Advances in Nursing & Midwifery

Abstract
Introduction: This study aimed to determine the effects of the organizational commitment levels of nurses on their contextual performance.
Methods: This descriptive and correlational study was conducted in a university hospital with 331 nurses the east of Türkiye. The data were collected using The Contextual Performance Scale and The Organizational Commitment Scale. Data obtained from the study were analyzed by using the Statistical Package for Social Sciences (SPSS) for Windows 22.0.
Results: The mean total score of nurses’ organizational commitment was moderate at 2.71 ± 0.835. The mean total score of the contextual performance of nurses was at a high level at 3.84 ±0.604. Correlations between the organizational commitment and the contextual performance (r = 0.253; P < 0.001) were significantly positive. The result of multiple regression showed that demographic variables accounted for the contextual performance by 4% (Adj.R2 = 0.04; P = 0.002). In the model-2 was established by adding organizational commitment to demographic variables and was tested. It was noted that independent variables significantly accounted for contextual performance by 7% with a rise of 3% (Adj.R2 = 0.07; P < 0.001).
Conclusions: Nurses are moderately committed to their organizations, and they exhibit a high level of contextual performance in their institutions. The results showed only a small proportion of the variance in contextual performance could be explained by demographic variables and organizational commitment. This study can support to extent to which the contextual performance of nurses is affected by organizational commitment can be determined.

Introduction: The elderly are one of the sensitive groups at risk of developing Covid-19 disease. We aimed to investigate the psychosocial consequences of Covid-19 disease and vaccination in the elderly.

Methods: The phenomenological method was used in the current study. The study population included all the elderly receiving the Covid-19 vaccine in Sari city, Iran. 13 individuals were selected through purposeful sampling method who were interviewed afterwards. The Colaizzi Phenomenological method was used to analyze the data.

Results: Data analysis led to the identification of 5 main themes, 11 sub-themes, and 56 primary open themes. The first major theme was "psychological status." Psychological status included a set of reactions that included the following sub-themes: 1-Positive psychological status, 2-Negative psychological status. The second main theme was "recreational and communication status". Recreational and communication status was a set of behaviors that included the following sub-themes: 1-Health-based personal entertainment and communication, 2-Destructive entertainment and communication. The third main theme was physical and health status with these central themes: 1-Psychological and behavioral consequences of receiving the vaccine, 2-Physical complications of receiving the vaccine, and 3-Change in physical examinations. The economic status as the fourth main theme included: 1-High cost of Covid-19, 2-Career problems. Finally, the last major theme was lifestyle with the following central codes: 1-Pre-corona family plans and, 2-Post-corona family plans.

Conclusions: The results showed that it is important to pay attention to the experience of the elderly in the coronavirus crisis and that the devastating consequences of Covid-19 can be avoided.

Introduction: Patient safety is a key indicator and element in securing quality healthcare and this goal is multi-step, systemic, and multidisciplinary. The aim of the study was to investigate the meanings and definitions of “feeling of safety” in patient’s view and experiences during their hospital stay and to identify the antecedents and consequences of the concept.
Methods: This qualitative systematic review was carried out based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009. Six databases (PubMed, Web of Science, Scopus, ProQuest, Embase, Cochrane) were searched up to 2019 with no time and language limit. Two authors individually evaluated the study quality using Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI). Data from studies meeting the inclusion criteria were analyzed with concept analysis using of Walker and Avant approach (2011).
Results: Twenty-five papers were included in this study. Data analysis resulted finally in eleven main categories: “receiving safe care”, “appropriate physical environment”, “resorting to spirituality”, “having previous negative experiences”, and “presence of family and friends”, “Feeling of Protection in a Safe Place”, “Emotional Enrichment and Confidence”, “Comfort and Tranquility”, “Feeling of Control on the Situation”, “Optimism towards Life” and “Coping”.
Conclusions: Safe care is one of the fundamental needs in creating feeling of safety in patients. Focusing on this type of patient-centered care may promote quality care and improve the treatments provided in the hospital setting.

