Showing 20 results for Rad
Mr Moradali Zarei Pour, Mr Hasan Eftekharardabili, Mr Kamal Azam, Mr Ehsan Movahed,
Volume 9, Issue 1 (8-2012)
Abstract
Background and Objective : Mental health of adolescents largely depends on family welfare. In secondary school period, most of teenagers’ talents can emerge and at the end of this time, they acquire social skills and independent identity. We aimed at evaluating the mental health and its relationship with family welfare in pre-university students in Salmas city.
Material and Methods : The subjects of this cross-sectional study were 160 pre-university students selected via stratified random sampling, based on gender. We collected the data by standard GHQ-28 and research-made family welfare questionnaires, and analyzed by chi square and logistic regression, using SPSS software.
Results: Based on the results, 48.9% of girls and 35.7% of boys are suspected to have mental disorder. The percentage of mental disorder among Students whose family welfare are excellent, intermediate and poor is 22.2%, 48.8% and 61.1%, respectively. Using chi square, there is significant relation between variables such as living with parents, maternal education, parental cohabitation, number of family members and all aspects of family welfare and mental health (p<0.05). By performing logistic regression, using Backward method, significant relationship is shown between mental health and variables such as gender, maternal education, parental cohabitation, leisure activities , economic status and family facilities (p<0.05).
Conclusion: The relationship found between mental health and family welfare is needed to have appropriate policies of government and family, in the form of welfare and leisure activities, to improve adolescents’ well-being.
Keywords: Mental health, Family welfare, Adolescent, GHQ-28 Questionnaire
Dr Mahnaz Khatiban, Dr Ali Beykmoradi, Fatemeh Najafi, Dr Ghodratollah Roshanaie, Zahra Pouresmaeil, Dr Alireza Ahmadi,
Volume 10, Issue 0 (Supplementary 2013)
Abstract
Background and Objective: The Fatigue related to cancer is one of the common problems of both patients and care-givers. Nowadays, acupressure as a complementary medicine has become more common in patients with cancer for balancing and improving body energy. This study aimed to assess the effect of acupressure on the fatigue of patients with cancer.
Material and Methods: This blinded- randomized clinical trial was conducted on 85 patients with cancer in hematology ward of Beheshti hospital of Hamadan. The subjects were located in three groups of intervention, sham and control. First, the fatigue level was measured by Brief Fatigue Inventory (BFI) as a baseline. Then, real acupressure in intervention group and unreal acupressure in sham group was performed for 10 days and only routine cares were given in control group. The fatigue amount was measured on the fifth and tenth days. The Data was analyzed by SPSS software version 16, using paired T- test and repeated measurements.
Results: Acupressure was effective on the fatigue of patients with cancer (p<0.001). However, conducting unreal acupressure in sham group was effective as well (p<0.01), but the routine cares in control group was not effective and even in some cases led to increased fatigue.
Conclusion: Acupressure can be used as a complementary therapy to decrease the fatigue in the patients with cancer considering its low cost, safety and simplicity.
Dr Sadegh Hazrati, Raheleh Alijahan, Dr Babak Nokhostin, Soosan Salimi, Parisa Tahmasebi, Shahla Moradi,
Volume 10, Issue 1 (4-2013)
Abstract
Background and Objective: Urinary tract infection is one of the most common bacterial infections during pregnancy and has also been implicated as a risk factor for adverse maternal and prenatal outcomes. The aim of our study was to determine the relation between maternal urinary tract infection and adverse maternal, prenatal outcomes in pregnant women of Ardabil, Iran.
Material and Methods: This retrospective-case-control study was conducted on prenatal file records of pregnant women in Ardabil (2011). The pregnant women who had a positive urine culture in their prenatal files (N= 211) were considered as a case group and 232 ones without urinary tract infection as a control. Using a research- made questionnaire, the data related to present pregnancy and prenatal information was collected and analyzed by KrusKal Wallis, Chi- Square and Fisher statistical tests.
