Journal of caring sciences最新文献

{"title":"Correction: Association between COVID-19 Mortality and Underlying Disease; Tehran, Iran.","authors":"Alireza Atarodi, Laleh R Kalankesh, Leila Ghaderi-Nansa, Mohammad Hossein Vaziri, Alireza Hajighasemkhan","doi":"10.34172/jcs.025.36313","DOIUrl":"10.34172/jcs.025.36313","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.34172/jcs.025.33254.].</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 2","pages":"138"},"PeriodicalIF":0.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985196","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":"Public Awareness of Stroke Symptoms in Developed and Developing Countries: A Systematic Review.","authors":"Mina Zeinalzadeh, Elisa Atalou, Alireza Ala, Masoumeh Poureskandari, Samad Shams Vahdati","doi":"10.34172/jcs.025.33452","DOIUrl":"10.34172/jcs.025.33452","url":null,"abstract":"<p><strong>Introduction: </strong>Lack of knowledge about the main clinical manifestations of stroke is a major health problem, which leads to prolongation of the time elapsed from the onset of stroke to hospital admission, late diagnosis and, consequently, delay in the initiation of appropriate treatment. The aim of this review is to investigate the levels of awareness of stroke signs, symptoms and risk factors.</p><p><strong>Methods: </strong>In this study, all articles from January 1990 to December 2023 were included through searching PubMed, EMBASE, Google Scholar, Scopus and WOS databases. Only articles written in English or Persian were entered. The level of awareness of General public (not patients with stroke and not experts) about the warning signs and symptoms of stroke between developed and developing countries has been compared.</p><p><strong>Results: </strong>The results of this study have shown that the level of awareness of public in developed countries is not differ compared with developing countries.</p><p><strong>Conclusion: </strong>Overall, there is no discernible correlation between a country's developmental status and the awareness of stroke symptoms by public. Educational initiatives in schools and media are potential strategies to enhance public knowledge.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 2","pages":"116-126"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985303","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 Threats of E-Learning in Nursing Education: An Overview of Reviews.","authors":"Mahdieh Arian, Mohammad Bagher Oghazian, Seyyed Reza Mazlom, Nazila Zarghi, Sedigheh Abdollahpour","doi":"10.34172/jcs.025.33459","DOIUrl":"10.34172/jcs.025.33459","url":null,"abstract":"<p><strong>Introduction: </strong>E-learning is increasingly replacing traditional methods in medical science education. The main purpose of this study is to identify opportunities, threats and required components of E-learning in nursing education.</p><p><strong>Methods: </strong>We conducted a comprehensive systematic review following Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, searching Web of Science, Scopus, ProQuest, Cochrane Library, ScienceDirect, Medline/PubMed, Google Scholar, and SID, Irandoc, and Magiran databases without time or language restrictions. Two researchers assessed each systematic review using A Measurement Tool to assess systematic Reviews (AMSTAR). This overview includes 47 reviews published until the end of 2022.</p><p><strong>Results: </strong>Electronic education in nursing offers opportunities categorized into 10 areas: accessibility and flexibility, efficiency and effectiveness, strengthening clinical competencies, features of electronic education, improving educational processes, improving the quality of education, evaluation and feedback, diversity and practically of content, setting learning environment and promotion of nursing professors' role. However, there are also challenges, grouped into 10 categories: challenges of evaluation and feedback, problems related to the of human resources development, structural and technical limitations, challenges related to communication and interaction, challenges related to the content of education, financial challenges, organizational challenges, cultural challenges, challenges of professional competence, challenges of ethics and information security. The essential components for effective electronic teaching in nursing education are organized into 6 categories: technological infrastructure, human infrastructure, pedagogical infrastructure, cultural and social infrastructure, economic infrastructure, and management and leadership infrastructure.</p><p><strong>Conclusion: </strong>E-learning offers an efficient and effective training method for nurses that should be embraced given advances in science and technology. Addressing infrastructure limitations will further enhance its benefits.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 2","pages":"102-115"},"PeriodicalIF":0.0,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985232","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 the Spiritual Distress Scale for Patients with Chronic Non-communicable Diseases in Thailand.","authors":"Yuttachai Chaiyasit, Khwanprapat Chanbunlawat","doi":"10.34172/jcs.025.33659","DOIUrl":"10.34172/jcs.025.33659","url":null,"abstract":"<p><strong>Introduction: </strong>A spiritual distress scale for Thai patients with chronic non-communicable diseases (SDS-Thai-NCDs) has not yet been developed. This study aimed to develop and evaluate its psychometric properties.