@article{ author = {Seylani, Khatereh and Ait.Hssain, Ali and MAlkadi, Mohamad and Vahedian-Azimi, Amir}, title = {Investigating Interventions to Improve Sleep Quality in Hemodialysis Patients: A Meta-Analysis Study}, abstract ={Background & aim: Uremic syndrome, because of chronic renal failure, causes a wide range of problems in patients. One of the most important diseases which can be mentioned is considered to be sleep disorder. The prevalence of sleep disorder has been reported to be 40-85% that can cause a decline in various systems in the body, including cardiovascular and the immune systems and can eventually lead to a decrease in life quality and may also increase the morbidity and mortality rate in these patients. Therefore, finding effective interventions in order to manage sleep disorder of these patients should be part of the comprehensive care plan of patients undergoing maintenance hemodialysis. The present study was conducted to investigate the effectiveness of interventions to improve sleep quality in hemodialysis patients. Methods: A literature search was conducted using PubMed/MEDLINE, Scopus, Web of Science, EMBASE, ProQuest, Science Direct and Cochrane Library databases for publications up to May 2022 in order to find all studies that examined the effects of interventions (pharmacological and non-pharmacological) on sleep outcomes in hemodialysis patients. By performing meta-analysis, Standardized Mean Differences (SMD) and Confidence Intervals (CIs) of 95% were calculated for continuous outcomes using a random-effects model. The heterogeneity among studies was assessed using I2 statistic. Results: Totally, 15 studies with 997 participants were included in the meta-analysis. Findings reveal a positive effect of interventions on sleep quality based on the Pittsburgh Sleep Quality Index (PSQI) score, (SMD = -1.93, 95% CI = -2.63 to -1.22, P<0.001) with a significant heterogeneity among studies (I2 = 94.9%, P<0.001). Conclusion: Based on the findings of the present meta-analysis, interventions such as acupressure, relaxation techniques, pharmaceutical interventions and muscle relaxation have a positive effect on the quantity and quality of sleep of patients undergoing hemodialysis. However, due to diversity in methodological quality and the heterogeneity of the studies included in this study, it is difficult to draw definitive conclusions about the effectiveness of different intervention. As a result, the interpretation of the results should be done cautiously.}, Keywords = {Interventions to Improve Sleep Quality, Sleep Disorder, Patients Undergoing Hemodialysis}, volume = {16}, Number = {1}, pages = {1-15}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.1.1}, url = {http://jccnursing.com/article-1-692-en.html}, eprint = {http://jccnursing.com/article-1-692-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Mohammadi, Sheida and Valiee, Sina and Nouri, Bijan and Fathi, Mohamm}, title = {The Rate and Causes of Missed Nursing Care of COVID- 19 Hospitalized Patients in Intensive Care Units: A Multicenter Cross-sectional Study}, abstract ={Background & aim: The outbreak of the COVID-19 crisis has unprecedented pressure to the health systems around the world. Missed nursing care as a care that is needed by the patient but is omitted affects the quality and safety of care. The aim of this study was to investigate the rate and causes of missed nursing care of COVID-19 hospitalized patients in Intensive Care Units (ICUs) of Saqez and Diwandara hospitals. Methods: This cross-sectional descriptive study was conducted in 2021 on 110 nurses working in the special care units for COVID-19. Demographic Characteristics Questionnaire and the Forgotten Care Questionnaires were used to collect information. Data were analyzed using STATA version 12 software and Mann-Whitney, Kruskal-Wallis and Spearman's correlation coefficient tests. Results: The mean score of missed nursing care in ICUs for Covid-19 was 55.18 (20.24). The most common missed nursing care was controlling the patient's O2 saturation (18.75%) and recording the necessary information of patients (17.86%). The highest percentage of the factors related to missed nursing care was assigned to the lack of nursing staff (86.61%). The most common causes of neglected nursing care were lack of nursing staff (86.61%), lack of assistants or secretaries (74.77%), and the large volume of activities related to the admission and discharge of patients (67.66%). Conclusion: A high percentage of nursing care in the special care units of Covid-19 is lost under the influence of factors such as the shortage of nursing staff and forced overtime working hours beyond the tolerance of nurses. Nursing managers can create appropriate interventions to support the professional role of nurses during the pandemic by considering related factors.}, Keywords = {Covid-19, Intensive Care Unit, Missed Nursing Care}, volume = {16}, Number = {1}, pages = {16-25}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.1.16}, url = {http://jccnursing.com/article-1-653-en.html}, eprint = {http://jccnursing.com/article-1-653-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Norian, Farzaneh and Rasouli, Narges and Fathi, Mehdi}, title = {The Effectiveness of Cognitive Behavioral Hypnotherapy on Self-efficacy, Resilience, Mental Health and Sleep Disorders of Treatment Staff Involved in the Care of Patients with COVID-19: A Semi-Experimental Study}, abstract ={Background & aim: Considering the widespread psychological effects caused by the spread of COVID-19 in societies, there is strong evidence that the treatment staff of hospitals, due to their jobs, are prone to the occurrence of many psychological disorders, such as reducing self-efficacy, resilience, mental health, and sleep disorders. The aim of this study was to evaluate the effectiveness of cognitive behavioral hypnotherapy on self-efficacy, resilience, mental health and sleep disorders of treatment staff involved in the care of patients with COVID-19. Methods: The research method was quasi-experimental along with a pre-test-post-test design and a control group. The sample consisted of 30 medical staff involved in the care of patients with Covid-19 in Shahid Modares Hospital in Tehran who were randomly divided into experimental and control groups. Cognitive behavioral hypnotherapy sessions were held individually in eight sessions (each lasting for 120 minutes) and one session per week. Results: Findings show that cognitive behavioral hypnotherapy had an effect on self-efficacy (F = 13.15, P<0.001), resilience (F = 19.59, P<0.001), mental health (F = 25.35, P<0.001) and sleep disorders (F = 98.43, P<0.001) in the treatment staff involved in the care of patients with COVID-19. Conclusion: According to findings it can be concluded that this method can be used to treat disorders of the medical staff in the cases of COVID-19.}, Keywords = {Coronavirus, Cognitive Behavioral Hypnotherapy, Self-Efficacy, Resilience, Mental Health, Sleep Disorder}, volume = {16}, Number = {1}, pages = {26-34}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.1.26}, url = {http://jccnursing.com/article-1-690-en.html}, eprint = {http://jccnursing.com/article-1-690-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Hoseini, Mitra and Nomali, Mahin and Khoddam, Homeir}, title = {Post-insertion Care of Central Venous Catheter: A Contextualized Clinical Guideline}, abstract ={Background & aim: Clinical guidelines play a significant role in improving the quality of patient care. Considering the lack of clinical guidelines for the care of central venous catheters in the country, this study aimed to compile a contextualized central venous catheter clinical guideline for being used in Iranian clinical settings. Methods: Contextualizing central venous catheters guideline was based on a developed approached by ADAPTE international collaboration network with three stages of set-up, adaptation and finalization. In the preparation stage, after establishing an organizing committee, the initial search of resources was done to check the feasibility of the study, to identify the required resources and skills and to also write the adaptation proposal. The adaptation phase started with a comprehensive search of resources to retrieve the maximum number of related guidelines. The search of sources led to the retrieval of 410 guidelines, which were reduced to 14 after screening the titles and abstracts based on the purpose of the study and the inclusion criteria. Then, the full text of the 14 included guidelines was reviewed in terms of methodological quality and the result was presented in the expert panel meeting. The methodological quality of the guidelines was evaluated with the AGREEII and a score of more than 70% was considered as an acceptable quality. In this way, one of the guidelines was selected and the adaptation process began. Finally, a translated draft of the guideline recommendations was reviewed in the expert and users panel, respectively. While making the suggested amendments, the level of their agreement with each of the recommendations were reviewed based on Likert scale from 1 to 9 (completely disagree to completely agree). Achieving a consensus more than 80 to assign grades 7 to 9 to each recommendation was resulted in keeping the recommendation. Finally, in the finalization stage, the contextualized version of the selected clinical guide was compiled for being used in Iranian clinical settings. Results: The full text of the 14 retrieved guidelines were reviewed. Among them, the “Central Venous Access Device (CVAD) Post Insertion Management” clinical practice guideline developed by NSW Agency for Clinical Innovation, with a quality score of 90.4% was selected for adoption. In addition, more than 80% of the stakeholders and expert panel agreed with assigning grades 7 to 9 to all recommendations of this guideline. As a result, all of the 50 recommendations of the guideline in assessment and intervention domains were accepted to be applied in Iranian clinical settings with a few modifications to make recommendations clearer and more understandable for users. Conclusion: The adopted version of CVAD post-insertion management clinical practice guideline with all 50 recommendations is applicable in caring of Iranian hospitalized adult patients with CVAD.