Journal of caring sciences最新文献

{"title":"Health Anxiety and Its Relationship with Academic Performance and Learning Styles among Nursing Students during COVID-19 Pandemic.","authors":"Hossein Namdar Areshtanab, Mina Hosseinzadeh, Hossein Ebrahimi, Mohammad Arshadi Bostanabad, Nazila Sepehrnia","doi":"10.34172/jcs.025.33337","DOIUrl":"10.34172/jcs.025.33337","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to investigate health anxiety and its relationships with academic performance and learning styles among nursing students during the COVID-19 pandemic.</p><p><strong>Methods: </strong>A cross-sectional design was employed, involving 365 participants selected through stratified random sampling in Iran in 2021. Data were collected using Health Anxiety Inventory, Visual, Aural, Reading/Writing, and Kinesthetic Learning Styles Questionnaire and students' self-reported grade point average (GPA). Data were analyzed using descriptive and inferential statistics (independent samples t-test, one-way ANOVA, Pearson correlation coefficient and chi-square test) by SPSS version 13.</p><p><strong>Results: </strong>The mean (SD) health anxiety score among nursing students was 24.33(9.79) on a range of 0-54; and the mean (SD) of GPA was 15.60 (1.51) on a range of 0-20. The majority of students (85.8%) had a unimodal learning style, with the dominant pattern being kinetic-motor (39.7%). The study found a negative correlation between health anxiety and academic performance (<i>r</i>=-0.19, <i>P</i>≤0.05). However, no significant association was identified between health anxiety and learning style (<i>r</i>=-0.27, <i>P</i>=0.42). The analysis of health anxiety among participants indicated notable differences based on demographic factors such as sex, interest in nursing, and education level (<i>P</i><0.001).</p><p><strong>Conclusion: </strong>This study revealed a moderate level of health anxiety among Iranian nursing students during the COVID-19 pandemic and identified a significant negative correlation between health anxiety and academic performance. These findings underscore the need for interventions targeting health anxiety to potentially improve academic outcomes for nursing students, as reducing anxiety levels can enhance focus, learning capacity, and overall academic performance.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 1","pages":"52-57"},"PeriodicalIF":0.0,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103522","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 CONSORT a Risk of Bias Tool for Experimental Studies: A Big Misunderstanding.","authors":"Ehsan Sarbazi, Homayoun Sadeghi-Bazargani","doi":"10.34172/jcs.025.33575","DOIUrl":"10.34172/jcs.025.33575","url":null,"abstract":"<p><strong>Introduction: </strong>In order to avoid bias in systematic reviews (SRs), the accuracy in selection of risk of bias (RoB) assessment tools is essential to obtain highest level of evidence for evidence-based decision making in health care. We aimed to review how 'CONSORT statement', as a reporting quality of randomized controlled trials, has been misused in recent SRs as a ROB tool.</p><p><strong>Methods: </strong>A mini-review was performed in international databases including PubMed, Google Scholar and hand-searches for published and unpublished literature from 2000 to 2021 and written in English. The following keywords: risk of bias, \"Consolidated Standards of Reporting Trials\", CONSORT, \"systematic review\" were used. Citations were screened and those meeting our inclusion criteria were retained.</p><p><strong>Results: </strong>A total of 11 SRs were identified that misused CONSORT as a ROB tool, four of which were used only CONSORT as ROB tool. Different authentic magazines from various countries were recognized.</p><p><strong>Conclusion: </strong>The CONSORT statement aims to increase clarity and consistency of transparency of reporting in randomized controlled trials. It is quite essential to draw the attention of SR researchers, journal editors/reviewers as well as the reading audience to the fact that CONSORT statement CONSORT statement is not a ROB tool.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102008","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":"Quality Improvement Checklist for Nurses in Critical Care Units: Development and Validation.","authors":"Ritika Rajput, Ashok Kumar Bishnoi, Nipin Kalal, Nikhil Kothari","doi":"10.34172/jcs.025.33089","DOIUrl":"10.34172/jcs.025.33089","url":null,"abstract":"<p><strong>Introduction: </strong>Patient in critical care units (CCUs) are admitted with multiple clinical problems and busy environment with critical situations makes nurses prone to commit mistakes. Thus, the quality checklist helps the staff in providing adequate, safe, and efficient client care. The objective of the present study was to develop quality improvement checklist for nurses working in CCU.