Journal of Holistic Nursing and Midwifery

Introduction: Self-harm is a hidden health issue and an emergency priority that is relatively common among adolescents. The standard level of service management for self-harming patients is directly related to the knowledge and attitude of nurses when providing care to self-harming patients. Objective: This study aimed to determine the knowledge and attitude of nurses regarding the care of self-harming adolescents and related factors among emergency nurses. Methods: This analytical cross-sectional study involved 208 nurses with over 6 months of work experience in the emergency departments of educational hospital in Rasht, Iran. The nurses were included through census sampling. The data collection tool was a three-part questionnaire including demographic information, the Attitudes Towards Deliberate Self-Harm Questionnaire (ADSHQ), and knowledge. Data were analyzed using the Kolmogorov-Smirnov and Shapiro-Wilk tests, multiple linear regression, the Friedman test, and Spearman’s correlation coefficient. Results: Based on results the mean age of the participants was 34.8 ± 7.8 years and the majority of them (90.9%) were female and had bachelor’s degree (88.5%). The mean score of nurses’ knowledge was 0.67 ± 0.12. Nurses’ attitudes were positively evaluated with a mean score of 3.59 ± 0.28. Additionally, the attitude score had a positive correlation with the knowledge (r=0.252,p=0.001,). The knowledge score was significantly associated with nurses’ marital status (P= 0.042) and experience in caring for self-harming adolescents (P=0.016), Based on findings of multiple linear regression analysis, attitude score was significantly associated with nurses’ age (β=0.184, 95% CI; 0.061- 0.323, p=0.004) and experience in caring for self-harming adolescents (β=2.495% CI; 0.340 - 4.595, , p=0.023). Conclusion: Based on results, it is recommended to employ more experienced nurses in emergency departments to deal with these adolescents. Furthermore, it is necessary to develop orientation and retraining programs to familiarize nurses and strengthen positive attitudes, focusing on increasing empathy and self-confidence for effective care.

Fereshteh Froughizad

Yasaman Yaghobi

Farzaneh Sheikholeslami

Elnaz Farajii Nesfechi

Ehsan KazemnezhadLeili

Knowledge and Attitude of Emergency department Nurses about Care of Self-Harming Adolescents and Related Factors: A Cross Sectional Study

急诊科护士对自残青少年护理的知识与态度及相关因素的横断面研究

Najme Ghashghaee

Parvaneh Rezasoltani

Mojgan Nazari

Ehsan Kazemnezhad Leyli

Comparison of Pregnancy-related Concerns, Perceived Social Support, and Anxiety Between Pregnant Mothers With and Without Participation in Antenatal Education Classes

孕期相关问题、感知社会支持和焦虑在参加与未参加产前教育课程的孕妇母亲之间的比较

Introduction: Preeclampsia is a common pregnancy complication with the multisystem variable disorder. Yet, the literature has not been systematically reviewed for the relationship between previous cesarean section and the risk of preeclampsia. Objective: This study aimed to identify the relationship between previous cesarean delivery and the risk of preeclampsia. Materials and Methods: This study was a systematic review and meta-analysis. PubMed, Scopus, ProQuest, and Web of Sciences were searched to identify eligible observational studies until May 25, 2019. The odds ratio (OR) and 95% confidence intervals (CI) were calculated as random effect estimates of association among studies. The quality of the included studies was examined based on the Newcastle-Ottawa scale. Results: This study included 7 eligible articles (2 studies with a case-control design, 4 with a cohort design, and 1 with a cross-sectional design). The meta-analysis results showed an increased risk of preeclampsia in the women with previous cesarean section compared to women without cesarean section (OR=1.28, 95% CI, 1.15%-1.41%, P=0.001), I2=37.2%. The quality of all studies except one study was high based on the Newcastle-Ottawa scale. The subgroup analysis was conducted based on the adjusted form of studies. The crude and adjusted studies were 1.29 (95% CI, 0.13%-2.46%, P=0.2) and 1.29 (95% CI, 1.22%-1.36%, P=0.001), respectively. Conclusion: These findings showed that previous cesarean section is a risk factor for preeclampsia. Therefore, education programs and interventions should be considered to reduce elective cesarean section on maternal requests.

Ensiyeh Jenabi

Salman Khazaei

Soodabeh Aghababaei

Previous Cesarean Section and the Risk of Preeclampsia: A Meta-analysis

既往剖宫产与子痫前期风险：一项Meta分析

Introduction: Patient feedback on safety-related factors provides valuable preventative information to manage safety and improve hospital care quality. Objective: This study aims to determine the perspective of hospitalized patients toward safety. These patients were admitted to the medical and surgical wards in two hospitals in Tehran, Iran. Materials and Methods: This research is a descriptive-analytical study. A total of 290 patients hospitalized in the medical and surgical wards of two hospitals in Tehran were recruited between April and November 2020. They were selected using a stratified sampling method with proportional allocation. Participants were requested to evaluate and report the safety factors using the patient measure of safety questionnaire. The obtained data were analyzed using the independent t-test, variance analysis, and Pearson correlation coefficient. Results: Fifty-three percent of the participants in this study were male, with a mean age of 50.75±17.36 years. Approximately one-fourth of the patients had cancer, with 35.1% suffering for 1 to 6 months. The patients’ most and least favorite perspectives mean scores were toward dignity and respect (3.80±1.07) and access to resources (3.31±0.66), respectively. Moreover, patients’ views on safety were related to their disease type (P=0.021).

