Effect of White Noise on Sleep in Patients Admitted to a Coronary Care

Social well-being and place attachment are two important concepts in health and quality of life of older adults. There are few studies on the relationship between these concepts at the individual level. Therefore, this study aimed to determine the effect of place attachment dimensions on social well-being dimensions in older adults. This study was a descriptive and cross-sectional study conducted on 550 community-dwelling older adults in a metropolitan area of Tehran. Participants were selected using a multistage cluster sampling approach. A Persian version of the Social Well-being Scale and the Place Attachment Scale were used to collect data. Data analysis was performed using an independent t test, ANOVA, Pearson correlation and multiple regression analysis by IBM SPSS statistics V.22 software. Findings showed that place identity, place dependence, and social relations in neighborhood explained, respectively: (β = .34), (β = .26), (β = .09) of the variance in social integration; (β = .36), (β = .23), (β = .18) of the variance in social acceptance; (β = .24), (β = .23), (β = .16) of the variance in social contribution; (β = .27), (β = .22), (β = .17) of the variance in the social actualization. In social coherence, place identity (β = .33) and social relations in the neighborhood (β = .13) were significant predictors (p < .05). The results of this study revealed that the place attachment is a strong predictor for the social well-being of older adults. Any change in the place of attachment leads to changes in the social well-being of the elderly.

Background: Moral sensitivity creates the basic attitude in providing effective ethical care to patients. Heavy mental workload is a major concern of critical care nursing professionals, which could adversely affect nursing staff and patients. The present study aimed to investigate the effects of mental workload and some demographic variables on the moral sensitivity of critical care nursing professionals. Methods: This cross-sectional, descriptive-correlational study was performed on 181 nursing professionals working in the critical care units of Shahid Rajaei Cardiovascular Medical and Research Center in Tehran, Iran. Data were collected using a demographic questionnaire, the moral sensitivity questionnaire, and the NASA-task load index to assess mental workload. Data analysis was performed in SPSS version 22 using descriptive statistics, independent t-test, Pearson’s correlation-coefficient, and regression analysis. Results: The results of regression analysis yielded no statistical significant relationship between heavy mental workload and moral sensitivity of the critical care nursing professionals, while clinical experience had a positive, significant association with moral sensitivity. Conclusions: Although care nursing professionals experience a heavy mental workload in critical care units, it does not decrease their moral sensitivity. In addition, experienced nurses have higher moral sensitivity and lower mental workload. Therefore, it seems that nursing managers should pay special attention to the importance of employing experienced nurses along with younger nurses.

Background: Making decision about what kind of caring is entitled as futile care requires the presentation of a clear definition of such caretaking. Objective: To report an analysis of the concept of futile care. Design : The analysis in this research was carried out through hybrid model in three stages. At the theoretical stage: a review of the available literature. At the work-in-field stage: semi-structured interviews. Setting: Data collection was on cancer unit and palliative care unit. Participants : A total of 7 participants were recruited in the study. The inclusion criteria were: having at least a bachelor's degree in nursing, having at least 5 years of experience in critical care or cancer units, and being willing to participate in the study. Results: Three themes emerged: “low quality of life”, “lack physiologic return to life” and “performing non-professional duties”. Conclusion: Futile care consists giving clinical cares irrelevant to a nurse's job and giving cares through which the return of patient would be impossible both physiologically and qualitatively.

Background: The quality of care has a significant impact on the condition of elderly patients. Many factors affect the quality of care, including ethical considerations. Ethical considerations, such as moral sensitivity, change in times of crisis. The present study was conducted to assess the relationship between moral sensitivity and the quality of nursing care for the elderly with Covid-19 in Iranian hospitals. Methods: This was a cross-sectional descriptive correlational study. The participants included 445 nurses that were selected by quota sampling method from hospitals admitting COVID-19 patients. The data were collected using the Moral Sensitivity Questionnaire (MSQ) and Quality Patient Care Scale (QUALPAC) as self-reports. We used the SPSS software v.16 for statistical analysis. Results: The total score of moral sensitivity and quality of care was 52.29 ± 16.44 and 2.83 ± 0.23, respectively. Moral sensitivity negatively correlates with psychological, social, and physical aspects (P < 0.05). Modifying autonomy, interpersonal orientation, and experiencing moral conflict predicted β = 0.10 of the psychosocial aspect of quality of care. Structural moral meaning and expressing benevolence predicted the changes in the physical dimension of quality of care (β = 0.02). Conclusion: The quality of care had a significant inverse correlation with moral sensitivity. Multiple regression analysis showed that modifying autonomy, interpersonal orientation, and experiencing moral conflict could predict the psychosocial dimensions. Structuring moral meaning could predict the physical dimension. The communication aspects were not related to any of the dimensions of moral sensitivity.