فصلنامه پرستاری، مامایی و پیراپزشکی
سال ششم شماره 1 (تابستان 1399)

 There has been a growing cancer rate over the past years, and cancer patients require conscious care and measures that indicate physical and psychological care. This was a care case study performed on a female breast cancer patient based on Watson's model of human care.

 This was a care case study performed on a patient with stage three breast cancer using Watson's model of human care and the Caritas care process in three stages. In the research, semi-structured interviews were conducted to identify the patient’s needs and problems. Moreover, data analysis was performed applying the content analysis method with the inductive approach.

The needs and problems pointed out by the patient were considerably modified using Watson's model of human care and interventions such as social support, spiritual support, energy therapy, and yoga.

A holistic nursing performance based on the theory of human care in patients with cancer requires integrated, creative, respectful, and reassuring care that takes spiritual aspects and all human dimensions into account. This goal can be met through energy therapy, psychological counseling, and participation in support and peer groups.

 Being a professional is one of the fundamental concepts of nursing and care, and professional self-understanding is the first important step toward acting morally in a profession. This study aimed to explore the perspective of students of emergency care regarding the professionalism concept. 

 This qualitative research was performed on 10 students of emergency care. Data were collected using semi-structured interviews until reaching data saturation. The interviews were transcribed and their texts were evaluated several times, followed by coding and classification of the contexts by content analysis method. 

 Data analysis led to the extraction of three main categories (definition of professionalism, the importance of professionalism and characteristics of professionals) and 15 subcategories (social benefits, peace, justice, a necessity for medical emergency, reduced errors, safety observance, improvement of quality, doing the tasks accurately, accountability, taking the patient’s situation into account, accurate performing of procedures, up-to-date and sufficient knowledge, proper communication, management, and a good mood).

 The themes revealed based on the results of the present study demonstrated students’ meticulous attention to the topic of professionalism. These individuals had reached important perceptions in this regard despite a lack of specialized study or specific training in this area, which was considerable.

A curriculum is one of the most important factors and elements affecting the level of success and failure of enhance education systems. Therefore, the purpose of this research is to investigate the current and optimal status of the task-based curriculum in the field of nursing education. 

 This research was performed qualitatively as a phenomenology. Data were collected using semi-structured interviews with 12 nurses and analyzed using the Colaizzi method.

 Data analysis and integration led to the extraction of 2 main components of “existing and desirable status of the homework-based curriculum” and 12 sub-components of “unpredictability of the clinical environment, the conflict between integrating the role of professors and nursing, teachers' inability to intervene, the possibility of poor patient intervention due to legal issues, limited educational time, financial problems, mismatches with expectations, engaging students with practical assignments, holding workshops, closing the gap between learning and clinical environments, situational and decentralized implementation of nursing programs, and change in nurses' knowledge and attitude”.

 The results  show that among the sub components obtained from the analysis of the responses on Nursing Education Specialists, the most important main components in examining the currents situation of the Task-oriented Curriculum (unpredictability of the clinical environment) and  in the components  the main is the desired situation(Eliminate the distance between the learning environment and the clinical environment).

Adolescence is a very sensitive and important stage and has several unique features. This study aimed to evaluate the effect of gratitude training on empathy and communication skills of female adolescents.

This experimental research was performed using a pre-test and post-test research design with a control group. The statistical population included 3258 eighth-grade female students in Rasht, Iran in the academic year of 2019-2020. In total, 40 individuals were selected and randomly divided into two test and control groups. Data were collected using the communication skills questionnaire by Quinn Dam (2004), the empathy questionnaire by Juliff & Farrington (2006), and Emmons & McCullough’s appreciation training questionnaire (2003). Moreover, data analysis was performed using a multivariate analysis of covariance.

In this study, the results were indicative of the effectiveness of gratitude training on improved empathy and communication skills of female adolescents (P<0.001).

According to the results of the study, empathy and communication skills are among the unique features of adolescents, which can be improved by gratitude training.

Multiple Sclerosis (MS) is an incurable disease that requires proper self-management. This study aimed to compare the effects of peer-led and nurse-led self-management programs on the self-management of patients with MS.

This randomized clinical trial study was performed on 81 patients with MS, who were members of the comprehensive treatment center for special diseases affiliated to Birjand University of Medical Sciences in 2018, selected by convenience sampling. First, the participants completed the demographic characteristics form and the self-management scale, and then attended self-management programs held by an experienced nurse in four nurse-led groups and a peer in four peer-led groups. The intervention was carried out in the form of six sessions (1.5 hours) held once a week. Notably, the self-management scale was completed by all subjects immediately and two months after the intervention.

