Iranian Journal of Nursing and Midwifery Research

Dear Editor, Sickness presenteeism refers to the act of showing up at work while unable to safely participate in work-related activities due to an acute or ongoing health issue.[1] Despite its potential burdens, presenteeism continues to generate conversation regarding finding the right balance. Nursing has one of the highest rates of presenteeism, four times that of other occupations.[2] There are several reasons why nurses go to work despite being in poor physical or mental health, including high work demands, lack of adequate replacement, and a lack of consideration from coworkers. But is sickness presenteeism the way forward? Among the professional concerns associated with presenteeism is the sustainability of healthcare, as it can threaten long-term health and increase the likelihood of future absenteeism due to accelerated health decline. In addition, there is concern for patient safety because these nurses are at greater risk from workplace accidents and are more likely to engage in clinical errors.[3] Moreover, there is the potential risk of burdening the coworkers. The demanding nature of the nursing profession necessitates that nurses navigate complex situations while caring for patients. As a result, coworkers have the right to expect professionals with whom they collaborate to be dependable and effective team members. It is uncertain, however, whether this is always viable, given that workplace incapacity does not guarantee dependability. Nevertheless, presenteeism is not necessarily always detrimental and undesirable. Human resources remain a priority due to the heavy workload and limited workforce.[4] However, nurse managers must refrain from penalizing staff who require time off due to health concerns. In addition to finding a replacement immediately, they must actively discourage presenteeism. To encourage a resilient workforce and reduce future absenteeism and presenteeism, it is central that managers consider multiple factors, such as schedule flexibility and optimal workload, in managing safe staffing.[5] Unavoidable presenteeism should also be consistently monitored to balance advantages and burdens for all parties. Striking an optimal harmony in sickness presenteeism generally requires consideration of the health and safety of patients and healthcare professionals and an appropriate burden-benefit ratio. Financial support and sponsorship University of Edinburgh, United Kingdom Conflicts of interest Nothing to declare.

Yusrita Zolkefli

Finding the Right Balance in Nurses’ Sickness Presenteeism

护士带病上班的适当平衡

Abstract Background: As an epidemic, COVID-19 has brought a new shock to the world’s healthcare system. The crisis caused by this disease and the prolonged involvement of communities and healthcare systems have intensified the duties and psychological burden of nurses. The current study aimed to explain the experience of ICU nurses during the COVID-19 crisis. Materials and Methods: The present study was conducted using conventional content analysis in 2021. Twenty nurses of the COVID-19 ICU of Ahvaz hospitals were selected by purposive sampling. The main method of data collection was semistructured interview. The process of data analysis was done based on Granheim and Lundman’s approach using MAXQDA-2020. For the scientific rigor of the findings, Guba and Lincoln’s four criteria were abided by. The COREQ (Consolidated Criteria for Reporting Qualitative Research) checklist was used to ensure the study met the recommended standards of qualitative data reporting. Results: After data analysis, 22 subcategories, eight categories, and one theme (growth under pressure) were extracted. The eight main categories included (psychological crisis, physical exhaustion, family conflicts, complex care, professional development, expertise, life enrichment, and full support). Conclusions: Despite the pressures that ICU nurses faced during the COVID-19 pandemic, they were able to grow by benefiting from positive experiences. These findings can lead to the development and implementation of effective interventions to improve adaptation strategies of nurses, especially those working in the intensive care unit, during the COVID-19 and other future crises.

Vahid Saidkhani

Marziyeh Asadizaker

Dariush Rokhafrooz

Shahram Molavynejad

Ahmad Fakhri

“Growth under pressure”: The Experience of COVID-19 ICU Nurses - A Qualitative Study

