Showing 18 results for پرستاری
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Volume 7, Issue 1 (8-2010)
Abstract
Background and Objective: Nurses and nursing students, as a member of psychiatric team, have not enough incentive for caring mental disorders. Because of some negative stereotypic beliefs and anxiety, they neglect some aspects of psychiatric care. We decided to study on nursing students’ anxiety in facing with mentally ill patients.
Material and Methods: In this descriptive study, 64 nursing students of Golestan University of Medical Sciences were selected via convenience sampling. The instruments were demographic information data sheet and interpersonal anxiety scale. We used Descriptive statistics, Spearman correlation coefficient, Mann-Whitney and Kruskal-Wallis tests to analyze the data (spss 16).
Results: The students aged 43.20±5.1 were female (56.8%) and male (43.20%). Anxiety level in 17.9% of participants were severe and in 48.1% of them moderate (P<0.05). There is significant difference between male and female’s anxiety. Students with clinical experience of being in psychiatric ward have the lower level of anxiety (P<0.05).
Conclusion: The Student’s anxiety in facing with mentally ill patients is considerable and we should alleviate this anxiety by some programmed actions such as frequently presenting in psychiatric wards and by special education.
Mis Tahmineh Salehian, Mis Faranak Safdari Dah Cheshmeh, Mis Arezoo Pirak,
Volume 7, Issue 2 (11-2010)
Abstract
Background and Objective : Patients’ satisfaction is an important criterion which can be a good scale to measure and evaluate medical services quality, and can give us some information about fulfillment of patients’ needs expectations and wishes .We conducted this study to investigate the patients’ satisfaction from medical and nursing services.
Material and Methods: In this descriptive and cross- sectional study, the data was collected by a questionnaire including two sections of demographic data and satisfaction level from medical and Nursing services.The subjects are 200 patients selected by easy sampling method, at the time of discharge from hospital. Satisfaction level was measured by likert scale. The data was analyzed using descriptive statistics and chi-square.
Results: The findings show that the patients are satisfied (41%), almost satisfied (21.5%) and unsatisfied (37.5%) from medical services. About satisfaction from nursing services, 57% of the patients were satisfied, 16.5% of them almost and 26.5% rarely satisfied. There was significant relation between variables such as sex, age, education degree and having insurance and satisfaction from medical and nursing services.
Conclusion : The highest percentage of unsatisfied patients was related to lack of giving information by physicians about the disease and Nursing interventions measures. Interaction behavior between medical staff and patient has an effective impact on patients’ recovery and increase patients’ satisfaction therefore, the necessary measures should be taken to improve communication between patient and physician.
Mis Roghieh Nazari, Mr Mohammad Saberi, Mis Sima Khazaie Nezhad,
Volume 9, Issue 1 (8-2012)
Abstract
Background and Objective : Nosocomial infection is a major cause of mortality and morbidity in hospitalized patient. Some experts believe that nurses have a major role in infection control. We aimed to examine and compare the knowledge and practice of prevention and control of Nosocomial infection among nurses and nursing students in Amol.
Material and Methods : This cross-sectional study was conducted on 190 nurses working in state hospitals of Amol (n=100) and internship nursing students (n=90) in 2010.We collected the data by a questionnaire including personal characteristics, knowledge and practice part, and analyzed, using statistical software SPSS-16,by descriptive statistics and independent samples t-test, chi-square and Pearson correlation.
Results: The mean score of nurses' knowledge and practice, respectively, was 6.91±1.06 and 8.00±1.33 in the range of 0-10 that is significantly more than students' knowledge and practice 6.29±1.73 and 7.56 ± 7.56(P=0.009). More Than half of the participants (59% of students and 53.4% nurses) have a moderate level of knowledge. There is significant difference between nurses' knowledge and students' (P=0.003).
Conclusion: The results suggest that students’ knowledge and performance is weaker than those of nurses. And they both need to receive Documented and managed training programs related to prevention and control of nosocomial infection during their educational period and work.
