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Background & Aim: In the view of the importance of evidence-based clinical practice in recent years, clinical disciplines such as nursing and midwifery have found a special need to systematic review and meta-analysis. However, systematic reviews and meta-analysises like any other studies may be poorly designed and implemented. Therefore, certain guidelines have been considered for reporting of such studies. The PRISMA statement is one of the most recent developments to improve the reporting quality of systematic reviews. The present study aimed to assess the reporting quality of systematic reviews and meta-analysises in the Iranian journals of Nursing and Midwifery, based on the PRISMA statement.

Methods & Materials: In this study, we conducted a comprehensive search on the Iranian journals of Nursing and Midwifery (Persian and English), indexed by the SID, Magiran, Irandoc, Iranmedex and Google Scholar databases during 2010 to 2015 years. The search was implemented using the key words such as systematic review and meta-analysis. Of the 44 articles found, after considering the inclusion criteria, 16 articles remained that were investigated using the PRISMA statement. Data were analyzed through the descriptive statistics and chi-square test using SPSS software version 16.

Results: The compliance rate of studies on the basis of PRISMA statement was estimated to be about 63%. The most common deficiency in the reporting quality was related to methodology estimated to be about 57%. The most visible deficiencies in the reporting of systematic reviews and meta-analysises were related to bias in the primary studies and bias in combining the results of these studies and lack of reporting these biases.

Conclusion: In this study, the reporting quality of systematic reviews and meta-analysises in the Iranian journals of nursing and midwifery was in the moderate level. The most probable reason for this may be the lack of enough attention of researchers to the PRISMA statement or not using this statement in reviewing articles. Therefore, it is recommended that an appropriate share of the educational programs on research methodology be allocated to systematic reviews and familiarizing with valid criteria such as PRISMA statement.

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Background & Aim: Violence during pregnancy affects both mother and fetus. This study was performed to investigate the relationship between physical, sexual and psychological violence during pregnancy and low birth weight in the world as a meta-analysis.

Methods & Materials: This study is a meta-analysis that was performed on articles published in Persian and English languages from the beginning of 1995 to the end of 2015. Articles were extracted by searching in the databases of Scopus, Medline, EMBASE, Pubmed, Web of Science, Google scholar, Science Direct, Irandoc, Magiran, Medlib, and SID using key words of violence during pregnancy, low birth weight, physical, sexual and psychological violence and their compounds. The results of studies were combined using a random effects model in the meta-analysis. The heterogeneity of studies was evaluated using the I² index and meta-regression, and the data analysis was performed using STATA software v.11.2 and SPSS software v.16.

Results: Of 254 found articles, 16 relevant articles with the sample number of 117287 people were included in the study. The results of meta-analysis showed that physical OR:1.61 (CI95%:2.04–2.28), psychological OR:1.26 (CI95%:1.02–1.56) and sexual violence OR:1.26 (CI95%:1.02–1.56) during pregnancy, lead to an increase in the rate of low birth weight infants in the exposed mothers.

Conclusion: Physical, psychological and sexual violence during pregnancy lead to an increase in the rate of low birth weight infants in the exposed mothers. Therefore, maternal screening and counseling by trained general practitioners and professionals before and during pregnancy are recommended.

Background & Aim: Birth weight is one of the most important indicators for evaluating the community health status.Violence during pregnancy affects both mother and fetus and leads to irreversible consequences. This study was performed to investigate the relationship between physical, sexual and psychological violence during pregnancy and low birth weight in the world as a meta-analysis.

Methods & Materials: This study is a meta-analysis that was performed on articles published in Persian and English languages from the beginning of 1995 to the end of 2015. Articles were extracted by searching in the databases of Scopus, Medline, EMBASE, Pubmed, Web of Science, Google scholar, Science Direct, Irandoc, Magiran, Medlib, and SID using key words of violence during pregnancy, low birth weight, physical, sexual and psychological violence and their compounds. The results of studies were combined using a random effects model in the meta-analysis. The heterogeneity of studies was evaluated using the I² index and meta-regression, and the data analysis was performed using STATA software v.11.2 and SPSS software v.16.

Results: Of 254 found articles, 16 relevant articles with the sample number of 117287 people were included in the study. The results of meta-analysis showed that physical OR:1.61 (CI95%:2.04–2.28), psychological OR:1.26 (CI95%:1.02–1.56) and sexual violence OR:1.26 (CI95%:1.02–1.56) during pregnancy, lead to an increase in the rate of low birth weight infants in the exposed mothers.

Conclusion: Based on the results, physical, psychological and sexual violence during pregnancy lead to an increase in the rate of low birth weight infants in the exposed mothers. Therefore, the relevant authorities are recommended to identify at-risk mothers and control their exposure toviolenceby implementing educational and interventional programs, maternal screening and counseling by trained general practitioners and professionals before and during pregnancy.