}, Keywords = {Contextualization, Central Venous Catheter, Clinical Guideline, Care}, volume = {16}, Number = {1}, pages = {35-49}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.1.35}, url = {http://jccnursing.com/article-1-693-en.html}, eprint = {http://jccnursing.com/article-1-693-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Abdollahi, Golrokh and nejati, Soraya and Salehpoor-Emran, mohammad and Rasti, Arezoo}, title = {Evaluation of the Effect of Breathing Exercises on Respiratory Symptoms in Patients with Covid-19: A Randomized Clinical Trial Study}, abstract ={Background & aim: Dyspnea and respiratory problems are the most common complications of the covid-19 disease. On the other hand, an effective solution to reduce respiratory complications and prevent weakness caused by hospitalization is respiratory rehabilitation. Therefore, this study was conducted in order to determine the effect of breathing exercises on the respiratory symptoms of patients with covid-19. Methods: The present study was a randomized clinical trial study that was conducted on 72 patients with covid-19 after being discharged from the hospital. Patients were randomly assigned into two intervention groups (36 individuals) and a control (36 individuals). The intervention group received a booklet of breathing exercises and training on how to perform diaphragmatic breathing and lip bud breathing through WhatsApp software. For a period of six weeks, telephone follow-up was done twice a week (in the first four weeks) and once a week (in the second two weeks) to perform breathing exercises and to receive a self-reporting checklist of breathing exercises. The control group received routine care and education after discharge. Demographic information questionnaires and the Borg Dyspnea Scale were used to collect data. Two groups completed the data before and after the end of the intervention. Results: Findings revealed that the mean and standard deviation of the severity of dyspnea before the intervention in the intervention group was 4.61 ± 0.9 and in the control group was 4.14 ± 0.83. After the intervention, it was 2.47 ± 0.56 in the intervention group and 3.67 ± 0.75 in the control group, which shows a decrease in shortness of breath with an average difference of 2.13 between the two groups. Therefore, the effect of breathing exercises on the improvement of respiratory symptoms was statistically significant (P<0.001).  Conclusion: Breathing exercises play an important role in improving the rate of dyspnea in discharged patients with covid-19. Therefore, it is recommended to teach breathing exercises before discharge to patients with covid-19.}, Keywords = {Covid-19, Breathing Exercises, Dyspnea}, volume = {16}, Number = {1}, pages = {50-58}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.1.50}, url = {http://jccnursing.com/article-1-708-en.html}, eprint = {http://jccnursing.com/article-1-708-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Gohari-Moghadam, Keivan and Rahimibashar, Farshid and Vahedian-azimi, Amir}, title = {Translation of the Article Titled: “ARDS: Hidden Perils of an Overburdened Diagnosis”}, abstract ={The present text is a translation of the article entitled ARDS: Hidden Perils of an Overburdened Diagnosis, which was published in the journal Critical Care on December 17, 2022. Permission to translate the article has been obtained from the author of the article, Professor Martin .Tobin. Critical Care Journal is an open access journal. The original image of the article is provided in the continuation of this text. Due to the importance of the issue in the field of acute respiratory distress syndrome, the colleagues decided to translate the article in order to provide the possibility of using its valuable content for a wider population.}, Keywords = {Acute respiratory distress syndrome, mortality, Ashbang and colleagues}, volume = {16}, Number = {1}, pages = {59-69}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.1.59}, url = {http://jccnursing.com/article-1-713-en.html}, eprint = {http://jccnursing.com/article-1-713-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Fathi, Mehran and Barkhordari-Sharifabad, Maasoumeh and Sedaghatikesbakhi, Maryam}, title = {Does self-esteem mediate the relationship between empathy and anxiety in nurses working in intensive care units?: A cross-sectional study}, abstract ={Background & aim: Empathy is considered as an essential element in nursing care and the essence of all nurse-patient interactions, which can be affected by stressful work environments such as Intensive Care Units (ICUs). High self-esteem enables nurses to establish healthy interpersonal relationships with patients and cope more effectively with stressful situations. This study was conducted with the aim of determining the role of self-esteem and anxiety on the empathy of nurses working in ICUs. Methods: This study is a cross-sectional research. The research population included nurses working in the adult inpatient wards of hospitals affiliated to Ilam University of Medical Sciences in 2023. Accordingly, 217 nurses were selected using the Karjisi and Morgan table in a convenience manner. Data were collected using the Demographic information questionnaire, Spielberger's anxiety, Rosenberg's Self-esteem Questionnaire, and Jefferson's Empathy questionnaire. The collected data were analysed using descriptive and inferential statistics. Results: The mean empathy, anxiety, and self-esteem of nurses were 92.38 ± 15.17, 65.66 ± 20.64, and 20.46 ± 5.49, respectively. A positive and significant relationship was observed between empathy and self-esteem (P < 0.01), and a negative and significant relationship was observed between empathy and anxiety, as well as self-esteem and anxiety (P < 0.01). The results of the Bootstrap and Sobel test showed that self-esteem plays a role in the relationship between empathy and anxiety in nurses working in ICUs. Actually, the higher the self-esteem of nurses, the less anxiety they experience and the more empathy they show in caring for special ward patients. Conclusion: According to the findings of the present study, it can be stated that a significant relationship exists between self-esteem, anxiety and empathy. In addition, self-esteem plays a role in the relationship between empathy and anxiety. Therefore, it is necessary to develop and use programs that increase self-esteem in order to manage anxiety and strengthen empathy skills in the stressful conditions of the ICU.}, Keywords = {Nurses, Empathy, Self-esteem, Anxiety, Intensive Care Unit}, volume = {16}, Number = {1}, pages = {70-79}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.1.70}, url = {http://jccnursing.com/article-1-697-en.html}, eprint = {http://jccnursing.com/article-1-697-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Kordsalarzehi, Fatemeh and Farshadnia, Fatemeh and Tabatabaei, Seyed Mohammad Nasirodin and Yaghoubinia, Farib}, title = {Comparing the Effect of Auditory Stimulation and Tactile on Physiologic Parameters in Patients with LOC Hospitalized in Intensive Care Units: A Semi-Experimental Study}, abstract ={Background & aim: Hospitalization in the Intensive Care Unit (ICU) is associated with side effects such as anxiety, pain and fear of an unknown environment and causes hemodynamic instabilities (increased blood pressure, pulse and breathing rates, etc.) These hemodynamic instabilities lead to the use of sensory stimulation programs which can be prevented, however knowing and using the best sensory stimulation program is of particular importance. The current study was carried out with aim of comparing the effect of auditory stimulation and tactile on the physiologic parameters in patients with Level of Consciousness hospitalized in the ICU in ‎Ali-Ebne-Abitaleb Hospital in Zahedan in 2021. Methods: In this single-blind semi experimental study, at first 80 patients in the ICU in Ali-Ebne-Abitaleb Hospital who met the inclusion criteria were selected and then randomly allocated by permutation block into two groups of auditory stimulation and tactile. In the auditory stimulation group, a prepared auditory file was used for 15 minutes for three days. In the tactile group, touching the hands patients was done for 15 minutes for three days. Physiologic parameters such as heart rate, respiratory rate, systolic and diastolic pressure, mean arterial pressure and O2 saturation was measured and recorded 5 minutes before and after the intervention by Cardio Set LX110 monitoring. Results: Findings revealed that the mean of systolic pressure and O2 saturation was not significantly different after the intervention between the two groups (P>0.05). However, in terms of the variables such as heart rate, respiratory rate, diastolic and mean artery pressure, the independent- T- test showed a significant difference after the intervention between the two groups (P<0.05). Conclusion: The application of the two stimulation methos can adjust some physiologic parameters in patients in ICUs. Furthermore, these methods can be used as simple, cost-effective and applicable methods for managing pain and recovering the physiologic parameters. Keywords: Auditory stimulation, Tactile, Physiologic Parameters, Intensive Care Unit}, Keywords = {Auditory stimulation, Tactile, Physiologic Parameters, Intensive Care Unit}, volume = {16}, Number = {1}, pages = {80-88}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.1.80}, url = {http://jccnursing.com/article-1-711-en.html}, eprint = {http://jccnursing.com/article-1-711-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {AsadiGharabaghi, Mehrnaz and Gholamzadeh, Mars}, title = {The Effects of Reciting Holy Quran by Tartil on Functional Capacity of Patients with Chronic Obstructive Pulmonary Disease: A Pilot Quasi-experimental Study}, abstract ={Background & aim: Chronic Obstructive Pulmonary Disease (COPD) is one of the most common respiratory diseases. Due to limitation of breathing; especially on exhalation, shortness of breath, mostly on exertion is the main complaint of these patients, which in turn leads to a decrease in functional capacity and physical activity during daily life activities. Breathing