@article{ 
author = {MansoorSamaei, Fatemeh and Asgari, Parvaneh},  
title = {Humanistic Care in the Intensive Care Unit: An Approach Beyond Clinical Care in the Age of Technology}, 
abstract ={Background & aim: The intensive care unit (ICU) is one of the most complex and sensitive areas of the health system, with the most complex patients; patients who are hospitalized in this unit encounter numerous mental and physical stresses. In recent years, despite an increase in inpatient survival rates within the ICU, some human dimensions of care have been neglected. The care process has changed over time and evolved into humanistic care, which considers all dimensions of care and all stakeholders in the care process. In an era where new technologies and the complexity of clinical care are rapidly expanding, preserving and strengthening human values in nursing care is more essential than ever; the aim of this study is to introduce a model and framework for providing humanistic care in the (ICU) in the current technological era. Methods: One of the most comprehensive models for humanistic care in the ICU is the HU-CI model, which has seven dimensions. These dimensions include "Open-door ICU", "Effective Communication", "Patient Well-being", "Caring for professionals", "Post-intensive care unit syndrome (PICS)", "End-of-life care" and "Humanized infrastructure in ICU". Results: By integrating scientific knowledge and human values, the present model emphasizes principles such as compassion, effective communication and care of the treatment team, and its implementation increases patient and family satisfaction, improves clinical outcomes, enhances quality of care, team cohesion and promotes the nursing profession. Conclusion: HU-CI model, by considering human-centered infrastructures, aims to balance and integrate advanced technologies and human values, and to align care with the technological age. This model, with its emphasis on human-centeredness, empathy, and meaningful care, provides a valuable framework for transformation in critical care and can offer a new perspective on the path of nursing professional development and on meeting the human needs of patients in critical situations.},  
Keywords = {Humanistic Care, Intensive Care, Technology, Modern Nursing, HU-CI},
volume = {18},
Number = {2}, 
pages = {1-4}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.2.1},
url = {http://jccnursing.com/article-1-830-en.html},  
eprint = {http://jccnursing.com/article-1-830-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {moghise, Akram and -	Teimourpour, Amir and Jadid-Milani, Maryam},  
title = {The Role of resilience in Predicting the Spiritual Intelligence of ICU Nurses in Hospitals Affiliated with Iran University of Medical Sciences, Tehran, 2024: A Cross-Sectional Study}, 
abstract ={Background & aim: Nurses working in intensive care units face psychological pressures, difficult ethical decision-making, and numerous critical situations that may predispose them to reduced resilience. Among internal resources, spiritual intelligence can play an important role in enhancing nurses’ adaptability. This study aimed to determine the predictive role of resilience in spiritual intelligence among nurses working in intensive care units of hospitals affiliated with Iran University of Medical Sciences in 2024. Methods: This descriptive-analytical correlational study was conducted on 223 ICU nurses working in the intensive care units of six selected hospitals in Tehran, chosen using a multi-stage sampling method. Data collection tools included Abdullahzadeh’s Spiritual Intelligence Questionnaire (29 items) and the Connor-Davidson Resilience Scale (25 items). The validity and reliability of the tools were confirmed in previous studies. Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression analysis in SPSS software. Results: Findings showed that the mean of spiritual intelligence, and resilience were 123.43 ± 21.426, 80.84 ± 18.165, respectively. Among most nurses, levels of spiritual intelligence and resilience were high. A significant positive correlation was observed between spiritual intelligence and resilience (r = 0.744, P = 0.001). Approximately 55% of the variance in spiritual intelligence among intensive care nurses was explained by occupational resilience. Moreover, for each one-unit increase in resilience, spiritual intelligence increased by 0.774 units (P < 0.001). Conclusion: Considering the protective role of spiritual intelligence, designing and implementing educational programs and workshops to enhance spirituality in nursing settings can improve nurses’ mental health and enhance the quality of patient care.},  