“压力下的成长”：COVID-19重症监护室护士的经验——一项定性研究

Abstract Background: COVID-19 is an example of an epidemic and sudden crisis that has affected many aspects of life and work and identifying the factors that contribute to its impact can help prevent similar crises in the future. The purpose of this study was to investigate fear of COVID-19, health anxiety, and work–family conflict in nurses working in COVID-19 wards in hospitals affiliated with the Tehran University of Medical Sciences (TUMS). Materials and Methods: This descriptive-analytical study used a census method to survey 226 nurses working in eight hospitals affiliated with TUMS. Demographics information and three questionnaires including; the Fear of COVID-19 Scale, Short Health Anxiety Inventory, and Work–Family Conflict Scale were completed online. Data were analyzed using descriptive statistics and analytical statistics, and a significance level of p &lt; 0.05 was considered. Results: Structural equation modeling test showed that work–family conflict had an effect on health anxiety, and health anxiety had an effect on fear of COVID-19 ( p &lt; 0.05). The severity of the effect of work–family conflict on health anxiety was 0.73, and the severity of the effect of health anxiety on fear of COVID-19 was 0.46. Work–family conflict had an indirect effect on fear of COVID-19 mediated only by health anxiety ( p &lt; 0.05) and the severity of the indirect effect was 0.33. Conclusions: Health anxiety plays a mediating role in the relationship between work–family conflict and fear of COVID-19. Workplaces should provide more support to their employees during a crisis such as the COVID-19 pandemic, and prevention programs should be implemented to decrease anxiety.

Seyedeh Fatemeh Mirbazegh

Simin Ranjbaran

Seyed Farshad Allameh

Ali Ganjalikhan Hakemi

Fereshteh Rezaie

Forouzandeh Jannat

Gholamreza Ghaedamini Harouni

Ladan Fattah Moghaddam

Fear of COVID-19, Health Anxiety and Work-Family Conflict in Nurses Working in the COVID-19 Ward

COVID-19恐惧、健康焦虑与护士在COVID-19病房工作中的工作-家庭冲突

This study aimed to investigate the effect of Emotional Freedom Technique (EFT) on the severity of fatigue among women with Multiple Sclerosis (MS).This was a single-blind, randomized controlled trial study conducted on 50 women with MS in Isfahan, Iran. Sampling was performed using simple sampling method, then the participants were randomly divided into two groups of case and sham using the minimization method. The EFT intervention was performed on the case group, 2 sessions per week for a 4-weeks period. In the sham group, with the same psychological part of the EFT technique like case group, mild tapping was applied on false points for the same period of time. Fatigue severity score was obtained using the Fatigue Severity Scale (FSS) before and immediately and 4 weeks after the intervention in the two groups. Data analysis was conducted using descriptive and inferential statistical methods.The results of the independent t-test indicated that the mean (SD) score of fatigue severity before the intervention was not significantly different between the case and sham groups 5.48 (0.75) and (5.39 (0.71) with (p = 0.67). However, this difference was significant immediately [(3.05 (0.89) and 5.15 (0.94)] and 4 weeks after the intervention 3.10 (0.81) and 5.59 (0.57) (p < 0.001).It seems that EFT is effective in diminishing fatigue among patients with MS and is recommended as a convenient and safe non-medicament strategy for self-management of fatigue among these patients, and can be used at the bedside by nurses.

Zeinab Ghaderi

Fatemeh Nazari

Vahid Shaygannejad

The effect of emotional freedom technique on fatigue among women with multiple sclerosis: A randomized controlled trial

情绪自由技术对多发性硬化症女性患者疲劳的影响：一项随机对照试验

Abstract Background: Prolonged labor is associated with various maternal and neonatal complications. This study aims to investigate the relationship between 25-hydroxyvitamin D3 levels and pain intensity and duration of labor stages in primiparous women. Materials and Methods: This cross-sectional study was conducted in Iran from November 2021 to January 2022 and comprised primiparous women who were in active labor after a term pregnancy (37–42 weeks). Five milliliter of blood was taken from each subject and centrifuged for the measurement of vitamin D level using the enzyme-linked immunosorbent assay method. The High-Performance Liquid Chromatography (HLPC) method was used to measure 25-OH vitamin D. In addition, through history, examination, and investigations, the subjects were evaluated according to the pain intensity and duration of the first (active phase) and second stages of labor. Results: The results of the Pearson correlation test indicated a significant relationship between vitamin D and active phase duration (r = 0.64, p = 0.012), second stage duration (r = 0.73, p = 0.001), pain intensity of the active phase (r = 0.61, p = 0.022), and pain intensity of the second stage (r = 0.65, p = 0.026). According to the analysis of variance table, based on vitamin D, there were statistically significant differences between the groups in terms of the active phase duration, second stage duration, pain intensity of the active phase, and that of the second stage of labor ( p &lt; 0.05). Conclusions: Low levels of vitamin D may influence the progress of labor and increase the rate of prolonged labor.

