Journal of Education and Health Promotion最新文献

{"title":"Differences in compassion satisfaction and compassion fatigue among oncology nurses in Oman: A multi-center cross-sectional study.","authors":"Devakirubai Jacob, Joshua K Muliira, Eilean R Lazarus, Omar Al Zaabi","doi":"10.4103/jehp.jehp_1722_23","DOIUrl":"10.4103/jehp.jehp_1722_23","url":null,"abstract":"<p><strong>Background: </strong>Oncology nurses are constantly exposed to occupational exposure to the suffering of others, which can lead to vicarious traumatization, low professional quality of life (ProQOL), and inability to provide quality nursing care. The purpose of the study is to explore the ProQOL of oncology nurses working in Oman and the characteristics that lead to differences in compassion satisfaction (CS) and compassion fatigue (CF).</p><p><strong>Materials and methods: </strong>A cross-sectional design was conducted between March and December 2020 using the ProQOL scale to collect data from 242 oncology nurses in Oman using a convenience sampling technique. The rates of CS and CF [(secondary traumatic stress (STS) and burnout (BO)] were summarized using descriptive statistics. The characteristics leading to differences in CS and CF were assessed using the independent-sample <i>t</i>-test.</p><p><strong>Results: </strong>Only 35% reported high levels of CS. Most nurses reported moderate STS (60%) and BO (65%). Nurses aged ≥36 years, ≥10 years of professional experience, ≥6 years of oncology experience, married, and desiring to work with cancer patients reported higher levels of CS.</p><p><strong>Conclusion: </strong>Omani oncology nurses have low levels of CS. The nurses' desire to work with cancer patients, professional experience, and the age of cancer patients regularly affected the experience of CF. The identified characteristics can be exploited to mitigate deterioration in oncology nurses' ProQOL using targeted interventions for high-risk individuals. Beneficial interventions may focus on continuing education, stress management, coping, work environment, teamwork, and communication of oncology nurses and other members of the healthcare team.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"349"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Academic success of students with low socioeconomic status: Explanation and evaluation of a model with a mixed-methods approach.","authors":"Iman Seyyedmoharrami, Hossein Kareshki, Seyed Ali Kimiaei, Maryam Bordbar","doi":"10.4103/jehp.jehp_1330_23","DOIUrl":"10.4103/jehp.jehp_1330_23","url":null,"abstract":"<p><strong>Background: </strong>In this research, a model of factors affecting students' academic success with low socioeconomic status (SES) was explained and evaluated.</p><p><strong>Materials and methods: </strong>A mixed-methods research design was used to explain academic success and evaluate it. From this point of view, the research was divided into two parts: grounded theory (GT) and structural equation modeling (SEM). For the qualitative part, semi-structured interviews were held with 49 students, parents, and teachers from Roshtkhar City, one of the less privileged areas of the department of education in Razavi Khorasan Province in Iran. In the second part, this model was tested using the multistage cluster random sampling method on 314 students from Roshtkhar City with the SEM method. The instrument used in the quantitative section was a researcher-made questionnaire whose validity and reliability have been confirmed.</p><p><strong>Result: </strong>It was found that the causal conditions had significant effects on the phenomenon of the academic positive perspective of students with low SES (<i>β</i> = 0.77), academic positive perspective on the implementation of academic success strategies in low SES areas (<i>β</i> = 0.6), context background on the implementation of strategies (<i>β</i> = 0.28), intervening conditions on the implementation of strategies (<i>β</i> = 0.12), and implementation of interactions and strategies of students with low SES on the consequences of academic success (<i>β</i> = 0.86). The phenomenon of academic positive perspective clarified the complexity of the academic success of students with low SES.</p><p><strong>Conclusion: </strong>The examined paradigm model can be a suitable model for the academic success of students with low SES.