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Background: Transplant nurse coordinators have close and long‐term interactions with organ donor families throughout the organ donation process. Due to the responsibilities and high sensitivity of organ transplant coordination, transplant nurse coordinators face several stressful challenges. This study aimed to explore the challenges faced by Iranian transplant nurse coordinators. Methods: This is a qualitative study conducted using qualitative content analysis. This study was conducted from February to September 2023. Semi‐structured face‐to‐face interviews were conducted with a total of 14 transplant nurse coordinators. Data were analyzed using conventional qualitative content analysis proposed by Graneheim and Lundman. Results: "Challenges of living as a transplant nurse coordinator" was identified as the main category, the subcategories of which included "consent‐obtaining obstacles," "exposure to violence," "compassion fatigue," "obsessive thoughts," "work–life imbalance," and "hardworking coordinators in the shadow." Conclusions: The challenges experienced by transplant nurse coordinators can lead to several negative consequences, including job burnout and turnover, reduced quality of family and marital life, additional healthcare costs, and reduced organ donation rate. To address these challenges, cultivating a culture of organ donation in society could involve public awareness campaigns and educational initiatives. Improving the working conditions and occupational incentives could include reducing work hours, providing psychological support, and increasing salaries. Implementing psychological interventions could involve regular counseling sessions and stress management programs. These measures can effectively reduce the challenges transplant nurse coordinators face and improve their overall well‐being and job satisfaction. [ABSTRACT FROM AUTHOR]

Background: Maintaining patients' dignity is a key ethical requirement in healthcare and is emphasized in nursing standards. This issue is particularly significant for patients with schizophrenia because they face unique challenges such as physical and psychological difficulties, dependence on others, and social isolation, making them more vulnerable. Organizational factors can either threaten or preserve their dignity. However, there is little knowledge in this domain within the sociocultural context of Iran. Research Objective: This study aimed to explore the role of the healthcare organization in the dignity of patients with schizophrenia, based on the opinions of patients, healthcare personnel, and family caregivers. Research Design: This qualitative study was conducted with 26 participants (16 patients, 4 family caregivers, 2 nurses, 3 psychologists, and 1 service worker) who were selected using a purposeful sampling method. The data were collected through semi-structured, in-depth face-to-face interviews until data saturation was reached. The data were analyzed via Graneheim and Lundman's method. Ethical Considerations: The study protocol was approved by the Research Ethics Committee of Urmia University of Medical Sciences (IR.UMSU.REC.1401.099). Findings: Based on data analysis, participants reported the three following challenges as organizational hidden threats to patients' dignity: "Lack of facilities," "premature management," and "ineffective communication." Conclusion: The study findings indicated that the healthcare organization does not support the dignity of patients. Management inefficiency and lack of facilities are evident in psychiatric hospitals, and healthcare centers are not monitored based on standard criteria. Limited interactions between healthcare personnel and patients were identified as the main reasons for the neglect of patients with schizophrenia and the violation of their dignity. The results of this study can help healthcare policymakers in designing and implementing effective programs to preserve the dignity of patients with schizophrenia. [ABSTRACT FROM AUTHOR]