exercises, pulmonary rehabilitation along with drug therapy, are foundation treatments. However, one of the obstacles of rehabilitation programs is the discrepancy between therapeutic measures and social-cultural aspects of patients’ personal lives that decrease the success rate of programs in long term. The aim of the present study was to investigate the effect of reciting the Quran by tartil as a culture- based breathing exercise on functional capacity of patients with COPD. Methods: The study was a prospective case series study done on a group of COPD patients referring to an outpatient respiratory clinic. They were enrolled in the study voluntarily with consideration of ethical codes. They were stable but had imitation in daily activities due to exertional dyspnea. The study was commenced on 2021/04/14 and terminated after six weeks. The subjects recited as much as Ayat of Yassin every day by tartil. Forced Expiratory lung Volume in first second (FEV1) and 6-minute walk distance test were measured before and after the study. Result: In order to carry out this study, eight COPD patients participated. The mean age was 66.38 ± 12.00 years, ranging from 42 to 83. Participants included three women and five men. Mean FEV1 increased at the end of study from 1.58 ± 0.76 to 1.36 ± 0.46. (P value = 0.002). The distance on six-minute walk distance test (6 MWT) increased from 310.60 ± 71.43 meters to 356.25 ± 85.72 meters significantly (P value = 0.002). The subjects perceived their shortness of breath decreased during 6 MWT at the end of study. The score decreased from 5.5 ± 1.5 to 4.5 ± 1.5 (P value=0.007). Discussion: Our preliminary results showed that reciting the Quran by tartil, which is compatible with religious culture, can increase the functional capacity of COPD patients. In reciting, the expiratory time and flow are adjusted to produce Quranic sounds. This might in turn reduce lung hyperinflation and air trapping. These changes cause an increase in the functional capacity of patients in terms of six-minute walk distance. In addition, a higher motivation of patients to perform such practical and functional exercises guaranties efficiency of such pulmonary rehabilitation in long term.}, Keywords = {Chronic Obstructive Pulmonary Disease, Six-minute Walk Test, Breathing Exercises.}, volume = {16}, Number = {2}, pages = {1-8}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.2.1}, url = {http://jccnursing.com/article-1-718-en.html}, eprint = {http://jccnursing.com/article-1-718-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Taheri, Mostafa and shomalinasab, Esmat and Asadi, Zahra and Esmaeili, Maryam and Jahangirimehr, Azam}, title = {Investigating the Relationship between Moral Injury in Nurses with Ethical Climate in Critical Care Departments of Selected Hospitals of Tabriz University of Medical Sciences in 2022: A Cross-sectional Study}, abstract ={Background & aim: Intensive Care Units (ICUs) are considered as one of the most complex hospital units due to their high sensitivity and special conditions. Therefore, nurses in special care departments experience many challenges such as moral injury and conflict with management elements that can affect their performance and health. Moral injury is defined as guilt, social isolation and emotional numbness, which can affect the performance and physical and mental health of nurses. Therefore, the present study was conducted with the aim of investigating the relationship between moral injury in nurses and the ethical climate of critical care units. Methods: The present study was a cross sectional research that was conducted in 2022 in the ICU and Critical Care Unit (CCU) departments of hospitals affiliated to Tabriz University of Medical Sciences. The study population included 266 nurses working in CCUs who were selected by simple random method. Research tools included demographic questionnaire, moral injury questionnaire and ethical climate. Results: According to the findings of the present study, the average score of the ethical climate of special care units in general was 77.31 ± 6.84 and the average score of moral injury among nurses was 40.67 ± 3.93, which indicates the favorable ethical climate of ICUs and severe moral injury in nurses working in these departments. Among the different dimensions of Ethical climate, the highest score was related to the instrumental dimension with an average of 22.65 ± 3.57 and the lowest score was related to the independent dimension with an average of9.11 ± 2.13. By using the Pearson's correlation coefficient, no significant relationship was observed between ethical climate and moral injury. However, moral injury had a significant and inverse relationship with the organization's ethical climate rules and regulations subscale (P = 0.24, r = -1.38) and had no statistically significant relationship with the other ethical climate subscales (P>0.05). Conclusion: The findings showed that there is no significant relationship between the moral injury of nurses and the ethical climate of CCUs. Therefore, moral injury in nurses includes complex components and concepts that can be influenced by several factors. Also, the findings showed that the increase in organizational rules and regulations in CCUs will reduce the moral injury in nurses working in CCUs, so managers and trustees of medical systems should pay attention to this issue and take measures. Practices can reduce moral injury and also increase health and job satisfaction in nurses.}, Keywords = {Nurse, Moral Injury, Ethical Climate, Critical Care Unit.}, volume = {16}, Number = {2}, pages = {9-18}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.2.9}, url = {http://jccnursing.com/article-1-720-en.html}, eprint = {http://jccnursing.com/article-1-720-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Nasoori, Maryam and Pooladi, Shahnaz and Yazdankhahfard, Mohammadreza and Mirzaei, Kamr}, title = {Investigating the Relationship between the Level of Compliance with Airway Care Standards and Complications from Endotracheal Intubation: A Cross- Sectional Study}, abstract ={Background & aim: Compliance with airway care standards is necessary to maintain the health of patients admitted to special departments of hospitals. The aim of this study was to determine the relationship between compliance with airway care standards and complications from endotracheal intubation. Methods: This descriptive-analytical research was cross-sectional. The research population of this study consisted of 122 nursing personnel working in four hospitals and in the internal ICU and surgical ICU departments of Persian Gulf Bushehr Hospitals, cardiac surgical ICU of Bushehr Heart Hospital, Salman Farsi Bushehr and internal and surgical ICU of Waliasr (AS) Hospital in Kazeroon, who were selected as a whole. In addition, 152 patients hospitalized in these departments were also included in the study for care evaluation. The data collection tool, including personnel demographic information and tracheal tube care checklist (including 69 questions and three items) was taken from the set of nursing care guidelines of the nursing system organization, and its validity and reliability were measured in this study. Results: The average age of the participants was 33.06 ± 55.3 years. Most of the nurses were women (62 people) and were working in the internal ICU department (63 people). Most of the participants had a bachelor's degree (113 people), and their work experience was 2-5 years (59 people). None of the variables of gender, education, work history, retraining history, and job status of nurses had a significant relationship with the degree of compliance with nursing care standards (P < 0.05). There was a significant relationship between the service location variable and the level of compliance with nursing care standards (P = 0.006(. Among the patients under care, 25.4% of ventilator-associated pneumonia complications, 22.4% of pressure ulcer complications, and 18.4% of extubation complications were reported. Also, there is a significant difference between the level of adherence to airway care standards and the complications caused by endotracheal intubation in patients (P -value<0.05). Conclusion: The results of this study indicate that the level of adherence to airway care standards by nurses is related to factors such as the service department. Also, the level of adherence to airway care standards is related to complications caused by endotracheal intubation in patients.}, Keywords = {Standards of Care, Artificial Airway, Endotracheal Intubation.}, volume = {16}, Number = {2}, pages = {19-28}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.2.19}, url = {http://jccnursing.com/article-1-687-en.html}, eprint = {http://jccnursing.com/article-1-687-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {rezaei, hojat and moradian, seyed tayeb and babatabardarzi, hossein and mahmoudi, hossei}, title = {Organizational Commitment of Nurses Working in Special Care Units for Covid-19 in Baqiyatallah Hospital: A Cross-sectional Study}, abstract ={Background & aim: During the covid-19 pandemic, the need for health care services increased dramatically. In this situation, the care delivery time is extremely important. About three to five percent of covid-19 patients need intensive care. Organizational commitment is one of the most important predictors of the quality of care. This study was conducted with the aim of determining the organizational commitment of nurses working in Intensive Care Units (ICUs) during the covid-19. Methods: This cross-sectional descriptive study was conducted during 2022 in Baqiyatallah Hospital. Allen and Mayer's (including affective, normative and continuous domains) and Balfour and Wechsler (including attachment, exchange and identification domains) organizational commitment questionnaires were used. Using the random sampling method, totally 210 nurses who were working in inte ICUs were asked to fill the questionairs. Results: The mean scores for Allen and Mayer and Balfour questionares were 67.87 ± 13.04 and 25.95 ± 4.05, repectively. There was a significant correlation between the scores of Allen and Mayer and Balfour (r = 0.65, P = 0.00). In addition, the multivariate linear regression analysis showed non- significant correlation between the scores of Allen and Mayer and Balfour questionares. Conclusion: Considering that better and more comprehensive care needs higher organizational commitment, it is necessary for nursing managers to pay special attention to the organizational commitment for increasing the quality of care.