{"title":"Mental Health in Self-Quarantined Pregnant Women for 14 Days During the Coronavirus Outbreak in Iran.","authors":"Nasrin Ghiasi, Robab Kazempour, Arezoo Haseli, Mohammad Reza Kaffashian, Shayesteh Jahanfar","doi":"10.4103/ijnmr.ijnmr_463_21","DOIUrl":"10.4103/ijnmr.ijnmr_463_21","url":null,"abstract":"<p><strong>Background: </strong>Quarantine during COVID-19 disease may be associated with psychological distress and other behavioral problems. This study aimed to investigate depression, anxiety, and stress in self-quarantined pregnant women at home for 14 days during the coronavirus disease outbreak in Iran.</p><p><strong>Materials and methods: </strong>A cross-sectional web survey was carried out on 874 pregnant women in all governmental health centers of two cities in Iran using the census method in 2020-21. Survey data were collected with the Depression, Anxiety, and Stress Scale-21. Data were analyzed using descriptive statistics and analytical tests (Chi-square, Pearson's correlation coefficient, and logistic regression) at significance level less than 0.05.</p><p><strong>Results: </strong>Approximately 40.04% (N = 350) of the participants were classified as a self-quarantine group. The mean (SD) of the stress score was higher for the quarantine group compared to nonquarantine (8.12 (4.95) vs. 5.96 (4.51)) (F<sub>2,874</sub> = 25.180, <i>p</i> < 0.001). But there was no significant difference in the depression and anxiety scores between the quarantine group compared to nonquarantine, respectively. Additionally, the adjusted odds ratio for stress score was associated with an unwanted pregnancy (1.993, 95% CI: 1.108-3.587; <i>p</i> = 0.021), younger age (1.707, 95% CI: 1.082-2.692; <i>p</i> = 0.022) and uninsured coverage (2.240, 95% CI: 1.320-3.801; <i>p</i> = 0.003), and complete quarantine (2.027, 95% CI: 1.548-2.654; <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Self-quarantine during the COVID-19 pandemic has been related to high-stress levels, specifically, among women of younger age, uninsured, and unwanted pregnancies. Thus, quarantined pregnant women will need more mental health support and medical supplies.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 2","pages":"202-207"},"PeriodicalIF":1.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892702","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":"Development of a Heart Failure Palliative Care Educational Program for Nurses: A Multi-Method Approach.","authors":"Imane Bagheri, Alireza Irajpour, Narges Hashemi","doi":"10.4103/ijnmr.ijnmr_152_23","DOIUrl":"10.4103/ijnmr.ijnmr_152_23","url":null,"abstract":"<p><strong>Background: </strong>Comprehensive palliative care for patients with heart failure can be developed by educating cardiac nurses. The current study aimed to design a heart failure palliative care educational program for nurses.</p><p><strong>Materials and methods: </strong>This study was carried out using the multi-method approach based on two out of four steps of Uys educational program development at Dr. Chamran Hospital, Isfahan, in 2020-2021. In step 1, educational needs were collected through literature review, interviews with 15 patients and 10 nurses, examination of patients' documents and medical records, and observation. Then, in step 2, the importance and necessity of teaching the proposed topics and the teaching and evaluation method of the items were assessed through two rounds of delphi technique (15 expert panel members). Eventually, the educational program was finalized.</p><p><strong>Results: </strong>In step 1, the educational needs of nurses were identified in 6 general fields and 26 general learning topics. In step 2, educational needs [specialized knowledge (55% necessity and 55% importance) and social support (33% necessity and 33% importance)], teaching methods (role-playing, experiential learning, and journal club), and evaluation method (the information analysis method) were removed due to a lack of consensus (11%). Finally, the main parts of the program, including the program mission and vision, general learning topics, general goals, objectives, teaching strategies, and evaluation strategies, were compiled.</p><p><strong>Conclusions: </strong>This program provides nurses with up-to-date information on various aspects of the physical, psychological, social, spiritual, and educational needs of heart failure patients and ensures the provision of better services to them.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 2","pages":"245-254"},"PeriodicalIF":1.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892731","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":"Establishment of Shelters: A Novel Paradigm for Combating Intimate Partner Violence against Women in Iran.","authors":"Mona Larki, Elham Azmoude, Elham Manouchehri","doi":"10.4103/ijnmr.ijnmr_397_22","DOIUrl":"10.4103/ijnmr.ijnmr_397_22","url":null,"abstract":"","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 2","pages":"272"},"PeriodicalIF":1.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892736","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}