Keywords: Knowledge, Performance, Nosocomial infection, Nurse, Nursing student, Prevention
Mojgan Kalantarzadeh, Dr Mahbobeh Safavi, Dr Mahmood Mahmoodi,
Volume 9, Issue 2 (1-2013)
Abstract
Background and Objective: Parkinson disease (PD) is a common neuro degenerative disorder, which is chronic and progressive. The specialized PD nurse is needed to give better care services. The purpose of this study was to evaluate the impact of nursing roles on the nurses′ knowledge and attitude toward taking care of patients suffering from Parkinson.
Material and Methods: In this quasi-experimental study conducted in 2009, 102 nurses of Kerman University of Medical Sciences were selected and divided into two groups (case and control).The instrument was a researcher made questionnaire. After pretest, the educational program including lecture, group discussion and pamphlet was performed and after three weeks, Post test was given. Using Software SPSS-15, the data was analyzed by applying descriptive and inferential statistics.
Results: There is a significant difference (P<0.000) between the nurses' general knowledge (7.51± 3.17) and general attitude (8.35±5.22). The general knowledge and attitude of control groups are not different between first and second time of recording. General comparison of the effect of training indicates that the difference between intervention and control groups are statistically significant in the first and second time of recordings(p<0.000).
Conclusion: The education programs are effective on nurses′ knowledge and attitude toward Parkinson disorder and the roles such as medical care, Education and advocacy. Hence, the educational interventions related to nursing roles in caring Parkinson patients are necessary.
Dr Fatemeh Alhani, Akram Sadat Sadat Hosseini, Dr Abdolhossein Khosropanah, Dr Abdolkarim Behjatpour,
Volume 9, Issue 2 (1-2013)
Abstract
Background and Objective: The concepts are defined differently upon the dominated philosophy and ideology of the communities. Thus, it can be possible to define the main concepts of nursing based on the philosophical and ideological foundation of Islamic ideology in Iran. The aim of the present study was to explain the human’s concepts based on Islamic documents and compare with nursing theories.
Material and Methods: The concept derivation of Walker and Avant was used for theory construction. In this method, by studying the existing Islamic theories about human, the researchers chose the best theories adjusting to nursing and redefined them on the basis of nursing concepts. Finally the human’s concept was derived of theories of Ayatollah Javadi Amoli, Mesbah Yazdi and Mohammad Taghi Jafari.
Results: Human, consists of body and spirit, which have been created based on Fetrat . The movement according to Fetrat is accomplished by the help of wisdom, authority and faith to reach Ghalbe Salim, which is the summit of spiritual health. To reach Ghalbe Salim, human should consider the fields including plant, animal and wisdom. Thus, the nurse’s duty is to help the clients to achieve their real Fetrat, based on the human areas.
Conclusion: In terms of this definition that verifies the superiority of spirit over body, nurses must pay attention to the spirit more than the body. In contrast with caring theories, the leader of nursing programs is Fetrat rather than the individual needs and experiences. Hence, the nurses’ duty is to help the human, based on Fetrat, to reach the highest health that is Ghalbe Salim.
Mohammad Javad Aghajani,
Volume 9, Issue 2 (1-2013)
Abstract
Background and Objective: The Professional burnout is one of the main factors in efficiency decline, loss of human power and psycho physical problems. In regard to the importance of nurses’ role in health system, the aim of this study was to compare the Professional burnout of nurses in different wards of Shahid Ansari Hospital in Roodsar.
Material and Methods: In this comparative research study, the subjects(N=100)were selected, via Morgan table sampling , among 128 nurses worked in the wards such as Women Internal Medicine, CCU, Pediatrics, Men Internal Medicine, Midwifery, Operation Room andEmergency. The data collected by Maslach Professional burnout was analyzed by Spss-18 software.
Results: The nurses’ professional burn out was assessed in three aspects of emotional exhaustion, depersonalization and personal accomplishment. The emergency room’s nurses have the highest emotional exhaustion and depersonalization (P=0.001) and personal accomplishment (P=0.001).