Keywords = {Spiritual Intelligence, Resilience, Nurse, Intensive Care Unit},
volume = {18},
Number = {2}, 
pages = {5-15}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.2.5},
url = {http://jccnursing.com/article-1-817-en.html},  
eprint = {http://jccnursing.com/article-1-817-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {KataniNajafabadi, Mohammad Javad and Azarbarzin, Mehrdad and Moghimian, Maryam},  
title = {Investigation of the Effect of Music Therapy on Stress, Anxiety, and Physiological Indicators of Patients in the Cardiac Care Unit: A Semi-Experimental Study}, 
abstract ={Background & aim: Patients with acute cardiac problems experience stress and anxiety due to being in the cardiac care unit environment and concerns about their health and future, as well as not having a companion, which also affects their physiological indicators. Music therapy, due to its calming and non-invasive nature, can help address these issues along with other nursing care. Therefore, the present study aimed to determine the effect of music therapy on stress, anxiety, and physiological indicators of patients in the cardiac care unit of Montazeri Hospital, Najafabad, in 1403. Methods: The present study is a semi-experimental two-group before and after method. 40 patients hospitalized in the cardiac care unit of Montazeri Hospital in Najafabad, who were selected based on the inclusion and exclusion criteria, were randomly assigned to two intervention and control groups. The intervention group listened to music for 15 minutes each day for three consecutive days. Data collection tools included demographic questionnaires, Spielberger Anxiety, Cohen's Perceived Stress, and a researcher-made checklist of physiological indicators, which were completed before and after the study. The physiological indicators of all study participants were measured before the intervention and 10 minutes after the intervention. Results: The mean anxiety score in the intervention and control groups before the study was 2.31 ± 0.34 and 2.40 ± 0.37, respectively, which was not significantly different (P = 0.46). But after the study, it reached 1.23 ± 0.12 and 2.44 ± 0.34, which was significantly different in the intervention group compared to before (P = 0.04). The mean stress score in the intervention and control groups before the study was 2.25 ± 0.53 and 2.28 ± 0.61, respectively, which was not significantly different (P = 0.84). But after the study, it reached 1.68 ± 0.24 and 2.31 ± 0.59, which was significantly different in the intervention group compared to before (P<0.001). Also, this mean difference between the intervention and control groups was also significant (P<0.001). There was no significant difference in the changes in physiological indices before the study in the two groups (P<0.05). But after the intervention, all indicators were significant in the intervention group at all times compared to before (P<0.001). This difference was also significant in the control group (P<0.001). Conclusion: Music therapy in patients hospitalized in the cardiac care unit can be used as an effective complementary intervention in reducing anxiety, stress, and regulating some physiological indicators.},  
Keywords = {Cardiac Patients, Music Therapy, Stress, Anxiety, Physiological Indicators, Cardiac Care Unit.},
volume = {18},
Number = {2}, 
pages = {16-26}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.2.15},
url = {http://jccnursing.com/article-1-836-en.html},  
eprint = {http://jccnursing.com/article-1-836-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {Bahramnezhad, Fatemeh and Shomalinasab, Esmat and Asadi, Zahra and ShiriKahnouee, Mahmoud and Bahramnezhad, Fatemeh},  
title = {The Effect of VR-Based Games in Reducing Pain and Anxiety in Patients Undergoing Open-Heart Surgery: A Clinical Trial Study}, 
abstract ={Background & aim: Reconstructive surgeries are an effective treatment for cardiovascular diseases, which are recognized as the leading cause of mortality worldwide. However, such procedures are often accompanied by complications such as pain, anxiety, and infections, which significantly impact patients' quality of life. In recent years, emerging technologies like virtual reality (VR) have garnered attention as effective strategies for reducing pain and anxiety, offering a non-pharmacological alternative to excessive use of analgesic medications and their side effects. This study aims to investigate the effectiveness of VR-based games in reducing pain and anxiety in patients undergoing open-heart surgery. Methods: This parallel clinical trial was