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Introduction: Music and massage therapy are among the approaches of complementary medicine. Patients with cancer have been hugely encouraged in recent years to use complementary medicine to relieve chemotherapy-induced nausea and vomiting. The present study was conducted to determine the effect of music and periorbital massage therapy on chemotherapy-induced nausea and vomiting in patients with gastrointestinal cancers. Methods: The present single-blind clinical trial study was conducted on 60 patients with gastrointestinal cancer undergoing chemotherapy who were randomly assigned to control and music plus massage therapy groups. Two interventions were concurrently carried out on patients in music plus massage therapy group while receiving chemotherapy medication, but the control group received no intervention. Rhodes questionnaire was used to assess nausea and vomiting before and 24 hours after chemotherapy. Data were analyzed using descriptive and analytical statistical tests (Chi-square and t tests). Results: Music plus periorbital massage therapy significantly reduced nausea and vomiting in patients undergoing chemotherapy compared to the control group (P<0.05). Conclusion: According to the results, using music plus periorbital massage improves nausea and vomiting in patients undergoing chemotherapy, and can be considered as a complementary medicine method in conjunction with other medicinal therapies to relieve symptoms of patients with cancer.

IntroductionSocial well-being is one of the important aspects of health. In fact, this is a reflection of experience in a social environment, indicating how social challenges are determined. In other words, social well-being is an explanation of people's perception and experience of being in a good situation, satisfaction with the structure, and social interaction. This qualitative study intended to explore nurses’ experience of social well-being.MethodsQualitative content analysis was used to conduct the study. Through purposive sampling, a total of 18 nurses with various clinical experiences participated in semi-structured interviews. The data were analysed using the five-step, qualitative content analysis introduced by Graneheim and Lundman.ResultsThe main theme extracted from the data analysis was “thirst for a holistic support” in nurses. It consisted of two subthemes including internal support (family's support, colleague's support, and organizational support) and external support (society's support and media's support).Conclusions and discussionNurses’ experiences in shaping their social well-being show that nurses need support in order to rebuild their social well-being. It is supported in partnership with the media, the community, health-related organizations, and by nurses and family. This improves job satisfaction, hope, motivation, commitment, and confidence so as to ultimately facilitate improvement of social well-being of nurses.

Background. Motivational interviewing (MI) is a strategy for promoting adherence to treatment regimens among patients with diabetes. However, limited evidence exists regarding its effectiveness in reducing A1C. Objective. To identify and synthesize evidence about the effectiveness of patient, provider, and health system interventions to improve diabetes care among patients with type 1 diabetes. Design. This was a systematic review of randomized controlled trials. Methods. A search was conducted of the scientific databases MEDLINE, Elsevier, CINAHL, Google Scholar, ProQuest, Ovid, and PubMed without imposing any time limit. Only four documents met the inclusion criteria and were included in the final analysis. The methodological quality of these four articles was reviewed by three reviewers using the Jadad Scale. The main intervention and the primary outcome in this study were MI or motivational enhancement therapy and A1C, respectively. Results. The retrieved studies reported that MI promotes self-monitoring of blood glucose and reduces A1C. Conclusion. MI is effective in enhancing patients’ adherence to the treatment regimen and thereby decreasing A1C. Given the fact that the reviewed studies had not eliminated the effects of confounding factors, further studies are needed to assess the pure effects of MI on adherence to treatment regimens and A1C levels.