Results: Maternal age of under 25 (%61.6 vs. 56.5), body mass index of more than 30 (%18.3 vs. 15.6), primigravida (%55 vs. 48.8), hypertension (%2.4 vs. 1.3), hyperemesis Gravidarum (%14.8 vs. 12.6), frequency and dysuria (%1.9 vs. 0.9), low birth weight (%95.4 vs. 93.2), congenital malformation (%3.5 vs. 1.8), artificial milk feeding (%6.5 vs. 2.7), neonatal death (%0.9 vs. 0.0) are higher in urinary infection group, however the differences are not statistically significant. Other maternal and prenatal adverse outcomes such as diabetes, pre-eclampsia , hemoglobin level, prematurity, abortion and stillbirth have not significant relation with urinary infection.
Conclusion: Because of low level of adverse maternal or prenatal outcomes reported in our study, we conclude that screening and treatment of urinary tract infection in Ardabil health service is appropriate therefore, no change is needed for present screening or treatment processes.
Fatemeh Raeesian, Dr Minor Lamiyan, Dr Ebrahim Hajizadeh, Sareh Bakouie, Somayeh Soltanmoradi, Dr Lida Moghaddam Banaem , Fatemeh Seifi,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Preterm delivery is a critical factor in neonatal morbidity & mortality. The present study was performed to determine the relationship between the serum level of zinc& iron and preterm delivery.
Material and Methods: This cohort study was conducted, via multi-stage sampling, on 1033 pregnant women referred to the prenatal centers in Tehran, Iran. The instrument was demographic- productivity questionnaire completed within the14th-20th weeks of gestation. Serum level of zinc & iron was measured by spectrophotometric atomic absorption method and Ferene test, respectively. To analyze the data, we used T test, χ2 and logistic regression using SPSS16 software.
Results: The incidence of preterm delivery was 10.5%. This rate increased to 12.5% and 18.2% in lack of iron and zinc, respectively. There was no significant link between lack of zinc level and preterm delivery (P>0.05), But the relationship between lack of iron and preterm delivery was significant (P< 0.05). Based on logistic regression, there was higher risk of preterm delivery if iron serum level was low.
Conclusion: Given the high impact of lack of iron on preterm delivery, we recommend that the factors effective on intake & absorption of iron be emphasized in reproductive education courses.
Vahid Delshad, Dr Fariba Borhani, Dr Hamid Reza Khankeh, Samaneh Sabzalizadeh, Dr Abas Abaszadeh, Dr Mohammad Javad Moradian, Mohammad Javad Rahimzadeh Behzadi , Leila Malekian, Ali Reza Piri,
Volume 12, Issue 2 (12-2015)
Abstract
Background and Objective: Iran is a disaster-prone country and occurrence of disasters is inevitable. Early warning system is one of the most aspects in hospital preparedness. This research aim to determine the effect of early warning system on hospital readiness.
Material and Methods: This research was conducted in Motahari hospital in Tehran city, 2014. To perform early warning system based on the national program of readiness for disaster, we had frequent sessions with some health experts and the members of disaster committee. The level of readiness was evaluated by WHO's checklist before.
Results: Following intervention, hospital preparedness rate increased by 25 scores demonstrating significant raise from moderate to high.
Conclusion: In regard with average level of readiness in Motahari hospital and its significant increase after using early warning system, we recommend applying this system for improving the level of hospital disaster preparedness.
Phd Sajad Basharpoor , Msc Hadis Heidarirad , Phd Esmael Soleimani, Msc Behroz Degdar,
Volume 14, Issue 1 (11-2017)
Abstract
Introduction: High quality of life during the pregnancy is of great importance for both mother and the fetus. In order to identify factors affecting the quality of life of pregnant women, this study was conducted to show the role of health promoting behaviors in predicting the quality of life of pregnant women.
Methods: This was a cross sectional study. Statistical population consisted of all pregnant women who had referred to the Health Centers of Gilan-e Gharb City for receiving the prenatal care from March 2013 to September 2013, of whom, 90 people were selected by purposive non-random sampling method and data were collected by questionnaires of Health Promoting and Short Form 36 Quality of Life Questionnaire (SF-36). The data were analyzed by Pearson correlation coefficient and multiple regression analysis.
