@article{ 
author = {Alipoor, Mina and Nematollahi, Monirehsadat and Moayedi, Somayeh and Beigmoradi, Samira and Noori, Bahar},  
title = {Death Acceptance in Intensive Care Unit Nurses: A Concept Analysis Using Walker and Avant’s Method: A Cross-Sectional Study}, 
abstract ={Background & aim: Repeated exposure to patient death in intensive care units (ICUs) places nurses under considerable psychological, emotional, and ethical stress. Death acceptance, as a psychological and spiritual process, plays a crucial role in enhancing nurses’ professional performance and well-being. However, a clear, structured understanding of this concept-particularly within the Iranian cultural context-is lacking. This study aimed to conceptually clarify death acceptance among ICU nurses using Walker and Avant’s method. Methods: This study employed a concept analysis based on Walker and Avant’s systematic eight-step method. A comprehensive literature search was conducted in the following electronic databases: PubMed, Scopus, Web of Science, ProQuest, and Magiran, covering the period from 2000 to 2024. To ensure data relevance and quality, only articles addressing the concept of death acceptance among intensive care unit (ICU) nurses, published in Persian or English and with full-text availability, were included. Following the initial screening process, 40 eligible articles were selected for this analysis. Data were systematically extracted and examined according to the steps outlined by Walker and Avant. Results: The core attributes of death acceptance included awareness of death as a natural phenomenon, emotional regulation, and professional engagement with dying patients. Antecedents comprised ICU experience, formal end-of-life care training, and cultural and religious beliefs. Consequences included improved care quality, reduced burnout, and enhanced empathy. Conclusion: Death acceptance in ICU nurses is a multidimensional concept shaped by individual, cultural, and organizational factors. Clarifying this concept can inform educational and psychosocial interventions to strengthen nurse’s resilience and end-of-life care quality.},  
Keywords = {Death Acceptance, ICU Nurses, Concept Analysis, End-of-Life Care, Walker and Avant Method},
volume = {18},
Number = {3}, 
pages = {0-0}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.3.1},
url = {http://jccnursing.com/article-1-829-en.html},  
eprint = {http://jccnursing.com/article-1-829-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {Mashhadi, Seyedehsadat and Bagheri, Niloofar and Nayebi, Ne},  
title = {Case Report of a Patient Presenting with Acute Myocardial Infarction with De Winter T-Wave Pattern}, 
abstract ={Background & aim: The De Winter ECG pattern is considered equivalent to acute ST-segment elevation myocardial infarction (STEMI) and requires immediate intervention. This   pattern may be misidentified because of the absence of classic ST-segment elevation. Case Report: A 60-year-old man with a history of type 2 diabetes mellitus and   prior percutaneous coronary intervention (PCI) presented to the emergency department with chest pain. Initial ECG showed up sloping ST-segment depression with tall, symmetrical positive T waves in the anterior leads (V2-V6) and 1 mm ST elevation in lead AVR, consistent with De Winter's pattern. Immediate angiography confirmed acute thrombotic occlusion in the proximal left anterior descending (LAD) artery, and the patient underwent primary PCI successfully. Conclusion: Rapid identification of the De Winter pattern is critical to avoid treatment delays and improve outcomes in patients with acute LAD occlusion. This pattern should be considered equivalent to STEMI and should be treated immediately with percutaneous coronary intervention (PCI).},  
Keywords = {Myocardial Infarction, Acute Coronary Syndrome, Electrocardiography, ST Elevation Myocardial Infarction (STEMl), Percutaneous Coronary Intervention, Coronary Occlusion, Diagnosis-Early},
volume = {18},
Number = {3}, 
pages = {0-0}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.3.12},
url = {http://jccnursing.com/article-1-843-en.html},  
eprint = {http://jccnursing.com/article-1-843-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {Bahramnezhad, Fatemeh and Alizadeh, Ali and Hassanzadeh, Negar and Hassanzadeh, GolamRezz},  
title = {Cardiac Patients’ Experiences with a Drug-Drug Interaction Application: A Qualitative Study}, 
abstract ={Background & aim: Patient safety, as one of the key pillars of quality care, plays a vital role in reducing medication errors and drug interactions, particularly among cardiac patients who are at high risk for adverse drug events. Despite the importance of this issue, patients’ experiences and the practical considerations involved in using drug interaction software in intensive care settings have not been fully explored. This qualitative study explores the experiences of cardiac patients who used such software, aiming to identify educational and clinical dimensions, challenges, and strategies to enhance medication safety and care quality. Methods: This qualitative study used a conventional content analysis approach and was conducted with cardiac patients hospitalized in cardiac intensive care units and post–open-heart surgery units who had experience using drug interaction software. Data were collected through semi-structured interviews and analyzed using conventional content analysis based on the steps proposed by Lundman and Graneheim (2004). The trustworthiness of the findings was ensured using Guba and Lincoln’s (1982) criteria, including credibility, dependability, confirmability, and transferability. Results: Cardiac patients’ experiences with drug interaction software were categorized into four main themes. The first theme, software usability, included ease of use and response speed. Patients emphasized the simple and understandable interface, rapid performance without the need for complex training, and timely alerts, although occasional delays and the need for minor interface improvements were