conducted in 2024 on 90 patients who underwent open-heart surgery in the intensive care unit of Shahid Madani Hospital in Tabriz, Iran. Participants were selected based on inclusion and exclusion criteria and randomly assigned using block randomization into intervention and control groups. The intervention involved a VR-based game designed in collaboration with software and psychology experts, in which patients used a VR headset to experience natural landscapes and interactively build a snowman. Data were collected using demographic questionnaires, the Visual Analog Scale (VAS) for pain intensity, the Spielberger Anxiety Inventory, and a physiological parameters checklist. Pain and anxiety levels were assessed before and after the intervention. Results: After the intervention, the mean pain intensity in the intervention group decreased from 8.1 to 4.3, which was statistically highly significant (P<0.001, effect size = -5.74); whereas no significant change was observed in the control group (from 7.9 to 7.6, P = 0.37). Similarly, the anxiety level in the intervention group showed a marked reduction (from 60.2 to 44.8, P<0.001, effect size = -6.38), while no significant difference was found in the control group (P = 0.11). In addition, physiological parameters, including heart rate (P<0.001), blood pressure (P = 0.005), respiratory rate (P<0.01), and oxygen saturation (P<0.01), showed significant improvement in the intervention group after the intervention, whereas no noticeable changes were observed in the control group. Conclusion: These findings confirm the notable effectiveness of virtual reality as a non-pharmacological method for managing pain and anxiety after cardiac surgery. Accordingly, the use of VR may be considered a cost-effective, safe, and impactful intervention in the postoperative care programs of patients undergoing open-heart surgery.},  
Keywords = {Game Therapy, Virtual Reality, Pain, Anxiety, Open-Heart Surgery},
volume = {18},
Number = {2}, 
pages = {27-37}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.2.25},
url = {http://jccnursing.com/article-1-828-en.html},  
eprint = {http://jccnursing.com/article-1-828-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {Falahati, Hashem and Mohammadi, Mohammad Mehdi and Salari, Nader and VaisiRaygani, Ali Akbar},  
title = {The Relationship Between Dark Personality Traits and Organizational Commitment in Pre- Hospital Emergency Operational Staff: A Cross Sectional Study}, 
abstract ={Background & aim: Dark personality traits (Machiavellianism, narcissism, and psychopathy), as a set of undesirable personality characteristics, can potentially affect individuals' level of adherence and attachment to their organization. On the other hand, organizational commitment is a key factor in maintaining motivation, reducing absenteeism, and improving employee performance. Understanding this relationship is particularly important in critical professions such as emergency medical services. Thus, the present study was conducted to determine the relationship between dark personality traits and organizational commitment among the operational staff of pre-hospital emergency services in Kermanshah province in 2024. Methods: The present study was a cross-sectional study conducted on 394 operational staff members of pre-hospital emergency services in Kermanshah province, using a convenience sampling method with proportional allocation. Data collection tools included a demographic questionnaire, the 12-item Dark Triad Personality questionnaire (Johnson et al.), and the Allen and Meyer Organizational Commitment Questionnaire. Data were analyzed using SPSS software, version 25. Results: The mean total score for organizational commitment was 70 ± 9.9, and for dark personality traits, it was 25.1 ± 7.7 No statistically significant relationship was observed between the total score of dark personality traits and the total score of organizational commitment (r = 0.086, P>0.05). However, there was a direct and significant relationship between the total score of dark personality traits and the affective commitment subscale (r = 0.174, P<0.05). Additionally, the narcissism subscale showed a positive and significant relationship with normative commitment (r = 0.129, P<0.05). Conclusion: The findings indicate a complex and multifaceted relationship between dark personality traits and the various dimensions of organizational commitment among emergency staff. Although these traits are not associated with overall organizational commitment, they may be positively related to certain dimensions, such as affective and normative commitment, through self-serving motives or the need for approval. These results emphasize the importance of a deeper understanding of personality traits in recruitment and human resource management processes within healthcare organizations.},  