Conclusion: Regarding the high amount of Professional burnout in emergency room, we recommend providing the necessary educations and facilities to promote the condition.
Esmaeil Mohammadnejad, Seyyedeh Roghayeh Ehsani, Amir Salari, Azam Sajjadi, Ayeshe Hajiesmaeelpour,
Volume 10, Issue 1 (4-2013)
Abstract
Background and Objective : Drug administration is considered an important aspect of patient care process and reporting the errors is needed to maintain safety. We aimed to investigate “Perspectives of Nurses about refusing to report the medication errors in Emergency Ward”.
Material and Methods : In this descriptive study, 94 Emergency nurses were recruited by census in 2011-2012. The instrument was a researcher-made questionnaire including demographic data and questions related to the causes and factors affecting the reporting of medication errors. Using SPSS-16 software, the data was analyzed by applying descriptive and inferential statistics.
Results: The nurses who did not report medication errors are 72%. The most common type of medication errors are infusion rate(33.3%) and wrong- drug dosage (23.8%). The most important reasons of medication errors are shortage of nursing staff (47.6%) and lack of pharmacological information (30.9%). Most common reasons for refusing to report the medication errors are fear of its negative effect on financial advantages, inappropriate or negative attitude of managers toward reporting errors and lack of importance of reporting from nurses י perspective.
Conclusion: Considering the high rate of refusing to report, it is needed to be created some appropriate conditions to enhance the rate of reporting and removing the barriers. Nursing managers should have positive reaction to nurses’ reporting.
Dr Hassan Babamohamadi, Dr Mahdi Kahouie, Soheila Bayat, Sedigheh Fooladian, Maryam Shahsavane Toghan,
Volume 10, Issue 2 (10-2013)
Abstract
Background and Objective: This study aimed to assess nurses' attitude toward the effect of nursing electronic reports on patient care.
Material and Methods: This descriptive-analytical study was conducted on 316 nurses in the hospitals affiliated to Semnan University of Medical Sciences and social security organization, 2012. The instrument was a researcher-made questionnaire, valid and reliable. The data was analyzed by Chi Square, Fisher and Phi test.
Results: Forty-seven five point percent of the nurses completely disagreed with the impact of electronic reporting on patient assessment (1.8± 1.06) and 54.4% completely disagreed with its impact on the selection of clinical intervention (1.8 ± 1.06). On the other hand , 50% of nurses agreed with the effect of the computer program on patient care (2.2±0.99), 42.4% were satisfied with its effect on patient's diet planning (2.1±1.5) and 40.7% with the computer program on nursing diagnosis (2.01±1.09).There was significant relationship between some of the nurses’ demographic characteristics and their attitude (P<0.05).
Conclusion: Based on the results, nurses’ attitudes can be attributed to some defects in the computer programs and to the nurses’ compliance with information technology. To improve the effectiveness of electronic reporting, first, the quality of computer programs of clinical settings should be enhanced, and then changes should be occurred in organizational policies and in electronic documentation. Further, we should consider the impact of Levine's theory of change, indicating the staff’s resistance to technology adoption in workplace.
Mahtab Salimi, Dr Hamid Reza Arasteh, Dr Ali Reza Kia Manesh , Dr Parivash Jafari,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: Successful transformation needs successful equipment and university should maintain it’s authority, credit, competency and necessity of it’s entity by planning organizational culture is an independent variable in organizational studies and Planning Process. The organizational culture in nursing colleges on job satisfaction of faculty members and effectiveness leadership can be effective factor to give more ability to nursing students. In the base of this fact, This study peid attention to assessment of organizational culture components and job satisfaction of faculty members and leadership effectiveness in nursing colleges.
Material and Methods: This description study is accomplished on 230 members of full time nursing faculty in Islamic Azalea University, with the use of group sampling method. Cameron and Quinn (2006) organizational culture assessment questionnaire is used for culture assessment and specter Jss criteria (1997) of job satisfaction are used for job satisfaction assessment and realized leadership questionnaire is used for leadership effectiveness assessment. In processing of discovering factor, with the use of main parameters study method, the factor structure of questionnaire was reviewed.