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Background & Aim: Needlestick injuries (NSIs) are a serious occupational hazard for health care providers and nurses that are often not reported for various reasons. Several studies have reported a different rate of this great challenge. The aim of this systematic review and meta-analysis was to estimate the prevalence of under-reporting of NSIs in healthcare providers in Iran.
Methods & Materials: By searching national and international databases including SID, Magiran, Google Scholar, IranMedex, Science Direct, PubMed and Scopus, 19 published articles were extracted. Data analysis was carried out through the random-effects model, and heterogeneity was investigated by I² index. The data were analyzed using the Stata software version 12.0.
Results: The rate of non-reporting of NSIs in 19 relevant articles in Iran with the sample size of 9274 was 59% (95% CI: 49-69). The rate of under-reporting of NSIs in the healthcare providers (64%) was higher than in nurses (55%). Based on the meta-regression results, there was no significant relationship between the prevalence of under-reporting of NSIs and the year of publication (P=0.138), sample size (P=0.390) and age (P=0.918).
Conclusion: The results of the study showed that more than half of health care providers did not report NSIs. Notifying health care providers about the risks of NSIs and properly dealing with the injured cases is necessary in order to increase the reporting of NSIs.
 

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Background & Aim: Needlestick injury is an occupational risk. Medical university students are more likely to prone to this kind of injury in comparison to other students due to their limited knowledge, skills and clinical experiences. The present systematic review and meta-analysis aimed to estimate the prevalence of needlestick injury in medical university students in Iran.
Methods & Materials: In the present systematic review and meta-analysis, 22 papers written by Iranian researchers published in Persian and English, were included without time limitations. The articles were found by searching Iranian (Magiran, Scientific Information Databases (SID) and IranMedex) and international (Google Scholar, Web of Science, PubMed and Scopus) databases. Data were analyzed using meta-analysis method and the random effects model.
Results: The overall prevalence of needlestick injury among medical university students was 47% (95% CI: 39-55). There was no relationship between vaccine coverage, age of samples, and sample size with the prevalence of needlestick injury. The prevalence of needlestick injuries significantly decreased with increase in the publication years of articles (P=0.03), and significantly increased (P=0.049) with lack of reporting.
Conclusion: Considering the high prevalence of needlestick injury in the students of medical sciences universities, it is of great necessity to design educational programs focusing on the proper use of sharp and cutting instruments as well as the importance of reporting and modifying professional behavior such as avoiding the reinsertion of needles in order to reduce the incidence rate of needlestick injuries.
 

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Background & Aim: Empowerment is a dynamic, positive, interactive and social process, leading to the improvement of quality of life (QOL) in patients with chronic disease. The purpose of this systematic review and meta-analysis was to determine the effect of family-centered empowerment model (FCEM) on QOL in adults with chronic diseases.
Methods & Materials: By searching FCEM in Persian databases including SID, MagIran, IranMedex, IranDoc, and googlescholar, Scopus, Pubmed, Web-of-science, Proquest, and Sciencedirect, all relevant studies were extracted. The methodological quality of the papers was examined using Cochrane-risk-of-bias. Data analysis was carried out through the random effects model and heterogeneity by I² index. The data were analyzed using the STATA software version 11.0.
Results: Of the 647 initial studies, only 8 studies examined the effect of FCEM on the QOL in adult patients using SF-36. The pooled standardized mean difference of the 8-dimensions of QOL included: social-functioning (1.781), Physical role limitation (1.416), bodily pain (0.987), general health (1.352), social functioning (1.010), general health (1.122), emotional role limitation (0.656), and vitality (1.361).
Conclusion: The implementation of FCEM had a significant effect on the 8-dimensions of QOL based on the SF-36 questionnaire. The implementation of FCEM is recommended in order to improve the QOL of adult patients with chronic disease.
 

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Background & Aim: Although pain control in patients with burns has improved over recent years, the ineffectiveness of some treatments to reduce pain in this group of patients remains a challenging issue for health care professionals. This systematic review was conducted to investigate nursing interventions in the field of pain relief in burn patients.
Methods & Materials: In this systematic review and meta-analysis, relevant information was searched from databases PubMed, Science Direct, Scopus, Irandoc, SID, and Cochrane library with keywords nursing interventions, pain, burns and their equivalent Persian keywords in the period 2010-2020. To increase the validity and reliability of the study, three people evaluated the quality of the articles separately and Jedad criterion was used to evaluate the articles.
Results: After assessing 181 articles on the databases, 19 articles were systeatically reviewed. Nursing interventions to reduce pain in burn patients included using breathing techniques, new dressings, muscle relaxation, music therapy, transcutaneous electrical nerve stimulation (TENS), electrical brain stimulation, play therapy, aromatherapy, use of Zekr Allah, massage, guided imagery, distraction techniques, and eye movement desensitization. In eight meta-analyses, total mean differences of pain relief score were estimated 1.28 (0.95% CI: 0.78-1.78).
Conclusion: Most nursing interventions reduced pain in burn patients. Easier-to-use pain relief techniques such as muscle relaxation, guided imagery, and spiritual care are emphasized.