{"title":"Identifying the Risk Factors of Adverse Pregnancy Outcomes among Women with COVID-19: A Population-Based Case-Control Study in Southern Iran.","authors":"Shirin Soltani, Arezoo Mobarakabadi, Mahmood Hosseinpour Kohshahi, Mojdeh Banaei, Mahdiye Taheri, Sareh Dashti, Saeed Hosseini Teshnizi, Nasibeh Roozbeh","doi":"10.34172/jcs.33156","DOIUrl":"https://doi.org/10.34172/jcs.33156","url":null,"abstract":"<p><strong>Introduction: </strong>Pregnant women and their fetuses are considered as high-risk groups during the COVID-19 pandemic. The aim of this study was to identify the risk factors of adverse pregnancy outcomes among women with COVID-19.</p><p><strong>Methods: </strong>This case-control study was conducted among pregnant women who delivered live infants at least 60 days before data collection in Hormozgan Province, south of Iran, 2021. The case and control groups included women with and without the history of COVID-19, respectively. A 47-item checklist including demographic information of the mothers, maternal current and past medical history, maternal and fetal prenatal and post-natal outcomes; and other COVID-19 related outcomes was used. The logistic regression analysis was used for data analysis.</p><p><strong>Results: </strong>A total of 1337 women (668 in case and 669 in control groups) participated in this study. The mean (SD) gestational age in the case and control groups were 32.83 (84.64) and 23.75 (6.93) weeks respectively. Maternal age and the incidence of abortion, obesity, and multiple pregnancies was higher in the COVID-19 group compared with the control group. The most common COVID-19 symptoms were myalgia (24.8%), cough (19.3%), fever (17.5%) and olfactory disorder (14.3%). The preventive factors against COVID-19 adverse pregnancy outcomes were low and normal body mass index, influenza vaccination history, and multivitamin consumption, while the risk factors were multiple pregnancies, abortion and preterm labor.</p><p><strong>Conclusion: </strong>This study showed that pregnant women were to COVID-19. The identified risk factors for COVID-19 adverse pregnancy outcomes can be used to prioritized pregnant women in receiving COVID-19 related health services.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 2","pages":"106-115"},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335992","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":"Theory-Practice Gap During Clinical Learning: A Descriptive Qualitative Study of Nursing Students' Experiences and Perceptions.","authors":"Evelyn Hemme Tambunan","doi":"10.34172/jcs.33251","DOIUrl":"https://doi.org/10.34172/jcs.33251","url":null,"abstract":"<p><strong>Introduction: </strong>One of the main areas that contributes to clarifying the significance of nursing students' performance in the clinical context is clinical learning. However, the theory-practice gap has long been an issue for clinical learning for nursing students. This study sought to explore the experiences and perceptions of nursing student when applying theory into practice during their clinical learning.</p><p><strong>Methods: </strong>A descriptive qualitative study was conducted with 10 senior nursing students using face-to-face interviews. These interviews were audio-taped and transcribed verbatim and analyzed using a qualitative thematic analysis.</p><p><strong>Results: </strong>Three themes emerged upon analysis: academic contribution to the theory-practice gap, clinical environment contribution to the theory-practice gap, and effects of the theory-practice gap. Seven sub-themes emerged including educator contribution to the theory-practice gap, student contribution to the theory-practice gap, supporting facility contribution to the theory-practice gap, clinical instructor contribution to the theory-practice gap, clinical field contribution to the theory-practice gap, effects of the theory-practice gap to the academic field and effect of the theory-practice gap to the clinical field.</p><p><strong>Conclusion: </strong>This study provides an overview of experiences and perceptions of nursing students on theory-practice gaps during clinical learning. Further research using in-depth focus group interviews in a wider population may provide more explanatory and useful information for nursing education to better manage learning process.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 2","pages":"74-81"},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335994","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}
Hossein Namdar Areshtanab, Maryam Vahidi, Mina Hosseinzadeh, Somayeh Janmohammadi
{"title":"Barriers and Facilitators of Intuitive Decision-Making among Psychiatric Nurses: A Cross-sectional Study.","authors":"Hossein Namdar Areshtanab, Maryam Vahidi, Mina Hosseinzadeh, Somayeh Janmohammadi","doi":"10.34172/jcs.33231","DOIUrl":"https://doi.org/10.34172/jcs.33231","url":null,"abstract":"<p><strong>Introduction: </strong>Due to the type and nature of hospitalized psychiatric patients, nurses encounter many ambiguous and complex clinical situations that require intuitive decision-making. The present study was conducted to determine the use of intuition and its barriers and facilitators among psychiatric nurses.</p><p><strong>Methods: </strong>This study adopts a descriptive cross-sectional design and employs 123 nurses using convenience sampling in 2022. Demographic characteristics, the use of intuition in clinical practice, and the barriers and facilitators of intuition in clinical practice questionnaires were used for data collection.</p><p><strong>Results: </strong>The results of this study showed that the mean (SD) of intuitive decision-making among psychiatric nurses was 58 (13.07) out of a range from 25-125. The use of intuition had a statistically significant correlation with age and work experience in the psychiatry ward. The use of intuitive decision-making has a statistically significant difference in gender, work shift, and education level. The biggest barrier to the use of intuitive decision-making among psychiatric nurses was \"The limitations of nursing role which restrict the use of intuition in the clinical setting\". The most common facilitator in the use of intuition among psychiatric nurses was \"having experience and clinical knowledge leads to the use of intuition in patient care\".