Shereen Hamadneh, Jehan Hamadneh, Asem Abdalrahim, Mohammed ALBashtawy, Mohammad Suliman, Main Alolayaan, Abdullah Alkhawaldeh
{"title":"Prevalence and Related Factors of Postpartum Depression among Jordanian Mothers with a History of COVID-19 during Pregnancy or After Childbirth in a Developing Country.","authors":"Shereen Hamadneh, Jehan Hamadneh, Asem Abdalrahim, Mohammed ALBashtawy, Mohammad Suliman, Main Alolayaan, Abdullah Alkhawaldeh","doi":"10.4103/ijnmr.ijnmr_100_22","DOIUrl":"10.4103/ijnmr.ijnmr_100_22","url":null,"abstract":"<p><strong>Background: </strong>The magnitude of postpartum depression in Jordan during the COVID-19 pandemic is under-documented, and little is known about its potential social, demographic, and clinical correlates. This study aimed to explore the prevalence and related factors of postpartum depression among Jordanian mothers with a history of COVID-19 during pregnancy or after childbirth.</p><p><strong>Materials and methods: </strong>This cross-sectional descriptive study was carried out in March-June 2021 among a convenient sample of 109 women with a history of COVID-19 during pregnancy or after childbirth, who were at a leading hospital equipped to care for COVID-19 cases in North Jordan. An online survey using the Edinburgh Postnatal Depression Scale (EPDS) was used to collect information from mothers with a history of COVID-19-positive tests.</p><p><strong>Results: </strong>Among the total number of women who participated in the study (n = 109), 73 women had postpartum depression. The prevalence of postpartum depression in the present study was 67%. In addition, the study found a positive statistically significant correlation between EPDS scores and being a smoker, delivery method, experiencing severe COVID-19 symptoms, and being hospitalized.</p><p><strong>Conclusions: </strong>During the COVID-19 pandemic, women had a high level of postpartum depression. It would be necessary to follow further the confirmed cases of COVID-19, and mothers should be screened for depressive symptoms during pregnancy and followed up for antenatal and postnatal care.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 2","pages":"263-267"},"PeriodicalIF":1.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892746","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 a Training Program Based on the Theory of Planned Behavior on the Self-Care of Patients with Cerebrovascular Accident: A Randomized Controlled Trial.","authors":"Zahra Salajegheh, Behnaz Bagherian, Roghayeh Mehdipour Rabori, Sakineh Sabzevari","doi":"10.4103/ijnmr.ijnmr_100_23","DOIUrl":"10.4103/ijnmr.ijnmr_100_23","url":null,"abstract":"<p><strong>Background: </strong>Cerebrovascular accident dramatically impacts patients' lives. However, this chronic disease could be managed by boosting self-care and following healthy behaviors. Accordingly, this trial sought to specify the impact of a training program established on the theory of planned behavior on the self-care of clients with this condition.</p><p><strong>Materials and methods: </strong>This trial was performed on 80 clients, who were selected using a random numbers table and divided into two equal groups to receive either usual care alone or usual care plus a training program based on the theory of planned behavior (five in-hospital individual sessions for 5 weeks and weekly phone follow-ups for 2 months after discharge). Self-care and the dimensions of the theory of planned behavior were investigated at baseline and 2 months after the last in-hospital session using the standardized Shah version of the modified Barthel index and a researcher-made questionnaire, respectively.</p><p><strong>Results: </strong>The mean score of self-care was significantly higher in the experimental arm at the posttest (Mann-Whitney = 506.00, <i>p</i> = 0.005). Also, the increase in mean change of self-care from baseline to posttest was significantly more in the experimental arm (t<sub>78</sub>= -6.6, <i>p</i> < 0.001). Such findings were also found for all dimensions of the theory of planned behavior.</p><p><strong>Conclusions: </strong>Based on results, nurses and health policymakers can incorporate training based on the theory of planned behavior into routine care programs for patients with cerebrovascular accident to boost their self-care. The implemented intervention also could be reproduced in other contexts. Hence, further trials are requested to specify the sustainability of the findings.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 2","pages":"194-201"},"PeriodicalIF":1.