Advances in Nursing & Midwifery

Background: Food additive is an important reason for health risk. The hazards that most people were concerned about in relation to food additives were the risks of developing allergy, cancer and disturbing the hormone balance.      

Objective: The objective of this study was to develop and assess the validity and the reliability of the knowledge and behaviours related food additives scale.

            Methods: The population for this study consisted of mothers with 1- to 12- year-old children in Ağrı, Turkey. A convenience sample was recruited from the mothers attending two primary health care centres in the town. The sample size was determined to be 413 mothers by conducting power analysis. Data were collected using questionnaire including demographic characteristics and the knowledge and behaviours related food additives scale. The researchers visited the primary healthcare centre and conducted interviews with the mothers. The questionnaire took 15-20 min to complete and could be understood by people with minimal reading ability.

            Results: Factor analysis revealed two factors were the behaviour related food additives subscale and the knowledge related food additives subscale. The two factors together explained 53.7% of the variance. Internal consistency reliability of the whole questionnaire was 0.74.

            Conclusion and Recommendation: The knowledge and behaviours related food additives scale is very important because it provides standardized data mother’s attitude knowledge and behaviour regarding a child’s health for food additives.

Background: Despite the agreement regarding the significance of the concept of CF in nursing, it has been unrecognized, and there is no clear definition of compassion fatigue in the context of nursing

Objectives: The aim of this study is to inductively develop or formulate a clear and uniformed definition of compassion fatigue in the context of nursing.

Patients and Methods: A Concept analysis using Rodger’s approach using a literature-based method and thematic analysis was conducted. Steps of Rodger’s concept analysis encompass identify the concept and associated definition, attributes, antecedents, consequences, surrogate terms, related concepts, and a model case exemplar.

Results: attributes, antecedents and consequences of compassion fatigue from literatures is extracted and then a vivid definition is achieved.

Conclusions:this analysis demonstrated that the concept of compassion fatigue is comprised of excessive empathy, the symptomatology of secondary traumatic stress, the problematic work environment of burnout and coping mechanism deficit.

Keywords: Compassion fatigue, Secondary traumatic stress, nurse, concept analysis

Background and Aims: Excessive and problematic use of mobile phones could have several negative effects on different aspects of students’ lives. The current study aimed to explore the relationship between excessive mobile use and sleep quality among nursing students by considering the mediating role of perceived stress.

Material & Methods: The present study was descriptive with a correlational design. One hundred and thirty-eight nursing students (103 females, 35 males) were randomly chosen through random sampling. The data collection instruments included Cell-Phone Over-Use Scale (COS), Pittsburgh Sleep Quality Index (PSQI), and Cohen's Perceived Stress Scale. Pearson Product Moment Correlation, Independent Samples t Test, and Hierarchical Regression Analysis were run in SPSS (version 22) to analyze the data.

Result: The mean of students’ age, mobile use, sleep quality, and perceived stress were 20.81±1.89, 52.17±14.70, 11.8±2.69, and 22.60±6.45, respectively. There was no statistically significant difference in terms of the aforementioned variables among male and female nursing students. The results of hierarchical regression analysis showed that mobile use in the first model can predict students’ sleep quality (β=.38). Upon entering the perceived stress to the equation, β of mobile use decreased, indicating the incomplete mediating role of perceived stress.

Conclusion: Given the increasing use of mobile phones, it is highly important to examine their negative effects such as low sleep quality, high perceived stress, and their undesirable effects on students’ life. Hence, students’ awareness of negative effects of problematic mobile use could be raised via taking appropriate measures and making necessary interventions.

Abstract

Introduction: Increasing Information and recognize its values in personal and professional life for each person brings challenges and barriers that how people can access to information  and it  is necessary for them to obtain some special skills in information seeking process. This study aimed to examine information seeking of Mazandaran Medical Science University Nursing Student's and identified their barriers to access to information.

Materials and Methods: This is applied and survey-descriptive (Sectional) study. Statistical populations include all Nursing student of Mazandaran medical science university (faculty of nursing in Sari and Behshahr). We use self-questionnaire that made in 5 sections, to collect data and use SPSS and Statistical test to analysis them.

Findings: Findings show that most important motivation of examined student to access and search their own information was "do homework (Educational Activities)". We funded that "Books" and "Journals" with average of 4.10 and 3.91 and also "General search engines" identified as the most important resources and channels to access to information. "University equipment problems" mentioned by nursing student as the most challenges in their information seeking process.

