Corrigendum to “Comparing the effects of nursing versus peer-based education methods on the preoperative anxiety in infertile women: An RCT” [Int J Reprod BioMed 2019; 17: 883-890]

This is a Corrigendum to “Comparing the effects of nursing versus peer-based education methods on the preoperative anxiety in infertile women: An RCT” [Int J Reprod BioMed 2019; 17: 883-890] and does not have an abstract. Please download the PDF or view the article HTML

Comparing the effects of nursing versus peer-based education methods on the preoperative anxiety in infertile women: An RCT

Background: Preoperative anxiety is a common event in patients expecting surgery. Education can play an important role in reducing the negative effects of anxiety on the response to treatment. Therefore, identifying the appropriate method is important. Objective: The aim of this study was comparing the effects of nursing versus peer-based education on the preoperative anxiety in infertile women. Materials and Methods: In this clinical trial, 198 eligible infertile women were randomized into three groups (n= 66/each): the nurse-educated, peer-educated, and the controls. The Spielberger State-Trait Anxiety Inventory was filled out by all participants for measuring the patient anxiety at the time of hospital admission and prior to surgery. Participants in the nurse-educated and peer-educated groups received a group education program by a nurse or peer, respectively, after the initial completion of the Spielberger State-Trait Anxiety Inventory. Results: The mean score anxiety was 44.47, 46.92, and 42.60 at the time of hospital admission and 39.38, 41.06, and 43.42 prior to surgery in nurse-educated, peer-educated, and the control groups, respectively. There was a significant difference in the mean score of anxiety in each group before and after the intervention (p < 0.0001). However, the difference between the groups was not significant. Conclusion: Our findings demonstrate that nursing and peer education programs both reduce the preoperative anxiety. Hence, optimal use of the peer's potential regarding the compensation for staff shortage for preoperative education as well as investigating the effect of individual education is suggested for further studies. Key words: Education, Infertility, Preoperative anxiety, Nurse, Peer

Barriers to Developing the Nurse-Patient Relationship in Operation Room: A Qualitative Content Analysis

Introduction: Nurse–patient relationship is a fundamental element of nursing care. However, many factors inhibit relationship development. The purpose in this study was to explore barriersto nurse-patient relationship in theoperating room. Method: A descriptive, qualitative study was conducted by means of semi-structured interviews with 16 participants (8 nurses, 7 patients,and 1 relative), and 14 field notes and observationsuntil data saturation. The data were analyzed through conventional qualitative content analysis. Results: The emergent theme was the "complex and dynamic nature of relationship development". This themeconsisted of four main categories: "complexity of humanbehavior", "the nature of operating room nurse’s job", "different conditions for creating a relationship", and "neglecting and marginalizing a relationship". Conclusion: This study provided a better understanding of nurse-patient relationship inhibitors in the operation room an issue that is often neglected in quantitative studies. Based on the results of this study, the development of policies and strategies to increase nurse-patient relationships in the operation rooms are necessary. Keywords: Nurse-patient relationship, Therapeutic relationship, Barriers, Operation room, Qualitative content analysi

Effect of life skills education on nurses’ happiness

Happiness is known as a common goal for all the human being and an effective factor in reducing and coping with stress. Nursing is one of the stressful jobs in healthcare facing various occupational stressors. Life skills education is an intervention used to promote mental health and confront psychosocial injuries. The present study was conducted to examine the effect of life skills education on nurses’ happiness at Shahid Sadoughi Hospital in Yazd, 2015. This is a semi-experimental study with pre- and post-test and a control group. A total of 32 volunteer nurses were selected and assigned into control (n=16) and case (n=16) groups. The case group participated in an 8-hour course of life skills education (including effective communication, self-awareness, anger management, and coping with stress). Data collection was carried out using Fordyce happiness scale and demographic questions completed before and one week after the course by both groups and analyzed using chi square and t-test. According to the findings of this study the mean (±SD) of nurses’ happiness in the control and case groups were 131.25 ± 11.96 and 130.44 ± 12.75 at the baseline and 130.06 ± 28.10 and 146.25 ± 13.70 one week later, respectively (P = 0.038). This difference was not significant in control group (P = 0.163). The results of this study indicated that life skills education could significantly increase nurses’ happiness and thus it can be used as a beneficial intervention.</p

Corrigendum to “Comparing the Effects of Nursing Versus Peer-based Education Methods on the Preoperative Anxiety in Infertile Women: an RCT” [Int J Reprod BioMed 2019; 17: 883-890]

This is a Corrigendum to “Comparing the effects of nursing versus peer-based education methods on the preoperative anxiety in infertile women: An RCT” [Int J Reprod BioMed 2019; 17: 883-890] and does not have an abstract. Please download the PDF or view the article HTML

Nursing Graduates’ Self-assessment of their Clinical Skills Acquired in Medical-Surgical Wards