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"336"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the effect of teaching assistants (TA) on the level of satisfaction of undergraduate anesthesia students with training in the internship unit.","authors":"Shahnam Sedigh Maroufi, Alireza Babajani, Shaqayeq Taghizadeh, Mohammad Gholamzadeh, Seyyedeh Haniyeh Mousavibaghi, Mohammad Mehdi Azizi Darbandi","doi":"10.4103/jehp.jehp_1010_23","DOIUrl":"10.4103/jehp.jehp_1010_23","url":null,"abstract":"<p><strong>Background: </strong>Clinical training in the internship unit is the heart of professional training, and teaching assistants can be considered an essential component in the clinical training program. Therefore the present study was conducted to investigate the effect of teaching assistants (TA) on the degree of satisfaction of undergraduate students of Anesthesia with training in the internship unit.</p><p><strong>Materials and methods: </strong>This descriptive-cross-sectional study was conducted in 2023. The sample of the research was the Anesthesia undergraduate students who were included by census method. First, a questionnaire was designed and psychometric to check the level of satisfaction (ICC = 0.992). then it was given to students who had completed at least 1 unit of internship with TAs. The results were analyzed with SPSS software Version 22 and one-way-ANOVA and independent t-statistical tests (<i>P</i> Value <0.05).</p><p><strong>Results: </strong>A total of 60 questionnaires were completed and analyzed. Among them, 39 were female students and 21 were male students who were studying in the 4^th, 6^th, and 8^th semesters. the level of satisfaction of Anesthesia students with training by teaching assistants is at a favorable level with an average of 61.06. There was no statistically significant difference between the variables of gender and academic semester with the degree of satisfaction. 6^th-semester students had the highest level of satisfaction with an average satisfaction of 61.63.</p><p><strong>Conclusion: </strong>According to the results, Anesthesia undergraduate students are satisfied with the clinical training by TAs, at a favorable and high level. Therefore it is recommended that teaching assistants in education be used to improve students' satisfaction and learning levels.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"352"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual health promotion interventions in Iranian postmenopausal women: A systematic review of randomized controlled trials.","authors":"Maryam Masoumi, Afsaneh Keramat, Maryam Farjamfar, Seyedeh Solmaz Talebi","doi":"10.4103/jehp.jehp_947_23","DOIUrl":"10.4103/jehp.jehp_947_23","url":null,"abstract":"<p><p>This study aimed to systematically review published articles on sexual health promotion interventions in postmenopausal Iranian women. Five databases including PubMed, ProQuest, Web of Science, Science Direct, and Google Scholar, as well as three Iranian databases, including SID, IranDoc, and Magiran, were searched without a time limit for sexual health promotion interventions in Iranian postmenopausal women. The risk of bias was assessed using the Jadad scale. In total, 48 articles met our inclusion criteria and provided data for this review. The measured outcomes were different aspects of sexual function. Outcomes were measured using a specific questionnaire related to sexual function and its areas. The results obtained from the tools used have led to the classification of the results based on the type of interventions used to improve the sexual health of postmenopausal women. The main groups were drug interventions (chemical and herbal) and non-drug interventions (psychological and educational). Surveys showed that most interventions performed on sexual health in Iranian postmenopausal women were medicinal (herbal) interventions. Numerous studies obtained a good quality score. The results of this study can be used to improve the sexual health of postmenopausal women.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"357"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The psychological impact of COVID-19 on front-line healthcare providers in the United Arab Emirates: A cross-sectional study.","authors":"Mohannad AlJaberi, Rami A Elshatarat, Murad A Sawalha, Nathira Al Hmaimat, Halima AlBlooshi, Mahra Alshehhi, Ateya M Ibrahim, Donia E Zaghamir, Zyad T Saleh, Ahmad Rajeh Saifan","doi":"10.4103/jehp.jehp_1734_23","DOIUrl":"10.4103/jehp.jehp_1734_23","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The COVID-19 pandemic has significantly impacted the psychological well-being of healthcare providers (HCPs) worldwide. Understanding the prevalence and associated factors of depression, generalized anxiety disorder (GAD), and posttraumatic stress disorder (PTSD) among these providers is crucial. Assess the prevalence of major depression, GAD, and PTSD symptoms among HCPs in the United Arab Emirates (UAE) during the COVID-19 pandemic. Additionally, this study sought to identify demographic, work-related, and health-related factors associated with these psychological symptoms.