Journal of Pediatric Perspectives

Investigating of Moral Distress and Attitude to Euthanasia in the Intensive Care Unit Nurses

Jila Alborzi; Fahimeh Sabeti; Shahram Baraz; Mojtaba Miladinia; Vahid Saidkhani; Asaad Sharhani

Volume 6, Issue 11 , November 2018, , Pages 8475-8482

https://doi.org/10.22038/ijp.2018.28177.2439

Abstract

Background: Considering the religious and legal structures in Iran, the occurrence of euthanasia seems to be impossible; however, the attitude of nurses towards euthanasia and its related ... Read More Background: Considering the religious and legal structures in Iran, the occurrence of euthanasia seems to be impossible; however, the attitude of nurses towards euthanasia and its related factors may also affect creating moral distress conditions for nurses. Therefore, this study aimed to investigate of the moral distress and attitude of Adult and Neonatal Intensive Care Units (AICU/ NICU) nurses toward euthanasia. Materials and Methods: In this descriptive-analytical study, all the nurses working in intensive care units of Educational Hospitals affiliated with Ahvaz Jundishapur University of Medical Sciences (Ahvaz city, Iran) were selected by census. Data were collected using Corley's Moral Distress Scale and Holloway’s Euthanasia Attitude Scale. Single-variable and multivariate linear regression tests were used to analyze the data and to determine the relationships between independent and dependent variables. Analyses were done using SPSS software (version 22).Results: The attitude of all nurses towards euthanasia was negative (min score=20, max score=73, mean score= 43.78±7.99). The mean Moral distress frequency and Moral distress intensify were 47.01±12.90 and 48.42±11.62, respectively (indicates moderate ethical distress). In AICU nurses, there was a significant relationship between the frequency of moral distress and the nurses’ attitudes. However, there was no significant relationship between the intensity of moral distress and the nurses’ attitudes. In NICU nurses, there was no significant relationship between the frequency of moral distress and intensity of moral distress with nurses’ attitude toward euthanasia. Conclusion: The religious and cultural conditions of the country have caused all nurses did not consider euthanasia to be acceptable under any circumstances. Further studies are needed to better understand the attitude of nurses towards euthanasia, especially with regard to the culture of Iranian society.

Complementary and Alternative Medicine in the Pediatrics with Leukemia: A Narrative Review Study

Mojtaba Miladinia; Zohore Lamoochi; Parisa Lamoochi; Kourosh Zarea; Marzieh Shayesteh Fard; Hojjat zareh Houshyari Khah

Volume 5, Issue 1 , January 2017, , Pages 4175-4183

https://doi.org/10.22038/ijp.2016.7324

Abstract

BackgroundFor using of complementary and alternative medicine methods (CAM) in the leukemia pediatrics than other types of cancer, we have two great challenges; first challenge is their ... Read More

Controlling Acute Post-operative Pain in Iranian Children with using of Music Therapy

Mojtaba Miladinia; Shahram Baraz; Kourosh Zarea

Volume 4, Issue 5 , May 2016, , Pages 1725-1730

https://doi.org/10.22038/ijp.2016.6742

Abstract

Background: Despite the development of pediatric post-operative pain management and use of analgesic/narcotic drugs, post-operative pain remains as a common problem. Some studies suggested, ... Read More

Anxiety Control in the Iranian Children with Chronic Leukemia: Use of a Non-drug Method

Mojtaba Miladinia; Leila Fakharzadeh; Kourosh Zarea; Elham Mousavi Nouri

Volume 4, Issue 1 , January 2016, , Pages 1225-1231

https://doi.org/10.22038/ijp.2016.6307

Abstract

Background Among all malignances, leukemia has the greatest effects on patients 'psychological aspects. Anxiety is common problem in leukemia patients (especially in children). Since ... Read More

Prevalence and the Relationship between Characteristics and Parental Conditions with Risk Factors for Sudden Infant Death Syndrome (SIDS)

Mehdi Gholamzadeh Baeis; Mojtaba Miladinia; Mohammadreza Talayian; Masomeh Vahedi; Somayeh Vafayi; Maryam Tashvighi

Volume 3, Issue 6.2 , December 2015, , Pages 1135-1143

https://doi.org/10.22038/ijp.2015.5933

Abstract

Introduction Sudden Infant Death Syndrome (SIDS) is a disease which causes unexpected death of infants aged less than 1 year. Given the undeniable role of parents in the presence ... Read More

Effects of Slow-stroke Back Massage on Chemotherapy-induced Nausea and Vomiting in the Pediatrics with Acute Leukemia: a Challenge of Controlling Symptoms

Mojtaba Miladinia; Shahram Baraz; Elham Mousavi Nouri; Mehdi Gholamzadeh Baeis

Volume 3, Issue 6.2 , December 2015, , Pages 1145-1152

https://doi.org/10.22038/ijp.2015.6134

Abstract

Introduction Nausea and vomiting are the most common side effects of chemotherapy in the pediatrics with cancer which affect their quality of life. Use of some methods of complementary ... Read More Introduction Nausea and vomiting are the most common side effects of chemotherapy in the pediatrics with cancer which affect their quality of life. Use of some methods of complementary medicine in leukemia patients is problematic. Because, leukemia patients are at risk of infection and bleeding, therefore the use of acupressure, acupuncture, and deep massage can be risky in these patients. Slow- stroke back massage is applied on the surface of body, so does not have complications. No study has addressed the effect of massage therapy on chemotherapy-induced nausea and vomiting in pediatrics with acute leukemia in the world. Material and methods This study was a two-group randomized controlled trial (RCT), double blind and repeated measures design. In this RCT, 45 school age children with acute leukemia were placed in the massage and control groups. Before start of the study, at the day of chemotherapy administration (day 1th), only nausea and vomiting were measured. Then during 6 days next (day 2 through 7), the intervention group received 5-minutes Super Smash Bros. Melee (SSBM), immediately before start of each session of chemotherapy. Nausea was measured during chemotherapy, 0.5 h and 3 h after each session of chemotherapy in the two groups. Also vomiting was recorded during 24 h after each session of chemotherapy. Repeated measures ANOVA, Chi-square, and t-test were used for analysis. Results Most of pediatrics were male (58.13%), and suffered from Acute myeloid leukemia (AML) (81.7%). The repeated measure analysis showed that in the intervention group, the SSBM reduced progressive mean of nausea severity and frequency of vomit over time. While, this side effects have slightly increased over time in the control group. Conclusion The results of this study are suggesting that SSBM, as a non-pharmacologic, easy and safe method, is effective in controlling Chemotherapy-induced nausea and vomiting (CINV) in the pediatrics with acute leukemia.

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Author = Miladinia, Mojtaba

Investigating of Moral Distress and Attitude to Euthanasia in the Intensive Care Unit Nurses

Abstract

Complementary and Alternative Medicine in the Pediatrics with Leukemia: A Narrative Review Study

Abstract

Controlling Acute Post-operative Pain in Iranian Children with using of Music Therapy

Abstract

Anxiety Control in the Iranian Children with Chronic Leukemia: Use of a Non-drug Method

Abstract

Prevalence and the Relationship between Characteristics and Parental Conditions with Risk Factors for Sudden Infant Death Syndrome (SIDS)

Abstract

Effects of Slow-stroke Back Massage on Chemotherapy-induced Nausea and Vomiting in the Pediatrics with Acute Leukemia: a Challenge of Controlling Symptoms

Abstract