Results: The results of discovering and confirming process show that reviewed parameters in organizational culture questionnaire, job satisfaction, and leadership effectiveness have a high explainatory power and with consider of emphatic agent process and resulted Barazandegy Criteria, This questionnaire have a high potential to assess organizational culture, and job Satisfaction of faculty members and leadership effectiveness.
Conclusion: We can used the results of this research in order to plan the effective leadership development of nursing collage management.
Masood Moghimi, Sima Mohammad Hossini , Zohreh Karimi, Mohammadali Moghimi, Ebrahim Naimi, Somaya Mohammadi, Maryam Behroozi,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: The ideal value of clinical training in personal and professional development, as well as the clinical nursing skills is undeniable. Hence, we aimed at investigating the obstacles of clinical education and strategies for improving the quality of education in Yasuj University of Medical Sciences.
Material and Methods: This cross-sectional study was conducted on 108 nursing students who had attended at least one term of practical work in Hospital, 2010. The instrument was a questionnaire, including questions related to demographic characteristics and barriers of clinical skills, whose validity and reliability were approved (R = 0.81). The data was analyzed by SPSS 17.
Results: The main obstacles were absence of learning objectives (85.9%), students' failure to maintain discipline (77.8%), lack of adequate training period (66.6%), lack of appropriate communication between students and personnel (62.1%). There was significant difference between male and female students about the importance of training records of instructors. (P <.001). But students' view was not significantly correlated with their demographic characteristics (P >0.05).
Conclusion: There are major obstacles in four areas of clinical education that can be effective in students' practical skills. Thus, it is important for education officials to perform some appropriate interventions to provide a suitable clinical setting having education facilities, clinical environments and modified evaluation instruments.
Ahmad Nooreddini, Soheila Sedaghat, Dr Akram Sanagu, Hojjatollah Hoshyari, Bahman Cheraghian,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Direct observation of medical learner working on real patients is of paramount importance to assess practical competency. The direct observation clinical skills (DOPS) needs to be performed by direct observation of the learner and simultaneous evaluation by a questionnaire. This study aimed to assess the effect of clinical skills evaluation applied by DOPS on the clinical performance nursing students.
Material and Methods: This quasi-experimental study was conducted on 35 nursing students allocated randomly to case and control groups, 2013. The data was collected by a research-made questionnaire and analyzed by Wilcoxon, Mann Whitney, Spearman Coefficient (r = 0.05) and Kappa Coefficient (K= 0.6), using SPSS software.
Results: The participants of case group were evaluated three times by DOPS and the ones in control were assessed once by routine method. The DOPS average point of case group stage 2 and 3 was significantly higher than that of controls (0.0001). But in control group, no change in mean point and no promotion in clinical performance were observed.
Conclusion: The accurate implementation of DOPS can be a useful approach to connect knowledge to development of professional and skillful behavior. Thus, we recommend that the faculty members of nursing schools to focus on this way of evaluation and other modern approaches to develop continuing education.
Alireza Shariati , Hosein Rahmani Anaraki , Mohammad Parvareshmasoud, Moslem Hesam, Hamid Asayesh, Dr Seyed Mojtaba Mousavi, Dr Gholamreza Mahmoodi,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Burnout has negative effects on nurses' health, and also onpatients’ satisfaction and safety. This study was conducted to determine the relationship between Burnout and nurses' job characteristics in teaching and therapeutic hospitals affiliated to Golestan university of medical sciences.
Material and Methods: In this descriptive-analytical study, 206 nurses who engaged in the teaching and therapeutic centers of Golestan university of medical sciences were selected via random sampling. The data was collected by demographic data sheet and Copenhagen burnout questionnaire and analyzed by descriptive statistical, logistic Regression.
Results: The mean age was 34.66±7.38 and 68% of the participants were female. Overall, 34% of the nurses had burnout. The prevalence of personal, work-related and client-related burnout was 33.5%, 41.3% and 22.3%, respectively. Age, job experience and type of employment were the risk factors of personal, work and client-related burnout. Being supervisor, working in the psychiatric ward and having private job, were the causes of increased personal burnout.