</p><p><strong>Methods: </strong>A methodological approach was applied to develop and verify the quality of the scale through seven steps: defining concepts, formatting the scale, creating items, expert review, item selection, field testing, and psychometric property testing. The sample included 400 Thai patients with chronic NCDs from eight provinces, representing all regions of Thailand. The scale's quality was assessed through content validity, discrimination index, reliability, and exploratory factor analysis.</p><p><strong>Results: </strong>Initially, the scale contained 48 items, which were reduced to 46 items after expert review, with a content validity index of 0.97. Item analysis and selection revealed 43 items that met the criteria, with corrected item-total correlations greater than 0.30 and discrimination indices ranging from 0.336 to 0.906. The scale demonstrated excellent internal consistency, with a Cronbach's alpha coefficient of 0.986. During the field test and psychometric property testing, the 43 items were grouped into five factors, with eigenvalues ranging from 3.494 to 8.385, explaining 70.80% of the variance. The five factors identified were: Loss of self-esteem, meaning, and purpose of life; Loss of relationships with oneself and others; Loss of hope and inner strength; Loss of relationship with nature and a higher power; and Physical expression.</p><p><strong>Conclusion: </strong>The SDS-Thai-NCDs is an effective tool for assessing spiritual distress and can be used in clinical practice or research to guide interventions aimed at alleviating spiritual distress among patients with chronic NCDs.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 2","pages":"127-134"},"PeriodicalIF":0.0,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985138","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 AI Fever: Can Artificial Intelligence Replace Compassionate Human Care?","authors":"Mansour Ghafourifard, Mostafa Ghasempour, Majid Purabdollah, Laura A Killam","doi":"10.34172/jcs.025.35005","DOIUrl":"10.34172/jcs.025.35005","url":null,"abstract":"","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 2","pages":"135-137"},"PeriodicalIF":0.0,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985228","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":"Effect of Activity Therapy on Self-Esteem among Patients with Schizophrenia: A Randomized Controlled Trial.","authors":"Delmy Paul, Rajendran Rangasamy Kavitha, Moushumi Purkayastha Mukherjee, K T Harichandrakumar","doi":"10.34172/jcs.025.33341","DOIUrl":"10.34172/jcs.025.33341","url":null,"abstract":"<p><strong>Introduction: </strong>Schizophrenia is a chronic mental disorder that adversely affects patients' self-esteem. Activity therapy has been shown to positively influence self-esteem. This study aims to examine the efficacy of activity therapy in improving self-esteem among patients with schizophrenia.</p><p><strong>Methods: </strong>In this randomized controlled study, 79 patients diagnosed with schizophrenia were enrolled using a consecutive sampling technique. The participants were assigned into intervention (39 participants) and control groups (40 participants) using computer-generated randomization. Researchers used The Rosenberg Self-Esteem Scale (RSES) to assess the participants' self-esteem. The intervention group underwent activity therapy of making bags and envelopes using paper for seven days. The control group received routine psychiatric care. The post-test assessment was done using RSES after 7 and 15 days of intervention. Data was analyzed using descriptive and inferential statistics using SPSS software version 21.</p><p><strong>Results: </strong>The total self-esteem score at both 7 days and 15 days post-intervention were significantly higher in the intervention group compared to the control group.</p><p><strong>Conclusion: </strong>Evidence suggests that structured manual activities, such as the fabrication of paper bags and envelopes, may contribute to enhanced self-esteem and greater self-efficacy in patients, thereby facilitating improved psychosocial functioning. However, additional rigorous research is required to substantiate these observations.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 2","pages":"80-85"},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985318","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":"Unveiling the Link between Moral Competence and Hope in Medical Sciences Students: A Cross-sectional Analysis.","authors":"Hossein Ebrahimi, Zahra Allahyari, Maryam Vahidi, Hossein Namdar Areshtanab","doi":"10.34172/jcs.025.33504","DOIUrl":"10.34172/jcs.025.33504","url":null,"abstract":"<p><strong>Introduction: </strong>Given the significance of hope in psychological well-being and the role of moral competence in managing professional challenges, this study aimed to investigate the relationship between hope and moral competence in undergraduate students of Tabriz University of Medical Sciences.</p><p><strong>Methods: </strong>In this descriptive correlational study, 438 undergraduate students of different fields at Tabriz University of Medical Sciences completed the individual and social profile form, Moral Competency Inventory (MCI), Oxford Happiness Questionnaire (OHQ), and Trait Hope Scale using stratified sampling. The data were analyzed using descriptive statistics, Pearson correlation, and multiple linear regression tests.