Iranian Journal of Nursing and Midwifery Research最新文献

{"title":"The Relationship between Perceived Stress and Breastfeeding Pattern among Primiparous Mothers: A Cross-sectional Study in the West of Iran.","authors":"Ensiyeh Jenabi, Salman Khazaei, Arshia Nazari, Erfan Ayubi, Sara Abdoli","doi":"10.4103/ijnmr.ijnmr_389_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_389_23","url":null,"abstract":"<p><strong>Background: </strong>The breastfeeding pattern of mothers in different societies has its roots in different social and cultural issues. Recognizing the significance of this issue and the absence of similar research in the western region of Iran, this study explored the relationship between perceived stress and breastfeeding patterns among primiparous mothers.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted on 269 mothers from January to May 2023 in the city of Hamadan, Iran. The demographic and midwifery information questionnaire and the perceived stress scale (PSS) were used. Data analysis was performed using Stata software, with the significance level set at 0.05.</p><p><strong>Results: </strong>In the present study, only 24.16% of breastfeeding mothers breastfed exclusively. The findings showed that with each unit increase in the perceived stress score, the chance of not exclusively breastfeeding increased by 54%. Moreover, with each year of increase in the mother's age, the chance of not exclusively breastfeeding decreased by 15%.</p><p><strong>Conclusions: </strong>The results showed a negative association between stress and exclusive breastfeeding. Therefore, it is recommended that mental health promotion be incorporated into policy-making and planning for maternal and neonate healthcare to ensure the continuation of exclusive breastfeeding.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"237-242"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020596","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":"\"Everything has been Dramatically Changed Since The Outbreak Began\": A Descriptive Qualitative Study of Cancer Care Experiences of Patients and Oncology Nurses during the COVID-19 Pandemic.","authors":"Ali Mostafaei, Neda Kabiri, Deniz Naghibi, Rahim Khodayari-Zarnaq, Sakineh Hajebrahimi, Fatemeh Sadeghi-Ghyassi, Siamak Salehi","doi":"10.4103/ijnmr.ijnmr_4_24","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_4_24","url":null,"abstract":"<p><strong>Background: </strong>Cancer during the novel coronavirus disease 2019 (COVID-19) pandemic has changed, leading to challenges in the management of the two serious health conditions of cancer and COVID-19. This study was conducted to explore the experiences of cancer care among hospitalized patients with cancer and oncology nurses in the COVID-19 pandemic environment.</p><p><strong>Materials and methods: </strong>This descriptive qualitative study included interviews with patients with cancer and oncology nurses. Observations and field notes were recorded. In this study, we purposively recruited 11 patients and 10 oncology nurses from a tertiary referral hospital affiliated with the Tabriz University of Medical Sciences, northwest Iran. Face-to-face interviews were conducted between June and July 2021. The interviews were recorded, transcribed verbatim, open-coded, and analyzed thematically. All these steps were managed using MAXQDA 10.</p><p><strong>Results: </strong>Three themes were generated regarding patients' and nurses' experiences of cancer care during the COVID-19 pandemic: 1) feeling scared and neglected, 2) appearance of fundamental changes in all aspects of life, and 3) facing challenges beyond routine cancer care.</p><p><strong>Conclusions: </strong>This study demonstrates the experiences of a \"vulnerable\" population during the COVID-19 pandemic. Understanding the experiences of patients with cancer and frontline healthcare providers during this unprecedented time of COVID-19 can help provide guidance and support for health policymakers in evidence-informed decision-making for cancer care beyond the COVID-19 pandemic era.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"255-262"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002184","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 Effect of Deep Respiration and Prone Position on Common Respiratory Symptoms in Patients with COVID-19: A Randomized Clinical Trial.","authors":"Sima Alipour Nasrabadsofla, Afshin Mansourian, Mohammad Gholamnezhad, Ardashir Afrasiabifar, Asadolah Mosavi, Shahla Najafi Doulatabad","doi":"10.4103/ijnmr.ijnmr_34_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_34_23","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 causes many respiratory problems. The most common clinical manifestation is acute respiratory failure. Respiratory rehabilitation is an important part of treatment, but little is known about it. This study was carried out to determine the effect of deep respiration and prone position on common respiratory symptoms in patients with COVID-19.</p><p><strong>Materials and methods: </strong>In this clinical trial that was conducted in a hospital in Yasuj city, Iran, in 2021, 96 patients with COVID-19 were selected using a non-random convenience sampling method and were randomly assigned to three groups of deep respiration, prone position, and deep respiration and prone position. Data were collected using the Borg Rating of Perceived Exertion scale, the Visual Analog Scale, pulse oximetry, and a researcher-made checklist of patients' respiratory rates. The interventions were performed for 1 week (2-8 hours daily) based on patient tolerance. Data were collected before and immediately after the intervention.