Introduction: Some breast cancer sufferers experience the recovery period due to the impact of covid-19, which is psychologically affected, staying at home and the recovery process increases the feeling of loneliness and psychological stress in them. The main purpose of this study was to investigate the relationship between self-efficacy, optimism and hope with anxiety and depression in women with breast cancer with the role of mediator of resilience during the covid-19 pandemic.
Methods: The present study is descriptive of the correlation type. The statistical population of this research included all women with breast cancer in Gorgan city, 135 women with breast cancer, according to the inclusion criteria (including pathological diagnosis of breast cancer by a specialist, age over 18 years, reading and writing literacy and no medical diagnosis Acute or chronic diseases such as cardiovascular and kidney problems) were selected by purposive sampling. Data were collected using Demographic Questionnaire, Hospital Anxiety and Depression Scale, Connor-Davidson Resilience Scale, Vision About Future Scale and Sherer General Self-Efficacy Questionnaire. The data was analyzed using SPSS and AMOS software with Structural Equation Model (SEM) analysis method.
Results: The findings showed that there is a positive and significant relationship between self-efficacy, optimism and hope with resilience and a negative and significant relationship with anxiety and depression of women with breast cancer (P<0.01). Also, there is a negative and significant relationship between resilience and anxiety and depression (P<0.01). The results of the model analysis also showed that resilience plays a mediating role in the relationship between self-efficacy, optimism and hope with anxiety and depression and has a favorable fit.
Conclusions: The result is that resilience along with self-efficacy, optimism and hope as a positive psychological factor can play a role in reducing the psychological distress of patients during the covid-19 pandemic. For these women, our findings suggest the implementation of psychological interventions that build resilience.

Introduction: Colon cancer is the third leading cause of cancer death in women. Symptoms of colon cancer, such as nausea, abnormal bowel movements, and rectal bleeding, overlap with the symptoms of pregnancy, which may lead to delays in diagnosis and treatment. In this study, a case of abnormal liver function tests in a pregnant woman with metastatic colon adenocarcinoma was reported.
Case Presentation: A 26-year-old woman, nulligravid (gestational age: 28 weeks and 6 days) was referred to our hospital with suspected preeclampsia and the possible HELLP syndrome. In evaluation of laboratory tests, hemoglobin decreased and aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, bilirubin total, alkaline phosphatase increased. Ursodeoxycholic acid was prescribed to the patient due to impaired liver function tests and suspected cholestasis, and the patient was discharged due to the decline in liver function tests. After 18 days, the patient presented with a complaint of premature onset of labor pain, which was initially transferred to the operating room for emergency cesarean section due to fetal heart failure. After cutting the abdomen, a large amount of purulent fluid was removed and extensive adhesions were observed. Biopsy of lesions, metastatic adenocarcinoma in the intestine with metastases to the right ovary,peritoneum, liver and appendix was reported. Finally, PCR test for COVID-19 was positive and the patient died of sepsis.
Conclusions: It is recommended that the occurrence of gastrointestinal symptoms, pruritus, pain and abnormal liver function tests in pregnancy be considered as an important alarm and also in the differential diagnosis of gastrointestinal malignancies.

Abstract
Introduction: The emergence of the human coronavirus (SARS-CoV-2) in December 2019 caused a public health crisis. Knowing the progress of studies in the field of COVID-19 helps researchers a lot in summarizing the available information. Using a bibliometric analysis this study aims to assess the characteristics of the research publications involving COVID-19 globally.
Methods: To make the bibliometric indicators non-exhaustive, a bibliometric database is created where researchers can have immediate access and contribute to COVID-19 related bibliometric indicators. PubMed database was searched for COVID-19 publications published within 1st January up until 13th March 2020. An R package of Bibliometrix and VOSviewer for comprehensive science mapping analysis and visualization are utilized. Analysis parameters include publication type, pattern of international collaboration, leading journals, the most cited papers and the most productive countries. A total of 786 COVID-19 publications in 238 journals from 69 countries indicates the international spread of the research within short period.
Results: The Lancet (7.64%), Journal of Medical Virology (7.11%) and BMJ (6.08%) had the largest share of publications respectively. Manuscripts published in The New England Journal of Medicine (15 citations), Nature (10 citations), and The Lancet (10 citations) have received the highest citations. China was the largest contributor with 44.27% of total publications followed by the United States (4.58%) and Italy (2.67%).
Conclusions: Canada, Germany and United States had the greatest proportion of international research collaboration as per multiple country publication ratio. There is rapid increase in research activities related to COVID-19 in the initial 11 weeks of 2020.