</p><p><strong>Conclusion: </strong>Given the low level of the use of intuition and the important role of intuitive decision-making in the quality of nursing care, nursing managers should provide some strategies for reducing the barriers to the use of intuition among nurses.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 2","pages":"91-96"},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335989","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 Investigation of Death Anxiety and Spiritual Well-Being Levels of Family Members of Patients Admitted to Intensive Care Unit.","authors":"Selçuk Görücü, Gülşah Gürol Arslan","doi":"10.34172/jcs.2024.33069","DOIUrl":"https://doi.org/10.34172/jcs.2024.33069","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to investigate the death anxiety (DA) and spiritual well-being (SWB) levels of first-degree family members of patients hospitalized in the intensive care unit (ICU).</p><p><strong>Methods: </strong>The data of this descriptive correlational type of study were collected through a faceto-face interview and survey with 308 family members who came to visit family members treated in the ICU of a public hospital in the western province of Turkey. Results were analyzed with SPSS software version 22.</p><p><strong>Results: </strong>The average Death Anxiety Scale (DAS) score of the family members is 7.99 (3.15), which is above the middle value (min/max; 0-15), and the average Spiritual Well-Being Scale (SWBS) score is 121.83 (12.91), which is relatively high (min/max; 29-145). A positive, weak, and significant correlation existed between DAS and SWBS mean scores (r=0.20; <i>P</i><0.05).</p><p><strong>Conclusion: </strong>As a result, the DA levels of family members increase with the thought of losing their patients in the ICU. During this period, family members of patients need spirituality more than ever to cope with increasing DA. In this study, a positive and significant correlation was found between the DA levels and SWB levels of the family members. According to this result, as family members' DA increases, their spiritual needs also increase.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 1","pages":"20-26"},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11036169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140875100","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":"Survey Fatigue in Questionnaire Based Research: The Issues and Solutions.","authors":"Mansour Ghafourifard","doi":"10.34172/jcs.33287","DOIUrl":"10.34172/jcs.33287","url":null,"abstract":"","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 4","pages":"214-215"},"PeriodicalIF":0.0,"publicationDate":"2024-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461492","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":"Gastrointestinal Bleeding and Hepatotoxicity: Acetaminophen and Ibuprofen Home Medication Administration Errors in Fever Treatment of Children.","authors":"Rozita Cheraghi, Shahla Elyaszadeh, Maedeh Alizadeh","doi":"10.34172/jcs.2024.33044","DOIUrl":"https://doi.org/10.34172/jcs.2024.33044","url":null,"abstract":"","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 3","pages":"146-147"},"PeriodicalIF":0.0,"publicationDate":"2024-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775908","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":"Trust in Medicine: A Scoping Review of the Instruments Designed to Measure Trust in Medical Care Studies.","authors":"Ehsan Sarbazi, Homayoun Sadeghi-Bazargani, Zahra Sheikhalipour, Mostafa Farahbakhsh, Alireza Ala, Hassan Soleimanpour","doi":"10.34172/jcs.33152","DOIUrl":"10.34172/jcs.33152","url":null,"abstract":"<p><strong>Introduction: </strong>This scoping review study was conducted with the aim of identifying dimensions of trust in medical care, common trust subjects, and medical trust correlates among available instruments.</p><p><strong>Methods: </strong>We carried out a scoping review of literature through Medline, EMBASE, Scopus, Google Scholar engine, and various information sources of grey literature, to identify eligible studies up to 2023. We merely included psychometric studies in these areas. Non-psychometrics studies were excluded. Two assessors independently and carefully chose papers and abstracted records for qualitative exploration.</p><p><strong>Results: </strong>Fifty-two studies (n=37228 participants) were included in the review. The majority of the participants 67 % (24943) were adults (≥18). One-dimensionality trust was found in 36 % (19) of trust in medical care studies, while multidimensionality was identified in 64 % (33) of the studies. Ten categories of trust in medicine correlates or associates were identified. In terms of trust scales subjects, about 71 % (37) of the scales measured trust in healthcare professions, 14 % (7) health care systems, and the rest were about emergency department, trauma care emergency department, health care team, technology, authorities, telemedicine, insurer, COVID-19 prevention policies, performance, and general trust.</p><p><strong>Conclusion: </strong>Various tools have been developed and validated in the field of trust in healthcare, and several domains have been identified. Trust in medicine is correlated by a variety of factors such as patient characteristics, healthcare provider factors, healthcare organization features, health conditions, and social influences. It is suggested that researchers pay more attention to the most commonly known dimensions in preparing tools.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 2","pages":"116-137"},"PeriodicalIF":0.0,"publicationDate":"2024-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335995","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":"Barriers and Facilitators during Community Reintegration of People with Spinal Cord Injury: A Qualitative Study.","authors":"Meenakshi Mohan, Roumi Deb","doi":"10.34172/jcs.2024.31955","DOIUrl":"https://doi.org/10.34172/jcs.2024.31955","url":null,"abstract":"<p><strong>Introduction: </strong>Spinal cord injury (SCI) individuals face challenges in community reintegration due to various factors. This study explores the barriers and facilitators affecting their reintegration, aiming to understand and address their diverse needs and challenges in different cultural contexts.