Keywords = {Dark Personality Traits, Psychopathy, Organizational Commitment, Narcissism, Machiavellianism, Staff, Pre-hospital Emergency},
volume = {18},
Number = {2}, 
pages = {38-47}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.2.35},
url = {http://jccnursing.com/article-1-838-en.html},  
eprint = {http://jccnursing.com/article-1-838-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {Abdorrashidi, Mahdi and Eisazadeh, Sobhan and Ashrafizadeh, Hadis and Salesi, Mahmood and Barasteh, Salman and Rassouli, Maryam and Mollahadi, Mohse},  
title = {Factors Related to Death Literacy among Iranian Medical Students: A Cross-Sectional Study}, 
abstract ={Background & aim: Medical science students, due to the nature of their field of study and educational environment, encounter death-related situations more frequently than other students. Therefore, possessing a higher level of knowledge and skills related to death- known as “death literacy”- can help them reflect on death and play a more effective role in accessing, understanding, and making informed decisions about death and end-of-life care options. Accordingly, the present study was conducted to identify factors associated with death literacy among Iranian medical students in 2024. Methods: This cross-sectional study was carried out in 2024 on 440 medical science students in Tehran. Convenience sampling was performed using an online questionnaire. The research instruments included a socio-demographic questionnaire and the Death Literacy Index, which was translated into Persian using the forward–backward translation method. Before the study began, the research objectives and procedures were explained to participants, and questionnaires were completed confidentially after obtaining informed consent. Independent t-tests and hierarchical regression analysis were used to examine factors influencing death literacy. A significance level of 0.05 was considered for all tests. Results: A total of 440 medical science students with a mean age of 22.79 ± 4.25 years participated in the study. Independent t-test results indicated that six factors were significantly associated with death literacy: males had higher death literacy scores than females (P = 0.002); Persian ethnicity had lower death literacy compared to other ethnicities (P = 0.02); caring for a family member for more than three months was associated with higher death literacy (P<0.001); greater interaction with neighbors (P<0.001), positive evaluation of religious beliefs (P<0.001), and having someone trustworthy to seek help from (P = 0.04) were also associated with higher death literacy. Hierarchical regression analysis showed that the final model explained 11.9% of the variance in death literacy (F = 8.88, P<0.001), and gender (P = 0.03), religious beliefs (P = 0.04), caregiving experience for a family member (P<0.001), interaction with neighbors (P<0.001), and having someone to receive help from (P = 0.02) remained significant predictors. Conclusion: This study demonstrated that the level of death literacy among medical science students is influenced by a combination of individual and social factors. The results indicated that gender, religious beliefs, long-term caregiving experience, social interaction with neighbors, and having a trusted person to seek help from are the most important predictors of death literacy. Given the role of these factors, designing educational and supportive interventions that incorporate practical experiences, strengthen social connections, and address cultural and religious dimensions may improve death literacy among students. These findings highlight the importance of a comprehensive and multidimensional approach to teaching topics related to death and end-of-life care.},  
Keywords = {Death, Death Literacy, Mortality, Palliative Care, End of Life, Attitude to Death, Hospice},
volume = {18},
Number = {2}, 
pages = {48-57}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.2.44},
url = {http://jccnursing.com/article-1-848-en.html},  
eprint = {http://jccnursing.com/article-1-848-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {Sarlak, Sepideh and Fallah, Bahareh and Bakhsi, Fatemeh and Safazadeh, Shima and Javadi, Mostaf},  
title = {Investigating the Impact of Implementing SBAR Guidelines on Handover Satisfaction and Patient Safety Culture in Nurses Working in Intensive Care Units}, 