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;A cross-sectional survey involving 992 HCPs across various healthcare institutions in the UAE was conducted. Participants were administered standardized assessment tools, including the Patient Health Questionnaire-9 (PHQ-9) for depression, the GAD-7) for GAD, and the Impact of Event Scale-Revised (IES-R) for PTSD. Independent &lt;i&gt;t&lt;/i&gt;-tests and one-way analysis of variance (ANOVA) were employed to assess the prevalence and associated factors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The findings revealed that approximately 19% of the participants exhibited significant symptoms of major depression (PHQ-9 ≥10), while 57.1% reported no significant anxiety symptoms, and 54.4% displayed minimal or no significant PTSD symptoms. Participants with COVID-19, family infections, and work overload showed higher depression, GAD, and PTSD symptoms. Married in-hospital workers significantly differed from single prehospital workers in psychological symptoms. Occupation, level of education, working department, and age significantly influenced the perceived severity of depression, GAD, and PTSD symptoms. Specifically, the ANOVA test revealed significant differences in depression (F = 3.01, &lt;i&gt;P&lt;/i&gt; &lt; 0.05), GAD (F = 11.4, &lt;i&gt;P&lt;/i&gt; &lt; 0.001), and PTSD symptoms (F = 3.6, &lt;i&gt;P&lt;/i&gt; &lt; 0.05) based on occupation. Nurses had higher depression (5.8 ± 7.4) and GAD (7.4 ± 6.6) scores, while physicians had elevated PTSD symptoms (22.4 ± 21.0). Participants with a bachelor's degree had significantly higher depression (7.0 ± 8.4), GAD (7.2 ± 7.4), and PTSD symptoms (22.9 ± 24.6) than those with diplomas or postgraduate degrees. In the intensive care unit (ICU), higher levels of depression (9.3 ± 9.1), GAD (7.6 ± 7.5), and PTSD symptoms (24.7 ± 25.4) were reported. Participants at the screening center had higher depression (5.4 ± 4.7) and PTSD symptoms (15.2 ± 16.8) than those in other prehospital departments. However, participants in PHCs reported higher levels of GAD symptoms (5.8 ± 7.1) compared to those at screening centers, and EMTs. Concerning age groups, participants between 50 and 60 years old experienced more depressive symptoms (8.3 ± 6.7), while those aged 40-49 reported higher GAD (8.5 ± 7.3) and PTSD symptoms (27.0 ± 19.0).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study underscores the importance of proactive mental health suppo","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"335"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigate mothers' perceptions and experiences of natural childbirth and quality of care in childbirth management based on Safe Childbirth Checklist: A qualitative study.","authors":"Atefeh Kamrani, Mina Iravani, Parvin Abedi, Mahin Najafian, Shahla Khosravi, Narges Alianmoghaddam, Bahman Cheraghian","doi":"10.4103/jehp.jehp_896_23","DOIUrl":"10.4103/jehp.jehp_896_23","url":null,"abstract":"<p><strong>Background: </strong>The Safe Childbirth Checklist (SCC) was designed in an effort to support health workers to perform essential tasks and improve the quality of care (QoC) for mothers and babies during childbirth. Given the fact that human experiences in any society can be influenced by cultural, economic, and social differences. Therefore, the present qualitative study aimed to investigate mothers' perceptions and experiences of natural childbirth and QoC in childbirth management based on SCC.</p><p><strong>Materials and methods: </strong>The current study is a qualitative study that was conducted in 2022-2023 by targeted sampling on women who gave birth based on SCC in two hospitals in Ahvaz. Eighteen women participated in the interview sessions 1 month after giving birth. The conventional content analysis method was used to analyze the data.