This study aimed to explore the lived experiences of nurses caring for patients with COVID-19 in Iran. Methods: This study was a descriptive phenomenology. Sampling was purposefully performed, and participants were selected in terms of the inclusion criteria. Data were collected through semi-structured interviews using the WhatsApp mobile messaging application. Colaizzi's method was used to analyse the data. The criteria introduced by Lincoln and Guba were used for the study rigour. Results: The data were obtained from 12 nurses caring for patients with COVID-19. The mean age of the participants was 29.41 years (SD = 2.72) with a mean work experience of 6.75 years (SD = 2.52). Three main themes and six subthemes were identified: mental condition (subthemes included "anxiety and stress" and "fear"), emotional condition (subthemes included "suffering and affliction" and "waiting for death"), and care context (subthemes included "turmoil" and "lack of support and equipment"). Conclusion: The results of this study show that nurses working in the wards and care centres designated for patients with COVID-19 are experiencing mental and emotional distress and are working in inadequate professional conditions.

BackgroundThe COVID-19 pandemic has led to many challenges such as increased number of patients and the risk of the disease progress in the world’s healthcare systems, especially nursing. The capacity of technology can help nursing in such conditions. The aim of this study was to explore the lived experiences of patients with COVID-19 with home care by using telenursing.MethodsThe present study is a qualitative research conducted using the descriptive phenomenological method. The participants were selected using purposive sampling method and considering the inclusion and exclusion criteria. After obtaining ethical approval, data were collected through semistructured interviews. Open-ended questions and follow-up were used in the interviews. The interviews were conducted using Skype application and telephone. All data were recorded, and MAXQDA software was used to manage the data. Data analysis was performed using Colaizzi’s seven-step method. Lincoln and Guba’s criteria were used to evaluate the trustworthiness of the data.ResultsThe main themes and their subthemes included ‘facilitators’ (improvement of relationships, adequate education and counselling, adequate care and support, improvement and promotion of health) and ‘barriers’ (lack of previous knowledge and experience, infrastructure problems, confusion in hospital programmes and the pressure caused by the COVID-19 pandemic).ConclusionGiven the potential capacity of telenursing, strong field studies are recommended to be conducted in this area. The results of such studies can contribute to the rapid and serious use of telenursing in the area of care, education, support, follow-up and counselling of patients.

Aim. To describe and synthesize aspects of knowledge, attitudes, and practice regarding pharmacovigilance and adverse drug reaction (ADR) reporting and to explore associated barriers from a nurse perspective. Methods. A systematic review was conducted. Electronic databases including MEDLINE, Embase, Scopus, and Web of Knowledge from January 2010 to October 2020 were searched. Original observational studies that were written in English and which focused on nurses’ knowledge, attitudes, practice, and perceived barriers regarding pharmacovigilance and ADR reporting in various healthcare settings were included. Results. Twenty-three studies published in English from 2010 to 2020 were retrieved during the search process. Overall, in the knowledge domain, the median percentages of nurses who were aware of the definitions of ADRs were 74.1%, while only 26.3% were aware of the adverse drug reaction reporting form. In the attitude domain, 84.6% of nurses believed ADR reporting to be important for patient/medicine safety and 37.1% had a fear of legal liability following ADR reporting. Although 67.1% of nurses encountered ADRs during their professional life, only 21.2% had a history of ADR reporting. In addition, lack of knowledge/training (median: 47.1%) was identified as the most common barrier in ADR reporting from a nursing viewpoint. Conclusion. Despite positive nurse attitudes, knowledge and practice in relation to pharmacovigilance activities and ADR reporting did not occur regularly or often. Improving nurses’ knowledge through in-service training and degree-level education and addressing the main barriers of ADR reporting may help to achieve an improved level of reporting.

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Introduction: The burden of caring for patients with mental disorders falls more on their family members who provide all necessary support. The burden of care is directly related to the needs of the patients. Most of the caregivers of the mentally ill patients experience the extreme burden of care. Therefore, this study aimed to determine the caregiver burden of family caregivers of patients with mental disorders hospitalized in Shaheed Rajai Hospital in Yasuj in 2016. Methods: In this analytical cross-sectional study, 246 family members of patients with mental disorders hospitalized in Shaheed Rajai Hospital in Yasuj, Iran, were selected using the convenience sampling method. After obtaining consent from the authorities and based on the inclusion criteria, data were collected using a demographic questionnaire and the caregiver burden inventory (Novak & Guest, 1989). Data collection was conducted for 6 months. The data were analyzed using descriptive statistics (demographic characteristics of samples, mean, standard deviation, percentage and frequency of the variables) and inferential statistics (independent t-test) by SPSS software version 21. Results: The mean age of the family caregivers of mentally ill patients was 34.53 ± 13.74 years. The highest frequency and percentage of home caregivers was reported for the children of mentally ill patients (114, 46.3%). The highest burden of care was seen on the moderate burden level, with the frequency and percentage of 34 (51.5%) and on the intense level with the frequency and percentage of 32 (48.5%), which showed no significant difference (P = 0.74). Among the components of caregiver burden, time-dependent burden with a mean (SD) of 15.01(1.66) had a maximum load. Conclusions: Considering that the burden of care can affect the quality of care of the mental patients, and can aggravate their mental conditions, necessary trainings are required to reduce the caregiver burden on the family caregivers of the mentally ill patients.

Background and Objective:Haemovigilance recognizes and eliminates complications caused by blood transfusions, improves the quality of nursing care, and increases patient satisfaction. With regards to the importance of the problem, this study aimed to determine the effect of haemovigilance education, using a conceptual map on the knowledge of nursing students. Materials and Methods: The present study was a semi-experimental study carried out at the Saveh University of Medical Science in 2017. Samples consisted of 60 nursing students of the Saveh University of Medical Science. They were selected by census sampling and based on entry and exit criteria and randomly assigned to two groups of test and control. For data collection use of the haemovigilance knowledge questionnaire. Its validity was confirmed and its reliability was reported as 0.83 using Cronbach's alpha coefficient. The training program was conducted in 4 sessions. For data analysis, descriptive statistics and inferential statistics (independent t-test, chi-square, Fisher's exact test and Wilcoxon test) and SPSS-25 software were used. Results: There was a significant difference between the two groups in the test and control groups (P=0.0001). There was a significant difference in the level of knowledge among students between the two groups after intervention (P = 0.0001). The students' knowledge score in the test and control groups was significantly different after the intervention (P = 0.0001). The mean change in knowledge of students before the intervention was significantly different in the test group (P = 0.0001). Conclusion: The Conceptual map is a new method that haemovigilance education through it increases the awareness of nursing students and reduces the complications of improper use of blood products in patients.

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