Mahsa Naderi Beni

Parvaneh Mousavi

Seyed Mahmood Latifi

Marjan Beigi

Zahra Abbaspoor

Relationship between 25-Hydroxyvitamin D3 Levels with Pain Intensity and Duration of Labor Stages in Primiparous Women

25-羟基维生素D3水平与初产妇疼痛强度及产程持续时间的关系

Background: Patients With Stroke (PWS), like patients with other chronic health conditions, need long-term care in home settings. Patient transfer from hospital to home is associated with challenges such as care quality impairment and ineffective patient need fulfillment. The aim of this study was to assess the principles of Home Care (HC) for PWS. Materials and Methods: This integrative review was conducted in 2023 using the method recommended by Whittemore and Knafl. The Web of Science, Google Scholar, ScienceDirect, ProQuest, Scopus, Cumulative Index to Nursing and Allied Health Literature, PubMed, and specific databases for stroke care guidelines were searched to find relevant articles published between 2010 and 2023. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was used for document screening and selection. The data were analyzed using the constant comparison method. Results: Primarily, 2608 documents were retrieved, and 22 of them were included in data analysis. The principles of HC for PWS were categorized into six main categories: principles of transition from hospital care to HC, principles of assessment for HC, principles of education for HC, principles of designing an HC plan, principles of HC measures, and principles of discharge from HC centers. Conclusions: The present study provides a detailed overview of the principles of HC for PWS, which can be used to develop standard guidelines and improve the quality of HC for PWS.

Somayeh Bahadoram

Narges Arsalani

Masoud Fallahi-Khoshknab

Farahnaz Mohammadi-Shahbolaghi

Asghar Dalvandi

The Principles of Home Care for Patients with Stroke: An Integrative Review

卒中患者家庭护理原则：综合评述

Background: Several challenges are experienced by caregivers of patients with chronic kidney disease undergoing hemodialysis treatment. These difficulties pertain to the patients, their hemodialysis treatment, and other caregiving responsibilities and concerns. Given the adverse effects of caring for individuals with such conditions on the lives of caregivers, this study aims to investigate the experiences of hemodialysis patients’ family caregivers. Materials and Methods: A qualitative study with a descriptive, phenomenological approach was conducted in the hemodialysis department of a teaching hospital in Birjand, Iran, in 2022. Fourteen participants were selected through purposive sampling. The data were collected through semistructured interviews and analyzed using Colaizzi’s method. Results: The participants were caregivers of dialysis patients who had a 6-month history of caring for patients and were first-degree relatives of the patient. A total of 278 initial codes emerged, which were categorized into three overarching themes and eight subthemes based on the research purpose and question. The overarching themes comprised caregiver time and cost strain, social challenges faced by the caregiver, and life challenges faced by the caregiver. Conclusions: Caregivers of patients with chronic kidney disease face problems in multiple dimensions and are susceptible to developing new problems. The majority of caregivers in this study were extremely vulnerable women; if they experience difficulties, the family’s foundation will be weakened. Therefore, caregivers should be included in patients’ treatment plans. The expression of caregivers’ experiences can help solve the problems they are facing and also helps hospital managers and health planners better plan to solve problems.

Rasool Solaimanimoghaddam

Tahereh Baloochi Beydokhti

Mohammad Reza Firouzkohi

Family Caregivers’ Experiences of Living with Hemodialysis Patients: A Descriptive Phenomenology

