Advances in Nursing & Midwifery

Abstract
Introduction: The use of mobile technologies is very widespread among the younger population. This study was conducted to determine the effect of education with mobile support on the skill levels of a sample of nursing students in Tekirdağ/Turkey.
Methods: This quasi-experimental study was conducted with 62 undergraduate students (31 experiments and 31 controls). The research was conducted with students attending the Spring semester of the first year and taking the nursing course fundamentals. First of all, subcutaneous injection skills were explained to the students, and training was given to them (the first part of education). A week later, the students' skills were tested (pre-test), and then the students were divided into the two groups, balanced in terms of their gender and skill scores. A video about subcutaneous injection skills was prepared by the authors for the students in the intervention group, and students were allowed to access this video on their smartphones (Mobile). Three weeks after the first part of education, the students' skill development was re-evaluated with the Subcutaneous (SC) Injection Skill Evaluation Checklist.
Results: The mean age of the students who participated in the study was 19.04±1.16 years. The intervention group students watched the educational video with their smartphones 3.87 times on average. The difference between the post-test and pre-test scores of the subcutaneous injection skill was significant in the intervention group (7.71±4.55), compared with the controls (3.51±3.52). Thus, Nursing students in the intervention group, got a higher clinical skill for subcutaneous injection (P<0.001).
Conclusions: Our results showed that a planned educational video through mobile learning could contribute to the clinical skill development of nursing students in the first year of education. It can inspire the university teachers to apply this method for clinical education of nursing students in other education areas.

Introduction: Breast cancer is known as the most prevalent type of cancer in the women around the globe. Cancer is a group of diseases which involving uncontrolled abnormal cell growth. Undergoing stress-provoking situations can lead to positive physical and psychological outcomes. Therefore, regarding the prevalence and importance of this condition, the current study aims to examine the effectiveness of the mindfulness-based stress reduction (MBSR) therapy on the posttraumatic growth and the psychological capital in women diagnosed with breast cancer.

Method: The current investigation is a quasi-experimental study with pre-test and post-test assessments and experimental and control groups. The population of the study included all the women with breast cancer who had sought professional help in Imam Khomeini hospital (Tehran) since 2020. Among these individuals, 30 were selected using purposive sampling and afterwards were assigned to the control (15) and experimental (15) groups randomly. The conducted measurements included The Post Traumatic Growth Inventory (PTGI) (Tedeschi and Calhoun, 1996) and The Psychological Capital Questionnaire (PCQ) (Luthans, 2007). The data were analyzed using SPSS-23, descriptive statistics and inferential statistics (repeated measures ANOVA).

Results: According to the findings, compared to the control group, the mindfulness-based stress reduction therapy affected the experimental group more significantly in terms of the posttraumatic growth and the psychological capital. The mentioned effects were maintained after a 1-month follow-up assessment.

Conclusion: Regarding the mentioned results, MBSR could be considered as an effective therapeutic approach for increasing the posttraumatic growth and the psychological capital in women suffering from breast cancer.

Abstract
Introduction: Evaluating predictors of the self-assessed support needs of women with breast cancer may guide care planning, counselling and education of the women. Therefore, this research was planned and studied. The researcher aimed to determine predictors of self-assessed support needs by classification tree in women with breast cancer.
Methods: The sample consisted of 282 women with breast cancer. Data were collected by treatment characteristics and the self-assessed support needs of women with breast cancer scale in 2014. The researcher visited the oncology clinic two days (Monday and Saturday) in every week and conducted interviews with the patients. The participants read the questionnaire and they marked their answers on the sheets. The questionnaire took approximately 20 minutes to complete and could be understood by people with minimal reading ability. All of the participants completed the questionnaire.
Results: The participants perceived the need for support needs in all categories; they expressed the highest support need in category of after care. Age of the women was important predictor for femininity and body image, and indirect effective on total support need in this study. Education level was an important predictor for information support need. Treatment characteristic was an important predictor for total support needs. Total demographic and disease/ treatment characteristics were predictor in 10% level for total support needs.
Conclusions: The results of this study should increase awareness among cancer care professionals about a range of psychosocial needs.

Abstract
Introduction: Weight gaining during pregnancy is under the influence of an adopted lifestyle. For planning appropriate interventions to prevent obesity in pregnancy, it is essential to have a better perception of health-promoting behaviors. This study aimed to evaluate Health-promoting lifestyle and eating behavior patterns in pregnant women.
Methods: A cross-sectional study was carried out on 360 pregnant women by a multistage cluster sampling method for a period of 6 months from March-August 2017 in Tabriz, Iran. Data were collected by self-reported questionnaires including demographic and obstetric, health-promoting behaviors (HPLPII), and eating behavior patterns questionnaires. Descriptive and inferential statistics, namely Pearson's test were used to evaluate the association between variables.
Results: The Mean (SD) total score of health-promoting behaviors in pregnant women was 135.21 (20.03) and maximum and minimum scores were perceived by Spiritual growth 26.84(4.90) and physical activity 16.71(40.14) respectively. In eating behavior patterns, the greatest score was received by eating healthy and low-fat meals and cultural behaviors. According to the Pearson Correlation test, there was a significant inverse relationship between health-promoting behaviors and fast food consumption (P<0/001). Also, a significant direct relation was detected between health-promoting behaviors and the cultural eating pattern.
Conclusions: Intermediate scores received in adopting health-promoting behaviors suggest the habits need special attention regarding stress management and physical activity in pregnant women. Despite the tendency to low-fat meals, dietary consultation and informative programs are essential. Also, a comprehensive approach to adopting a healthy lifestyle is required.

Abstract
Introduction: The nursing process is a standard for delivering individualized, continuing nursing care using standardized nursing language and helps improve the relationship between nurses and patients, allowing use of available resources for patient care and creating good interaction between practitioners. The aim of this study is to assess nurses ' knowledge and attitude about the nursing process in selected public hospitals in southwestern Ethiopia.
Methods: An institution-based cross-sectional descriptive study was conducted in three selected public hospitals in south-west Ethiopia using pre-tested self-administered questionnaires from March-April 2016. With simple random sampling, a total of 138 nurses from the three hospitals were included in the study. Data were categorized, coded, entered in version 7 of Epidemiological Information (EPI info) and exported for analysis to the Statistical Package for Social Science (SPSS) version 20. Descriptive statistics have been used to describe the variables of the study.
Results: Nurses ' knowledge of the nursing process was found to be poor as six out of ten nurses had poor knowledge and five out of ten nurses had a positive attitude towards the nursing process.
Conclusions: The majority of nurses had poor nursing knowledge and nearly half of nurses had a positive attitude to the nursing process.

Abstract
Introduction: Quality of life is affected by Job burnout, which can be caused by long-term exposure to occupational stress. The aim of this study was to determine the relationship between job burnout and quality of life of operation room technologists.
Methods: In this cross-sectional descriptive-analytical study, 125 operation room technologists were randomly selected. The data were collected using three questionnaires: Demographic, Maslach Burnout Inventory (MBI), and WHO Quality of Life-BREF with 26 items, and analyzed using Spearman correlation test in SPSS software, and the significance level was considered as P≤0.05.
Results: The mean of Job burnout score in terms of intensity, frequency, and quality of life was 47.88±17.50, 47.95±17.42, and 63.1±18.57, respectively. There was an inverse correlation between quality of life and job burnout in terms of Intensity (P<0.01) and frequency (P<0.05).
Conclusions: Considering the significant inverse correlation between job burnout and quality of life, reducing the job burnout of employees can increase their quality of life and consequently prevent from the reduction of their productivity.