}, Keywords = {Intensive Care Unit Nurses, Organizational Commitment, Covid-19.}, volume = {16}, Number = {2}, pages = {29-36}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.2.29}, url = {http://jccnursing.com/article-1-716-en.html}, eprint = {http://jccnursing.com/article-1-716-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Seidi, Jamal and Valiee, Sina and Aghahosseini, Shima Sadat and Roshani, Daem and Hamzepour, Hero}, title = {Implementation of Care based on Roy Adaptation Model on Agitation of Intensive Care Unit Patients: A Three Blind Clinical Trial Study}, abstract ={Background & aim: Several issues cause agitation in patients hospitalized in the Intensive Care Unit (ICU), which in turn causes many complications in patients. For this reason, various methods have been used to reduce agitation, each of which have advantages and problems. The purpose of this study was to investigate the effect of the care plan based on the Roy adaptation model on the level of agitation in patients of the ICUs. Methods: This triple-blind clinical trial study was conducted in 2015 on 100 patients in a ICU. Two ICU wards in Sanandaj Besat Hospital were randomly selected as intervention and control wards, and eligible patients in each ward were assigned to the intervention or control group separately by a simple random method. In the intervention group, care based on Roy adaptation model was performed and in the control group, routine care was performed. The data were collected using Richmond agitation scales. Results: The average agitation at different times did not show a significant difference between the control and intervention groups (P>0.05). Conclusion: Care based on the Roy adaptation model by nurses did not affect the agitation of ICU patients. It is suggested to provide organized nursing care based on other nursing models in order to improve the health of patients in the ICUs.}, Keywords = {Agitation, Roy Adaptation Pattern, Intensive Care Unit.}, volume = {16}, Number = {2}, pages = {37-46}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.2.37}, url = {http://jccnursing.com/article-1-722-en.html}, eprint = {http://jccnursing.com/article-1-722-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Arvane, Elham and GholamiTooranposhti, Marziyeh and MohammadiShirmahleh, Fatemeh and Meschi, Farahnaz}, title = {Comparing the Effectiveness of Group Training of Coping Skills and Mindfulness on Pain Perception and Cognitive Flexibility in Patients with Kidney Failure: A Semi-experimental Study}, abstract ={Background & aim: Chronic diseases challenge the cognitive and behavioral systems of patients. The purpose of the present study was to compare the effectiveness of group training of coping skills and mindfulness on pain perception and cognitive flexibility in patients with kidney failure with a lasting effect. Method: This semi-experimental study was carried out cross-sectionally. The statistical population of this study included all kidney failure patients who were referred to Shariati Hospital in 2021-2022 (from February to June). Accordingly, 45 patients with kidney failure were selected voluntarily and were randomly assigned to two experimental groups and one control group by using matching method. All the three groups responded to the McGill Pain Questionnaire (1997) and the Cognitive Flexibility Questionnaire (2010) in the pre-test, post-test and follow-up stages. The group therapy program based on mindfulness on the first experimental group and coping skills on the second experimental group were implemented in eight sessions, each lasting for one hour and a half. Results: The findings indicated that group training of coping skills and mindfulness leads to a reduction in pain perception and an increase in cognitive flexibility. Therefore; There is no significant difference between the effectiveness of group training of coping skills and mindfulness on pain perception and cognitive flexibility in patients with kidney failure (P = 0.001). Conclusion: Two types of grouping training interventions, coping skills and mindfulness; can affect pain perception and cognitive flexibility in patients with kidney failure, and this effectiveness continue}, Keywords = {Pain Perception, Cognitive Flexibility, Coping Skills Group Training, Mindfulness-based Group Training, Kidney Failure.}, volume = {16}, Number = {2}, pages = {47-60}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.2.47}, url = {http://jccnursing.com/article-1-719-en.html}, eprint = {http://jccnursing.com/article-1-719-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Alipoor, Mina and Noori, Bahar and Khaloobagheri, Elham and Bazmandegan, Gholamreza and Kamyab, Zahra and Khodaee, Mohammadehs}, title = {The Relationship between Palliative Care Knowledge, and Anxiety, Stress and Depression of Nurses in the Critical Care Department of Ali Ibn Abi Talib (AS) Rafsanjan Hospital in 2021: A Cross-Sectional Study}, abstract ={Background & aim: Due to the increase of chronic and incurable patients, the need for palliative care in nursing is essential. Nurses need to acquire special knowledge and skills to provide quality palliative care. The aim of this study was to investigate the relationship between palliative care knowledge and the level of anxiety, stress and depression of special care nurses in hospitals affiliated to Rafsanjan University of Medical Sciences in 1400. Methods: This cross-sectional descriptive study was conducted with the participation of 77 nurses working in the Intensive Care Unit (ICU) of Ali Ibn Abi Talib (AS) Rafsanjan Hospital in 1400. The level of knowledge of nurses was measured using the PCNQ questionnaire and the level of anxiety and depression was measured using the DASS-21 questionnaire. s 33.34 ± 5.17; The majority of them were women (62 people, 80.88%), single (53 people, 68.78%) and with work experience of more than ten years (36 people, 46.66%). The knowledge of nurses was checked through the PCQN questionnaire, which includes 20 questions with yes or no answers, and the participant receives a score of one for a correct answer and a score of zero for a wrong answer. The range of scores of the questionnaire is from a minimum of zero to a maximum of twenty, and a score of 15 and above indicates sufficient knowledge in the field of palliative care. The questions of this questionnaire include: principles and philosophy dimension, pain management dimension and palliative care spiritual services dimension. The average score was 2.65 ± 0.40 in principles and philosophy, 3.37 ± 13.89 in pain management, and 1.86 ± 0.97 in spiritual services. The total mean score of nurses' knowledge of palliative care was 2.7 ± 0.72. Moderate to very severe anxiety, stress and depression were seen in all nurses of the ICU. So that 48.1% had moderate depression, 31.2% had very severe stress and 50.6% had very severe anxiety. According to the results of the correlation analysis, no significant correlation was observed between the overall PCQN score and anxiety, stress and depression. Conclusion: The palliative care knowledge of special care nurses is insufficient, therefore, in order to fill this knowledge gap, it is suggested to develop comprehensive training programs for bedside nurses and provide palliative care topics in nursing undergraduate courses. In addition, the level of anxiety, stress and depression of nurses in special care departments is relatively high. Accordingly, no significant relationship was observed between palliative care knowledge and anxiety, stress and depression.}, Keywords = {Palliative Care, Hospice Care, Knowledge of Nurses, Anxiety and Depression, End of Life Care.}, volume = {16}, Number = {2}, pages = {61-72}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.2.61}, url = {http://jccnursing.com/article-1-717-en.html}, eprint = {http://jccnursing.com/article-1-717-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Pouryousef, Faezeh and Navidian, Ali and Yaghoubi, Saeedeh and Yaghoubinia, Farib}, title = {Comparing the Effect of Virtual Reality and Rhythmic Breathing on the Physiologic Parameters of Patient’s Candidate for Angiography: A Clinical Trial Study}, abstract ={Background & aim: Anxiety in patients under Coronary Angiography leads to changes in cardiopulmonary parameters. The current study aimed to compare the effect of virtual reality and rhythmic breathing on the physiological parameters of patients undergoing coronary angiography. Methods: In this clinical trial, 90 patients admitted to the cardiac care ward were studied in 2019-2020. They were selected by convenience sampling and randomly allocated into three groups: virtual reality, rhythmic breathing and control. Virtual reality and rhythmic breathing groups received intervention and the control group received routine care. Systolic and diastolic blood pressure, heart rate; respiration rate and arterial oxygen saturation were measured before, half an hour and one hour after the intervention in three groups. Results: Findings revealed that the pattern of changes of the mean of respiration and heart rate was significantly different in all the three stages of measures in the three groups (P˂0.001). In the case of systolic and diastolic blood pressure and arterial oxygen saturation, the pattern of changes did not show a significant difference in the three groups (P>0.05). Conclusion: The use of these methods can lead to modification of some physiological parameters. This means nurses can use these methods as non-invasive, without side effects, cheap and applicable methods in order to improve patients’ physiological parameters.}, Keywords = {Virtual Reality, Rhythmic Breathing, Coronary Angiography, Physiological Parameters.