Journal of Multidisciplinary Care
Volume:13 Issue: 1, Mar 2024

Procrastination is a common issue among students and is often linked to a lack of motivation. The main aim of this study was to evaluate the relationship between procrastination, motivation, and academic achievement of midwifery and nursing students.

In this cross-sectional study in 2023, 258 participants were enrolled, and data were collected by online distribution of three primary questionnaires, including the Procrastination Assessment Scale for Students and Hermans’ Questionnaire Measure of Achievement Motivation, along with a customized questionnaire. The chi-squared test was used for statistical analysis.

The mean score of achievement motivation among participants with academic achievement was considerably higher (P=0.006). When adjusted for confounding factors, female participants were found to have a higher likelihood of academic achievement (4-fold) than male counterparts. A significant inverse correlation was found between academic motivation and procrastination (r=−0.492, P<0.001). We also noted a significant association between interest in the field of study and achievement motivation (P=0.039).

The study showed that academic achievement and motivation significantly influence one another, and strategies aimed at improving motivation can lead to a higher incidence of academic achievement and, thus, academic performance.

This study aimed to investigate healthcare professionals (HCPs) preparedness to continue using telehealth beyond the COVID-19 pandemic, to examine the perceived ability of HCPs to appraise the reliability of online information sources (digital literacy) and, to examine whether a relationship exists between this and preparedness to continue using telehealth.

Single-site cross-sectional survey of HCPs in an outpatient and community therapy setting. The survey was based on a rapid literature review guided by the Theory of Planned Behaviour and Technology Acceptance Model. Descriptive statistics were used to summarise participant demographics, preparedness for telehealth, and digital literacy (based on confidence in appraising online information). Multivariable logistic regression assessed the associations between preparedness to continue using telehealth, the ability to evaluate online information sources, and demographic variables.

A total of 783 HCPs were invited, 310 responded, with 287 participants included in the final analysis (37% response rate excluding incomplete surveys). The analysis shows that 54.8% of participants preferred to return to in-person care. Preparedness to continue telehealth varied by profession and clinical activity, with medical professionals and script provision showing the highest readiness for continued telehealth use and allied health professionals the least likely to continue using telehealth (36%). Most (89%) of HCPs felt confident identifying reliable online information sources and there was no relationship between perceived ability to evaluate online information and preparedness to use telehealth.

Results suggest hesitancy amongst allied staff toward continued telehealth use post the pandemic, which may be due to the type of care they provide. Future studies on technologies that support HCPs in providing more intensive virtual care would be of benefit.

To compare the effect of telephone and SMS follow-up of an empowerment program on quality of life (QOL) and fatigue in patients with chronic obstructive pulmonary disease (COPD).

Non-blind randomized clinical trial (RCT). Two hospitals and clinics in Shahrekord. 105 patients with COPD grades 2 and 3 were recruited and, after implementation in empowerment sessions, were randomly assigned to three control, telephone follow-up, and SMS follow-up groups (35 individuals in each group). First, the pulmonary empowerment program was designed and implemented for six 90-minute sessions. Then, the patients were randomly assigned to three groups using a random number table. Follow-up ended after three months, and the control group received routine care. Data were collected in the first and sixth sessions of the empowerment program and at the end of the follow-up period using demographic (QOL) and fatigue questionnaires. Eventually, they were analyzed through correlation coefficient and analysis of variance (ANOVA) tests in the SPSS software (Version 20).

The study results on QOL showed that the groups were not statistically significantly different before and after the empowerment (respectively: P=0.29 and P=0.56). However, the groups showed statistically significant differences at the end of the quarterly follow-up period (P<0.001). ANOVA results for fatigue indicated no statistically significant differences between the groups before and after the empowerment (respectively: P=0.10 and P=0.32). The results of this study showed that follow-up by SMS and telephone improved patients’ QOL, and SMS had a greater effect in this regard.

The findings suggest using follow-up as an essential approach to empowerment using various technology methods and designing more comprehensive empowerment to reduce patient fatigue.

Nurses are exposed to a variety of stresses that can cause mental health problems and lead to burnout. However, the severity of these problems in nurses also depends on their resilience. Therefore, this study aimed to investigate the correlation between nurses’ resilience and burnout levels during the COVID-19 pandemic.

In this cross-sectional study, 328 nurses from four hospitals in Hilla city, Babylon province, Iraq, were enrolled in August and September 2021. Data collection tools included a demographic information form, the Anxiety, Stress, and Depression Scale (DASS-21), the Connor-Davidson Resilience Scale (CD-RISC), and the Copenhagen Burnout Inventory (CBI). The collected data were analyzed using SPSS-16 software at a significance level of 0.05.