家庭照顾者与血液透析患者共同生活的体验：描述性现象学研究

Background: Several people suffered from fatigue after recovering from coronavirus disease 2019 (COVID-19). However, limited studies focused on fatigue in women who recovered from COVID-19 infection. This study aimed to investigate the prevalence of fatigue among Thai women after COVID-19 infection and to identify predictive factors, including depression, anxiety, fear, and insomnia. Materials and Methods: A cross-sectional research design using convenience sampling was conducted from October 2022 to January 2023. A total of 142 Thai women after COVID-19 infection were recruited from two urban communities located in the Bangkok Metropolitan area, Thailand. The participants completed self-reported questionnaires, including the demographic and illness-related data questionnaire, the Depress Anxiety Stress Scales, the Insomnia Severity Index, the Fear of Progression Questionnaire, and the Fatigue Severity Scale. Data were analyzed using mean, standard deviation, range, Pearson’s product-moment correlations, and stepwise multiple regression. Results: All (100%) participants returned the questionnaires. After recovering from COVID-19 infection for at least 1 month or longer, 39.40% of the participants reported fatigue. The multiple regression analysis revealed that fear, anxiety, and insomnia collectively contributed to 47% of the variance in the participants’ fatigue (R 2 = 0.47; p &lt; 0.001). Conclusions: Nearly two-quarters of Thai women after recovering from COVID-19 infection experienced fatigue. To prevent fatigue among Thai women after COVID-19 infection, it is necessary to help them overcome feelings of fear and anxiety. Furthermore, nursing interventions aiming to alleviate insomnia should be implemented.

Chanokporn Jitpanya

Surachai Maninet

Pannita Saengkham

Prevalence and Predictors of Fatigue among Thai Women after COVID-19 Infection

泰国女性在COVID-19感染后疲劳的流行率及预测因素

Background: The actions of healthcare workers in treating and caring for people with mental illness are influenced by various factors. Therefore, this study aimed to assess beliefs, knowledge, and perception of Indonesian Mental Healthcare Workers (MHWs) regarding mental illness. Materials and Methods: A cross-sectional study was conducted among 173 MHWs in May 2021 using a newly developed questionnaire distributed through convenience sampling methods. Results: Most respondents were female (n = 135, 77.14%) and married (n = 148, 84.57%), with a mean (SD) of age of 37.57 (6.55) years old. Most believed that mental illness was caused by personal weakness (n = 131, 74.86%) and often led to mental retardation (n = 115, 65.71%). Furthermore, approximately half of this population believed mental illness could be cured through marriage (n = 80, 45.71%). Conclusions: The evaluated MHWs commonly held misconceptions about the cause and treatments of mental illness. Consequently, relevant training was recommended to be performed for mental health literacy enhancement.

Marthoenis Marthoenis

Beliefs, Knowledge, and Perception of Indonesian Mental Healthcare Workers Regarding Mental Illness: A Cross-Sectional Study

印度尼西亚心理健康工作者对精神疾病的信念、知识和感知：一项横断面研究

Background: The care process involves essential tasks of assisting, supporting, and facilitating nursing activities to meet the comprehensive needs of patients. Coronavirus disease 2019 (COVID-19) is a global infectious disease that has caused a pandemic. Nurses play a crucial role in caring for and treating patients with COVID-19. This study aims to explain the care process in patients with COVID-19. Materials and Methods: A qualitative study using the grounded theory method was conducted from 2021 to 2022. Eleven nurses providing care to hospitalized patients with COVID-19 were purposively selected from the COVID wards of Shariati Hospital in Tehran, Iran. Data were collected through in-depth semistructured interviews and observation. Data analysis was conducted using the approach developed by Corbin and Strauss (2008). Results: The data analysis phase identified a main theme of “protection and support in the shadow of uncertainty” along with five main categories and ten subcategories. The main categories included “encountering life-threatening crisis”, “maintaining safety”, “improving the patient’s physical health”, “encouraging”, and “feeling satisfied despite the burden of care”. Conclusions: Nurses aimed to improve the physical and psychological conditions of patients with COVID-19 by implementing a comprehensive care plan. The five main categories identified can be considered the primary approach to nursing care in the COVID-19 crisis. Additionally, the nurses’ experiences can help establish the necessary infrastructure for care and education during other potential health crises.

短名	Iranian J Nursing Midwifery Res
Journal Impact	0.93
国际分区	NURSING(Q3)

ISSN	1735-9066, 2228-5504
h-index	31

涉及主题	医学心理学生物护理部内科学精神科数学病理统计社会学政治学法学经济外科计算机科学临床心理学遗传学哲学经济增长社会心理学人类学物理疗法物理心理治疗师社会科学环境卫生人口学地质学医疗保健干预（咨询）古生物学人口
出版信息	出版商: Wolters Kluwer Medknow Publications，出版周期: ，期刊类型: journal，开源期刊: 是
基本数据	创刊年份: 2014，原创研究文献占比: 89.53%，自引率:0.00%， Gold OA占比: 30.45%
期刊费用	$500详情
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