</p><p><strong>Results: </strong>Overall, 870 codes were extracted from the interviews. The interviewed mothers' satisfaction with the use of SCC was organized into seven main themes, namely \"Satisfaction with the comprehensive support of the companion,\" \"Satisfaction with the comprehensive support of the midwife,\" \"Satisfaction with the emotional support of the husband,\" \"Satisfaction with the mutual interaction between the midwife and the parturient mother,\" \" Preparation for the challenges of different stages of childbirth and postpartum through training,\" \" Satisfaction with the pain management strategies adopted by the companion,\" \"Satisfaction with skin-to-skin contact and early breastfeeding\" and \" Satisfaction with the strengthened relationship between the couples and acceptance of the father's role after the husband's meeting with the parturient mother.\"</p><p><strong>Conclusion: </strong>Implementation of SCC by providing evidence-based practice and midwifery standards to mothers and neonates can help improve women's experiences of the birth process. By reminding midwives to encourage women to have a companion during childbirth and by giving the necessary training to them about danger signs in every stage of childbirth from admission to discharge, this checklist can not only lead to positive birth experiences but also improve the interaction of mothers with midwives. Therefore, it is recommended that this checklist be used in maternity wards.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"332"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: The effectiveness of acceptance and commitment therapy on identity crisis and distress tolerance in mothers of children with cancer.","authors":"","doi":"10.4103/jehp.jehp_1719_24","DOIUrl":"10.4103/jehp.jehp_1719_24","url":null,"abstract":"<p><p>[This corrects the article on p. 190 in vol. 13, PMID: 39268426.].</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"374"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between moral distress and compassion fatigue in the emergency department nurses: A cross-sectional study from Ardabil Province, Iran.","authors":"Mansoureh Karimollahi, Effat Mazaheri, Hassan Almaspoor Khangah, Sulmaz Pourhamzeh","doi":"10.4103/jehp.jehp_1088_23","DOIUrl":"10.4103/jehp.jehp_1088_23","url":null,"abstract":"<p><strong>Background: </strong>Nurses working in the emergency department increasingly face moral distress due to the nature of their profession, negatively affecting their love and compassion toward the patient. Therefore, this study sought to determine the correlation between moral distress and compassion fatigue in the nurses of the emergency departments of the hospitals in Ardabil.</p><p><strong>Materials and methods: </strong>The current cross-sectional (descriptive correlational) study was conducted using consensus sampling. The study population comprised all nurses working in the emergency departments of hospitals in Ardabil in 2022. Data were gathered using two standard questionnaires, comprising compassion fatigue by Figley (2002) and moral distress by Hamric <i>et al.</i> (2012). The data were analysed using SPSS-20 software and descriptive and inferential statistics, including independent T-test, Pearson's correlation coefficient, and one-way ANOVA.</p><p><strong>Results: </strong>Moral distress was higher than average in governmental hospitals (2.12±0.58) and below average in private and social security hospitals (1.72±0.68). Besides, the nurses' compassion fatigue was lower than average in all studied hospitals (2.17±0.43). There was also a significant positive correlation equal to 0.29 between moral distress and compassion fatigue in emergency department nurses (<i>P</i><0.01).</p><p><strong>Conclusion: </strong>According to the results, the higher the level of moral distress, the greater the compassion fatigue. The level of moral distress and its relationship with compassion fatigue reflects the impact of conditions causing moral distress on the quality of care and the necessity to prevent such conditions by providing appropriate solutions. Informing nurses about moral distress and its consequences and providing periodic counseling can contribute to its identification and control.