Results: The mean and standard deviation age (SD) of the pregnant women was 26.72 ± 4.45. There was a positive relationship between quality of life of pregnant women and an overall score of health promoting behaviors and variables of heath responsibility, good nutrition, spiritual growth, interpersonal relationships and stress management (P<0.005). Regression analysis also showed that 37% of the total variance in the quality of life of pregnant women is explained by interpersonal behaviors.
Conclusion: Results of this study show that health responsibility, good nutrition, spiritual growth, interpersonal relationships and stress management improve quality of life of pregnant women. Of these styles, interpersonal relationships play an important role in predicting quality of life. These results highlight the importance of training the health promoting behaviors notably effective interpersonal relationships during pregnancy.
Mohammad Moradi, Reza Zeighami , Hossein Tuzandeh Jani, Mahmud Alipur,
Volume 14, Issue 2 (9-2017)
Abstract
Background: A headache is the most common post-traumatic complaint in patients. Nurses can help to relieve the pain and to improve the quality of the care through non-pharmacological methods. The aim of this study was to determine the effect of pressure on Hugo point on the severity of a headache after head injury.
Methods: In this clinical trial, 60 patients were randomly divided into two intervention and control groups after accessible sampling. At first, the severity of a headache was measured by Visual Analogue Scale. In experimental group, the pressure was applied to Hugo point for 2 minutes followed by rest for 2 minutes; this procedure was repeated for 7 times. During this period, the control group received only routine care. The patients' pain scores were measured again after the intervention. Data analysis was performed using SPSS v.20 software.
Results: There was a significant difference between the scores of pain in the experimental group before and after the intervention (P <0.05), however, this difference was not significant in the control group.
Conclusion: Considering the ease of performing and the safety of this method, it is suggested to be used as an effective method to reduce the headache in patients.
Faramarz Shaahmadi , Ehsan Movahed , Sarallah Shojaei, Morad Ali Zareipour, Behrouz Lotfi Mine Blagh , Mahboubeh Ameri, Saiedeh Sadeghi,
Volume 15, Issue 2 (7-2018)
Abstract
Introduction: Premenstrual syndrome as a periodic event that social adjustment and interpersonal relationships can be difficult. Regarding the prevalence of premenstrual syndrome and the harmful effect of severity of symptoms on marital satisfaction, The aim of this study was to determine the relationship between severity of symptoms of premenstrual syndrome and marital satisfaction among couples in Kerman city in 2016.
Methods: This cross-sectional study that randomized 240 young couples who referred to health centers in Kerman were selected in the second 6 months of 2016. The instrument used a standard questionnaire screening premenstrual symptoms, a standard questionnaire Index Of Marital Satisfaction for the satisfaction of couples. The investigators have assured that all information obtained will remain confidential Data were analyzed by SPSS 20 software using independent t-test, one-way ANOVA, correlation coefficient and frequency distribution tables.
Results: The mean age of men and women respectively was equal to 35.5 ± 8.2 to 32.4 ± 7.6 . The mean and standard deviation of marital satisfaction score of women and men were (114.97 ± 23.27) and (125.25 ± 26.17 ) respectively There was a significant relationship between the satisfaction of men and women in relation to premenstrual syndrome (p=0/001).Pearson correlation showed an inverse relationship between the symptoms of premenstrual syndrome and couples' satisfaction. (r=-0.138 , P=0.002)..
Conclusion: With increasing severity of premenstrual syndrome in women, marital satisfaction decreases among couples.. so it is recommendate that women and men receive the necessary knowledge about to control the symptoms of premenstrual syndrome.
Keywords: Marital Relationship, couples، premenstrual syndrome
Masumeh Hemmati Maslakpak , Mehdi Torabi, Moloud Radfar, Vahid Alinejad,
Volume 16, Issue 1 (1-2019)
Abstract
Background and objectives: Chronic renal failure has a progressive nature and there is always a need for a person to care for them. A caregiver, who is usually a patient's family member, may face many problems during the care process, which ultimately causes burnout. The aim of this study is to determine the effect of psycho-educational intervention on the caregiver burden of patients undergoing hemodialysis.