</p><p><strong>Results: </strong>There was no statistically significant difference (<i>p</i> > 0.05) among the three groups in terms of mean score of shortness of breath, intensity of symptoms, oxygen saturation of blood, and respiration rate before the interventions; however, significant differences were observed after the interventions (<i>p</i> < 0.05) in the three groups.</p><p><strong>Conclusions: </strong>Deep respiration with prone position could improve respiratory symptoms in patients with COVID-19 more than deep respiration or prone position alone. Respiratory exercise should be considered as a part of nursing cares and patients with respiratory symptoms should receive education in this regard.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"164-169"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053330","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":"Consequences of Moral Outrage among Nurses: A Scoping Review.","authors":"Sima Pourteimour, Abbasali Ebrahimian, Hesamedin Askari-Majdabadi, Naser Parizad, Ali Fakhr-Movahedi","doi":"10.4103/ijnmr.ijnmr_330_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_330_23","url":null,"abstract":"<p><strong>Background: </strong>Clinical nurses often encounter situations that challenge their professional integrity and values. In the face of these issues, many nurses have been subjected to moral outrage (MO) in response to moral violations by others, which can have different outcomes. This scoping review aimed to synthesize and summarize findings from existing articles regarding the consequences of moral outrage among nurses.</p><p><strong>Materials and methods: </strong>This paper presents a scoping review based on the Joanna Briggs Institute (JBI) methodology. PubMed, Springer, Scopus, and ScienceDirect databases were systematically searched using the keywords \"moral outrage\", \"nurses or nursing\" and \"consequences or outcomes or impacts or effects or influences of moral outrage\" (viz., moral OR ethical AND outrage AND nurse*). The PRISMA checklist was used for the scoping review to evaluate articles thoroughly. The results were summarized using the inductive content analysis suggested by Elo and Kyngäs.</p><p><strong>Results: </strong>In total, 1014 articles were identified as potentially relevant to this study with 34 articles synthesized, including 24 qualitative studies, 5 quantitative studies, and 5 reviews focused on the consequences of moral offenses in nursing. Negative consequences such as mental exhaustion, job burnout, and interpersonal failures were observed, alongside positive consequences like nurses' altruism, callousness, and professional solidarity.</p><p><strong>Conclusions: </strong>These findings underscore the importance of addressing MO among nurses to prevent negative consequences such as burnout and moral degradation. Moreover, recognizing and fostering the altruistic and resilient aspects of nurses in response to moral outrage can lead to a more positive work environment and improved patient care.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"150-163"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990324","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":"Challenges of Intraoperative Documentation and Its Role in Patient Safety: An Integrative Review.","authors":"Leila Akbari, Akram Aarabi, Masoud Bahrami","doi":"10.4103/ijnmr.ijnmr_413_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_413_23","url":null,"abstract":"<p><strong>Background: </strong>Accurate and complete intraoperative documentation is crucial for maintaining consistency in patient care, facilitating handoffs between surgical teams, and evaluating outcomes. This integrative review aimed to investigate the challenges of intraoperative documentation and its role in patient safety.</p><p><strong>Materials and methods: </strong>A search of English-language databases including EMBASE, Proquest, Web of Science, PubMed, ScienceDirect, and Scopus was conducted from 2001 to 2022 using the keywords \"intraoperative documentation\", \"patient safety\", \"documentation\", and \"intraoperative\".</p><p><strong>Results: </strong>Nineteen articles were included from the initial 86 identified studies. Key findings were that protocols, safe surgical plans, accurate documentation, error/complication prevention measures, teamwork, safety culture, checklists, and instrument/sponge counts positively impact patient safety.</p><p><strong>Conclusions: </strong>Operating rooms require precise patient information and documentation pre-, intra- and post-operatively. This review indicates intraoperative documentation can improve surgical team performance and patient safety by facilitating continuity of care, handoffs, and outcomes assessment.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"141-149"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023690","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":"Predictors of Fertility Intention in Parents with Educable Intellectually Disabled Children in Isfahan, Iran.","authors":"Sepideh Sheidanik, Mitra Savabi-Esfahani, Amir Ghamarani, Amir Erfani","doi":"10.4103/ijnmr.ijnmr_267_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_267_23","url":null,"abstract":"<p><strong>Background: </strong>The fertility rate has declined in many countries over the past decades. Fertility intention is the determinant of fertility behavior. Various factors may affect the fertility intention of couples with no or healthy children. However, some parents may also have children with intellectual disabilities that affect their childbearing. Therefore, the main objective of this study is to identify predictors of fertility intention in parents with educable intellectually disabled children.