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"356"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the scope and utility of peer observation by medical students: A narrative review.","authors":"Saurabh RamBihariLal Shrivastava, Prateek Sudhakar Bobhate, Prithvi Brahmanand Petkar, Harshal Gajanan Mendhe, Ankit Kishor Badge","doi":"10.4103/jehp.jehp_1870_23","DOIUrl":"10.4103/jehp.jehp_1870_23","url":null,"abstract":"<p><p>As medical knowledge continues to advance each day and there are multiple competencies that need to be acquired by undergraduate students, it becomes quite challenging for them to become competent within the period of training. The purpose of the current review is to explore the process of peer observation, identify the benefits attributed to peer observation, and explore various strategies to measure the impact of peer observation in medical education. An extensive search of all materials related to the topic was carried out on the PubMed and Google Scholar search engines and a total of 25 articles were selected based on their suitability with the current review objectives. Keywords used in the search include peer observation in the title alone only (viz. peer observation [ti] AND teaching [ti]; peer observation [ti] AND feedback [ti]; peer observation [ti] AND faculty [ti]; peer observation [ti] AND evaluation [ti]; peer observation [ti]). The approach of peer observation by medical students has been acknowledged as one of the important tools to improve the teaching and learning experiences by making everyone accountable. The success of peer observation in any medical college depends on the groundwork that has been carried out prior to its introduction. To maximize the benefit of peer observation in medical education for both stakeholders, we must take specific measures to conduct effective observations. In conclusion, peer observation by medical students is an effective approach to empower students as educators and develop a culture of continuous improvement in the institution. Acknowledging the merits of peer observation, the need of the hour is to adopt a systematic approach to ensure its successful planning and implementation in medical colleges.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"337"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Heart Failure Nursing Protocol (HF-NP) on quality of life of patients with heart failure.","authors":"Bandna Kumari, Sukhpal Kaur, Monika Dutta, Ajay Bahl, Parag Barwad, Sudip Bhattacharya","doi":"10.4103/jehp.jehp_607_23","DOIUrl":"10.4103/jehp.jehp_607_23","url":null,"abstract":"<p><strong>Background: </strong>Effective management of heart failure (HF) requires an integrated approach involving pharmacological and non-pharmacological interventions. Available evidence shows that patients benefit from adjunctive therapies along with guideline-directed medical therapy (GDMT). Still, there is an inadequacy in the use of the best available evidence and the self-management of symptoms by the patients. This study aimed to evaluate the effectiveness of a Heart Failure Nursing Protocol (HF-NP) on selected parameters, that is, symptoms, self-care adequacy, episodes of hospitalizations, depression, exercise capacity, medication adherence, activities of daily living (ADLs), and quality of life (QOL) of the HF patients.</p><p><strong>Material and methods: </strong>A pre-experimental study was conducted in a tertiary care hospital in Northern India. A total of 101 patients were enrolled using a convenient sampling technique. Participants were trained individually through demonstrations and educational sessions about self-management of HF at home. An informational booklet was given to all the participants consisting of information about HF, dietary instructions, individual exercise schedules based on the New York Heart Association (NYHA) class, identification of worsening symptoms, daily monitoring of vital parameters, and self-management of HF at home. Telephonic encouragement was provided on day 15, 1 month, and 3 months of baseline visits. The data were checked for normality using the Kolmogorov-Smirnov test and analyzed using a paired <i>t</i>-test, Wilcoxon's signed-rank test, and McNemar's test as appropriate.</p><p><strong>Results: </strong>There was significant improvement in outcomes, such as breathing difficulty (<i>P</i> = 0.028), activity intolerance (<i>P</i> = 0.013), self-care adequacy (<i>P</i> = 0.001), depression (<i>P</i> = 0.001), exercise intensity (<i>P</i> = 0.001), QOL (<i>P</i> = 0.001), and medication adherence (<i>P</i> = 0.001) after 3 months of intervention.</p><p><strong>Conclusion: </strong>HF-NP was effective in improving HF outcomes. It can be used to train patients and their family members regarding the debilitating illness, after doing a large study, and it can be incorporated into the health policy later.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"368"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}