{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:15:10Z","timestamp":1758845710919,"version":"3.44.0"},"reference-count":40,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"unspecified","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004366","name":"Tabriz University of Medical Sciences, Tabriz, Iran","doi-asserted-by":"crossref","award":["1400.1179"],"award-info":[{"award-number":["1400.1179"]}],"id":[{"id":"10.13039\/501100004366","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,9,2]]},"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Understanding maternal perceptions of the quality and safety of care serves as a crucial management tool for the planning and enhancement of health interventions. In Iran, where cultural norms emphasise mothers\u2019 central role in caregiving and healthcare resources are often limited, incorporating their perspectives into nursing care strategies is essential. This study aimed to assess the perception of key nursing safety practices among Iranian mothers of children with leukaemia undergoing their first chemotherapy course.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>A longitudinal study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Oncology wards of hospitals affiliated with Tabriz University of Medical Sciences.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>Mothers of children with leukaemia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The mean perception score increased from 2.75 (out of 4) at baseline to 2.99 by week 4. The largest increases in perception were observed in patient identification and hand hygiene, with mean differences of 0.41 and 0.38, respectively. A significant increase in overall perception and subscales was observed (p&lt;0.001). Mothers\u2019 education level, economic status, child\u2019s age, family size and the child\u2019s leukaemia type (acute lymphocytic leukaemia vs acute myeloid leukaemia) were significantly associated with their perceptions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Actively involving mothers in the care process enhances their perceptions of safety and quality during hospitalisation. Supportive and educational interventions are needed to further improve the safety and quality of nursing care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-101161","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T10:35:52Z","timestamp":1758796552000},"page":"e101161","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Iranian mothers\u2019 perceptions of key nursing safety practices during first chemotherapy treatment of children with leukaemia: a longitudinal study"],"prefix":"10.1136","volume":"15","author":[{"given":"Hosna","family":"Ghorbani","sequence":"first","affiliation":[{"name":"Student Research Committee, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3925-1272","authenticated-orcid":false,"given":"Akram","family":"Ghahramanian","sequence":"additional","affiliation":[{"name":"Medical Education Research Center, Health Management and Safety Promotion, Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran"},{"name":"Department of Medical Surgical Nursing, School Of Nursing And Midwifery, Tabriz University Of Medical Sciences, Tabriz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arefeh","family":"Davoodi","sequence":"additional","affiliation":[{"name":"Department of Medical Surgical Nursing, School Of Nursing And Midwifery, Tabriz University Of Medical Sciences, Tabriz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7047-5309","authenticated-orcid":false,"given":"Leila","family":"Valizadeh","sequence":"additional","affiliation":[{"name":"Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3072-1998","authenticated-orcid":false,"given":"Farzaneh","family":"Bagheriyeh","sequence":"additional","affiliation":[{"name":"Department of Medical Surgical Nursing, School Of Nursing And Midwifery, Tabriz University Of Medical Sciences, Tabriz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"key":"2025092503351583000_15.9.e101161.1","doi-asserted-by":"crossref","unstructured":"Khanali Mojen L , Rassouli M , Ashrafizadeh H , et al . 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