</p><p><strong>Materials and methods: </strong>The present study was a descriptive cross-sectional study conducted on 193 parents with educable intellectually disabled children living in Isfahan. Sampling was implemented using clustering and the classification method from February to July 2019. Data were collected through a self-report questionnaire and analyzed using SPSS 20, logistic regression, and independent t-tests.</p><p><strong>Results: </strong>Approximately 83.9% of participants had negative fertility intentions. Predictors of fertility intention were perceived behavior control (95%CI: 1.14- 1.42; <i>p</i> = 0.001; OR = 1.28), attitude (95%CI: 1.06- 1.24; <i>p</i> = 0.001; OR = 1.14) and subjective norm (95%CI: 1.08- 1.33; <i>p</i> = 0.001; OR = 1.20), respectively. On the other hand, the perceived behavioral control was the strongest predictor. The son preference was higher in parents with positive fertility intentions (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>According to the results of the present study, it seemed that factors such as perceived behavior control, attitude, and subjective norms affected fertility intention in parents with intellectually disabled children. Therefore, it is suggested to gain knowledge about the roles of these predictors and counsel parents to choose contraceptive methods or encourage them in childbearing.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"216-220"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990327","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 Effect of Expressive Writing on Post-traumatic Stress Disorder and Hopelessness in Mothers with Premature Neonates Hospitalized in NICU.","authors":"Behnaz Soltanpour, Zahra Pourmovahed, Mousa Alavi","doi":"10.4103/ijnmr.ijnmr_390_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_390_23","url":null,"abstract":"<p><strong>Background: </strong>Premature birth and hospitalization of infants in the Neonatal Intensive Care Unit (NICU) can contribute to Post-Traumatic Stress Disorder (PTSD) in mothers who also experience high levels of hopelessness. It is essential that a proper strategy be used for managing these challenges. This study aims to determine the effect of Expressive Writing (EW) on PTSD and hopelessness in mothers with premature neonates who were hospitalized in NICU.</p><p><strong>Materials and methods: </strong>This clinical trial involved 65 mothers with premature neonates admitted to an NICU in Esfahan (Iran) in 2023. Samples were selected by the convenience sampling method and divided into control (n = 33) and intervention (n = 32) groups. The intervention group engaged in EW three times a week. All the participants completed the Perinatal Posttraumatic Stress Disorder Questionnaire and Beck's Hopelessness Scale. Moreover, statistical analyses including independent <i>t</i>-test, paired <i>t</i>-test, Chi-square test, and Fisher exact test were performed using SPSS 24.</p><p><strong>Results: </strong>Following the intervention, the mean scores of PTSD and hopelessness were significantly lower in the intervention group compared with the control group ((t = 13.86, df = 63, <i>p</i> < 0.001) and (t = 8.32, df = 63, <i>p</i> < 0.001), respectively).</p><p><strong>Conclusions: </strong>Expressive writing proved effective in reducing PTSD and hopelessness in mothers with premature neonates. This low-cost and effective intervention is recommended for enhancing maternal mental health and empowering mothers for optimal care of premature infants in NICUs and after discharge.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"232-236"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040692","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 Factors Affecting the Motivation of Nurses for Sharing Knowledge Online.","authors":"Mina Yousefi, Seyed Abedin Hoseini Ahangari, Mohammad Reza Amiri, Hossein Vakilimofrad","doi":"10.4103/ijnmr.ijnmr_273_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_273_23","url":null,"abstract":"<p><strong>Background: </strong>Considering the importance of Knowledge Sharing (KS) among nurses, this research aimed to investigate the factors influencing the motivation of nurses for sharing knowledge online.</p><p><strong>Materials and methods: </strong>This research was a questionnaire survey. The statistical population included all 1403 nurses working in the hospitals of Hamadan, Iran, and the sample size was estimated to be 302 participants. The collection tool was a questionnaire adopted from the research by Nguyen <i>et al.</i>, and its reliability and validity were measured and confirmed. Structural equation modeling was used to test the research hypotheses using PLS 3.</p><p><strong>Results: </strong>Of the studied nurses, 78.15% use the Internet \"moderate\" to \"very much.