}, volume = {16}, Number = {2}, pages = {73-82}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.2.73}, url = {http://jccnursing.com/article-1-715-en.html}, eprint = {http://jccnursing.com/article-1-715-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Shokri, Somaye and Navab, Elham and Haghani, Hamid and NematollahiMaleki, Reza and Shali, Mahboubeh}, title = {Investigating Factors Related to Delirium in Patients and Family Caregivers of Patients Hospitalized in the Intensive Care Unit: A Cross-Sectional Study}, abstract ={Background & aim: Delirium is an unpleasant experience for patients and their family, which brings complications for them. Early diagnosis and reduction of risk factors affecting delirium requires the knowledge and awareness of doctors and nurses of special care departments about the nature of delirium symptoms, disease symptoms and factors affecting the occurrence of this syndrome. The present study was conducted with the aim of determining the factors related to delirium in patients and family caregivers of patients admitted to the Intensive Care Unit (ICU). Methods: In this cross-sectional study carried out in 2023, 256 pairs of patients admitted to the ICU in hospitals affiliated to Tehran University of Medical Sciences and their family caregivers were selected using the proportional stratified sampling. To collect information, three questionnaires including demographic information, CAM-ICU questionnaire and sour seven questionnaire were used. Results: The patients participating in the research had an average age of 41.75 ± 17.07 and most of them were male (55%) with an average number of hospitalization days of 11.84 ± 8.82. Delirium was reported positively in 210 cases of patients (81.7%). Family caregivers had an average age of 42.25 ± 14 and were mostly women (66.9%). In addition, 171 (66.5%) of family caregivers had reported symptoms of delirium. The results of the statistical analysis showed that there is a statistically significant relationship between delirium in patients and delirium in family caregivers in the samples of the participants in this study (P<0.5). Conclusion: Considering the high rate of delirium reported in patients and caregivers of patients hospitalized in the ICU, identification and screening of delirium is very important. By knowing the individual characteristics and factors related to the occurrence of delirium identified in this study and to the extent possible to correct some cases or support the caregivers, the ground can be prepared to improve the quality of care in the care system.}, Keywords = {Delirium, Caregivers, Intensive Care Units}, volume = {16}, Number = {3}, pages = {1-8}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.3.1}, url = {http://jccnursing.com/article-1-729-en.html}, eprint = {http://jccnursing.com/article-1-729-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {ahmadi, masoume and Babatbardarzi, Hossein and Salari, Mohammad Mehdi and vahedianazimi, Amir}, title = {Comparison of Face-To-Face and Virtual Cardiopulmonary Resuscitation Training Based on the Rate of Learning Resuscitation Skills in Military Families: A Clinical Trial Study}, abstract ={Background & aim: Cardiac arrest and heart attack are the most common cardiovascular diseases in the world. Most of the time, during a cardiac arrest, there is a person as an observer who can prevent brain death and save the patient's life in the golden time (first 4 to 6 minutes of cardiopulmonary arrest) by performing resuscitation. The aim of this study was to compare two methods of basic cardiopulmonary resuscitation training in person and virtual on the level of learning resuscitation skills (awareness and performance) in military families. Methods: In this clinical trial study, 100 people from families living in selected organizational areas were randomly assigned to two groups of face-to-face training (50 people) and virtual training (50 people). In the face-to-face training group, during a 2-hour session, cardiopulmonary resuscitation and how to deal with cardiac arrest victims were taught theoretically and practically (mannequins). In the virtual educational group, educational materials were presented by using virtual channels (once-up Weita platform) and sending animation videos, photos, short texts, and PDF files of educational booklets during two weeks. In order to collect data, a demographic form, an awareness questionnaire including 14 four-choice questions, and a performance assessment checklist including 13 items were used to assess the skill in cardiopulmonary resuscitation. At the end, the collected data were compared between the two groups. Results: Data related to age (P = 0.468), sex (P = 0.812), education (P = 0.307), occupation (P = 0.055) had no significant difference in the two groups. The U-Man-Whitney test showed that there was no statistically significant difference before the intervention between the two groups of face-to-face and virtual education in terms of knowledge and skill levels (P>0.05). Wilcoxon's statistical test showed that the difference in the mean score of knowledge and skill level before and after the intervention in both face-to-face and virtual education groups was statistically significant (P<0.05). Furthermore, the U-Man Whitney test showed that there is a statistically significant difference after the intervention between the two groups of face-to-face and virtual training in terms of knowledge and skill level (P<0.05). Conclusion: In this research, in both face-to-face and virtual training groups, the amount of knowledge and skill increased significantly compared to before and after the training. However, by comparing the two groups, it was observed that the amount of knowledge in the participants of the virtual training group was higher and the amount of skill in the participants of the face-to-face training group were more. Despite the belief of the effectiveness of face-to-face training, the findings of this research showed that virtual training can be as effective as face-to-face training.}, Keywords = {Basic Cardiopulmonary Resuscitation, Face-To-Face Training, Virtual Training, Family}, volume = {16}, Number = {3}, pages = {9-22}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.3.9}, url = {http://jccnursing.com/article-1-725-en.html}, eprint = {http://jccnursing.com/article-1-725-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Aghal, Bagher and Moradian, Seyed Tayeb and BahramiFar, Ali and Saeed, Yaser}, title = {Clinical Competence of Nurses in Mechanical Ventilation; Design and validation of Objective Structured Clinical Examination}, abstract ={Background & aim: Clinical evaluation is one of the main components in the discussion of clinical education in the field of nursing. Based on Miller's Pyramid in Education, objective structured clinical examination becomes one of the applied assessment methods to evaluate clinical skills. One of the clinical skills of nurses, especially in the Intensive Care Unit (ICU), is mechanical ventilation. This study was conducted with the aim of designing an objective structured clinical examination to evaluate the competence of nurses in mechanical ventilation. Methods: This descriptive study was conducted in 1401 in Tehran, Iran. According to the educational content of basic mechanical ventilation principles and the purpose of the study, six stations were determined and a specialized checklist was designed accordingly for each station. Checking the validity of the content of the designed checklists was done using the opinions of experts in both qualitative and quantitative ways. Results: Finally, the number of six stations with 31 items with titles; Tubing connection and initial preparation of the ventilator, initial and basic settings of the ventilator, check and intervention in the oxygenation status, check and intervention in the ventilation status, management of clinical challenges and management of alarms were finalized. Scoring ranged between 1 and 5, and the sum of the scores of the stations would indicate the nurse's clinical competence in mechanical ventilation. Conclusion: According to the results of the present study, the use of an objective structured clinical examination designed to evaluate the clinical competence of nurses in basic mechanical ventilation is suggested.}, Keywords = {Assessment, Qualification, Nurse, Mechanical Ventilation, Design, Objective Structured Clinical Examination}, volume = {16}, Number = {3}, pages = {23-30}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.3.23}, url = {http://jccnursing.com/article-1-710-en.html}, eprint = {http://jccnursing.com/article-1-710-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Rivaz, Mozghan and Tehranineshat, Banafsheh}, title = {The Relationship between Professional Collaboration and Quality of Nursing Care in Intensive Care Units: A Cross-Sectional Study}, abstract ={Background & aim: Professional collaboration is regarded as a major contributory factor in the development of high-quality and safe care. However, only a few studies have explored this factor. The present study has aimed to investigate the relationship between professional collaboration and the quality of nursing care of nurses in Intensive Units (ICUs) of the hospitals affiliated to Shiraz University of Medical Sciences. Methods: This cross-sectional study was conducted from May 2021 to March 2022 on 330 ICU nurses from large teaching hospitals affiliated to Shiraz University of Medical Sciences. The subjects were selected by stratified random sampling. Data were collected using the Professional Collaboration scale related to Professional Practice Environment Nursing Instrument and the Nursing Care Quality Scale. The P value was set <0.05. Results: The means of the nurses’ ages and work experience were 28.5 ± 4.54 and 7.99 ± 6.51 years respectively. The nurses’ mean score for the professional collaboration subscale was 20.47 ± 5.04; their quality of nursing care mean score was 135.94 ± 18.20. The results showed a significant direct correlation between the variables of professional collaboration and the quality of nursing care (r = 0.62, P<0.001). The results of multivariate regression model showed that compared to the other dimensions of nursing care quality, the dimension of ethics-oriented activities was more explained by professional collaboration (ß = 0.39, P<0.001). In addition, the professional collaboration can predict 0.52% of the variance in the quality of nursing care. Conclusion: According to the findings of this study it can be stated that it is essential that educational programs with an emphasis on professional ethics values be developed to enhance nurses’ competence in professional collaboration and quality of care.