Background: Nurse‐to‐nurse (N2N) horizontal violence has been documented among the main determinants of nurses' turnover intention. Even with its utmost importance, inadequate attention has been thus far drawn to the way crisis‐induced pressure added to work environments, such as the coronavirus disease 2019 (COVID‐19) pandemic, can impact horizontal violence, and then give rise to turnover intention. Aim: The present study was to investigate the relationship between N2N horizontal violence along with its dimensions and turnover intention among clinical nurses. Methods: A cross‐sectional survey was conducted utilizing the Turnover Intention Questionnaire (TIQ), developed by Kim et al. (2007), and the Negative Acts Questionnaire‐Revised (NAQ‐R; Einarsen, Hoel, & Notelaers, 2009). The participants, recruited by random sampling, included 295 clinical nurses working in referral hospitals for COVID‐19. The data were also analysed using the SPSS software package (ver. 19), via descriptive and inferential statistics, Pearson correlation test and multiple linear regression. Results: The study participants obtained the mean scores of 52.50 ± 11.85 and 45.38 ± 13.24 for turnover intention and horizontal violence, respectively. Among the dimensions of horizontal violence, the highest value belonged to "work‐related bullying," with the mean score of 51.04 ± 15.23, and the lowest was associated with the "physically intimidating bullying" dimension, with the mean value of 15.90 ± 5.96. The Pearson correlation test results correspondingly showed that turnover intention was positively correlated with work‐related bullying (r = 0.73), person‐oriented bullying (r = 0.72), physically intimidating bullying (r = 0.53) and overall horizontal violence (r = 0.74). The regression analysis outcomes additionally demonstrated that the work‐related and person‐oriented bullying dimensions of N2N horizontal violence could predict turnover intention in nurses (F = 184.66, p < 0.001). Implications: The study findings help nursing managers and policymakers to immediately formulate sound measures and guidelines to prevent or at least manage the problems, viz., N2N horizontal violence and turnover intention. These measures can be thus in the form of training programs focused on communication, stress reduction and conflict resolution techniques, especially during crises, together with obvious procedures for reporting the incidents of horizontal violence. [ABSTRACT FROM AUTHOR]

Background: Healthcare providers involved in an unexpected adverse patient safety event are affected by negative outcomes of the event and are called 'second victims'. The Second Victim Experience and Support Tool has been introduced as a reliable and valid measure to assess the second victim responses and to support recourses of healthcare professionals. Aim: The core objective of this survey was to assess the psychometric attributes of the scale within Iranian nurse. Methods: Having translated the scale based on the WHO guidelines and assessing its face validity, a board of 8 specialists assessed the content validity of the measure. In order to assess the psychometric characteristics of the questionnaire, a survey was conducted in 5 university‐affiliated hospitals of Urmia. Confirmatory factor analysis is adopted to assess the construct validity. The internal consistency and test–retest reliability of the scale were determined. Results: The Persian version of the scale consists of 29 items and 9 subscales. Confirmatory factor analysis illustrated that the scale reflects a foolproof construct validity. Cronbach α coefficients revealed the reliability of the scale (0.68–0.88). Conclusions: The survey proves to be a reliable and valid measure to evaluate the second victim responses and conceivable support resources of Iranian nurses or other Persian‐speaking healthcare professionals of the region. Implications for health policy and practice: Health policymakers ought to build up large‐scale surveys to determine the degree of second victimization of healthcare professionals so as to offer suitable support systems. Taking the scale into account would improve evaluation of the benefits of second victim support initiatives in nursing practice. [ABSTRACT FROM AUTHOR]

Background: Chemotherapy drugs may have numerous side effects for patients. Thus, this study was conducted with the aim to determine the effect of peer education on the management of chemotherapy side effects in patients with cancer. Materials and Methods: This randomized, controlled trial was conducted on 80 patients with cancer in 2018. They were allocated to two groups of intervention and control. The self-care education on chemotherapy side effects was provided by the peers to the individuals in the intervention group. The data collection tools included a demographic characteristics form and the Self-Care Diary (SCD). Data analysis was performed using independent t-test and Chi-square test in SPSS software. Results: The results showed that the mean scores of the effectiveness of self-care behaviors were significantly higher in the intervention group compared to the control group after the intervention (p < 0.05). Conclusions: Peer education is recommended for cancer patients undergoing chemotherapy. [ABSTRACT FROM AUTHOR]

Background: Nurses' adherence to ethical values in the field of patient care is affected by various factors, especially moral intelligence. The role of moral intelligence on professional commitment is an issue leading to improving the quality of services and health promotion. The aim of this study was to investigate the predictive power of moral intelligence on professional commitment of nurses. Method and Materials: This descriptive-analytical study was carried out on 100 nurses and 300 patients selected by stratified random sampling. Data were collected using the Lenik & Kiel moral Intelligence Questionnaire and Nurse Professional Commitment Questionnaire. Data were analyzed using descriptive analysis and regression. Results: The results showed that there was a significant statistical relationship between moral intelligence and professional commitment (P=0.001). There was a significant relationship between demographic variables, age and work experience with moral intelligence and two variables of gender and professional commitment (P <0.05). In addition, regression showed that dimensions of nurses 'moral intelligence account for 41% of the variance of nurses' professional commitment. of the four dimensions of nurses' moral intelligence, compassion had the most significant effect (P=0.03, β=0.32). Conclusion: The results of this study showed that moral intelligence is associated with professional commitment and is able to predict it. Therefore, it is recommended that nursing managers and authorities to put the Strengthening nurses' moral intelligence in the list of their priorities. [ABSTRACT FROM AUTHOR]