Emergency department (ED) nurses and emergency medical services (EMS) staff have been recently exposed to high levels of stress due to the new Coronavirus (COVID-19) pandemic. This increased stress level may influence the physical and mental health of ED nurses and EMS staff and the quality of caregiving to the patients. A spiritual coping approach is one of the most commonly used strategies to help healthcare workers manage stressful events or situations. This study explores the spiritual coping (positive or negative) among ED nurses and EMS staff during the COVID-19 pandemic. A descriptive cross-sectional study was performed on 494 ED/EMS nurses in Ardabil Province in the northwest of Iran, using a convenience sampling method. The spiritual coping questionnaire (SCQ) was used to assess spiritual coping in the subjects. The results of this study showed that ED nurses and EMS staff generally used positive spiritual coping methods to reduce stress during the COVID-19 pandemic. Multiple linear regression indicated that workplace ( β = 0.22, p < 0.001), service location ( β = 0.16, p < 0.001), and type of employment ( β = − 0.13, p = 0.012) were significant predictors of positive spiritual coping, and older age ( β = 0.13, p = 0.045), overtime work ( β = 0.12, p = 0.01), and marital status ( β = − 0.12, p = 0.021) were predictors of negative spiritual coping. Our findings indicated that positive religious behavior was the main spiritual coping strategy used by healthcare workers. The findings could help emergency nurse managers to propose future strategies to minimize stress based on the use of spiritual coping strategies and provide time and facilities to pray. Supplementary Information The online version contains supplementary material available at 10.1007/s10943-022-01523-7.

Introduction Culture is an important determinant in providing appropriate and coordinated health care for people from different ethnicities. The present study aimed to evaluate the status of cultural care among nurses working in teaching hospitals affiliated to Ardabil University of Medical Sciences. Methods In this descriptive-correlational study, 350 nurses completed the Persian version of Cultural Care Inventory (PCCI). This tool consists of 51 items and measures cultural care process in four domains including cultural preparation, cultural attitude, cultural awareness and cultural competence. Data were analyzed by IBM SPSS Statistics for Windows, version 22. Results The grand item mean of cultural care was 2.60 ± 0.621, which is considered poor. The grand item mean was 2.64 ± 0.78 in the subscale of cultural preparation, 3.45 ± 0.559 in cultural attitude, 2.81 ± 0.736 in cultural awareness and 2.58 ± 0.834 in cultural competence. Cultural competence was significantly related to cultural preparation (r = 0.80), cultural attitude (r = 0.62) and cultural awareness (r = 0.87). Discussion Based on the present findings, cultural care and its dimensions (with the exception of cultural attitude) were at a poor level. It can also be claimed that there is a direct and strong relationship between the dimensions of cultural care including cultural preparation, awareness, attitude and competence, which indicates the interdependence of these dimensions on each other. Nurses need to improve their cultural competence to ensure of providing patient-centered and culturally coordinated care.

Background & objectives: Inappropriate nutrition places employees at risk of being overweight or obese, and not only affect their health but also indirectly may affect patients. The trans-theoretical model is one of the most common models of health promotion. It is recognized as one of the ways of identifying and changing diet, especially increasing the consumption of fruits and vegetables. In this model, behavioral changes can be seen in stages. Therefore, this study designed to determine the status of cognitive and behavioral processes and its stages of change for fruit and vegetable consumption. Methods: This cross-sectional study was conducted with the participation of 300 nursing and midwifery staffs of Ardabil hospital using systematic random sampling method. Data gathering instrument was a validated questionnaire to collect information on demographic characteristics, stages and the process of change for fruit and vegetables consumption. The data was analyzed by SPSS (ver. 23) to measure central tendency, spearman correlation test, ANOVA, and Post-hoc. Results: Average age and BMI of participants were 31±7.05 and 25.7±3.5 respectively. The majority of subjects (77.3%) were in the early stages of change (pre-contemplation, contemplation, and preparation) for fruit and vegetable consumption while, only 22.7% was in active stages (action and maintenance). The mean scores of cognitive and behavioral processes were at a higher level in the maintenance stage and the lowest in the contemplation. Finally, the mean scores of social liberation, environment re-evaluation, self re-evaluation, stimulus control and counter conditioning processes increased from the inactive stages to the active stages. Conclusion: Findings support the effect of processes of change in fruits and vegetables consumption among nursing and midwifery staffs, so that using behavioral process of change such as stimulus control and self liberation can lead to positive progress in stage of change. We suggest educational programs to increase consumption of fruits and vegetables, particularly considering individuals' current stages and processes of change.

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