Conclusion: In line with the increase of age and job experience increasing, the officials should pay more attention to burnout, and in some ward of the hospitals and job positions, they need considering a unique career planning.
Dr Shohreh Kolagari, Dr Mansoureh Zagheri Tafreshi , Dr Maryam Rassouli, Dr Amir Kavousi, Sharareh Kolagari,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Role Strain refers to the felt difficulty in fulfilling expectations, complying with the role obligations and balancing the various dimensions of roles. Role strain is a subjective state of distress experienced. The aim of this study was to explain nursing teachers’ perception of role strain.
Material and Methods: This qualitative study was conducted in 2013, based on conventional content analysis. Using purposeful sampling, 21 nursing teachers were selected from schools of Nursing and Midwifery of the country. The data was collected through Semi-structured, in-depth interviews, and analyzed via content analysis using Granhiem and Landman (2004). The rigor and confirmability of the data were used by Guba and Lincoln criteria.
Results: The data was summarized in sixteen subcategories and five main categories. Nursing teachers’ perception about role strain was placed in following categories: Duty interference, Work Overload, Clinical teaching problems, Educational system problems and Students’ problems.
Conclusion: Given the work-related requirements and role obligations, we recommend that managers and health policy makers be careful about some protective strategies to reduce the role strain.
Zahra Sabzi, Hamideh Mancheri, Zahra Royani, Mohammad Aryaie, Seyedyaghoob Jafari, Ghorbanali Ahmadi,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Subjective well-being, a field of positive psychology, attempts to assess the cognitive and emotional lives. Given the fact that nursing and midwifery students are exposed to stress in clinical settings, we aimed to assess subjective well-being to promote educational programs.
Material and Methods: This across-sectional study was conducted on 104 nursing and Midwifery students selected via simple random sampling, 2013. The instruments, filled out by students, were a demographic checklist and Kyeez subjective well-being questionnaire consisting of three domains of emotional, social and psychological. We used mean and standard deviation for data description and T-test and ANOVA for analysis.
Results: The mean score of subjective well-being was 203.20 in nursing and 210.21 in midwifery students. In nursing students, the Mean score in emotional, psychological and social domain was 44.05, 93.40 and 65.74, respectively, and it was 45.72, 94.78 and 69.55, respectively in midwifery students. Gender was the only variable associated significantly with subjective well-being of nursing students (P>0.05).
Conclusion: Given the high score of subjective well-being and that of its domains, we recommend applying some educational programs with the consideration of emotional, psychological and social aspect of students.
Hamid Momeni, Ashraf Salehi, Abolfaz Seraji , Dr Akram Sanagoo, Azam Karami, Marzei Mirshekari, Leila Mirshekari,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: The assessment of Patient satisfaction with the care given by nursing students in clinical setting can be helpful in the development of a scientific and practical training. Thus, we aimed to determine patient satisfaction with the care given by students in clinical setting.
Material and Methods: This cross-sectional study was conducted, in 2010, on 1560 inpatients in four hospitals of three provinces (Markazi, Lorestan and Charmahal Bakhtiari) via a questionnaire consisting of two parts of demographic characteristics with 15 questions and patient satisfaction with 30 questions. Given the range of 30-150, the score of more than 90 was considered having satisfaction. The data was analyzed by Mann-Whitney test and Pearson, using SPSS software.
Results: Results showed that 73.2 were satisfied and 26.8 percent were dissatisfied. The satisfaction level was not the same in different health centers in that the satisfaction in lorestan province was higher than that of Chahar Mahal, Bakhtiari province and Markazi province (P=0.001).
Conclusion: The resuls show that the patients are satisfied the care given by nursing students, but 26.8% of the patients are not satisfied with.