noted. The second theme, increased awareness and education, included improved understanding of medications and guidance on appropriate medication use. The software enhanced patients’ knowledge of medications and potential interactions and provided reminders about timing and correct use, although some reminders were repetitive or poorly aligned with patients' needs. The third theme, clinical and therapeutic effects, included improved medication management, treatment confidence, and interaction with the care team. Patients reported reduced side effects, more precise medication adjustments, increased confidence in their medication regimen and physician, and better coordination with healthcare providers. However, some alerts generated anxiety or uncertainty in decision-making. The fourth theme, limitations and challenges, included technical issues, communication problems, incomplete drug databases, and psychological and behavioral challenges. Patients reported problems such as software freezing, failure to save information, device incompatibility, insufficient drug data, and complex or ambiguous warning messages, which sometimes led to confusion and anxiety. Conclusion: The experiences of cardiac patients indicate that drug interaction software can enhance medication safety and patient empowerment through ease of use, fast response, improved drug knowledge, and increased treatment confidence. However, technical problems, content limitations, and complex messages may hinder its effective use. Therefore, user-centered design, interface improvement, targeted training, and continuous support are essential to increase software effectiveness and improve the patient experience. These findings suggest that integrating technology with educational strategies represents a practical approach to improving medication safety and management in cardiac patients.},  
Keywords = {Drug Interactions, Polypharmacy, Heart Disease, Qualitative Research},
volume = {18},
Number = {3}, 
pages = {0-0}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.3.18},
url = {http://jccnursing.com/article-1-834-en.html},  
eprint = {http://jccnursing.com/article-1-834-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {Mikaeili, Leila and AliMohammadzadeh, Khalil and Bahadori, Mohammad Karim},  
title = {Factors Affecting Readmission in Kidney Transplant Patients Using Structural Equation Modeling: A Case Study at Farhikhtegan Hospital, Tehran}, 
abstract ={Background & aim: Readmission of kidney transplant patients is one of the major challenges facing health systems, as it is associated with increased healthcare costs and reduced quality of life. This study aimed to investigate the factors affecting readmission of kidney transplant patients during 2023–2024 at Farhikhtegan Hospital. Methods: This sequential mixed-methods study was conducted in two phases. In the qualitative phase, a scoping review was conducted to identify influencing factors, based on which an initial conceptual model was developed. In the quantitative phase, a survey-analytical study was carried out using convenience sampling among 150 kidney transplant patients. Data were collected using a researcher-developed questionnaire derived from the literature. Face and content validity were confirmed by experts, and reliability was verified by a Cronbach’s alpha of 0.84. Results: The findings showed that four categories of factors-medical, individual, socioeconomic, and psychological- significantly influenced patient readmission. Medical factors had the greatest impact, with a path coefficient of 0.663. Individual (0.372), socioeconomic (0.261), and psychological (0.170) factors also had significant effects. Conclusion: The results emphasize the need for a multilevel and multifactorial approach to reduce readmission rates among kidney transplant patients. In addition to medical care, attention to   psychological, and social aspects can contribute to improved clinical outcomes and reduced healthcare system costs.},  
Keywords = {Readmission, Kidney Transplant Patients, Structural Equation Modeling},
volume = {18},
Number = {3}, 
pages = {0-0}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.3.35},
url = {http://jccnursing.com/article-1-862-en.html},  
eprint = {http://jccnursing.com/article-1-862-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {Shirvani, Hossein and Iranmanesh, Hesam and Arabzadeh, Ehs},  
title = {The Effect of Single-Task and Dual-Task Balance Training on Balance, Cognitive Performance, and Fear of Falling in COVID-Recovered Older Adults Retired from the Armed Forces}, 
abstract ={Background & aim: This study aimed to investigate the effects of single-task and dual-task balance training on balance, cognitive performance, and fear of falling in COVID 19-recovered older adults retired from the armed forces. The study population included men aged 60 to 80 years residing in Kerman province during 2023–2024, of whom 45 were consecutively selected and randomly assigned to three groups: single-task training, dual-task training, and control. The training program was conducted over 4 weeks, with three 45-minute sessions per week. Outcome measures comprised the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, Serial Reaction Time Test (SRTT), and the Falls Efficacy Scale (FES-I). Data were analyzed using analysis of covariance (ANCOVA) followed by Scheffé post-hoc tests. Results: Results indicated that both training programs significantly improved balance and cognitive performance, and reduced fear of falling compared to the control group (P<0.05). Moreover, the dual-task training group showed greater improvements than the single-task group in walking speed under dual-task conditions, serial reaction time, and reduction of fear of falling (P<0.05). However, no significant difference was observed between the two training groups in BBS scores (P>0.05). Balance training-particularly with the dual-task approach-can serve as an effective strategy to enhance motor and cognitive performance and reduce fear of falling in COVID 19-recovered older adults.},  