Methods: This study was a clinical trial that carry out on 105 caregivers of patients undergoing hemodialysis. The burnout questionnaire of Zarit was completed by the participants. The Caregivers were allocated randomly in two groups of intervention (discussion, workshops) and control. Two weeks after the completion of 6 sessions of the group discussion and 4 sessions of the workshop, caregiver burdon questionnaire of Zarit was completed again. Data was analyzed by using version 16 of spss software and parametric and non-parametric tests.
Results: Results showed that there was no significant difference between the three groups before intervention in the mean scores of burden (p=0.423). However, after the intervention there was significant difference in the mean scores of burden between intervention groups with control group (p<0.001). Tukey post hoc test showed no significant difference between the two intervention groups in the mean scores of burden (P=0.204).
Conclusion: The results of this study can be found that training classes such as group discussion had a significant reduction in the severity of caregiver burden. Therefore, it is recommended that in the health system planning attend to the role of family members in the treatment of these patients also benefit from this training method.
Ziba Taghizadeh, Mahsa Khoshnam Rad, Anushirvan Kazemnejad,
Volume 17, Issue 0 (Supplementary 2020)
Abstract
Background: Infants are regarded as the most vulnerable group with special needs in natural disasters. Since midwives are responsible for providing reproductive health services for infants in natural disasters, this study was performed to assess their professional competencies. Methods: This cross-sectional study was conducted in Tehran, Iran. A total of 361 midwives were selected by cluster sampling method. After giving them informed consents, they participated in the study and completed the researcher-made questionnaire on providing health services for infants in natural disasters. Their professional competence was investigated through self-assessment in terms of their perceived importance, knowledge, and skill. Midwives inclusion criteria were as follows: having a degree in midwifery, having at least 6 months of experience in one of the public hospitals in the city, and a desire to participate in the study. Those who did not complete about 15% of the questionnaire items were decided to be excluded from the study.The Questionnaire included 10 items about infant care designed based on literature review of the resources and associated with the goals of MISP (Minimum package of the reproductive health services in natural disasters). To evaluate the instruments` validity, the questionnaire was given to 15 faculty members of the Nursing and Midwifery School of Tehran University of Medical Sciences. Five midwives were members of Tehran Red Crescent. After receiving comments from midwives and faculty members, the questionnaire items were reviewed. For analyzing the questionnaire reliability, the Cronbach coefficient α was calculated with 0.8. The data were analyzed by using SPSS, version 17. The analyses included descriptive and analytical statistics such as ANOVA, t-test at a significance level P<0.05. Results: Mean (SD) total score of professional competency of midwives in providing services for infants in natural disasters was 91.95(20.2) obtained from 3 subcategories: perceived importance, 39.83(9.55); knowledge, 22.5(5.06); and skill 30.16(6.86). There were significant relationships between the scores of professional competency of midwives with age (P=0.053), degree of education (P=0.028), workplace (P=0.053), and experience in natural disaster (P=0.047). About 49.86% of midwives demonstrated middle level of professional competency. The lowest knowledge and skill score were reported in managing common neonatal problems e.g. asphyxia, sepsis, physical trauma, which require referral and stability. Conclusions: The average scores of professional competencies of midwives to deliver Reproductive health service to infants in natural disasters show the necessity of related and integrated education. It is recommended that by holding emergency maneuvers and natural disaster simulations, midwives be educated with regard to natural disasters in order to know how to respond in these challenging situations.
Leila Mirhadyan, Saeid Moradi Latreyi, Afsaneh Pasha, Ehsan Kazem Nejad Leili,
Volume 17, Issue 1 (4-2020)
Abstract
Background: Junk food consumption is an unhealthy adolescent nutritional habit that is affected by family structure, peer groups, and socioeconomic status. The present study was conducted to determine the association between junk food consumption and personal, familial, and social characteristics considering high school students in Rasht, Iran.
Methods: This cross-sectional study was conducted on 341 students in their second year of high school in Rasht, Iran in 2017. They were selected using a two-stage cluster random sampling. Data was collected using a checklist. Data was analyzed in SPSS 16 using Mann-Whitney and Kruskal-Wallis tests at a significance level of 0.05.