</p><p><strong>Methods: </strong>A methodological study was carried out to develop quality improvement checklist for CCU in different phases. Validity was measured in terms of face, content, and construct validity. Modified Delphi technique used for content validity. Construct validity was analyzed by factor analysis. Reliability was investigated in terms of internal consistency of checklist and inter-rater reliability.</p><p><strong>Results: </strong>There were a total of 32 items in the final draft of the checklist. Cronbach's alpha which 0.78 was. Cohen's kappa was 0.88. Inter-item correlation was found between 0.2 and 0.7. The content validity index (CVI) was 0.98. All items were loaded in 8 factors and accounted for 60.7% of variance.</p><p><strong>Conclusion: </strong>Quality improvement checklist has good validity and reliability and it can be used to evaluate and improve the quality of CCU.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103102","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":"Aromatherapy for the Management of Menopause Symptoms: An Updated Systematic Review and Meta-analysis.","authors":"Leila Karimi, Mona Larki, Solmaz Mohammadi, Masoumeh Safyari, Somayeh Makvandi","doi":"10.34172/jcs.025.33474","DOIUrl":"10.34172/jcs.025.33474","url":null,"abstract":"<p><strong>Introduction: </strong>Numerous studies have found aromatherapy beneficial during menopause; however, some of its effects are still unclear in past meta-analyses, and no comprehensive study has consolidated and analyzed grading evidence of its impact on menopausal symptoms. Therefore, the present meta-analysis aimed to determine and update the impact of aromatherapy on the management of menopausal symptoms.</p><p><strong>Methods: </strong>We conducted a comprehensive literature search using PubMed, Web of Science, Scopus, and the Cochrane Library until January 20, 2024, without any limitations on language, time, or region to find randomized clinical trials. To evaluate the included trials' methodology, we used version 2 of the Cochrane Handbook's risk-of-bias assessment, as well as GRADEpro GDT (Guideline Development Tool) for quality evidence and Review Manager software (RevMan version 5.1) for analysis.</p><p><strong>Results: </strong>We conducted a meta-analysis of 13 randomized controlled trials (RCTs) with mixed quality from 15 trials with 1217 participants. Compared to the control group, aromatherapy reduced physical (SMD -0.93, 95% CI -1.19 to -0.67, <i>P</i><0.00001), psychological (SMD -0.83, 95% CI -1.13 to -0.54, <i>P</i><0.00001), and overall symptoms (SMD -1.51, 95% CI -2.11 to -0.90, <i>P</i><0.00001), enhanced sexual function (MD 5.58, 95% CI 0.98 to 10.17, <i>P</i>=0.02), and the quality of sleep (MD -4.51, 95% CI -7.45 to -1.57, <i>P</i>=0.003). The evidence grading for physical symptoms was moderate, and other variables were low to very low.</p><p><strong>Conclusion: </strong>Aromatherapy is efficacious for managing the symptoms of menopause. However, there is insufficient high-quality evidence for some outcomes, indicating the necessity for additional research.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 1","pages":"58-71"},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103519","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":"Knowledge, Attitude and Willingness Towards Organ Donation among People Attending Out Patient Departments of a Tertiary Care Hospital, West Bengal: A Cross-sectional Study.","authors":"Bobby Syiemlieh, Obangkokla O, Mousumi Khatun, Poonam Joshi, Latha T, Jamuna R Rani, Ajay Mallick","doi":"10.34172/jcs.025.31865","DOIUrl":"10.34172/jcs.025.31865","url":null,"abstract":"<p><strong>Introduction: </strong>Organ donation rate in India is lower compared to many developed countries. A shortage of organs for individuals in need persists, as people are hesitant to donate. The study aimed to assess knowledge, attitude and willingness toward organ donation among people attending outpatient department (OPD) of a tertiary care hospital.</p><p><strong>Methods: </strong>A descriptive cross-sectional survey design was used and 350 adults attending OPDs were recruited by convenience sampling. The participants were interviewed using structured questionnaires on knowledge, attitude and willingness towards organ donation. Data were analyzed in terms of frequency and percentage, and association was established with Fisher's exact test.</p><p><strong>Results: </strong>The mean (SD) age of participants was 38.56 (11.18) years. The majority of participants (98.3%) had heard about organ donation through mass media. Among them, 30.3% had good knowledge and 69.1% had average knowledge. Despite having positive attitude towards organ donation, only 33.1% were willing to donate. The main reasons to donate their organs were to save the life (35.3%) and to avoid unnecessary wastage (41.3%). However, 47% were undecided to donate organs. More than half of the participants (58%) were willing to donate their blood compared to other organs. There was a significant association between the participants' knowledge and their willingness to donate organs. A significant association was found between gender, religions, and education with willingness to donate organs.