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892769","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":"Opportunities and Challenges of E-learning for Nursing Students at the Beginning of the COVID-19 Pandemic in Iran: A Qualitative Content Analysis.","authors":"Fatemeh Ghaedi-Heidari, Sima Ghezelbash, Nastaran Heydarikhayat, Zahra Shafiei","doi":"10.4103/ijnmr.ijnmr_133_21","DOIUrl":"10.4103/ijnmr.ijnmr_133_21","url":null,"abstract":"<p><strong>Background: </strong>Given the limited presence of students in universities and the closure of educational centers, including nursing schools, during the COVID-19 outbreak, there has been a significant shift toward e-learning. However, there is a lack of research in this area. Therefore, this study aimed to explore the experiences of undergraduate nursing students with e-learning during the COVID-19 outbreak in 2020.</p><p><strong>Materials and methods: </strong>This qualitative-descriptive study focused on 12 undergraduate nursing students from the School of Nursing and Midwifery at Isfahan University of Medical Sciences. The participants were selected using purposive sampling. In-depth and semi-structured interviews were conducted to collect the data. The collected data were analyzed using MAXQDA10 and conventional content analysis. The study was conducted between May and September 2020.</p><p><strong>Results: </strong>Analysis of the findings led to the emergence of 11 subcategories and two main categories: E-Learning opportunities and Challenges of E-Learning, providing a comprehensive description of the experiences reported by the participants.</p><p><strong>Conclusions: </strong>Unforeseen crises, such as the current COVID-19 pandemic, can significantly affect the quality of education by disrupting face-to-face learning. To mitigate such disruptions, it is crucial to plan and establish infrastructure that supports alternative modes of education, such as e-learning. Additionally, providing training to students and educators on effectively utilizing digital platforms and producing electronic content can help ensure a smoother transition during crises.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 2","pages":"180-186"},"PeriodicalIF":1.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892704","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":"Professional Quality of Life among Iranian Clinical Nurses at the Forefront of the Fight against COVID-19: A Multicenter Cross-Sectional Study.","authors":"Fakhredin Taghinezhad, Afsaneh Raiesifar, Younes Taghinezhad, Eesa Mohammadi","doi":"10.4103/ijnmr.ijnmr_182_22","DOIUrl":"10.4103/ijnmr.ijnmr_182_22","url":null,"abstract":"<p><strong>Background: </strong>With the prolonged COVID-19 disease control time, concerns about the caring ability of clinically exposed nurses have increased. This study aimed to investigate Compassion Satisfaction (CS), Burnout (BO), and Secondary Traumatic Stress (STS) as elements of Professional Quality of Life among nurses in COVID-19 settings.</p><p><strong>Materials and methods: </strong>In this descriptive online national survey, 427 clinical nurses who had worked in the COVID-19 wards from all Iran provinces answered the Persian version of the Professional Quality of Life Scale as the profile tool with three subscales, including CS, BO, and STS. Data were collected using email, Short Message Service (SMS), and social networks from December 2020 to February 2021.</p><p><strong>Results: </strong>The mean (SD) score of CS was 38.86 (9.00), the mean (SD) score of BO was 18.60 (4.08), and STS was 34.74 (7.02). STS was substantially more prevalent among married nurses whose Polymerase Chain Reaction (PCR) tests were positive for themselves or at least one family member (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Clinical nurses who respond to the COVID-19 crisis are at risk of STS and BO. In pandemic situations like COVID-19, it is necessary to consider supportive interventions to increase satisfaction and reduce burnout and secondary traumatic stress in nurses.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 2","pages":"187-193"},"PeriodicalIF":1.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892713","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":"\"Interprofessional Collaboration\" among Pharmacists, Physicians, and Nurses: A Hybrid Concept Analysis.","authors":"Faeze Kobrai-Abkenar, Sanaz Salimi, Parand Pourghane","doi":"10.4103/ijnmr.ijnmr_336_22","DOIUrl":"10.4103/ijnmr.ijnmr_336_22","url":null,"abstract":"<p><strong>Background: </strong>\"Interprofessional Collaboration\" is associated with improving the quality of care. The objective of this study was the analysis of the concept of \"Interprofessional Collaboration\" using a hybrid model.</p><p><strong>Materials and methods: </strong>A hybrid model was used in order to analyze the concept of \"Interprofessional Collaboration.\" The first phase was the scientific search of texts in all valid electronic databases. The second phase includes fieldwork in which medical, pharmaceutical, and nursing staff were interviewed. Data were collected, reviewed, and analyzed in the third phase.</p><p><strong>Results: </strong>The four main themes extracted in the theoretical phase included: \"attributes of individual, team, organizational, and system.