Results: Sweet snacks were consumed the most (27.3%). Frequency of junk food consumption was significantly higher in students whose fathers had a university degree (P=0.037) and those with monthly family income of more than 2 million Rials. (P=0.004).
Conclusions: The results indicate that students whose fathers have a higher education and income level have more tendencies toward junk food consumption; hence, it is worth considering the relevant factors in order to improve the adolescents' health.
Mohammad Mahboubi, Babak Rastegarimehr, Mohammad Sajedinejad, Atefeh Zahedi, Najiballah Baeradeh, Leila Rezaei, Ali Ebrazeh,
Volume 17, Issue 2 (4-2020)
Abstract
Background: One of the main pillars of sustainable development is health and wellness which is an integral part of improving the quality of life. Lack of hygiene facilities and human resources and their inadequate distribution in urban and rural areas are major problems in providing health services in third world countries. The main and important reasons for inequalities in the distribution of health sector resources include inappropriate and poor budget allocation to the health sector, inadequate and long-term planning. This study was conducted to determine the degree of development of Abadan, Khorramshahr and Shadegan cities in terms of health indicators using numerical taxonomy model.
Methods: This descriptive study was conducted in 3 cities of Abadan, Khorramshahr and Shadegan in Khuzestan province in 2016. The data collection tool was a checklist containing information needed to calculate 15 health indices that were collected from Abadan Medical School Deputy of Health. The numerical taxonomy of these cities was evaluated in terms of degree of development of health indicators.
Results: According to the values of the upper and lower limits of homogeneity distance and the values of the shortest distance between cities, it was found that all cities (regions) were homogeneous and were in the same group. Finally, the results showed that Abadan is considered to be developed (0.47), Shadegan under developed (0.78) and Khorramshahr undeveloped (0.81).
Conclusion: Regarding the results obtained for improving the health status and managing the health sector, it is suggested that a comprehensive development-based program to be developed for reducing gaps and inequalities in terms of health indicators and to pay specific attention to the main development indicators of health care system based on population in each region.
Navisa Seyed Ghasemi, Mina Dazi, Bahareh Nikrad, Hasan Khorsha, Amrolah Sharifi, Mohammad Reza Honarvar,
Volume 18, Issue 1 (5-2021)
Abstract
Background: The elderly population is projected to increase in Iran and the world. A large number of chronic diseases observed in the elderly could be prevented or treated by improving their lifestyle, including nutrition. The present study aimed to determine nutritional status and the affecting factors in the elderly in Gonbad Kavus, Iran.
Methods: This descriptive-analytical study was performed on 139 elderlies aged more than 60 years who resided in Gonbad (northeast of Iran) in 2013. The subjects were selected via two-stage cluster sampling, and each health center was considered as a cluster. Data were collected using a demographic questionnaire and mini nutritional assessment (MNA) questionnaire. Moreover, anthropometric indices (e.g., weight and height) were measured using a fabric meter, stadiometer, and Seca scale. Data was analyzed in SPSS version 11.5 using Chi-square and ordinal logistic regression model.
Results: In total, 36% of the elderlies had a normal nutritional status, whereas 59% and 5% were at the risk of malnutrition and malnourished, respectively. Among the subgroups, the female elderlies (78.6%) and single participants (87.1%) were at the risk of malnutrition or malnourished. Gender was the only independent variable affecting malnutrition. In addition, malnutritional status and marital status were the only variables affecting the body mass index even in the presence of other variables.
Conclusion: Based on the nutritional assessment of the elderly, special attention must be paid to elderly women with lower education levels and financial dependence. It is also recommended that periodic assessments be carried out in the elderly population using the MNA questionnaire.Background: The elderly population is projected to increase in Iran and the world. A large number of chronic diseases observed in the elderly could be prevented or treated by improving their lifestyle, including nutrition. The present study aimed to determine nutritional status and the affecting factors in the elderly in Gonbad Kavus, Iran.
Methods: This descriptive-analytical study was performed on 139 elderlies aged more than 60 years who resided in Gonbad (northeast of Iran) in 2013. The subjects were selected via two-stage cluster sampling, and each health center was considered as a cluster. Data were collected using a demographic questionnaire and mini nutritional assessment (MNA) questionnaire. Moreover, anthropometric indices (e.g., weight and height) were measured using a fabric meter, stadiometer, and Seca scale. Data was analyzed in SPSS version 11.5 using Chi-square and ordinal logistic regression model.