Maryam Askaryzadeh Mahani , Laleh Soleimani, Niloofar Zafarnia, Sakineh Miri,
Volume 12, Issue 2 (12-2015)
Abstract
Background and Objective: Self-efficacy, one's belief in his ability to succeed in different situations, can have positive or negative effects on mental health. Students are considered as the community builders, and thus paying attention to their psychological dimensions is a paramount importance to health of community. This study aimed at determining the relationship of self–efficacy and mental health with academic achievement of students in Bam nursing school.
Material and Methods: This descriptive study was conducted on all students with eligibility criteria in 2011. The instruments were General Self–Efficacy Scale (GSES), Symptom Checklist-25 (SCL-25) and Grade Point Average (GPA) for academic achievement. To analyze the data, we used Ttest, ANOVA and Pearson correlation.
Results: The level of self-efficacy was weak in 3.6 %, moderate in 84.8 % and strong in 11.5% of students. Regarding mental health aspects, the highest score was related to psychotism and depression (4.21) and the lowest to Obsessive-compulsive (3.43). The mental health of students with strong self-efficacy was higher than that of others. GPA was not correlated significantly with self-efficacy (p=0.44, r=0.062) and mental health status (p=0.96, r=0.044).
Conclusion: Mental health and academic achievement are not adequate therefore, we recommend planning some educational program based on self-efficacy theory to improve both mental health and academic achievement.
Zahra Sabzi, Hamideh Mancheri, Zahra Royani, Seyedyaghoob Jafari, Dr Mahnaz Modanloo,
Volume 12, Issue 2 (12-2015)
Abstract
Background and Objective: Nursing students are experiencing stress in related to academic and clinical training programs. Given the importance of promoting mental health and emotional intelligence in academic performance, the study of emotional intelligence and related factors could be the basis for strengthening this important variable by designing and implementing of effective training programs.
Material and Methods: This cross-sectional study was conducted on 125 nursing & midwifery students selected randomly in 2013. The instruments were a demographic checklist and Shyryng Sybrya Emotional Intelligence Questionnaire. The data was analyzed in SPSS16 using descriptive statistics (mean and standard deviation) and ANOVA, T- TEST (p&le 0.05).
Results: The mean of emotional intelligence was 109.12±12.27 in nursing and 113.32±13.26 in midwifery students. The total score and the score of all dimensions of Emotional Intelligence Questionnaire were not related significantly with some demographic factors such as age, residential place, interest to major and economic status (P>0.05), in both nursing and midwifery students. In nursing students, the meaningful relation was found just between Self-awareness dimension and gender (P=0.034) and grade point average (GPA) (P=0.049). The score of Self-awareness was higher in female students and in the students with higher GPA.
Conclusion: Regarding the relationship between some demographics and emotional intelligence, we can design and implement effective educational programs to boost this important component.
Dr Masoud Fallahi Khoshknab , Mahdi Farzadmehr, Dr Mohammd Ali Hosseini, Dr Hamid Reza Khankeh, Zahra Noorabadi,
Volume 12, Issue 3 (2-2016)
Abstract
Background and Objective: Anxiety is the most common psychological reaction of the families of the patients in cardiac surgery intensive care unit (CSICU). Since nursing consultation is an approach to controlling anxiety, we aimed to determine its effect on anxiety of the patients' families in CSICU.
Material and Methods: This clinical trial was conducted on fifty-four family members, of the patients in CSICU of a hospital in Kurdkoy, Iran, allocated into intervention and control groups. For intervention group, nursing consultation program was carried out from admission to discharge while for control group just routine was performed. The data was collected via a demographic checklist and state- anxiety Spielberger inventory, and analyzed by chi-square, independent and paired t-tests.
Results: The results showed that the two groups had similar demographic characteristics. Using independent t-test, their anxiety levels were not significantly different before intervention while they were after intervention. This means that nursing counseling was effective in reducing family's anxiety level (P<0.001). Based on paired t test, there was a significant difference between before and after anxiety in case group (P<0.01) but in control group the difference was not significant (p>0.01).
Conclusion: Nursing consultation can be helpful in mitigating in family's anxiety in cardiac Surgery intensive care unit.