Background: The aim of the present study was to determine the effect of peer education on the level of knowledge, comprehension, and knowledge application of patients regarding chemotherapy complications. Materials and Methods: This study was performed on 80 patients with cancer undergoing chemotherapy in 2018. The participants were selected through convenience sampling and randomly allocated to the two groups of control and intervention (40 participants per group). Before the intervention, the participants in both groups completed a demographic characteristics form and the Educational Needs Assessment Questionnaires. Then, the peer education intervention was designed based on the educational needs of the patients regarding chemotherapy complications for the intervention group. Peer education was performed face-to-face and individually during two chemotherapy sessions. The questionnaires were re-administered to both groups 2 weeks after the end of the second chemotherapy session and data analysis was performed using independent t-test, Chi-square. Results: The means of knowledge (t78 = 19.74, p < 0.001), comprehension (t78 = 17.27, p < 0.001), and knowledge application (t78 = 14.84, p < 0.001) were significantly increased after peer education in the intervention group compared to the control group. The difference in the means of knowledge (t39 = 17.40, p < 0.001), comprehension (t39= -18.53, p < 0.001), and knowledge application (t39= -13.94, p < 0.001) after peer education, compared to before the intervention, was significant in the intervention group. Conclusions: Peer education can lead to increased level of knowledge, comprehension, and knowledge application of patients in terms of chemotherapy complications. [ABSTRACT FROM AUTHOR]

AbstractThis study aimed to explore the experiences of families of brain-dead patients regarding religio-cultural facilitators and barriers in decision-making for organ donation. This is a qualitative descriptive study, in which a total of eighteen families of brain-dead patients were recruited using purposive sampling. Data were collected using semi-structured face-to-face interviews. After recording and transcribing the interviews, concepts were extracted using conventional content analysis. The main theme was entitled “religio-cultural facilitators and barriers in decision-making on organ donation” and consisted of four main categories, including two facilitators of “life-giving culture” and “life-giving sacredness” and two barriers of “decision-making skepticism” and “opportunity-burning religiousization”. Therefore, cultural and religious issues require further attention and a more realistic and logical cultural and religious perspective toward organ donation should be created at the societal level. [ABSTRACT FROM AUTHOR]

Antineoplastic drugs (ANDs) for the treatment of cancers could result in the occupational exposure of nurses and consequent side effects. This study aimed to evaluate knowledge, attitude, and performance of oncology nurses and to survey nurses' chemotherapy workload and the experienced side effects. A cross-sectional study was conducted at four hospitals of Urmia University, Iran. Two self-reported questionnaires were distributed among 54 oncology nurses to collect information on nurses' workload and side effects as well as to evaluate their level of knowledge, attitude, and performance. Totally, 54 nurses were participated in the study. The mean age and chemotherapy work experience of nurses were 32.4±6.5 and 4.3±3.5 yr, respectively. Nearly 52% and 36% of nurses reported the lack of safety guideline and training program at their workplaces, respectively. Hair loss, headache, and period abnormalities were the most reported side effects of exposure with ANDs. All nurses prepared ANDs in biological safety cabinet but 85.5% and 37% of nurses used the respirator and eye protection during drug preparation. The mean score of knowledge, attitude, and performance of nurses was 9.43±1.5 out of 12, 39.14±6.5 out of 60, and 13.41±4.7 out of 23, respectively. The result clearly points to the fact that there is a need for implementation of guidelines and training in studied oncology units. Through the provision of proper personal protection and regarded training, hospitals could demonstrate organizational support leading to improvement of knowledge and performance as well as decrease of nurses' concerns in exposure with ANDs. [ABSTRACT FROM AUTHOR]