Results: In total, 36% of the elderlies had a normal nutritional status, whereas 59% and 5% were at the risk of malnutrition and malnourished, respectively. Among the subgroups, the female elderlies (78.6%) and single participants (87.1%) were at the risk of malnutrition or malnourished. Gender was the only independent variable affecting malnutrition. In addition, malnutritional status and marital status were the only variables affecting the body mass index even in the presence of other variables.
Conclusion: Based on the nutritional assessment of the elderly, special attention must be paid to elderly women with lower education levels and financial dependence. It is also recommended that periodic assessments be carried out in the elderly population using the MNA questionnaire.
Moradali Zareipour, Mojtaba Fattahi Ardakani, Mohammad Saeed Jadgal, Mina Tasouji Azari,
Volume 18, Issue 2 (7-2021)
Abstract
Razieh Chabok, Arezoo Gholami, Neda Mahdavifar, Mostafa Rad,
Volume 20, Issue 2 (10-2023)
Abstract
Background: Sleep disorder is common in women with mastectomy. Previous studies have shown that relaxation technique improves sleep quality. However, the effects of these interventions on the sleep quality of breast cancer patients who underwent mastectomy surgery is still unclear. This study aimed to determine the effect of the Benson relaxation technique (BRT) on sleep quality in women with breast cancer after mastectomy.
Methods: This randomized clinical trial study was performed on 72 eligible patients who were referred to the screening and chemotherapy center of Shahid Modares Hospital of Kashmar City from April to July 2021. The patients were selected through convenient sampling and randomly allocated to intervention (n = 36) and control (n = 36) groups. In the intervention group, in addition to the routine treatments, BRT was performed once in the morning and once in the evening for 2 months, each time for 20 minutes. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the score of sleep quality at the beginning of the study and 2 months later. Data were analyzed using the paired t test and independent t test at 95% CI.
Results: The mean score of sleep quality before the intervention in the intervention and control groups was 9.25 ± 2.50 and 8.47 ± 2.13, respectively. After the intervention, the mean score of sleep quality in the intervention and control groups was 6.63 ± 1.92 and 8.41 ± 2.15, respectively, and the difference was significant between the 2 groups (P = 0.001)
Conclusion: The Benson relaxation technique improves sleep quality in women with breast cancer after mastectomy. Therefore, it can be considered an adjunct therapy to improve the sleep quality in these people.
Fereshteh Araghian Mojarad , Akram Sanagoo ,
Volume 21, Issue 1 (4-2024)
Abstract
Background: The presence of nurses plays a crucial role in ensuring patient safety and delivering necessary nursing care. This study aimed to explore the process of nurses' presence at patients' beds in cancer wards.
Methods: Employing a grounded theory approach, this qualitative study was conducted in a cancer ward, involving 34 participants including nurses, patient companions, and hospital staff. Participants were purposefully selected for their involvement. Interactive interviews were conducted for data collection, and data analysis followed the approach proposed by Corbin and Strauss in 2015.
Results: The data analysis revealed the core category of "Striving to be with the patient", which encompassed the following axial categories: "Challenges of accompanying patients with diverse needs" (Context), "Striving to be with the patient" (Process), "Motivational factors driving the desire to be with the patient"(Mediating facilitator), "Difficulties encountered in maintaining patient presence"(Mediating inhibitor), and "Mixed feelings of satisfaction and sorrow accompanying the presence" (Outcome).
Conclusion: Nurses in oncology wards demonstrate tremendous dedication as they strive to maintain a delicate equilibrium between their own emotional well-being and the diverse needs of their patients. This task can be highly demanding, but through the implementation of customized strategies and drawing inspiration from personal sources, these nurses effectively navigate the emotional challenges associated with patient care.
