Lived experiences of young adults facing a recent diagnosis of cancer: A phenomenological study.

INTRODUCTION: Young adulthood is a period of prosperity and freshness characterized by developmental achievement, which can be inhibited by various diseases such as cancer. Typically considered a terminal disease, if diagnosed in young adulthood, cancer may trigger a tremendous psychosomatic shock. The nature of facing a recent cancer diagnosis affects the whole coping process. Addressing young adults' experiences at the confirmation point of cancer diagnosis will facilitate supporting them through the early recognition of probable problems in the future. Therefore, the present study aimed to analyse the lived experiences of young adults facing a recent cancer diagnosis. METHODS: This qualitative study adopted an interpretive phenomenology design. In this study, 12 patients (with an age range of 20-40) were selected using the purposive sampling method. Data collection was done through in-depth, semistructured interviews. The data were analysed following the method proposed by Diekelmann et al. FINDINGS: Three main themes and nine subthemes were extracted from the data: (1) spiritual detachment and then acceptance through spirituality in the form of denial and then forced acceptance, sense of guilt and spiritual help-seeking, and anger towards God and then humbleness, (2) the shock of facing an extraordinary life shaped by disturbed role-play and unusual lifestyle, (3) anticipatory anxiety concerning the sense of rejection, negative perspective towards future, inability to afford the costs and worries about the future of the family members. CONCLUSION: This was the first study providing significant insights into the experiences of young adults facing a recent cancer diagnosis. The diagnosis of cancer can shadow all aspects of young adults' lives. The findings of the present study empower healthcare professionals to provide newly diagnosed young adults with appropriate health services. PATIENT CONTRIBUTIONS: To identify and recruit the participants, we explained the objectives of the present study to the unit managers either by phone or in person. The participants were approached and interviewed by three authors. Participation was voluntary and the participants received no financial contribution for their time.

Comparison of the effect of teaching Bundle Branch Block of electrocardiogram through storytelling and lecture on learning and satisfaction of nursing students: A quasi-experimental study.

AIM: In this study, we taught learners the interpretation of the bundle branch block in two ways of storytelling and usual lecture, then compare the effect of these two methods on the level of learning and satisfaction. Storytelling can lead to deep learning, promoted critical thinking of students and enhanced clinical skills. It is an effective teaching method engaging nursing and midwifery students in clinical education. DESIGN: A quasi-experimental study. METHODS: We conducted this study in the training hospital, Ardabil, Iran, from 2019 to 2020. We selected 70 nursing students of semesters 6th and 7th through convenience sampling then allocated them randomly into two groups of intervention (n = 40) and control (n = 30). We taught the same topics to the intervention group via the storytelling method and the control group via lecturing. Data collection tools included a standard questionnaire of satisfaction with the teaching method and learning how to interpret an electrocardiogram. Data were analyzed using chi-square and independent t-tests. The significance level was considered less than 0.05. RESULTS: Students in the control group had a higher mean score of satisfaction with the teaching method (30.00 ± 2.00) than students in the intervention group (29.00 ± 3.00). Also, There was no significant difference between the two groups regarding learning quality (P = 0.20). CONCLUSION: Both methods of storytelling and lecturing were effective in increasing students' satisfaction. However, the liking of the teaching method, learning in a short time and high motivation for learning in the intervention group were higher. It is suggested to teach electrocardiogram interpretation to nursing students first through lecturing and then stabilize the concepts in their minds through storytelling.

Nursing work intention, stress, and professionalism in response to the COVID-19 outbreak in Iran: A cross-sectional study.

BACKGROUND: Professionalism, stress and demographic factors are the three key influences in nurses' intention to provide care. OBJECTIVES: This study examined the levels of work intention, stress and professionalism of nurses and determine the relationship between nursing work intention and factors in response to COVID-19. METHODS: This cross-sectional study was conducted on 362 nurses from COVID-19-devoted hospitals in Iran. A self-administered electronic-based questionnaire was developed and used to determine levels of stress, professionalism, and nursing intention. Multiple regression analysis was carried out to analyze the correlation between nursing intention with respect to stress and professionalism. RESULTS: The overall stress, professionalism, and nursing intention scores were 48.56, 21.46, and 17.83 respectively. There were significant differences in nursing intention scores between gender, marital status, and having training groups (p < 0.05). The regression analysis revealed that nursing intention had a significant relationship with older age (p < 0.001,S.E = 1.11,B = 17.02), higher income level (p < 0.001,S.E = 1.81,B = 6.98), having previous training (p = 0.008,S.E = 1.22,B = 3.27), higher stress level (p < 0.001,S.E = 2.37,B = -21.39), and high professionalism level (p < 0.001,S.E = 1.16,B = 11.99). CONCLUSION: Having an adequate staff requirement plan, planning appropriate training for nurses, and proactive psychological support are crucial to prevent burnout and continue to provide nursing services.