\" In the fieldwork phase, three themes and seven sub-themes were identified: \"Dynamism/effectiveness of collaboration, uncertain boundaries of collaboration, advanced organizational culture.\" In the final phase, with the combination of the results of two previous phases, the final definition of the concept was presented: \"A process that brings together systems, organizations and individuals from various professions to achieve common interests and goals. Achieving common goals and interests is influenced by individual, team, organizational, and system attributes.\"</p><p><strong>Conclusions: </strong>Defining the concept of interprofessional collaboration and identifying its various aspects can be a practical guide for creating and evaluating it in educational and clinical settings.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 2","pages":"238-244"},"PeriodicalIF":1.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892730","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":"Explaining the Educational Needs of Iranian First-Time Parents for Adaptation to Parental Role: A Qualitative Study.","authors":"Forough Talebi, Nahid Javadifar, Masoumeh Simbar, Maryam Dastoorpoor, Nahid Shahbazian, Zahra Abbaspoor","doi":"10.4103/ijnmr.ijnmr_130_23","DOIUrl":"10.4103/ijnmr.ijnmr_130_23","url":null,"abstract":"<p><strong>Background: </strong>The transition to parenthood is one of the most challenging experiences in a couple's life, which can be stressful and difficult. A positive transition period affects the quality of parents' behavior and the baby's health. This qualitative study aimed to explain the educational needs of adaptation to parental role among first-time parents in Iran.</p><p><strong>Materials and methods: </strong>In this qualitative study, 25 participants from a variety of ethnic backgrounds were recruited in Ahvaz, Iran, using purposive sampling. In-depth interviews were used to collect the data which were analyzed by qualitative content analysis.</p><p><strong>Results: </strong>Three main categories emerged from the data analysis: \"The need for knowledge improvement training,\" \"The need for psychological adaptation training,\" and \"The need for sociocultural adaptation training.\"</p><p><strong>Conclusions: </strong>To adapt to the parental role, first-time parents should be equipped with the knowledge to turn the challenges of this period into an opportunity for growth. Moreover, they need to be supported by their family members, the healthcare team, and the government.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 2","pages":"224-230"},"PeriodicalIF":1.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892738","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":"Iranian Women's Experiences of Breastfeeding Support during the COVID-19 Pandemic: A Qualitative Study.","authors":"Parand Pourghane, Morvarid Ghasab Shirazi","doi":"10.4103/ijnmr.ijnmr_20_23","DOIUrl":"10.4103/ijnmr.ijnmr_20_23","url":null,"abstract":"<p><strong>Background: </strong>The impact of the coronavirus disease 2019 (COVID-19) pandemic on health systems worldwide has been associated with less attention to maternal support in breastfeeding. The objective of this study was to explore the experiences of breastfeeding mothers, during the COVID-19 pandemic, and the impact of the pandemic on breastfeeding initiation and maintenance.</p><p><strong>Materials and methods: </strong>A qualitative, descriptive study was conducted by means of in-depth semi-structured interviews. The study participants included 28 mothers who had children aged 0 to 12 months, lived in Guilan Province, Iran, and had breastfed their children at least once after March 2021. Conventional content analysis was performed simultaneously with data collection.</p><p><strong>Results: </strong>Data analysis led to the extraction of three main categories and nine subcategories: in the shadow of peace (receiving correct information from reliable sources, observing health and quarantine principles, and enjoying the awareness of not having COVID-19 [both the mother and the infant]), under the stress (information poverty, invalid and stressful information, and stressful association of underlying diseases), and in the delusion of exposure (refusal to breastfeed, and non-compliance with recommendations).</p><p><strong>Conclusions: </strong>Mothers' breastfeeding experiences during the COVID-19 pandemic indicate factors such as receiving or not receiving breastfeeding support, quarantine and the resulting stress, and exposure to conflicting information. Mothers felt that their experience with breastfeeding during the pandemic encouraged them to continue breastfeeding, but it is important to support breastfeeding mothers. Monitoring and supporting vulnerable groups such as breastfeeding mothers, for mental health problems during the COVID-19 pandemic, should be considered during the planning phase.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 2","pages":"255-262"},"PeriodicalIF":1.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892741","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}