Background: Since dignity is one of the fundamental rights of each patient, maintaining patients' dignity is essential. Unfortunately, in many cases, particularly among patients with schizophrenia (SCZ), dignity is not fully respected. Nonetheless, there is limited knowledge regarding this matter in Middle Eastern Nations., Research Objective: This study aimed to identify the barriers to maintaining dignity for patients with schizophrenia from the perspective of patients with schizophrenia, their family caregivers, and healthcare personnel., Research Design: This qualitative study was conducted with patients ( n = 16), family caregivers ( n = 4), and healthcare personnel ( n = 6) who were selected using a purposeful sampling method. The data were collected through semi-structured, in-depth face-to-face interviews until the data reached saturation. Data were analyzed using the Graneheim and Lundman method., Ethical Considerations: The Research Ethics Committee of Urmia University of Medical Sciences (IR.UMSU.REC.1401.099)., Findings: Analysis of the interviews revealed two main themes and five subthemes as the barriers to maintaining dignity for patients with schizophrenia. The main themes included "Black shadow of stigma" (three subthemes: "Facing the fear and discrimination of others," "Misconceptions in society," and "Social rejection") and "Facing violations" (two subthemes: "Basic human rights violation" and "Negative emotional responses")., Conclusion: Patients' dignity with schizophrenia was at a low level due to the negative attitude of society toward these patients. In this respect, the basic human rights violations, social rejection, and misconceptions were abundant in society and care centers. An in-depth comprehension of the threatening factors affecting dignity can assist policymakers in safeguarding their dignity through effective programs., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Background: Trauma is one of the most important issues and problems considered in most countries in today's modern and industrial society. Since pre-hospital care is the first component of a trauma care system, if done properly, it can reduce the problems associated with long-term disability and death due to trauma. Therefore, the present study was conducted to determine the impact of training based on a modified team-based learning (TBL) method on the skills of medical emergency personnel in managing trauma patients in 2022., Materials and Methods: The present study was a two-group clinical before/after study in which 96 technicians were selected using a stratified random sampling method. The sample members were randomly divided into an intervention group and a control group. In the intervention group, skills for dealing with trauma patients were taught through a modified team-based learning method. The results were analyzed using SPSS software version 21., Results: The results of the repeated measures analysis of variance showed a significant difference between the intervention and control groups in learning skills for dealing with trauma patients ( P <0.001), which were determined by examining the effect of test repetition and the effect of interaction. The changes in the studied variables in the TBL groups were significantly greater than those in the control group ( P <0.001)., Conclusion: The results indicate that training based on the modified team-based learning method is effective for the management of trauma patients by medical emergency personnel and improves the readiness of personnel in this field., Competing Interests: The authors declare that they have no conflicts of interest.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article., (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)

Background: The aim of the present study was to determine the effect of peer education on the level of knowledge, comprehension, and knowledge application of patients regarding chemotherapy complications., Materials and Methods: This study was performed on 80 patients with cancer undergoing chemotherapy in 2018. The participants were selected through convenience sampling and randomly allocated to the two groups of control and intervention (40 participants per group). Before the intervention, the participants in both groups completed a demographic characteristics form and the Educational Needs Assessment Questionnaires. Then, the peer education intervention was designed based on the educational needs of the patients regarding chemotherapy complications for the intervention group. Peer education was performed face-to-face and individually during two chemotherapy sessions. The questionnaires were re-administered to both groups 2 weeks after the end of the second chemotherapy session and data analysis was performed using independent t -test, Chi-square., Results: The means of knowledge (t 78 = 19.74, p < 0.001), comprehension (t 78 = 17.27, p < 0.001), and knowledge application (t 78 = 14.84, p < 0.001) were significantly increased after peer education in the intervention group compared to the control group. The difference in the means of knowledge (t 39 = 17.40, p < 0.001), comprehension (t 39 = -18.53, p < 0.001), and knowledge application (t 39 = -13.94, p < 0.001) after peer education, compared to before the intervention, was significant in the intervention group., Conclusions: Peer education can lead to increased level of knowledge, comprehension, and knowledge application of patients in terms of chemotherapy complications., Competing Interests: Nothing to declare., (Copyright: © 2019 Iranian Journal of Nursing and Midwifery Research.)