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Showing 102 results for Care
Elham Tavakoli, Fatemeh Golshani, Anita Baghdasarians,
Volume 14, Issue 1 (3-2025)
Abstract
Abstract
Aim. The present study aimed to evaluate a causal model of health anxiety based on spirituality, with the mediating role of cognitive avoidance in Intensive Care Unit (ICU) nurses.
Background. Health anxiety is considered one of the major psychological challenges in clinical settings, particularly among ICU nurses, who face significant psychological and emotional pressures, which can have detrimental effects on their professional performance and personal well-being.
Method. This was a descriptive correlational study. The statistical population consisted of all male and female nurses working in ICUs in Tehran (District 3) during the spring and summer 2024. A sample of 267 nurses was selected via non-random quota sampling, and they completed the Health Anxiety Inventory, the Spirituality Questionnaire, and the Cognitive Avoidance Questionnaire. Data were analyzed using structural equation modeling (SEM) via AMOS 26 software.
Findings. The results indicated that the proposed model has a good fit with the data and accounts for 67 percent of the variance in health anxiety. In the structural model, the direct path from spirituality to health anxiety was negative and significant (â= - 0.655), while the path from cognitive avoidance to health anxiety was positive and significant (â= 0.569). Furthermore, spirituality had a significant indirect effect on health anxiety by reducing cognitive avoidance (â= - 0.288).
Conclusion. Spirituality and cognitive avoidance are key components in explaining health anxiety. These findings emphasize the importance of simultaneously considering internal spiritual resources and cognitive strategies in understanding the structure of health anxiety and provide a theoretical basis for designing psychological interventions to promote mental health among ICU nurses.
Zahra Jafari, Atefeh Shamsi,
Volume 14, Issue 1 (3-2025)
Abstract
Abstract
Aim. The aim of this review is to summarize the available evidence on the impact of different components of developmental care on physiological, nutritional, behavioral, and family outcomes of infants with heart disease and to identify the challenges of implementing this care in cardiac intensive care units.
Background. Congenital heart disease is the most common congenital anomaly in newborns, and affected infants, especially those undergoing open-heart surgery and prolonged hospitalization in the cardiac intensive care unit, are at significant risk of neurodevelopmental delays. Developmental care has been proposed as a family-centered approach to reduce environmental stress and support infant brain development in this high-risk population, but its implementation in neonatal cardiac unit remains challenging and limited.
Method. In this narrative review, 15 research and review articles published between 2016 and 2025 that directly addressed developmental care, neurobehavioral outcomes, and family involvement in infants with heart disease were screened and analyzed.
Findings. Findings were categorized into four main areas: 1) the role of developmental care in hemodynamic stability and reduction of mechanical ventilation duration, 2) the effectiveness of interventions on feeding patterns and weight gain, 3) the role of parental involvement and Kangaroo care in reducing stress and improving behavioral scores, and 4) barriers to implementing developmental care in cardiac intensive care units, including lack of training, resources, and competing clinical priorities.
Conclusion. The available evidence, although mainly derived from observational and qualitative studies with limited sample sizes, fairly uniformly supports the positive impact of developmental care on short-term outcomes in infants with heart disease. The development of standard clinical guidelines, training of nursing staff, and active family participation are among the main priorities for improving this care in the future.
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