}, Keywords = {Professional, Collaboration, Quality of Care, Nursing}, volume = {16}, Number = {3}, pages = {31-40}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.3.31}, url = {http://jccnursing.com/article-1-726-en.html}, eprint = {http://jccnursing.com/article-1-726-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Mokhtari, Farzaneh and Sanagoo, Akram and Jouybari, Leil}, title = {The Key to Life; A Twenty-Three Year Lived Experience of Living with a Ventilator in Hospital: A Qualitative Case Study}, abstract ={Background & aim: Technological advancements have greatly aided patients in various ways to address and control life-threatening conditions. One such biomedical technology is ventilators. Over time, the number of patients requiring ventilators for their respiratory support has increased. The objective of this study was to explore the lived experiences of a patient with spinal cord injury dependent on a ventilator. Methods: This qualitative case study focuses on the lived experiences of a 31-year-old male who has relied on ventilator-assisted breathing for 23 years and has been hospitalized during this time. Data was collected through semi-structured interactive interviews. Data analysis was conducted using a phenomenological approach inspired by Van Manen. Results: From the analysis of the data, 170 meaningful units were identified, leading to three main themes: "fears and concerns", "satisfaction with agency", "life goes on", and eight sub-themes: "initial hard days, struggle with death, respiratory suffering, joy of training and Learning, participating in care, a family in the hospital, I'm comfortable on a ventilator, and living within God's eyes”. Conclusion: Knowing about the experiences of ventilator-dependent patients leads to a better understanding of nurses and other caregivers towards these patients. Reducing stressful factors (constant monitoring, being on time at the bedside, helping the family to be with the patient and getting familiar with the environment), creating a situation for the client to have a sense of control, participation and hope in life (providing situations for decision making and the patient's participation in the care, the formation of learning opportunities, responding to spiritual needs and its cultivation) can provide them with sweet and satisfying moments.}, Keywords = {Ventilators, Mechanical, Lived Experience, Phenomenology, Case Report}, volume = {16}, Number = {3}, pages = {41-50}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.3.41}, url = {http://jccnursing.com/article-1-738-en.html}, eprint = {http://jccnursing.com/article-1-738-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Taheri, Mostafa and Taheri, Mostafa and Jahangirimehr, Azam}, title = {Correlation of Post Intensive Care Syndrome-Family and Quality of Nurses’ Communication with Families of Patients Hospitalized in the Intensive Care Units of Zanjan University of Medical Sciences: A Cross-Sectional Study}, abstract ={Background & aim: Following the hospitalization of patients in Intensive Care Units (ICUs), their family members are exposed to a series of physical, psychological, social, and spiritual reactions named Post Intensive Care Syndrome-Family (PICS-F) which can endanger their public health and requires attention to related factors. Therefore, this study aimed to investigate the correlation of PICS-F with quality of communication between nurses and families of patients hospitalized in ICUs of Zanjan University of Medical Sciences. Methods: The current study was a cross-sectional study that was conducted in 2022 in hospitals affiliated to Zanjan University of Medical Sciences. The study population consisted of 193 family members of patients hospitalized in the ICUs, who were selected through available and purposeful sampling method. The research tools included PICS-F questionnaire and Quality of Communication (QOC) questionnaire between nurses and families. Results: In this study, the average score of PICS-F was 74.51 ± 6.16 and 73.90 ± 18.5 for quality of communication between nurses and patients' families. The analytical results showed a significant negative correlation (P<0.05) between these two variables. This means by decreasing the quality of communication, the PICS-F will increase. Conclusion: The results of this study stated that critical care nurses should pay more attention to effective communication with the patients' families. Also, hospital managers and administrators should develop some strategies in order to improve the quality of communication between nurses and patients’ families. Furthermore, necessary measures should be taken to implement family-centered care in the ICUs to prevent and reduce the incidence of post-intensive care syndrome.}, Keywords = {Communication, Nurse, Patient's Family, Intensive Care Units, Post Intensive Care Syndrome Family}, volume = {16}, Number = {3}, pages = {51-60}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.3.51}, url = {http://jccnursing.com/article-1-740-en.html}, eprint = {http://jccnursing.com/article-1-740-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Mollaei, Soraya and Valiee, Sina and Nouri, Bijan and Zehni, Kambiz}, title = {Missed Nursing Care Infection Prevention and Control and its Reasons in the View of Health Care Providers: A Cross-Sectional Study}, abstract ={Background & aim: Nursing care is an essential part of health care services and should be fully provided. Missed nursing care is a major threat to patient safety and health care quality. The purpose of this study was to determine the amount and reasons for missed nursing care in infection control and prevention from the point of view of care providers working in the medical, educational, and therapeutic center of Besat Sanandaj during 2023. Methods: This cross-sectional study was conducteed in Besat Hospital, one of the teaching hospitals of Kurdistan University of Medical Sciences. The research samples in this cross-sectional study included 389 nurses and midwives working in Besat Hospital who were included in the study by census. To collect data, three tools were used: a demographic information registration form, a questionnaire on the missed nursing care in infection prevention and control, and a questionnaire on factors related to missed care. Results: The findings of the present study showed that the average score of missed nursing care in infection prevention and control was 75.83 ± 23.28 and below the average. The most important missed nursing care from the point of view of the nurses and midwives of Besat Hospital was the use of personal protective equipment by the service personnel of the department (4.88 %), the report of the patient's infection status when transferred to another department or paraclinical unit such as radiology (3.86 %), and teaching patients about bathing before surgery (3.86 %). The most important factor of forgotten nursing care was unexpected increase in workload and number of patients in the ward (79.69 %) along with insufficient number of nursing and midwifery personnel in the ward (32.75 percent). A statistically significant relationship was observed between forgotten nursing care in infection prevention and control with the related factors (P = 0.0001), (R = - 0.1940). Conclusion: The missed nursing care in the prevention and control of infection from the point of view of nurses and midwives of Besat Hospital was average. The most important factor was the unexpected increase in the workload the number of patients and the lack of personnel. The people participating in the research emphasized the role of systemic, organizational, and management factors in preventing effective infection control. Therefore, it seems necessary to reduce the factors that cause missed care with proper planning and management by reducing nurses' workload and providing budget and manpower.}, Keywords = {Nosocomial Infection, Infection Control, Missed Nursing Care, Prevention}, volume = {16}, Number = {3}, pages = {61-72}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.3.61}, url = {http://jccnursing.com/article-1-745-en.html}, eprint = {http://jccnursing.com/article-1-745-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Tajari, Mozhdeh and Ashktorab, Tahereh and Ebadi, Abbas}, title = {Factors Affecting Safe Nursing Care in the Intensive Care Unit: A Qualitative Study}, abstract ={Background & aim: The Intensive Care Unit (ICU) is a specialized hospital unit designed to provide care for critically ill patients. Nurses who work in these departments play an important role in ensuring patient safety and providing safe and quality nursing care. However, various factors can affect nurses' ability to provide safe nursing care in these settings. This study was conducted with the aim of investigating the factors affecting safe nursing care in the ICU department. Methods: The present study was a qualitative study of conventional content analysis. The participants included nurses, doctors, and specialists in the field of patient safety, patients and accompanying patients. A total of 20 individuals were included in the study using purposive sampling method. Data collection was done using individual, in-depth and semi-structured interviews. Then, data analysis was done using the method proposed by Graneheim and Landman (2004) and the views of nurses and people related to patient safety in ICU were identified. Results: Two themes including holistic care and safety-oriented organization and four categories including systematic care, comprehensive care of all systems, human resource management and safe environment were extracted as effective factors in providing safe nursing care in ICU departments. Conclusion: The results of this study reveal the importance of promoting safe nursing care in ICU departments through a holistic care approach as well as a safety-oriented organization. These findings support previous research that emphasizes the importance of systems thinking and safe nursing care in improving patient safety and overall quality of care. In this way, by implementing targeted interventions and strategies based on these factors, healthcare organizations can create a safer environment not only for patients but also for the staff of the ICU.