\" Self-efficacy (β = 0.24, <i>t</i> = 5.03, <i>p</i> < 0.001), reputation (β = 0.54, <i>t</i> = 10.96, <i>p</i> < 0.001), and reciprocity (β = 0/09, <i>t</i> = 2.081, <i>p</i> = 0.04) had a direct and positive impact on the online KS behavior of nurses. In addition, the top management support and individual innovation capability did not have a moderating role in the effect of reciprocity, reputation, and self-efficacy (<i>p</i> > 0.05) on the online KS of nurses.</p><p><strong>Conclusions: </strong>This study helps to understand that reciprocity, reputation, and self-efficacy are the factors influencing the increase of online KS among nurses, and it is necessary to support the creation of online space for facilitating reciprocal relationships and interpersonal interactions of nurses to increase their online KS.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"192-197"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033862","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":"Is Red Blood Cell Distribution Width Predictive of Fatigue After Acute Myocardial Infarction to Improve Nursing Care?","authors":"Yasaman Borghei, Bahare Gholami Chaboki, Nasibe Goli, Aseme Pourrajabi, Samira Arami, Arsalan Salari","doi":"10.4103/ijnmr.ijnmr_57_24","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_57_24","url":null,"abstract":"<p><strong>Background: </strong>Red blood cell Distribution Width (RDW) can help diagnose blood diseases and predict mortality in heart disease. Fatigue is one of the common symptoms of Acute Myocardial Infarction (AMI) and can affect the quality of life of patients. This study aimed to investigate the link between RDW at admission and fatigue severity 2 weeks after AMI.</p><p><strong>Materials and methods: </strong>This cross-sectional study examined 250 consecutive patients with AMI during 2023-2024. The patients were assessed for RDW and other laboratory and demographic variables within 24 h of admission. The Fatigue Severity Scale (FSS), which is a 9-item and 7-point scale, was completed for patients. A score >36 was considered as Post-AMI Fatigue (PAF) and lower as non-PAF. Data analysis was performed by SPSS version 22 and R version 4.2.2 software.</p><p><strong>Results: </strong>Our findings indicated that 71.20% of patients experienced fatigue after AMI. There were no significant differences between age, gender, laboratory parameters, past medical history, underlying diseases, and blood pressure of patients with and without fatigue (<i>p</i> > 0.05). RDW distribution for non-PAF and PAF was 13.30% [12.50, 14.60%] and 13.30% [12.80, 14.00%], respectively, (<i>p</i> = 0.726). Multivariable regression results based on three models did not show any significant findings.</p><p><strong>Conclusions: </strong>The present study is the first study, designed to determine the predictive value of RDW on post-AMI fatigue, as far as we searched the recent literature. We did not find any significant relation between RDW and PAF. Therefore, it cannot be used to predict fatigue in patients with AMI until definitive results are found.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"270-273"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044038","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 \"Breast Milk Mother\" Mobile Applications to Increase Knowledge and Attitude about Breast Feeding, Time to Release Breast Milk, and Adequacy of Breast Milk for Infants.","authors":"Nana Usnawati, Astin Nur Hanifah","doi":"10.4103/ijnmr.ijnmr_354_22","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_354_22","url":null,"abstract":"<p><strong>Background: </strong>The advancement of information technology opens up new possibilities for integrating mobile health into healthcare services. The Breast Milk Mother applications offer an alternative to provide information on breastfeeding. This study aims to analyze the effectiveness of the Breast Milk Mother mobile applications in increasing knowledge, attitudes, breastfeeding timing, and breast milk adequacy for infants.</p><p><strong>Materials and methods: </strong>This quasiexperimental study with a pre-post control design was conducted in 2022 in Candirejo, Magetan, East Java, Indonesia. The sample consisted of 100 pregnant women in their third trimester until their infants were 7 days old, divided into two groups: intervention (50) and control (50). Purposive sampling was used, with the intervention group receiving the Breast Milk Mother applications, while the control group received breastfeeding counseling. Data on knowledge and attitude were collected using questionnaires and analyzed using the Mann-Whitney U test and Wilcoxon test, with significance set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>There was no significant difference in knowledge and attitudes between the intervention and control groups before treatment (Z = -0.40, <i>p</i> > 0.05 and Z = -0.66, <i>p</i> > 0.05). After treatment, significant differences were found (Z = -7.81, <i>p</i> < 0.001 and Z = -5.76, <i>p</i> < 0.001). In both groups, significant improvements in knowledge and attitudes were observed post treatment (Z = -6.10, <i>p</i> < 0.001 for the intervention group and Z = -5.66, <i>p</i> < 0.001 for the control group).</p><p><strong>Conclusions: </strong>The Breast Milk Mother mobile applications effectively improve knowledge, attitudes, breastfeeding timing, and breast milk adequacy for infants. The Breast Milk Mother mobile applications support exclusive breastfeeding and enhance midwifery services.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"226-231"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045306","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}