Keywords = {Single-Task, Dual-Task, Fear of Falling, Reaction Time, Aging, COVID 19, Balance Training, Retired Armed Forces},
volume = {18},
Number = {3}, 
pages = {0-0}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.3.45},
url = {http://jccnursing.com/article-1-863-en.html},  
eprint = {http://jccnursing.com/article-1-863-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {GoshtiDehaghy, Mohammad and Khaghanizadeh, Morteza and Peiravi, Hamid and Heydari, Soleiman and Vafadar, Zohreh},  
title = {Post-Traumatic Growth Among Iranian Nurses Deployed to Combat Zones}, 
abstract ={Background & aim: This study aimed to explore post-traumatic growth (PTG) among nurses deployed to combat zones-a concept referring to positive personal changes following exposure to traumatic events with broad individual, social, and psychological implications.  Methods: This qualitative study employed conventional content analysis and was conducted at the Baqiyatallah School of Nursing between 2021 and 2023. Data were collected through semi-structured interviews with 11 participants using purposive sampling. Analysis identified 22 subcategories grouped into six main categories: “spiritual growth,” “empowerment of interpersonal relationships,” “learning new cultures,” “finding new learning opportunities,” “enhanced resilience,” and “attitudinal change.” Results: These findings indicate that PTG in deployed nurses is a multidimensional, context-dependent phenomenon influenced by various factors, including occupational stressors, mental health status, and prior combat exposure. Conculoion: These insights can help nursing managers and deployment teams better understand the factors contributing to positive psychological growth among Iranian nurses.},  
Keywords = {Armed Conflicts, Axis of Resistance, Nurses, Post-Traumatic Growth},
volume = {18},
Number = {3}, 
pages = {0-0}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.3.49},
url = {http://jccnursing.com/article-1-864-en.html},  
eprint = {http://jccnursing.com/article-1-864-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {Nayebi, Neda and Ranjbar, Fataneh},  
title = {Gangrene of All Four Limbs in a Patient with Pemphigus Vulgaris Following Norepinephrine Use; A Rare Complication: Case Report}, 
abstract ={Background & aim: The use of epinephrine in a patient with pemphigus vulgaris, characterized by flaccid and erosive blisters of the skin and mucous membranes, led to infection and gangrene of all four limbs. Case Report: This report describes a rare case of gangrene affecting all four limbs in a 59-year- old woman with pemphigus vulgaris, a severe autoimmune blistering disorder, following the administration of norepinephrine. Pemphigus vulgaris is characterized by flaccid and erosive blisters on the skin and mucous membranes caused by autoantibody-mediated disruption of cell adhesion, leading to increased susceptibility to infection and reduced quality of life. Norepinephrine, a potent vasoconstrictor, can cause serious irreversible vascular complications in patients with underlying autoimmune conditions. Purpose of the Report: The interplay between autoimmune pathophysiology and vasopressor therapy, in the management of complex autoimmune conditions highlights the need for heightened clinical vigilance and individualized treatment decisions.},  
Keywords = {Pemphigus Vulgaris, Gangrene, Norepinephrine, Autoimmune Disorder},
volume = {18},
Number = {3}, 
pages = {0-0}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.3.53},
url = {http://jccnursing.com/article-1-839-en.html},  
eprint = {http://jccnursing.com/article-1-839-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}

@article{ 
author = {Aghal, Bagher and Moradyan, Sayyid Tayyib and Bahramifar, Ali and Said, Yaser},  
title = {Comparing the Effects of Traditional Versus Simulator-Based Mechanical Ventilation Training on Nurses\' Clinical Competence}, 
abstract ={Background & aim: Mechanical ventilation management is an essential clinical skill for nurses caring for critically ill patients; however, the most effective training approach for developing this competency remains unclear. This study compared the effects of mechanical ventilation training on nurses' clinical competence using traditional and simulator-based methods. Methods: This quasi-experimental study was conducted during 2022–2023 at Baqiyatullah Hospital (AJ) in Tehran, Iran. A total of 60 nurses from critical care units were selected using convenience sampling and randomly assigned to two groups: traditional training (30 nurses) and simulator-based (30 nurses). The simulator-based group received training using a mechanical ventilator simulator. The traditional group received lecture-based instruction supported by PowerPoint presentations. Clinical competence was assessed before and two weeks after training using an Objective Structured Clinical Examination (OSCE) and a six-station checklist. Results: At baseline, the two groups were comparable in demographic characteristics and clinical competence scores (P>0.05). Following the intervention, the simulator-based group demonstrated significantly greater improvement in clinical competence than the traditional group (P = 0.001). Finally, data analysis was performed using descriptive statistics (frequency, mean, and standard deviation) and inferential statistics (independent t-test, chi-square, and paired t-test). Conclusion: According to the results of the present study, it is suggested to use new simulator-based educational approaches and to implement the concepts practically on the ventilator, in the clinical qualification in mechanical ventilation.},  
Keywords = {Mechanical Ventilation, Blended Training, Nurses' Clinical Competency, Simulator-Based Training},
volume = {18},
Number = {3}, 
pages = {0-0}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},

doi = {10.30491/JCC.18.3.58},
url = {http://jccnursing.com/article-1-792-en.html},  
eprint = {http://jccnursing.com/article-1-792-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2025}  
}