</p><p><strong>Methods: </strong>The present qualitative study was conducted between December 2021 to June 2022 among 71 SCI individuals as data saturation was achieved. Data was collected via structured in-depth interview. Participants were identified through purposive sampling method, admitted, or visited to rehabilitation center, India. Data was analyzed according to Braun and Clarke's thematic analysis method using MAXQDA 2020.</p><p><strong>Results: </strong>Data analysis led to the emergence of four major themes and several sub-themes specific to the single problem domain. The four major themes of barriers included environmental, cultural, psychological and health-related barriers. However, four facilitators (Family support, financial stability, religious practices, friends and leisure activity) came up which may help in overcoming from the challenges faced by the SCI individuals.</p><p><strong>Conclusion: </strong>People with SCI face various problems in their care, management and social lives. It is important to give attention to their needs along with comprehensive health support and strengthen the patient-provider interaction. This may generate a sense of self efficacy, self-esteem and promotes the mental well-being of people with spinal cord injuries. Working on the above mentioned issues can help SCI people in low- and middle-income countries become more integrated into their communities.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 1","pages":"44-53"},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11036166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868928","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":"An Investigation of the Effectiveness of Distance Learning on Nutrition Quality of Hemodialysis Patients during the COVID-19 Pandemic: A Single-Blind Randomized Clinical Trial.","authors":"Mahdieh Rafiee, Maryam Khandan","doi":"10.34172/jcs.2024.33055","DOIUrl":"https://doi.org/10.34172/jcs.2024.33055","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic has limited hemodialysis patient's attendance in healthcare centers and receiving diet education. This study was conducted to investigate the effectiveness of distance learning on the nutrition quality of hemodialysis patients during the COVID-19 pandemic.</p><p><strong>Methods: </strong>In the single-blind randomized clinical trial, 60 patients undergoing hemodialysis were randomly divided into control (n=30) and experimental (n=30) groups. Before and after the intervention, Dialysis Malnutrition Score (DMS), Malnutrition-Inflammation Score (MIS) (primary outcome), albumin, the total iron-binding capacity of the blood (TIBC), and body mass index (BMI) (Secondary outcome) were investigated. The experimental group received educational content through social networks for three months, whereas the control group received routine care and training.</p><p><strong>Results: </strong>There was no significant difference between the two groups in terms of the mean of DMS, MIS, albumin, and TIBC before the intervention. Pre-test BMI had a confounding effect; therefore, an analysis of covariance was performed to eliminate that effect. This analysis showed significant differences in the post-test mean DMS, MIS, TIBC, and BMI between the two groups. In the control group, significant differences were observed in MIS and BMI toward deterioration. The results also indicated a significant relationship between education level and age with TIBC and between marital status and albumin index.</p><p><strong>Conclusion: </strong>Distance learning can be considered by healthcare managers and police makers as a suitable alternative to the classic face-to-face learning method to enhance hemodialysis patients' nutrition quality during the COVID-19 pandemic.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 1","pages":"36-43"},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11036171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874145","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}
Sedigheh Abdollahpour, Abbas Heydari, Hosein Ebrahimipour, Farhad Faridhoseini, Talat Khadivzadeh
{"title":"The Unmet Needs of Women with Maternal Near Miss Experience: A Qualitative Study.","authors":"Sedigheh Abdollahpour, Abbas Heydari, Hosein Ebrahimipour, Farhad Faridhoseini, Talat Khadivzadeh","doi":"10.34172/jcs.2024.31796","DOIUrl":"https://doi.org/10.34172/jcs.2024.31796","url":null,"abstract":"<p><strong>Introduction: </strong>A maternal near-miss (MNM) case is defined as \"a woman who nearly died but survived from life-threatening pregnancy or childbirth complication\". This study was conducted on health care providers and near-miss mothers (NMMs) with the aim of discovering the unmet needs of Iranian NMM.</p><p><strong>Methods: </strong>In this qualitative study 37 participants of key informants, health providers, NMMs and their husbands were selected using purposive sampling. Semi-structured in-depth interviews were conducted for data collection until data saturation was achieved. Data were analyzed using Graneheim and Lundman conventional content analysis.</p><p><strong>Results: </strong>The analysis revealed the core category of \"the need for comprehensive support\". Eight categories included \"psychological\", \"fertility\", \"information\", \"improvement the quality of care\", \"sociocultural\", \"financial\", \"breastfeeding\" and \"nutritional\" needs emerging from 18 sub-categories, were formed from 2112 codes.</p><p><strong>Conclusion: </strong>Many of the real needs of NMM have been ignored. Maternal health policymakers should provide standard guidelines based on the needs discovered in this study to support the NMMs' unmet needs.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 1","pages":"63-71"},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11036167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871916","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}