Tannaz Baradarani, Fariborz Roshangar, Faranak Jabbarzadeh Tabrizi , Parvin Sarbakhsh, Kobra Parvan,
Volume 21, Issue 2 (6-2024)
Abstract
Background: Diagnostic thinking and clinical competence are the two main domains of efficient nursing care. This study assessed the association between diagnostic thinking and clinical competence among emergency nurses.
Methods: The present correlation study was conducted in 2020 on 113 nurses working in emergency departments in a northwestern province of Iran over two consecutive years. A stratified random sampling method was used for recruiting nurses. Data was gathered via a demographic questionnaire, the Diagnostic Thinking Inventory, and the Nurse Competence Scale and analyzed using the SPSS 18 software. Pearson's correlation assessed the association between the nurses' diagnostic thinking and clinical competence at a significance level of 0.05.
Results: According to the findings, the nurses’ diagnostic thinking abilities were poor (154.15 ±15.73, range of 150-155), while their clinical competence was good (61.62±18.97, range of 51-75). Significant correlations emerged between thinking flexibility, work role (r=0.22, p=0.017), and memory structure. In addition, thinking flexibility was significantly associated with work role (r=0.22, P=0.017), and memory structure was correlated with teaching-coaching function (r=0.22, P=0.015), diagnostic functions (r=0.25, P=0.006), management of situations (r=0.45, P=0.0001), therapeutic interventions (r=0.42, P=0.0001), regimens (r=0.18, P=0.056), and work role (r=0.4, P=0.0001).
Conclusion: Amplifying thinking procedures and using diagnostic thinking patterns enhance emergency nurses' practice, performance, and clinical competence and promote nursing care. Lecturers and planners must employ modern educational methods to increase nurses' thinking skills and clinical competence.
Faezeh Roostaei , Maryam Radmehr , Mina Mohammady , Narges Sadeghi ,
Volume 22, Issue 3 (9-2025)
Abstract
Background: Feeding intolerance, defined as the inability to maintain enteral feeding, is frequently observed in neonates with immature gastrointestinal tracts in neonatal intensive care units (NICUs). This study aimed to examine the effects of maternally administered infant massage on feeding tolerance and physiological indicators in NICU-admitted neonates.
Methods: This single-blind, parallel-group randomized controlled trial was conducted among neonates admitted to the NICU of a university-affiliated tertiary neonatal and pediatric center in Isfahan, Iran. Using simple random allocation via card shuffling, 62 neonates meeting the inclusion criteria were divided into two groups: intervention and control. The intervention group received maternally administered massage for five days, three times daily for 20 minutes after feeding with breast or formula milk. The control group received routine care. Assessed outcomes were gastric residual volume, abdominal circumference, frequency of vomiting and stools, and physiological indicators checklist, which measured respiratory rate, heart rate, and oxygen saturation (SaO₂) levels two hours after each feeding every day for five days. Data were analyzed using the Mann–Whitney U test, Wilcoxon signed-rank test, and ANCOVA in SPSS v.26, with a significance level of p < 0.05.
Results: Neonates in the intervention group showed a greater reduction in gastric residual volume % (r² = 0.82, 95% CI [0.75, 0.88]), abdominal circumference (r = 0.82, 95% CI [0.68, 0.97]), and vomiting frequency (r = 0.83, 95% CI [0.69, 0.97]) compared to the control group. Additionally, stool frequency increased significantly in the intervention group (r = 0.85, 95% CI [0.73, 0.99]). In this group, SaO₂ levels increased (r = 0.82, 95% CI [0.68, 0.97]), while heart rate (r = 0.83, 95% CI [0.69, 0.97]) and respiratory rate (r = 0.85, 95% CI [0.73, 0.99]) decreased significantly, indicating improved physiological stability.
Conclusion: Maternally administered infant massage appeared effective in improving feeding tolerance and physiological indicators in this study. Healthcare teams may also consider training mothers to provide neonate massage as a complementary intervention to support feeding tolerance in newborns admitted to the NICU.
Shahrbanoo Kool , Ali Soheily , Jan Domaradzki , Reza Jahanshahi , Akram Sanagoo , Leila Jouybari ,
Volume 22, Issue 4 (12-2025)
Abstract
Background: Organizational climate strongly influences job performance and well-being in healthcare. An unfavorable climate may increase presenteeism, defined as attending work despite illness, symptoms, or reduced physical or mental capacity, often resulting in decreased productivity and potential risks to patient safety, particularly among nurses. This study examined the relationship between organizational climate and presenteeism in Iranian nurses.