}, Keywords = {Intensive care unit, Patient safety, Holistic care, Safety-Oriented Organization}, volume = {16}, Number = {3}, pages = {73-83}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.3.73}, url = {http://jccnursing.com/article-1-741-en.html}, eprint = {http://jccnursing.com/article-1-741-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2023} } @article{ author = {Akbari, Esmaeel and Akbari, Esmaeel and Shabanloei, Reza and JabbarzadehTabrizi, Faranak}, title = {Perception and Practice of Emergency Nurses Regarding Technological Competency as Caring in Nursing: A Cross-Sectional Study}, abstract ={Background & aim: In introducing and using technology in nursing, there is a risk that the focus will be on technology over patient care. This issue is more important in the emergency department which requires quality care in order to save human life. This study was conducted with the aim of determining nurses' perception and practice of technological competency as caring in nursing and its predictive factors in emergency nurses. Methods: In this cross-sectional research, 218 nurses working in the emergency departments of educational hospitals of Tabriz were included by stratified random sampling method. The data was collected using the instruments of perception and practice of nurses about technological competency as caring in nursing. Results: The mean age of the nurses was 36.77 ± 7.92 years and most of the nurses (55%) were female. The mean and standard deviation of perception and practice scores were 138.13 ± 16.19 and 134.97 ± 15.27, respectively. According to the results, for one-unit increase in perception, practice significantly increased by 0.764 units. Conclusion: The mean score of perception and practice for emergency nurses in regards to technological competency as caring in nursing was above median. This reveals that the emergency nurses have the required knowledge and skills in order to use technology.}, Keywords = {Emergency Nursing, Medical Informatics, Nursing Care, Perception, Nurses}, volume = {16}, Number = {4}, pages = {1-11}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.1}, url = {http://jccnursing.com/article-1-754-en.html}, eprint = {http://jccnursing.com/article-1-754-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Mahbadi, Zahra and Norouzadeh, Reza and Alaee, Nasri}, title = {The Relationship between Spiritual Health with Occupational Stress and Job Satisfaction among Nurses Working in Critical Care Units of the Hospitals of the City of Varamin and Suburbs: A Cross-Sectional Study}, abstract ={Background & aim: Occupational stress in nurses of special departments, in addition to the health of nurses, has an impact on their job satisfaction, and spirituality as one of the components of health can lead to the improvement of occupational performance by controlling the stress caused by work, therefore, the present study aims to determine the relationship between health spirituality has been done with occupational stress and job satisfaction of special care nurses. Methods: This cross sectional study was conducted among a total of over 100 nurses working in the critical care units of hospitals in the city of Varamin and suburbs in 2021. Using census sampling, data were collected using Spiritual Well Being Scale (SWBS), Nursing Stress Scale (NSS), and Minnesota Job Satisfaction (MSQ) questionnaire. Descriptive and analytical statistics were performed using SPSS version 22 software. Results: The nurses had average levels of spiritual health (91.23 ± 13.27, range: 34-118), job stress (92.51 ± 21.11, range: 44-134), and job satisfaction (49.52 ± 10.89, range: 26-70). The Pearson correlation showed that religious health (r = 0.244, P = 0.014), existential health (r = 0.248, P = 0.013), and spiritual health (r = 0.207, P = 0.039) were positively related to job satisfaction in the domain of occupation type. There was no significant correlation between spiritual health and job stress (P>0.05). Conclusion: Higher spiritual health may be associated with greater job satisfaction in the type of job. It is suggested that the role of spiritual health and its relationship with job satisfaction and job stress should be analyzed in advanced analyses, taking into account intervening variables.}, Keywords = {Nurse, Critical Care, Spiritual Health, Job Stress, Job Satisfaction}, volume = {16}, Number = {4}, pages = {12-21}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.12}, url = {http://jccnursing.com/article-1-743-en.html}, eprint = {http://jccnursing.com/article-1-743-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Sharif-Nia, Hamid and Fatehi, Reza and Sadeghi, Niloofar and Nowrozi, Poory}, title = {Translation and Psychometrics of the Persian Version of the Thirst Distress Scale among Iranian Hemodialysis Patients: A Cross-Sectional Study}, abstract ={Background & aim: Thirst distress is a common complication in the final stage of kidney disease. The aim of this study was to analyze the network and psychometric properties of the thirst distress scale in the Iranian hemodialysis patients. Methods: In this cross-sectional study in 2023, 411 hemodialysis patients in Mazandaran were selected using the convenience sampling method. After translating the scale, its psychometric properties were evaluated through exploratory factor analysis, network analysis, and confirmatory factor analysis, and the structural validity (convergent and divergent validity) was assessed. Internal consistency was calculated using Cronbach's alpha coefficient, McDonald's omega, and composite reliability. Results: The results of exploratory factor analysis showed two factors of distress due to thirst and dry mouth were extracted, explaining 80.46% of the variance in thirst distress among hemodialysis patients. Additionally, confirmatory factor analysis showed that the assumed model had a good fit (CFI = 0.971, IFI = 0.971, RFI = 0.923, NFI = 0.969). The extracted factors demonstrated good convergent validity (AVE above 0.50 for both factors) and high reliability (composite reliability above 0.70), and were appropriately divergent (HTMT ratio of 0.512). Finally, the internal stability of the thirst distress scale was deemed acceptable (Cronbach's alpha and composite reliability above 0.70). Conclusion: The psychometric results of the thirst distress scale indicated that chronic kidney disease patients undergoing hemodialysis experience and perceive distress with two concepts of thirst and dry mouth. This study confirmed the psychometric properties (appropriate validity and reliability) and suitable factor structure for the Persian version of the thirst distress scale in hemodialysis patients. It can be stated that healthcare providers can utilize it in future studies.}, Keywords = {Reliability, Localization, Psychometrics, Validity, Thirst Distress Scale, Hemodialysis}, volume = {16}, Number = {4}, pages = {22-32}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.22}, url = {http://jccnursing.com/article-1-753-en.html}, eprint = {http://jccnursing.com/article-1-753-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Jafari, Zahra and Esmaeili, Maryam and Bahramnejad, Fatemeh and Noie, Arezoo}, title = {The Relationship between Autonomy and Professional Commitment with the Level of Education in Critical Care Nurses: A Cross-Sectional Study}, abstract ={Background & aim: Professional autonomy and commitment are factors influencing the retention process in the nursing profession, job satisfaction and quality of care in Critical Care Units (CCUs). The level of education of nurses plays an important role in their ability to develop autonomy and commitment. This study was conducted with the aim of investigating the relationship between autonomy and professional commitment with the level of education. Methods: The present study is a cross-sectional study was conducted in the year 2021 in the CCUs of hospitals affiliated to Qom University of Medical Sciences. The study population consisted of 160 nurses working in CCUs who were selected by available method. Research tools included demographic questionnaire, autonomy and professional commitment questionnaire. In order to determine the relationship between the variables, Pearson correlation, analysis of variance and independent t tests were used. Results: According to the findings, the average score of professional commitment in the CCUs in general (12.82 ± 91.14) and the average score of professional autonomy in nurses (74.10 ± 15.35) was reported, which shows the commitment and high professional autonomy of the nurses working in these units. Among the different dimensions of professional commitment, the highest score was related to engagement with the nursing profession with an average of 3.63 ± 0.78 and the lowest score was related to understanding of nursing with an average of 3.02 ± 0.56. Professional autonomy in the performance-based autonomy dimension had the highest mean (25.26 ± 6.31) and value-based autonomy dimension had the lowest mean (23.87 ± 6.15). Professional autonomy had a significant relationship with the level of education (P = 0.020). Conclusion: The findings showed that there is a significant relationship between commitment and professional autonomy. Therefore, familiarizing nurses with the factors affecting professional autonomy, including increasing and updating knowledge, can be effective in increasing professional autonomy. Considering the autonomy in the performance of nurses in CCUs, it can increase the quality of care by increasing professional commitment. Also, the findings showed that considering the limited level of education, it cannot be concluded that nurses with a bachelor's degree show higher autonomy and professional commitment.