly better at the Damask Rose period, compared to C. aurantium.Conclusion: Both essential of Damask Rose and C. aurantium could improve the sleep quality, although the effect of Damask Rose on the total sleep quality score of elders was more than C. aurantium. Therefore, regarding to elders’ preferences, one of these mentioned essentials could be used for improving sleep quality.
Experience of Husbands on Barriers of Active Participation in Their Wives’ Physiological Childbirth: A Conventional Content Analysis Study
(Brieflands, 2023-03-31) Farideh RezaeiAbhari; Ali Hesamzadeh
Background: One of the major concerns of the healthcare system managers is the excessive increase in cesarean sections in Iran which led to the implementation of the physiological childbirth program. The promotion of physiological childbirth by the participation of husbands is facing barriers. Objectives: The present study aimed to explore the husbands’ viewpoints on the barriers against their participation in the physiological childbirth of the wives. Methods: The present qualitative study was carried out with Granheim and Landman’s content analysis approach. A total of 13 husbands whose wives had physiological childbirth were purposively included in the study. The data were collected from the husbands through semi-structured and in-depth interviews and continued until data saturation. The data were analyzed using MAXQDA software (version 2020). Results: The participants’ age range was 25 - 50 years, and their level of education varied from diploma to doctorate. The data analysis resulted in 3 main categories and 12 subcategories, including sociocultural (i.e., uncommon husband’s presence, parturient’s shame, established female caregiving role, husband’s shyness, and scorn by others), structural (i.e., imperfect maternity ward physical structure, words and actions contradiction, and non-acceptance of the husband), and individual (i.e., occupational problems, lack of information, psychological unpreparedness, and fear of harming the mother and neonate) barriers. Conclusions: According to husbands’ viewpoints, there are social, cultural, structural, and individual barriers to participating in the childbirth of their wives. Therefore, managers of healthcare services need to plan evidence-based measures to remove the husbands’ participation barriers against the physiological childbirth of their wives.
The Relationship Between Resilience and Conflict Management Styles from the Perspective of the Prehospital Emergency Medicine Operational Staff: A Cross-sectional Descriptive Study
(Brieflands, 2023-10-01) Jebreil Balafkan; Omolhoda Kaveh; Abolfazl Hosseinnataj; Leila Jouybari; Mohammad Ali Heidarigorji
Background: The numerous pre-hospital emergency medicine operational staff interactions with different people cause many conflicts. In addition to affecting their physical and mental health, these conflicts lead to severe problems for the health of society and patients. Objectives: This study aimed to determine the relationship between resilience and conflict management styles from the perspective of pre-hospital emergency medicine operational staff of the Medical Emergency and Accident Management Center in Golestan Province in 2022. Methods: This descriptive correlational study recruited 200 operational staff working in the pre-hospital emergency center in Golestan Province. They were selected using a stratified sampling method with proportional allocation. The data were collected using a demographic questionnaire, the Connor-Davidson Resilience Scale (CD-RISC), and the Rahim Organizational Conflict Inventory-II (ROCI-II). Results: Pearson correlation results demonstrated a direct and significant relationship between resilience and conflict management styles (P = 0.011, r = 0.180); the resilience score increased with an increase in the score of conflict management styles. In addition, resilience was directly associated with compromising (P = 0.012, r = 0.178) and integrating styles (P = 0.001, r = 0.276). Finally, a direct and significant relationship existed between job interest and resilience (P = 0.01). The linear regression analysis showed a significant relationship between the resilience score and the score of conflict management styles (β = 0.17). Conclusions: Resilience can improve the conflict management styles of pre-hospital emergency medicine operational staff. Moreover, job interest can enhance resilience, indirectly affecting conflict management. Pre-hospital emergency managers and officials should hold resilience training courses for pre-hospital emergency operatives.
Internet addiction among students of Islamic Azad University
(Brieflands, 2014-09-30) Ramzan Hasanzadeh; Ghahraman Mahmoodi; Masoumeh Bagheri Nesami; Jabbar Heydari Fard
Background and Purpose: Today, the increasing demand of computer technology & the vast internet technology penetrationdespite its plentiful benefits has exposed most people especially college goers to disorder in their psychological health & socialcommunications due to being afflicted to computer addiction .Thus regarding the contradictory results of the studies conductedin this field, the present research has been done with the goal to investigate the Internet Addiction (IA) level in Sari Islamic AzadUniversity students in 2013.Methods: In the present research, the descriptive method has been applied .The statistical community consists of all students ofIslamic Azad University located in Sari in 2013. Out of the statistical community, based on sample size determination table fromthe community size or korjesi-Morgan table, 261 individuals have been selected by random stratified sampling. To collect data,a two-part questionnaire of demographic characteristics & IA test have been applied. To analyze data, descriptive –inferentialstatistics such as ANOVA & independent t have been employed by SPSS software.Results: According to the study findings, the students' mean age & standard deviation have been 24.3±3.7. 17.6% of the studentshave been included in average to severe IA range. The internet addiction in various ages has been meaningful among the students.Among girl & boy students, IA is meaningful at P=0.05. Based on the students using the internet, IA is significant at P=0.05.Conclusion: According to the present research findings, the internet addiction is common among the students and in order toprevent its dangers & complications in the students, it seems necessary to pay attention to the health & therapeutic considerations.
Disaster Risk Management Model for Enhancing the Preparedness of Pregnant Women in Response to the Eruption of Mount Agung: A Quasi-Experimental Study
(Brieflands, 2024-06-30) Nengah Runiari; I Dewa Made Ruspawan; I Wayan Candra; I Nengah Sumirta; Ni Nyoman Hartati; Ni Made Wedri; I Gede Juanamasta; Yupin Aungsuroch
Background: Volcanic eruptions can harm pregnant women in the absence of disaster risk management. Health personnel have not adequately prepared pregnant women for disaster-prone eruptions. Objectives: This research aimed to evaluate the effectiveness of a disaster risk management model in enhancing the preparedness of pregnant women in anticipation of the eruption of Mount Agung. Methods: The research employed a quasi-experimental design, utilizing a pre-test-post-test control group method. Conducted in Bali, Indonesia, in 2022, the study involved a sample of 200 participants, divided equally into two groups of 100 each. Participants were selected using quota sampling. Preparedness questionnaires were administered before the educational intervention (pre-test) and again after two weeks of education (post-test). The data were analyzed using the Wilcoxon Signed Rank Test and the Mann-Whitney U test. Results: It was found that in the intervention group, the preparedness of most pregnant women was categorized as fair (55%) before the intervention and high (65%) after the intervention (p < 0.001). In the control group, most pregnant women's preparedness remained in the fair category both before (66%) and after (65%) the intervention (P = 0.085). Additionally, there was a significant difference in the preparedness levels between the groups after the intervention (P = 0.015). Conclusions: Health workers can enhance the eruption emergency preparedness of pregnant women through educational classes specifically designed for them.

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