abstract ={Background & aim: Clinical handover in the form of a standard delivery guide improves teamwork, increases patient safety, and the quality of nursing care. The SBAR method provides an organized method of information transfer that, in addition to improving communication methods, can also affect patient care outcomes. The present study was conducted with the aim of determining the effect of the implementation of modified SBAR guidelines on handover satisfaction and safety culture among nurses working in the special care units of Ayatollah Kashani Hospital in Isfahan. Methods: This Quasi-experimental single-group research was conducted on 59 nurses working in four ICU departments. After obtaining informed consent, the satisfaction questionnaire for patient handover and the patient safety culture questionnaire were given. Then, the SBAR form prepared by the research team was provided to the nurses. The nurses were taught how to complete the forms both in the form of an educational video and in person. Meetings to exchange opinions and solve possible problems were held once a week in each department for four weeks. Then the study questionnaires were completed again by the nurses. Results: The satisfaction with the handover of patients increased after the intervention (44.64 ± 6.24) compared to before the intervention (48.38 ± 4.53), and this difference was statistically significant (P = 0.001). Based on the t-pair statistical test, the safety culture increased after the intervention compared to before the intervention, but this difference was not statistically significant (P = 0.08). Conclusion: Considering the increase in nurses' satisfaction with handover based on the ISBAR form, it is suggested that this method, which is standard and simple, be used in special care units.},  
Keywords = {SBAR Method, Shift Handover, Satisfaction with Handover, Patient Safety, Nurses' Satisfaction with Handover},
volume = {18},
Number = {2}, 
pages = {58-67}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.2.57},
url = {http://jccnursing.com/article-1-784-en.html},  
eprint = {http://jccnursing.com/article-1-784-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {Rashid, Khosro and Karimi, Kambiz and Reshadian, Mi},  
title = {The Effect of Lullaby Vocalization on Physiological Indices of One-Day-Old Full-Term Neonates}, 
abstract ={Background & aim: Lullabies, as an auditory stimulus in the neonatal environment, may have specific effects on infants' physiological responses. This study aimed to compare the impact of lullabies in three languages Turkish, Persian, and Mazandarani on the heart rate (HR) and respiratory rate (RR) of one-day-old full-term neonates whose mother tongue was Turkish. Methods: This quasi-experimental study was conducted from December 2024 to February 2025 on 40 one-day-old full-term neonates with Turkish as their mother tongue at Atiyeh Hospital in Hamadan. Participants were randomly assigned via simple randomization into four groups (three intervention groups and one control group). Lullabies in three languages Turkish, Persian, and Mazandarani were played for the infants in the intervention groups for 10 minutes, during which their heart rate and respiratory rate were measured and recorded using standardized monitoring devices calibrated in accordance with ISO 80601-2-61. Data were analyzed using SPSS software version 26 and multivariate analysis of variance (MANOVA). Results: After ensuring the fulfillment of statistical assumptions, MANOVA revealed that lullaby vocalizations significantly affected the neonates' HR and RR. Specifically, lullabies increased HR (P < 0.01) and decreased RR (P < 0.05) compared to the control group (HR: M = 121.79 ± 2.99 bpm; RR: M = 45.46 ± 1.79 breaths/min). The Turkish lullaby had the most pronounced effect on physiological responses (HR: M = 138.04 ± 2.99 bpm; RR: M = 38.27 ± 1.69 breaths/min). Effect size analysis indicated that the Turkish lullaby had the largest effect on HR (η² = 0.345) and RR (η² = 0.198). Conclusion: The findings suggest that lullabies in the mother tongue may help regulate neonates' physiological parameters. Despite limitations such as sample size and use of recorded lullabies, this low-cost intervention shows potential for implementation in neonatal care units.},  
Keywords = {Lullaby, Heart Rate, Respiratory Rate, Mother Tongue, Neonatal Nursing Care, Full-Term Neonates},
volume = {18},
Number = {2}, 
pages = {68-77}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.2.67},
url = {http://jccnursing.com/article-1-824-en.html},  
eprint = {http://jccnursing.com/article-1-824-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}