</p><p><strong>Results: </strong>The mean (SD) of agency and pathways dimensions of hope was 23.00 (5.11) and 23.15 (5.08), respectively, in the range of 4 to 32. The mean moral competence score was 73.43 (SD=8.37), ranging from 20 to 100, while the mean happiness score was 34.01 (SD=6.14) on a scale of 8 to 48. There were positive and significant relationships between agency and pathways dimensions of hope and ten moral competencies (<i>P</i><0.01); between agency and happiness (<i>r</i>=0.496, <i>P</i><0.01); and between pathways and happiness (<i>r</i>=0.484, <i>P</i><0.01). More moral competence and happiness are related to higher agency and pathways. Younger age and education in nursing school are linked to higher pathways and studying in nursing, health, and rehabilitation faculties is related to higher agencies.</p><p><strong>Conclusion: </strong>More hopeful students are more likely to pursue competencies, and more morally competent students have better reasons to feel hopeful in moral dilemmas. Since competencies are learnable, universities should emphasize moral competence training.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 2","pages":"86-92"},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985223","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":"Factors Predicting Medication Adherence in Patients with Chronic Obstructive Pulmonary Disease: Evidence from a Cross-Sectional Study.","authors":"Le Huyen Trinh, Luu Thi Thuy, Nguyen Thi Bich Hop, Tran Thi Hoang Oanh, Pham Thi Thuy","doi":"10.34172/jcs.025.33204","DOIUrl":"10.34172/jcs.025.33204","url":null,"abstract":"<p><strong>Introduction: </strong>Medication adherence is crucial for effective management of chronic obstructive pulmonary disease (COPD). However, the medication adherence rates among patients with COPD is generally low due to various influencing factors. This study aimed to identify predictors of medication adherence among Vietnamese patients with COPD.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at a tertiary hospital in Central Vietnam. A total of 104 patients diagnosed with COPD were conveniently recruited between March and June 2022. Data were collected using three structured questionnaires, including demographic and health-related characteristics form, the Beliefs about Medicines Questionnaire, and the General Medication Adherence Scale (GMAS). Descriptive statistics, independent t-test, Chi-square test, univariate logistic regression analysis, and multivariable logistic regression were used for data analysis.</p><p><strong>Results: </strong>Up to 41.3% of participants adhered to medication. Medication adherence was higher among younger individuals, those with education levels above high school, those with fewer medications, and those who held a stronger positive belief about the necessity of medication.</p><p><strong>Conclusion: </strong>The overall medication adherence rate was moderate. It was significantly influenced by age, educational level, number of medications, and beliefs about the necessity of medication. These findings suggest that healthcare providers should prioritize identifying and supporting patients who are at risk of non-adherence. Moreover, intervention programs should aim to enhance patients' awareness of the necessity of medication in managing COPD.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 2","pages":"73-79"},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985298","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 Emergent Concept of Patient Advocacy in Acute and Perioperative Settings: A Scoping Review.","authors":"Sara Morais Pires, Ana Ramos, Idalina Gomes","doi":"10.34172/jcs.025.35014","DOIUrl":"10.34172/jcs.025.35014","url":null,"abstract":"<p><strong>Introduction: </strong>Staff shortages following the pandemic and the growing complexity of healthcare require continuous reflection on the part of professionals to improve patient protection efforts in high-pressure environments. This makes it essential to better understand and reinforce the role of patient advocacy in clinical practice. This study aims to map the concept of patient advocacy in nursing, identifying its key attributes, antecedents, and consequences in acute and perioperative settings, contributing to its update and integration into the current healthcare paradigm.</p><p><strong>Methods: </strong>A scoping review, based on Arksey and O'Malley's framework and PRISMA-ScR guidelines, analyzed studies from 2019 to 2024, across CINAHL, PubMed, Scopus, Web of Science, and Google Scholar databases. It focused on nursing-related patient advocacy in acute and perioperative settings, excluding non-nursing roles, self-advocacy, and non-research articles. Two independent reviewers independently selected 14 studies using Rayyan®.</p><p><strong>Results: </strong>Key attributes of patient advocacy include safeguarding, effective communication, empowerment, and ethical decision-making support. Facilitating antecedents were professional motivation, training, nurse autonomy, and spiritual care, while hindering factors included ineffective communication, religious/cultural conflicts, and gaps in patients' health literacy. The consequences were mostly positive for patients, such as empowerment and shared decisions, and mixed for nurses, ranging from moral distress and frustration to gratitude and professional satisfaction.</p><p><strong>Conclusion: </strong>This study synthesized the evolving conceptualizations of patient advocacy, addressing post-pandemic challenges and reinforcing the importance of communication, ethical support, and training. It revealed emerging facilitators and previously overlooked barriers, highlighting the need for stronger policies and organizational structures to empower nurses and safeguard patients.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 2","pages":"93-101"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985234","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":"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}