</p><p><strong>Conclusion: </strong>The participants' willingness to donate organs was low, necessitating to organise impactful awareness programs on organ donation among general public.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 1","pages":"31-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103009","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":"Correction: Abnormal Burnout of Nurses in Crisis; Double Pressure of Low Support and Competence.","authors":"Ebrahim Aliafsari Mamaghani, Leila Sheikhnezhad, Taher Estebsari","doi":"10.34172/jcs.025.35089","DOIUrl":"https://doi.org/10.34172/jcs.025.35089","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.34172/jcs.2023.33177.].</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 1","pages":"72"},"PeriodicalIF":0.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201284","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":"Clinical Instructors Experiences with Team Working in Clinical Education: A Descriptive Qualitative Study.","authors":"Hakimeh Hazrati, Shoaleh Bigdeli, Seyed Kamran Soltani Arabshahi, Mozhgan Behshid","doi":"10.34172/jcs.33397","DOIUrl":"10.34172/jcs.33397","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of the present study is to demonstrate the experience of clinical instructors on team working in clinical education as a step towards promoting learners' professionalism in a healthy educational atmosphere.</p><p><strong>Methods: </strong>In this qualitative study, data were collected through semi-structured interviews and observation. The participants were 20 clinical instructors, 8 medical student and 5 medical working staffs in multiple Iranian medical universities. Data were analyzed using Graneheim and Lundman conventional content analysis.</p><p><strong>Results: </strong>The analysis showed three main categories. First category was \"clinical education as the manifestation of team working\" included \"strategies to internalize team working in clinical education\", \"duties of instructors as the leaders of clinical education team\", and \"the requirements of a successful team working\". The second category was \"communicative skills as the heart of successful team working\" included \"successful team working requires good communication\", \"facilitators of establishing a constructive relationship between educator and students in clinical education team\", \"Facilitators of patient participation in clinical education as a member of education team\", \"preventive factors of effective relationship between clinical team members\", \"ethical norms in establishing rapport between learners and clinical instructors in a team\" and the third category was \"the outcomes of team work-based clinical education included \"promoted psychological security of learners\", \"promoted cognitive and decision-making skills\", and \"increased commitment and accountability of learners\".</p><p><strong>Conclusion: </strong>By empowering instructors, we can overcome individualism because values and cultures are transmitted primarily through role modeling. Educational planners must adopt goals based on teamwork so that learners feel a sense of interdependence and internalize the team spirit.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 4","pages":"276-285"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461414","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":"Analysis of Information and Health Literacy Policies in Pandemics: A Case Study of COVID-19.","authors":"Shabnam Danaei Mehrabad, Sirous Panahi, Shahram Sedghi, Aidin Aryankhesal","doi":"10.34172/jcs.33432","DOIUrl":"10.34172/jcs.33432","url":null,"abstract":"<p><strong>Introduction: </strong>The global community, during the COVID-19 pandemic, faced a vast amount of information and risks due to low levels of health literacy. Governments responded differently to the pandemic crisis based on formulated policies and their societal conditions. The present research focuses on analyzing information and health literacy policies in pandemics to present a model and identify and prioritize factors affecting the formation and implementation of the mentioned policies.</p><p><strong>Methods: </strong>This qualitative research was conducted using semi-structured interviews with key informants. Extracted codes were designed based on expert opinions, and an initial conceptual framework was developed according to the policy triangle (content, context, process, and actors). Finally, the identified issues and the conceptual framework were validated using the Delphi-quantitative method.</p><p><strong>Results: </strong>The results indicate that the content of information and health literacy policies focuses on goal-setting, planning, law formulation, and amendments and updates. The process of information and health literacy policies in pandemics was categorized into managerial, educational, dissemination, sharing, evaluation, and monitoring processes. Economic, political, social, and cultural aspects were identified as influential context, and multiple actors were identified as policymakers and facilitators of information and health literacy policies in pandemics.