Introduction: In order to have the most efficiency, nursing students should acquire the knowledge and skills needed for their future profession. This study was done with the goal to determine acquiring clinical skills in medical-surgical wards, through nursing graduates’ self-assessment. Methods: In this survey 50 new graduated nurses, employed in medical-surgical wards of governmental hospitals of Yazd were selected through census sampling method in 2004-2005. Data collection tool was a valid and reliable questionnaire composed of demographic characteristics and 190 items about clinical skills which used ordinal scale and was filled as self-administered. The data was analyzed by SPSS software using descriptive statistics, t-test, and ANOVA. Results: The mean and standard deviation of clinical skills were 294.02±42.05 out of 570 which was good. Eight percent of students evaluated their acquired skills poor, 34% intermediate, 58% good, and none of them evaluated their skills excellent. Assessment and care of patients suffering from common diseases, pain management, sampling for laboratory tests, pre and post care in diagnostic tests, performing caring protocols, and caring during medical treatment were assessed in an intermediate level recording reports in an excellent level, and using medical equipment in a weak level. The mean scores for graduates’ skills showed a significant difference between male and female graduates and also based on having daily or night courses. Conclusion: Graduated nurses’ skills were at an intermediate or good level. It seems that although nursing educational programs provide some opportunities for promoting students’ knowledge and skills, they are not sufficient. It is recommended to provide enough time for practicing skills before graduation, and take more precise clinical exams at the end of their course

The Effect of Avena sativa L. Cream on Acute Radiation Dermatitis in Breast Cancer Patients: Avena. sativa Cream on Skin Problems due to Radiotherapy

Based on estimates, the skin reactions caused by radiation therapy in women with breast cancer range from 87 to 96%. Since the purpose of complementary and alternative medicine in nursing care is to alleviate suffering and increase patient comfort, the researchers decided to evaluate the medicinal properties of Avena sativa L. and the effectiveness of Avena sativa L. cream on skin problems caused by radiation therapy in women with breast cancer. In this clinical trial, 66 patients with breast cancer were divided into two groups: the intervention and the control group. From the beginning to the end of the radiation therapy, the Intervention group was treated with creams containing extracts of Avena sativa L.&nbsp; applied locally and three times a day, and the control group used cream lacking Avena sativa L. extract. The degree of skin problems, erythema, and dry and moist desquamation in the special intervals in both groups were evaluated. The study results revealed no significant difference in the degree of radio dermatitis in both groups. However, clinically, the incidence of dry desquamation in the intervention group is lower than in the control group but statistically insignificant. There was no significant difference between the two groups with moist desquamation and mild and bright erythema incidence. Conclusion: The results showed that local products made with Avena sativa L. extract can be used in radiation-induced skin reactions such as dry desquamation, and it is very effective. Therefore, further studies with larger sample sizes are recommended to prove this

The Effect of Telephone Counseling and Education on Breast Cancer Screening in Family Caregivers of Breast Cancer Patients

Background: Breast cancer is the most common form of malignancy among females. Family history is a key risk factor for breast cancer. Breast cancer screening practices are vital in patients with family history of breast cancer. Telephone counseling and education may be appropriate for improved breast cancer screening. This study was done to determine family caregiver patients’ knowledge of risk factors for breast cancer and practice of breast cancer screening and also to assess the effect of telephone counseling and education on mammography screening. Methods: This study was a community-based trial. The participants of the study were 90 caregivers who were randomly divided into an experimental group, telephone counseling and education, and a control group. The intervention group received counseling and education phone calls. A three-section questionnaire was responded and filled out through telephone interviews with the participants. The collected data were analyzed with SPSS18, using descriptive and inferential statistics. Results: The results showed that 88.9% of the participants did not know when to do breast self-exam (BSE). Mammography was performed by the participants before and after the telephone counseling in intervention group (P<0.00), which were 13.3% and 77.8% respectively). Moreover, the major cause of failure to participate in mammography was lack of enough knowledge in 73.3% of the participants. Conclusion: This study concluded that knowledge and practice on breast cancer screening in family caregiver of breast cancer patients was low. Telephone counseling and educating may provide a suitable technique for earlier detection of breast cancer in family caregivers of breast cancer patients and it can influence the decision making regarding mammography screening among 40-year-old or older women. Trial Registration Number: 2017052316870N

Effect of maternal anxiety on maternal serum and fetal cord blood cortisol

Prenatal exposure to maternal anxiety and inappropriate levels of glucocorticoids may influence intrauterine growth and affect later health outcomes. We examined the relationship between maternal anxiety, maternal serum, and fetal cord blood cortisol.; Eighty-four pregnant women with gestational age above 37 weeks admitted for elective caesarian section were studied. The Spielberger State-Trait Anxiety Inventory was used to assess maternal anxiety. Maternal blood was sampled immediately before caesarean section. Cord blood sample was taken immediately after birth. Multiple regression analysis was performed.; Maternal trait anxiety score, maternal serum cortisol, and neonatal weight were associated with the fetal cord blood cortisol (r = 0.21, P = 0.04). Bivariate correlation analysis revealed a positive correlation between maternal trait anxiety and fetal cord blood cortisol (r = 0.21, P = 0.03).; These data suggested that high maternal trait anxiety increases fetus cord blood cortisol and may regulate fetal growth