In this study, no significant difference was observed between the two groups in terms of the total mean score of self-management and its dimensions before the intervention (P>0.05). However, the total score of self-management and its dimensions significantly increased in the two groups over time (P<0.001). According to the results, there was a significantly higher increase in the total self-management score (P<0.001), as well as health maintenance behaviors (P<0.001) and following/avoiding the treatment (P=0.02) scores in the nurse-led groups, compared to the peer-led groups.

According to the results of the study, using nurse-led self-management programs could improve self-management in patients with MS.

Uterus and breasts are an important part of a woman's sexual self-image. Given the psychological effects of the removal of female organs on body esteem and psychological adjustment and coping of individuals, the present study aimed to compare the cognitive emotion regulation strategies, body image, and sexual satisfaction of women with and without a history of hysterectomy and mastectomy surgeries.

This causal-comparative research was performed on 135 women (45 with a history of hysterectomy and 45 with a history of mastectomy, and 45 normal) selected by convenience sampling in Rasht, Iran in 2019. The participants completed the Garnefsky's Cognitive Emotion Regulation Questionnaire (CERQ-P), Littleton's Body Image Concern Inventory (BICI), and Short Form Sexual Functioning Scale (FSFI-6) voluntarily.

In this study, there was a significant difference among the three groups of women in terms of the cognitive emotion regulation strategies; in this regard, the strategies of women with a history of mastectomy (31.13%) were more compromised, compared to women with a history of hysterectomy (28.53%). Regarding body image, women undergoing a mastectomy (68%) were more concerned with their body image, compared to those undergoing a hysterectomy (43.77%). On the other hand, women in the hysterectomy group (18.11%) had a lower sexual satisfaction, compared to the subjects in the mastectomy group (19.49%). In addition, normal women were more balanced in terms of cognitive emotion regulation strategies, body image concerns, and sexual satisfaction.

According to the results of the study, the type of cognitive emotion regulation strategy of women with a history of hysterectomy and mastectomy surgeries affected their sexual satisfaction and performance. Furthermore, mastectomy had a greater negative impact on the body image of individuals.

Nursing students' education about mechanical ventilation issues is very important in preventing unwanted and risky complications due to improper use of ventilator for patients. Therefore, this study aimed to compare the effect of online simulator with lecture training on students' satisfaction and performance in mechanical ventilation.

This quasi- experimental study with two groups design was conducted in 2019 on 48 nursing students of 7 semester affiliated with nursing and midwifery college of Birjand University of Medical Sciences. Samples were selected by convenience method and divided into two groups by blocking method. Data collection tools included demographic information form, teacher dignity questionnaire and performance evaluation checklist. The collected data were analyzed by SPSS software version 22 and descriptive and inferential statistics such as Chi-square, Wilcoxon, independent t-test and Mann-Whitney at the significant level less than 0.05.

The results showed that the online simulator group after the intervention had higher satisfaction score and 10 days after the intervention had higher performance score than the lecture group (P <0.001). Also, 10 days after the intervention, the average duration of scenario implementation in the online simulator group was significantly less than the lecture group (P = 0.01).

Based on the findings of the present study, the use of an online simulator can be considered as a new method for training mechanical ventilation

 Anxiety is one of the most common accompanying symptoms in pregnant mothers and is associated with adverse maternal and neonatal consequences. The aim of the present study was to examine the impact of mindfulness-based counseling on the levels of anxiety during the pregnancy period and on newborns’ physiological parameters.

 This study was a semi experimental pretest-posttest with a control group. Sixty primiparous pregnant women who referred to the health clinics of Kermanshah were selected using convenient sampling and were randomly assigned into either experiment or control group. The control group received routine prenatal care, and the experimental group underwent eight groups mindfulness-based counseling sessions (60-90min) twice a week, in addition to routine prenatal care. Before, immediately after and one month after the intervention, both groups completed the Vandenberg Gestational Anxiety Questionnaire. In addition, after delivery, the newborns’ physiological parameters (weight, height, gestational age and Apgar score) checklist was completed. The data was analyzed using Mann-Whitney, Independent t-test, and Friedman's tests using SPSS- 25.

 Pregnancy anxiety was not significant between the control and intervention groups before the intervention (p = 0.694). However, immediately and one month after the intervention the difference was significant (p≤ 0.001). After delivery, the physiological parameters of infants born to women in the intervention and control groups were not significantly different.

 According to the study results, mindfulness-based counseling was effective in reducing pregnancy anxiety, but did not affect the physiological parameters of newborns at birth.