Validity and reliability of the Persian version of the Adverse Childhood Experiences Abuse Short Form

Background and Aim: Measuring child abuse and adverse experiences is a critical task with regard to its long-term impact on the health of individuals and communities. The purpose of this study was to validate the Persian version of the International Adverse Childhood Experiences Abuse Short Form (ACE-ASF) in Iranian society. Materials and Methods: This cross-sectional study was conducted in Kerman, southeast of Iran, in 2019, on 494 students from Kerman University of Medical Sciences, selected by convenience sampling method. Psychometric properties of the questionnaire were examined after the forward and backward translation processes. The factor structure of the questionnaire was evaluated using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The concurrent validity of the questionnaire was assessed using the childhood trauma questionnaire (CTQ). Cronbach's alpha and corrected item-total correlation were used to measure reliability. Results: The mean age of participants was 24.3 ± 5.3 years. Based on EFA, two physical-emotional abuse and sexual abuse factors were obtained. The CFA fit indices well supported two extracted factors. The CFA showed acceptable factor loadings. The internal consistency coefficient of Cronbach's alpha was 0.75 for the physical-emotional abuse factor and 0.77 for the sexual abuse factor. The correlation coefficient of ACE-ASF and CTQ was r = 0.56. The reliability index of intraclass correlation coefficient was 0.73 (95 confidence interval: 0.60-0.84). Conclusion: The Persian version of the ACE-ASF questionnaire has acceptable psychometric properties. © 2020 Journal of Education and Health Promotion

Motivational Factors for Breast Cancer Screening Behaviors in Iranian Women: A Qualitative Study

Background: Early diagnosis of breast cancer increases the chance of recovery and life expectancy. Screening is the primary tool for early diagnosis and timely treatment of breast cancer in early stages. This qualitative study aimed to explain the motivational factors for breast cancer screening in Iranian women. Methods: This qualitative study was conducted using content analysis. The 45 women were selected through purposive sampling. Focus group were used for data collection and the data were analyzed using the Lundman and Graneheim thematic content analysis approach. Results: Data analysis identified 9 themes: knowledge acquisition, presence of happy-hopeful spirit, positive attitude and self-worth, maternal role, intellectual and financial independence, religious beliefs, motivational fears, and supportive family. Conclusion: According to the results of this study, it seems that health systems need to change the attitudes and beliefs of people to enhance health culture by identifying women's motivations for breast cancer screening in different groups and increase social knowledge about screening methods by supporting and training

Relationship between caregiver burden and family functioning in family caregivers of older adults with heart failure

Caregivers of individuals with heart failure are at high risk for diminished quality of life because of the energy involved in providing necessary care. Caring for someone with chronic heart failure can affect caregivers� physical, psychological, and social health, collectively referred to as the burden of care, and may also affect family functioning. The current cross-sectional study aimed to investigate the relationship between caregiver burden and family functioning in caregivers of older adults with heart failure in southeastern Iran using the Zarit Burden Inventory and the Family Assessment Device based on the McMaster Model of Family Functioning. The Pearson correlation coefficient, independent t test, and analysis of variance were used to determine relationships among variables. Results showed a significant correlation between burden of care and total score of family functioning. Therefore, it is necessary to take measures to reduce burden of care for caregivers through education and support programs and to improve their family functioning and quality of life. © 2020 Slack Incorporated. All rights reserved

The Relationship Between Authenticity and Death Anxiety in Cancer Patients

One of the many problems cancer patients experience is death anxiety. This descriptive-analytical cross-sectional study aimed to investigate the relationship between authenticity and death anxiety in cancer patients. The participants were 172 cancer patients who referred to medical centers in southeast Iran. The data were collected using authenticity inventory, and death and dying anxiety scale. There was a negative correlation between authenticity and death anxiety, i.e. patients who indicated higher authenticity scores showed lower levels of death anxiety. It seems that developing a comprehensive care program for increasing awareness of authenticity in patients, may be effective in reducing patient death anxiety. © The Author(s) 2021

Competence as an inevitable necessity for health care workers: A qualitative study

Background: Competence plays a great role in improving the quality of health care; it has remained a complex concept in developing societies and has no precise dimensions that may be due to the lack of studies in this area. It is necessary to study competence and its dimensions in the healthcare system. Aim: The purpose of this study was to explain competence, based on the experiences of health care workers. Methods: This qualitative research was conducted using conventional content analysis. 26 healthcare workers from health centers located in southeastern Iran participated in the study by purposive sampling. Data were collected through semi-structured interviews and analyzed using the Lundman and Graneheim thematic content analysis. Results: During data analysis, the main theme known as �competence as an inevitable necessity for health care workers� with four categories of �career motivation and interest�, �up-to-date knowledge and skill�, �critical thinking�, and �self-actualization�. Conclusion: The results suggest that competence in the provision of health services should be considered as a golden standard for the growth and excellence of the health care workers. Therefore, managers, planners, and professors should always consider this concept as a challenge in providing health services, and train competent healthcare workers. © 2020 Lahore Medical And Dental College. All rights reserved

Integrated training (practicing, peer clinical training and OSCE assessment): A ladder to promote learning and training

Introduction: The teaching-learning process plays an effective role in training nursing students. Devising novel methods can lead to achievement of educational objectives as well as promotion of the clinical and practical training. The present study is aimed to determine the effect of integrated training, including practicing, peer clinical training and objective structured clinical examination (OSCE) assessment. Methods: The interventional study was conducted on 58 freshman students. Two groups underwent a five-stage educational process; so that, all the students were trained and practiced in the skills lab, and their practical skills were investigated via the OSCE test. Afterwards, for clinical training in hospital, they were randomly divided into two groups of routine training (n = 26) and the peer-learning method (n = 32). Subsequently, in order to investigate the outcomes of the process, the OSCE test scores of the two training groups were compared both before and after the apprenticeship course. Results: Scores of all the students were increased significantly at the end of the semester, but in terms of the total score of the clinical skills (14.79 ± 1.52 vs. 18.52 ± 0.84), the difference was insignificant (p = 0.29). Conclusion: Training clinical skills along with OSCE practice and assessment can improve the nursing students' learning as well as their practical and clinical performance. Improvement of the students' performance can lead to high-quality care nursing. © 2020 De Gruyter. All rights reserved

Barriers and facilitators of professional socialization in nursing: A systematic review

Background and Aim: Professional socialization, as a major issue in nursing, is a process during which novice nurses become professiona nurses with good fanction. Professional socialization of nurses is essential in this caring profession and has a direct link with the quality of provided services. Therefore, aim of this study is to assesed the barriares and facilitators of professional socialization of nurses. Materials and Methods: This review conducted based on the Broom approach. The studies related to the purpose of study, with English or Persian language, that the full text was accessible, were included in the study, Key words used include professional socialization, nursing, barriers and facilitators. Persian and International accredited online databases such as Magiran, SID, Iranmedex, Pubmed, google scholar, MEDLINE, Scopus, Elsevier and Sciencedirect were used. Ultimately 31 articles were included.Results: results showed that organizational factors, inadequate student selection system, gap between theory and practice, and perspectives of the community to the nursing profession were barriers to nurses' professional socialization. Also, reforming resources and educational structure, providing an accessible learning environment, using proper role models, empowering individual and professional nurses, were facilitators of this process. Conclusion: Effective profession socialization in the nursing requires the provision conditions and Arrangements in the field of education and services. So, nursing managers need to consider barriers of professional socialization and apply the necessary measures to eliminate these barriers in order to improve the quality of care and patient satisfaction. © 2018 the Author (s)