Methods: A cross-sectional analytical study was conducted in 2025 among 327 nurses working in selected hospitals affiliated with Golestan University of Medical Sciences, recruited through convenience sampling. Data were collected using a demographic questionnaire, the Halpin and Croft Organizational Climate Questionnaire, and the Nursing Presenteeism Questionnaire. Descriptive statistics, Pearson’s correlation, and multivariable linear regression were applied. Model assumptions were examined, and a significance level of P < 0.05 was considered.
Results: The mean age of participants was 33.91 ± 6.75 years, with an average work experience of 9.56 ± 6.30 years. The mean ± SD scores of organizational climates and presenteeism were 99.21 ± 9.24 and 40.89 ± 7.32, respectively. Correlation analysis showed a significant negative correlation between organizational climate and presenteeism (R = -0.156, P = 0.005). Regression analysis (performed on log-transformed presenteeism scores to correct non-normality) indicated that organizational climate was a significant negative predictor of presenteeism (β = -0.220, P < 0.001), whereas older age was associated with higher presenteeism (β = 0.159, P = 0.008).
Conclusion: This study demonstrated that a more positive organizational climate is modestly correlated with reduced presenteeism among nurses; however, the effect size was small. These findings highlight the importance of organizational and managerial strategies, suggesting that improving the work climate may help reduce presenteeism and promote nurse well-being.
Michael Alaghi , Mohammad Aref Kor , Maryam Maleka , Ali Moradi , Hamideh Feghhi , Fatemeh Mehravar ,
Volume 23, Issue 1 (3-2026)
Abstract
Background: Nurses' perceptions of corporate social responsibility (CSR) in Iranian hospitals remain underexplored, particularly where formal CSR education is limited for academic nurses. Nurses' understanding of CSR-as conceptualized by Carroll's pyramid encompassing economic, legal, ethical, and philanthropic responsibilities-is crucial as they translate organizational commitments into patient care quality and safety. This study examined nurses’ perceptions of CSR and the associated factors.
Methods: This cross-sectional study was conducted in 2025 among 309 nurses from 12 hospitals affiliated with Golestan University of Medical Sciences, Iran. Participants were selected using stratified proportional sampling by hospital size with convenience sampling within strata. Organizational-level CSR was assessed using Carroll's CSR questionnaire (20 items; Cronbach's α=0.89; four dimensions; 5-point Likert scale, score range: 20-100). Associations between CSR scores and demographic factors (Age, gender, marital status, education, and ethnicity) and occupational factors (Work experience, clinical unit, and job title) were analyzed using SPSS version 26.0. Group differences were examined using one-way ANOVA, and multiple linear regression was used to identify factors independently associated with total CSR scores.
Results: The mean total CSR score was 72.39 ± 13.22 (Economic: 17.32 ± 3.67; legal: 18.68 ± 3.56; ethical: 18.35 ± 3.74; philanthropic: 18.04 ± 4.37). Significant associations were found with marital status (p=0.024, higher in single nurses), clinical unit (p=0.006, lowest in orthopedic, highest in dialysis/management units), and a weak negative correlation with age (r= -0.132, p=0.020) and work experience (r=-0.116, p=0.041). Multiple linear regression showed that marital status was independently associated with CSR scores (β = 0.120, p = 0.032). Compared with nurses in internal–surgical units, those working in orthopedic (β = -0.223, p < 0.001), emergency (β = -0.135, p = 0.040), and neonatal units (β = -0.113, p = 0.037) had significantly lower CSR scores. The model explained 12.1% of variance (adjusted R² = 0.121)
Conclusion: Nurses in hospitals demonstrated generally positive perceptions of corporate social responsibility. These perceptions were influenced more strongly by workplace factors-particularly the type of clinical unit-than by personal demographic characteristics. Improving organizational conditions and promoting ethical leadership may further enhance CSR awareness, professional performance, and the quality of patient care.
