Eurasian Journal of Chemical, Medicinal and Petroleum Research

Abstract Background: Heart failure (HF) is a chronic, progressive condition with high prevalence and mortality rates worldwide. Despite advances in medical management, patients with HF face significant challenges in self-care, leading to poor clinical outcomes and frequent hospital readmissions. Adherence to self-care behaviors is critical for reducing hospital readmissions, yet many patients struggle with maintaining these behaviors due to insufficient education and follow-up.

Objective: This study examined the impact of the Continuous Care Model (CCM) on self-efficacy and hospital readmission among patients hospitalized with HF.

Methods: This quasi-experimental study conducted on 70 patients with HF visiting two teaching hospitals in southeastern Iran in 2021. Patients were selected using convenience sampling and randomly assigned to two groups: control (n=35) receiving routine care and intervention (n=35) receiving CCM. The intervention consisted of six individual training sessions during hospitalization, six sessions post-discharge, and weekly telephone follow-up until the twelfth week. Data collected using a demographic form, readmission assessment, and Sullivan's Cardiac Self-Efficacy Scale. Analysis was performed using SPSS version 22 with chi-square, independent and paired samples t-tests, and ANCOVA at P < 0.05 significance level.

Results: ANCOVA revealed significantly higher self-efficacy scores in the intervention group after implementing CCM (P = 0.001). Independent t-test results showed that readmission frequencies in the control group (1.03 ± 1.01) were significantly higher than in the intervention group (0.34 ± 0.68) (P = 0.001).

Conclusion: The Continuous Care Model significantly improved self-efficacy and reduced hospital readmission frequency among patients with HF. Given its ease of implementation, applicability, and low cost, healthcare authorities recommended to develop policies for implementing CCM for HF patients.

Abstract Objectives: Globalization has led to increasingly diverse patient populations in healthcare settings. Emergency departments (EDs), as high-pressure, fast-paced environments, require staff to possess strong communication and social interaction skills to ensure quality care. This study aimed to investigate the relationship between cultural intelligence (CQ) and the communication skills and social interactions of ED staff members.

Methods: This cross-sectional study conducted on 197 ED staff members from three hospitals in Zanjan, Iran, in 2019. Data collected using the Cultural Intelligence Scale (CQS), a Communication Skills Scale, and a Social Interactions Questionnaire. Data analysis performed using descriptive statistics and correlation tests.

Results: Participants' mean scores for cultural intelligence and communication skills were 85.78 ± 6.24 (out of 140) and 55.41 ± 3.9 (out of 90), respectively. For social interactions, the mean score for positive thoughts (47.86 ± 4.14) was higher than for negative thoughts (33.01 ± 3.92). The total CQ score showed a significant positive correlation with communication skills (P < 0.001). Furthermore, higher CQ scores were significantly associated with increased positive thoughts and decreased negative thoughts (P < 0.001).

Conclusions: The findings demonstrate that higher cultural intelligence among ED staff is associated with better communication skills and positive social interactions. Healthcare leaders recommended to educational programs and workshops to enhance the cultural intelligence of ED personnel, which can improve both staff communication and the quality of patient care.

Abstract Context: Cardiac arrest remains one of the leading causes of death worldwide, with survival rates remaining low despite advances in treatment protocols. Nurses play a critical role as first responders in cardiopulmonary-cerebral resuscitation (CPCR). Therefore, ensuring adequate CPCR training for nursing staff is essential to improve patient outcomes.

Objective: This systematic review aimed to provide an overview of CPCR training methods for nurses in Iran and to evaluate their effectiveness in improving nurses'' knowledge, skills, and performance.

Methods: A systematic search conducted in international databases including PubMed, Scopus, CINAHL, Google Scholar, and Persian databases including SID, IranMedex, and Magiran for articles published between 2010 and 2020. English and Persian keywords including "education," "training," "cardiopulmonary-cerebral resuscitation," "nurses," "knowledge," "skill," and "performance" were used. 21 articles were identified; after removing duplicates and screening for relevance, 10 studies were included in the final review. Quality assessment performed using appropriate critical appraisal tools.

Results: The review identified three main categories of CPCR training methods: conventional (lectures, pamphlets, and mannequin practice), modern (simulation, workshops, video-based, and flipped classroom), and integrated approaches. Conventional methods primarily improved knowledge but showed limited effects on skills retention. Modern and integrated methods demonstrated superior outcomes in enhancing both knowledge and practical skills. Simulation-based and workshop approaches yielded the highest skill acquisition and satisfaction levels among nurses.

Conclusions: Integrated training methods combining conventional and modern approaches are the most effective for improving nurses'' CPCR competence. Healthcare policymakers and educational managers should implement standardized, multifaceted training programs with regular refresher courses to maintain CPCR skills.