</p><p><strong>Conclusion: </strong>The developed model can be a suitable and useful tool for increasing the awareness of health managers and policymakers about the strengths and weaknesses of past policies regarding information and health literacy policies in pandemics. It also provides a suitable perspective for policymaking and identifying factors influencing the implementation of enacted policies.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 4","pages":"218-228"},"PeriodicalIF":0.0,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461410","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 Effectiveness of Virtual Reality Application for Women Undergoing Episiotomy Repair: A Systematic Review and Meta-analysis.","authors":"Elham Manouchehri, Somayeh Makvandi, Zahra Hadizadeh Talasaz, Elham Azmoude, Mona Larki","doi":"10.34172/jcs.33458","DOIUrl":"10.34172/jcs.33458","url":null,"abstract":"<p><strong>Introduction: </strong>Virtual reality (VR) is effective in several healthcare domains. As of date, there have been no systematic reviews investigating the efficacy of VR technology in episiotomy repair in women. This systematic review and meta-analysis examined the effects of using VR on pain, anxiety and satisfaction in women under episiotomy repair.</p><p><strong>Methods: </strong>For the original articles, six databases were searched using relevant keywords without restriction on time or languages until June 6, 2024. The Cochrane risk-of-bias tool for randomized trials (RoB) and the Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS) were both used to assess the risk of bias in randomized and non-randomized studies, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) also determined the quality of our evidence. All analyses employed Comprehensive Meta-Analysis (CMA) V.2.</p><p><strong>Results: </strong>Five randomized clinical trial and two quasi-experimental studies with poor-to high-quality met the inclusion criteria. The VR significantly decreased perineal pain during [MD (95% CI)=-1.622 (-2.598, -0.645), <i>P</i>=0.001], immediately after [MD (95% CI)=-1.931 (-2.785, -1.076), <i>P</i><0.001], and one hour after [MD (95% CI)=-1.596 (-2.436, -0.765), <i>P</i><0.001]. It also significantly decreased anxiety [SMD (95% CI)=-1.48 (-2.451, -0.509), <i>P</i>=0.003] after repair. VR group participants were significantly more satisfied than the control group. The quality of was moderate for perineal pain intensity one hour after episiotomy repair and anxiety after episiotomy repair.</p><p><strong>Conclusion: </strong>Given the efficacy of VR on pain, anxiety, and satisfaction, it is suggested that it be utilized as a novel modality to enhance the quality of maternity hospital care.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 4","pages":"244-255"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461451","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":"A Randomized Controlled Clinical Trial of Individualized Patient Education on Hemodialysis Adequacy and Interdialytic Weight Gain.","authors":"Seyyede Leila Sajjadi, Mansour Ghafourifard, Hamid Tayebi Khosroshahi","doi":"10.34172/jcs.025.33604","DOIUrl":"10.34172/jcs.025.33604","url":null,"abstract":"<p><strong>Introduction: </strong>Today, there is an emphasis on considering the individual needs and preferences of the patient in education and care. This study aims to assess the effect of individualized education on hemodialysis adequacy (Kt/V) and interdialytic weight gain (IDWG) in patients undergoing hemodialysis (HD).</p><p><strong>Methods: </strong>102 HD patients were randomly assigned to the intervention or control groups. Patients in the intervention group (n=51) received individualized education. The control group (n=51) received routine education. The patients' dialysis adequacy (Kt/V) and IDWG were assessed before the intervention, immediately, and three months after the last session of individualized education. Data were analyzed using SPSS software.</p><p><strong>Results: </strong>A significant increase in Kt/V was found in the intervention group compared with the control group immediately and three months after the intervention (<i>P</i><0.05). Moreover, the mean total score of IDWG in the intervention group was significantly lower than the control group immediately and three months after the intervention (<i>P</i><0.05).</p><p><strong>Conclusion: </strong>The results highlighted the importance of individualized education for improving HD adequacy and lowering IDWG in HD patients. Moreover, it is recommended to tailor the patients' education based on their own needs, rather than a one-size-fits-all approach.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 1","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103518","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}