}, Keywords = {Critical Care, Professional Autonomy, Professional Commitment, Level of Education, Nurse}, volume = {16}, Number = {4}, pages = {33-40}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.34}, url = {http://jccnursing.com/article-1-756-en.html}, eprint = {http://jccnursing.com/article-1-756-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {ParsianMehr, Mohammad Javad and Sayadi, Neda and Haghighizadeh, Mohammad Hosein and Rokhafrooz, Dariush}, title = {Evaluation the Relationship between Knowledge Management and Time Management in the Head Nurses of Intensive Care Units: A Cross Sectional Study}, abstract ={Background & aim: Time management and knowledge management are two important and influential components of the quality of care and the improvement of nurses' performance, especially in Intensive Care Units (ICUs). Therefore, this study was conducted with the aim of determining the relationship between knowledge management and time management among nurses working in ICUs in hospitals in the Khuzestan province. Methods: The present cross sectional study was conducted with the aim of determining the relationship between knowledge management and time management in 384 head nurses working in ICUs in educational and private hospitals in Khuzestan province, with the position of head nurse and with informed consent, using a census method. Demographic, time management, and knowledge management questionnaires were completed by the participants. Results: The findings indicated that the majority of participants were female (189 Individuals, 93.1%) and married (196 Individuals, 96.6%). Time management among the studied charge nurses in the ICUs was mostly at a moderate level, with 87.2% (177 Individuals) falling into this category. Regarding knowledge management scores, most of the studied charge nurses in the ICUs were weak, with 91.2% (186 Individuals) falling into this category. There was a significant relationship between knowledge management and time management (P<0.003). Conclusion: Since according to the findings of the current research, the score of time management was at an average level and the score of knowledge management was at a weak level, therefore, including the educational content related to these two subjects in the educational program of undergraduate students and designing in-service training courses, especially for nurses and supervisors is suggested. Actually, it is considered as one of the effective steps that can help improve the present situation.}, Keywords = {Knowledge Management, Time Management, Nursing, Intensive Care Unit}, volume = {16}, Number = {4}, pages = {41-49}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.42}, url = {http://jccnursing.com/article-1-757-en.html}, eprint = {http://jccnursing.com/article-1-757-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Mirahmadi, Sakineh and Hajibabaee, Fatemeh and Etemadifar, Shahram and Esmaeili, Maryam}, title = {The Association between the Needs and Resilience of Family Members of Patients in Intensive Care Units in Hospitals Affiliated to Shahrekord University of Medical Sciences: A Cross-Sectional Study}, abstract ={Background & aim: It is essential to provide family-centered care and pay attention to the families of critically ill patients. Consequently, the present study determined the relationship between the needs and resilience of family members of patients hospitalized in Intensive Care Units (ICUs) of hospitals affiliated to Shahrekord University of Medical Sciences in 2021. Methods: The present cross-sectional, descriptive-correlational study, was conducted in order to investigate the relationship between the needs and resilience of families of critically ill patients. The study population included the family members of all patients hospitalized in the ICUs of hospitals affiliated to Shahrekord University of Medical Sciences in 2021, who were selected by available sampling. For this purpose, 149 family members were selected and answered the demographic questionnaire, the Connor-Davidson Resilience Scale (CD-RISC) and Critical Care Family Needs Inventory (CCFNI). Results: Based on the findings, the average score of family needs was 143.14 ± 21.75, which showed a high level of needs. The highest need of family members was related to the dimension of assurance and information and the lowest need was related to the dimension of support. The mean resilience score was 70.04 ± 16.89, which shows that the family members had acceptable resilience. According to the adjusted resilience score of family members, the highest score was related to the dimension of spirituality and the lowest score was related to the dimension of control. There was a direct and significant relationship (P<0.05) between resilience and all the dimensions of family needs. Conclusion: Improving nurses' knowledge and awareness of the needs, mental health status and resilience of family members in ICUs can lead to improved resilience and reduction of negative psychological consequences of family members during hospitalization and even after discharge by adopting solutions to meet these needs, as well as implementing training programs. Supporting the family is essential to identify and understand the importance and priority of their needs to meet these needs properly and to pay attention to the mental health and resilience of families.}, Keywords = {Intensive Care Unit, Family, Resilience, Need}, volume = {16}, Number = {4}, pages = {50-60}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.51}, url = {http://jccnursing.com/article-1-746-en.html}, eprint = {http://jccnursing.com/article-1-746-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Taheri, Hamid and Mahmoudi, Mokhtar and Valiee, Sina and Goudarzi, Fateme and Moradi, Yousef}, title = {Evaluation of the Performance Emergency Severity Index in the Triage of Trauma Patients Referred to the Emergency Department of Ashayer Shohada Khorramabad Hospital in 2023: A Cross-Sectional Study}, abstract ={Background & aim: The triage system of the emergency department prioritizes patients to receive medical care, and errors in prioritizing patients can have serious consequences. This study aims to evaluate the Performance Emergency Severity Index in the triage of trauma patients referred to the emergency department of Ashayer Shohada Khorramabad Hospital in 2023. Methods: The current cross-sectional study was conducted using an available sampling method on 375 trauma patients referred to the emergency department. First, the reliability of the Emergency Severity Index (ESI) triage was calculated by examining the agreement between observers (inter-rater reliability) and Cohen's kappa statistical test. Then, to validate the levels of severity, in the absence of a gold standard, the outcome of trauma patients was used as an alternative marker. Researchers compared the results of nurse's triage for each of the outcomes, and based on this comparison, the validity of ESI triage was evaluated in terms of heavy and light triage. The obtained data were analyzed using STATA-17 software, and the chi-square test was used to validate the triage. A value of P<0.05 was considered statistically significant. Results: The findings of the present study showed that the percentage of patients assigned to levels one; two, three, four, and five were 2.94, 15.2, 61.6, 12.53, and 7.73, respectively. Kappa calculated from the inter-rater agreement for ESI triage was determined to be 0.7. The ESI triage system generally had an error in 23.2% of the performed care prioritization. Conclusion: According to findings, ESI triage has high inter-rater reliability in performance. In terms of validity however, it needs a serious review, and most of the trauma patients are placed at the level of three ESI triages, and a large collection of undifferentiated patients is created, which weakens the main purpose of triage.}, Keywords = {Triage, Emergency Severity Index, Trauma, Emergency Department}, volume = {16}, Number = {4}, pages = {61-68}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.62}, url = {http://jccnursing.com/article-1-752-en.html}, eprint = {http://jccnursing.com/article-1-752-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Asghari, Elnaz}, title = {The Related Factors with to Quality of Nursing Documentation of Patients Diagnosed with Poisoning in the Emergency Department: A Cross-Sectional Study}, abstract ={Background & aim: One of the most important and controversial roles of nurses is documentation, which is especially of great importance in the emergency department. Patients with a diagnosis of poisoning are one of the most common and challenging emergency department patients, which involve many ethical and legal issues. This research aimed to determine the related factors to the quality of nursing documentation of patients diagnosed with poisoning in the emergency department. Methods: The present research is a cross-sectional study. Sampling among 1402 emergency cases (384 cases) in the first half of the year was done by simple random sampling. In order to collect data, the nursing documentation quality checklist was used with two dimensions’ report writing and medication administration. Results: The evaluation of the patients’ documents showed that the average and standard deviation of the age of the patients were 29.96 ± 9.93 years and most of the patients (60.2%) were women. The mean and standard deviation of the documentation quality were 8.75 ± 6.82 from the range of -48 to 48. The quality of nursing documentation had a statistically significant relationship with some characteristics of patients, including age, education, history of alcohol consumption, and history of admission to the emergency room. Conclusion: Based on the findings of the study and considering the importance of nurse documentation as the most important document in judicial authorities, it is necessary to take basic steps to improve the documentation knowledge of nurses in the emergency department and specifically for patients diagnosed with poisoning. It is also necessary to pay more attention to elderly, illiterate patients and those with alcohol consumption.}, Keywords = {Quality Indicators, Documentation, Patients, Poisoning, Emergency Service}, volume = {16}, Number = {4}, pages = {69-76}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.70}, url = {http://jccnursing.com/article-1-755-en.html}, eprint = {http://jccnursing.com/article-1-755-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} }