Maryam Ehsani

Mansoureh Ashghali Farahani

Shima Haghani

Fatemeh Marandi

Evaluation of Safety from the Perspective of Patients Hospitalized in Medical and Surgical Wards

从内科和外科病房住院患者角度评估安全性

Introduction: Reducing childbirth rates is a serious problem in some countries. Iran is one of the countries experiencing a decrease in the fertility rate, with a more than 50% decrease in avery’s child statistics. Objective: This study aimed to determine childbearing desire and its related factors among married women. Materials and Methods: In this cross-sectional study, 550 women aged 15 to 49 referring to comprehensive health centers in Rasht City were selected by multi-stage random sampling. Information was collected using a questionnaire consisting of three parts. The audience was asked about their willingness to have children in the personal and social profile section, the fertility information section, and the third section that to detect degree of desire to have children. Descriptive statistics and the chi-square and logistic regression were used to investigate the factors affecting the reluctance to have children. Results: The results of the research showed that the mean age of the women, the spouse, the age at marriage, and the duration of their marriage were 31.57±6.2, 35.69±6.6, 22.42±4.52, and 9.05±6.5 years, respectively and 54.9% of women were currently willing to have children. The relationship between unwillingness to have children was significant regarding the husband’s age (OR=1.112, 95% CI, 1.050%-1.177%, P=0.001). Also, the relationship between reluctance to have children and the age at marriage was not significant; however, it became significant with the length of marriage (OR=1.090, 95% CI, 1.019%-1.167%, P=0.013). The relationship between unwillingness to have children and the women’s opinion about the desired number of children was significant (OR=8.101, 95% CI, 3.518%-18.654%, P=0.001). The relationship between unwillingness to have children and the number of current children was significant (OR=16.515,95% CI, 8.293%-32.888%, P=0.001). Conclusion: Our analysis showed that the inability to accept the responsibility of being a parent is one of the reasons why people postpone childbearing to the fourth decade of life and even beyond. Detailed studies are needed to correct the current trend of population decline.

Asieh Jahanbakhshi

Maryam Niknami

Sedigheh Pakseresht

Zahra Atrkar Roushan

Sara Shirzad Chenari

Childbearing Tendency and Related Factors Among Married Women in Rasht City, north of Iran

伊朗拉什特市已婚女性生育倾向及相关因素研究

Fatemeh Azimi

Fariba Asgari

Saman Maroufizadeh

Morteza Rahbar Taramsari

Effect of Workshop Training on Nursing Students’ Knowledge and Attitude Regarding Children’s Privacy Protection: A Quasi-experimental Study

工作坊培训对护理学生儿童隐私保护知识和态度的影响：一项准实验研究

Fateme Kadkhodaei

Zahra Bostani Khalesi

Relationship Between Perceived Social Support and Anxiety in Pregnant Women With a History of Abortion

有流产史孕妇感知社会支持与焦虑的关系

Fatemeh Falahzade

Mahshid Mirzaei

Fatemeh Hosseinzadeh Siboni

Ehsan Kazemnezhad Leili

Separation Anxiety and Its Related Factors Among Preschool Children in Northern Iran From the Parents’ Point of View

伊朗北部学龄前儿童分离焦虑及其相关因素：家长视角

Publication Information	Publisher: Guilan University of Medical Sciences，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 2017，Proportion of original research papers: 0.00%，Self Citation Rate:N.A.， Gold OA Rate: 0.00%
Average review cycle	网友分享经验：53 Weeks

Journal of Holistic Nursing and Midwifery

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Knowledge and Attitude of Emergency department Nurses about Care of Self-Harming Adolescents and Related Factors: A Cross Sectional Study

Comparison of Pregnancy-related Concerns, Perceived Social Support, and Anxiety Between Pregnant Mothers With and Without Participation in Antenatal Education Classes

Previous Cesarean Section and the Risk of Preeclampsia: A Meta-analysis

Evaluation of Safety from the Perspective of Patients Hospitalized in Medical and Surgical Wards

Childbearing Tendency and Related Factors Among Married Women in Rasht City, north of Iran

Knowledge and Attitude of Emergency department Nurses about Care of Self-Harming Adolescents and Related Factors: A Cross Sectional Study

Comparison of Pregnancy-related Concerns, Perceived Social Support, and Anxiety Between Pregnant Mothers With and Without Participation in Antenatal Education Classes

Effect of Workshop Training on Nursing Students’ Knowledge and Attitude Regarding Children’s Privacy Protection: A Quasi-experimental Study

Relationship Between Perceived Social Support and Anxiety in Pregnant Women With a History of Abortion

Separation Anxiety and Its Related Factors Among Preschool Children in Northern Iran From the Parents’ Point of View

ISSN	2588-3712, 2588-3720
h-index	7