Conclusion: This study shows that nursing students needs to receive information from the formal and valid channels because of quality and quantity incrassating of suitable information, related to their personal, educational, and professional life. Planning and making policy by management and masters of Mazandaran Medical Science University can be useful for student access to information with developing of information channels.

Background and Objectives: Concerns about death may negatively affect the health-related quality of life. The relationship between death anxiety and spiritual well-being in life-threatening diseases is still a matter that needs to be addressed, especially in patients with gynecologic cancer. This research was conducted to study the relationship between death anxiety and spiritual well-being in patients with gynecologic cancer.

Materials and Methods: This descriptive-correlational study was conducted on 230 women with gynecologic cancer selected through convenience sampling from Shohada-e Tajrish Hospital, affiliated to Shahid Beheshti University of Medical Sciences, in Tehran, Iran, from April to May 2016. The data collection instruments included a demographic questionnaire, the 15-item Templer Death Anxiety Scale and the Spiritual Well-Being Scale. The data were analyzed in SPSS-22 using descriptive (mean, standard deviation, frequency and percentage) and inferential ( Pearson’s correlation coefficient and the linear regression model) statistics.

Results: The average scores of death anxiety and spiritual well-being were 48.57±12.55 and 95.27±14/40. There was a significant relationship between death anxiety and spiritual well-being (r =-0.35, p=0.001). The results of the regression analysis showed that age (b=-0.23, p=0.001) and stage of cancer (b=-5.176, p=0.001) are the only significant predictors of death anxiety. This model explained 40.3% of the variance in death anxiety. In this model, age (b=0.220, p=0.021), marital status (b=2.985, p=0.043) and stage of cancer (b=2.649, p=0.001) were significant predictors of spiritual well-being. The model explained 18% of the variance in spiritual well-being in the patients.

Conclusion: This study shows a significant relationship between death anxiety and spiritual well-being in patients with gynecologic cancer. It is therefore necessary for healthcare providers to address certain demographic variables such as age, marital status and disease progression for regulating death anxiety and improving the patients’ spiritual well-being.

Abstract

Introduction: To promote normal childbirth the care during childbirth should be on evidence-based care. Evidence-based care practices promote physiological birth and midwives.  This study studied midwives’ awareness and performance about physiological childbirth in Ahvaz publiv maternity services.

Methods: This descriptive study was conducted on maternity units in which 128 midwives were recruited using census sampling. The researcher made questionnaire were used for self-reporting of awareness and performance of midwives.

Results: Majority of midwives (86.7%) had Bachelor degree, had (1-7) year’s work experience (64.1). This study showed that the Ahvazi midwives had relatively good awareness of physiologic labour items however the performance of them was not as ideal as their awareness.

Conclusions: Iranian midwives are informed about evidence-based practice in childbirth which indicates that attempts to promote physiologic childbirth has been useful, however multifaceted implementation strategies are necessary to promote the use of evidence-based practice in clinical practice and health care decision making during labour childbirth.

Abstract
Introduction: Social support has a key role in improvement of quality of working life
of nurses. The present study aimed at measuring the quality of nurse’s working life and
perceived social support and examine their relationship in neonatal intensive care unit
nurses.
Methods: In the present descriptive-correlational study, the statistical population
consisted of nurses working at neonatal intensive care units of selected hospitals
affiliated to Ahwaz University of Medical Sciences, selected by census. Overall, 98
nurses were selected. Since the number of employed nurses was approximately the
same, all nurses were selected by the census method and based on the inclusion
criteria.Tools used included the "Demographic Questionnaire”, “Multidimensional
Scale of Perceived Social Support" and "Quality of Nurses' Work Life". Validity of the
questionnaires was confirmed by 12 experts, and its reliability was confirmed by the
Cronbach's alpha coefficient. Data were analyzed using the SPSS-20 software.
Results: The highest mean value in social support belonged to the "family" dimension
(5.19± 1.05) and the lowest to "friends" (4.50± 1.11), and overall mean social support
value was 4.78 ± 0.99. The quality of working life had the highest mean value in the
"working life" dimension (3.67± 0.72) and the lowest in "personal life" (3.38± 0.89),
and overall mean value of quality of working life was 3.57± 0.57 in nurses. The obtained
results showed a positive correlation between social support and the quality of working
life in nurses (r=0.25, P=0.02).
Conclusions: The obtained results showed a significant and positive relationship
between perceived social support and quality of nursing working life. However, the
relationship between subscales of these two variables was mildly confirmed. Generally,
the present study results are in accordance with the results of previous studies.