The mean resilience score among nurses was 68.05±17.04, and the majority (77.4%) had a moderate level of burnout. There was a significant and inverse correlation between depression (r=-0.27, P<0.001), anxiety (r=-0.12, P<0.001), stress (r=-0.180, P<0.001), and resilience of nurses. Also, there was a significant correlation between nurses’ burnout and resilience.

Enhancing nurses’ resilience is crucial for improving their mental health and sustaining healthcare quality during crises. Future studies should explore interventions to boost resilience and examine their long-term effects on burnout and mental health. These findings help develop strategies to support nurses, ensuring better healthcare outcomes during challenging times.

Chronic fatigue and decreased quality of life are complications of COVID-19. This study aimed to determine the impact of the continuous care model implementation on fatigue and quality of life of patients with COVID-19.

This semi-experimental study was conducted with pre-test and post-test design in Shahrekord, Iran, 2022. The study was conducted on 80 patients with COVID-19 who were hospitalized at Hajer hospital in Shahrekord and Seyed al-Shohda hospital in Farsan. They entered the study by convenient sampling and were randomly assigned to intervention and control groups using cards. The continuous care model was implemented in 4 stages for the intervention group for three months. Data were gathered using the demographic data questionnaire, Krupp et al.’s fatigue intensity questionnaire (1989), and St. George’s Quality of Life Questionnaire (SGRQ) (1991), then analyzed with SPSS19 software.

Before the intervention, both groups had no statistically significant difference between fatigue intensity (P=0.65) and quality of life (P=0.47). The fatigue intensity immediately after the intervention and three months later in the intervention group was significantly lower than in the control group (P<0.001). The quality of life immediately after the intervention and three months later in the intervention group was significantly higher than the control group (P<0.001).

Considering the effectiveness of the continuous care model in COVID-19 complications, it is recommended that healthcare professionals train and use it to take care of these patients and in similar cases.

The emergence of some medium—and long-term outcomes following the acute phase of the disease, known as "long COVID-19," poses a challenge to medical science. This study aimed to determine the health status of COVID-19 patients after discharge.

This is a descriptive-analytical cross-sectional study. The research population included all COVID-19 patients hospitalized at Hajar Educational and Medical Center in Shahrekord over three months. The data collection tool was a questionnaire assessing the health status of patients six weeks after discharge. Data analysis was performed using SPSS23 software and descriptive and analytical statistical tests, including Fisher’s exact test and independent t-test.

The total number of hospitalized patients was 160. Among them, 21 patients had died, and 72 patients either did not respond to the phone call or provided unreliable information. Ultimately, data were collected from 67 patients. In examining the complications of COVID-19, 34.4% of the study samples reported weakness and fatigue, 13.4% cough, 8.9% dyspnea, and 1.4% skin complications. A significant correlation was observed between the gender variable with dyspnea and cough variable (P=0.001) and between the gender variable with weakness and lethargy variable (P=0.05). In the correlation analysis between the variables of hypertension, diabetes, lung diseases, overweight, brain diseases, and remdesivir drug injection, a significant relationship was observed with COVID complications.

The COVID-19 pandemic is not over, and many sufferers suffer from prolonged covid. Gender and underlying diseases are some of the most important underlying factors in the long-term COVID-19. Creating post-COVID care systems for these patients is highly needed and recommended.

Therapeutic procedures, including the placement of intravenous catheters, are among the most common sources of pain for children. Various methods exist to reduce pain during venipuncture in children, including non-pharmacological methods, but there is no consensus on the most effective approach. The aim of this study is to evaluate the effectiveness of non-pharmacological methods on pain intensity during venipuncture in children.

This systematic review and meta-analysis were conducted based on English and Persian articles published in the databases of PubMed, Web of Science, Scopus, CINAHL, ScienceDirect, Google Scholar, Irandoc, Iranmedex, SID, and Magiran between 1911 and 2023, using the keywords Venipuncture, Children, Pain, and their MeSH equivalents in all possible combinations. Data analysis was performed using STATA 11 software.

Out of 6963 studies obtained from the initial search, 17 eligible articles were included in the meta-analysis. The results of the random effects model showed that among non-pharmacological methods, the pain score of children in the distraction intervention group was 1.72 points lower than that of children in the comparison group, placing it in the strong effectiveness category. Furthermore, distraction interventions were found to be more effective in children under 8.5 years old, with bubble-blowing interventions proving to be the most effective among all. The findings in other groups also showed that acupressure and educational booklet reading interventions performed by the child on a teddy bear were more effective than distraction interventions.

Non-pharmacological interventions seem to be an easy, accessible, and cost-effective method for nurses to manage pain associated with venipuncture according to children’s age.