2024-03-28T22:14:13+04:30 http://ijn.iums.ac.ir/browse.php?mag_id=73&slc_lang=fa&sid=1
73-1418 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2012 25 79 Relationship between Religious / Spiritual Components, Mental Health and Hope for the Future in Hospital Staff of Shiraz Public Hospitals N Ghahremani MA Nadi mnadi@khusif.ac.ir   Background & Aims: Spirituality and its components due to their effect on psychological constructs and their potential influence on organizational performance have been the researchers’ concerns in recent years. This study aims to determine the relationship between the religious / spiritual components with mental health and hope for the future in hospital staff.   Material & Methods : It was a cross-sectional study. The study population were public hospitals’ staff of Shiraz University of Medical Sciences (n=4000) from whom 250 were recruited by simple random sampling during 2010. Data was collected by three questionnaires including hope for the future, mental health and components of religion / spirituality (including existential well-being, motivation, devotion & coping, spiritual transcendence, religious support, religious attitudes & practices) and analyzed by Pearson Correlation and Stepwise regression using SPSS-PC (v. 18).   Results : There were significant relationships between Existential Well-Being and Hope for the Future, Motivation, Devotion & Coping and Hope for the Future, and Mental Health and Hope for the Future (P<0/01). Also, all religious / spiritual components had significant correlations with mental health (P<0/01). Stepwise regression analysis showed that there are significant relationships between hope for the future and Motivation, Devotion and Coping with variance of 5% in the first step between hope for the future Motivation, Devotion and Coping with Mental Health with variance of 6/4% in the second step, between hope for the future and Motivation, Devotion and Coping with Mental Health and Existential Well-Being with variance of 9/1% in the third step and between hope for the future and the combination of Motivation, Devotion and Coping and Existential Well-Being with variance of 8/9% in the fourth step.   Conclusion : The findings indicated that Motivation, Devotion and Coping, and Existential Well-Being were respectively the most important religious-spiritual components which along with mental health affect hope for the future in the hospital staff.   Received: 16 Oct 2012   Accepted: 25 Dec 2012   Religion Spirituality Mental Health Hope for the Future Hospital Staff 2012 12 01 1 11 http://ijn.iums.ac.ir/article-1-1418-en.pdf
73-1430 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2012 25 79 The Relationship between Perceived Social Support and Quality of Sleep in Nursing Students Rambod M Ghodsbin F Beheshtipour N Raieyatpishe AA Mohebi Noubandegani Z Mohammadi-Nezhad A   Background & Aims : quality of sleep could be useful in health promotion and improvement of quality of life in student. Some psychosocial factors such as social support might affect the quality of sleep. Accordingly, the aim of this study was to determine the relationship between perceived social support and quality of sleep in nursing students.   Material & Methods : It was a descriptive correlational study. Eighty seven nursing students of Shiraz University of Medical Sciences recruited by census, during school year of 2010-2011. The Persian versions of the "Personal Resources Questionnaire 85 (PRQ85)" and "Pittsburgh Sleep Quality Index (PSQI)" were used to evaluate the participants’ perceived social support and sleep quality. Data were analyzed using SPSS-PC (v. 15) by chi-square test, and Spearman’s rho correlation coefficients.   Result : Most of the students had high levels of perceived social support (% 49.4) and poorer quality of sleep (% 61.0). Statistically significant relationships were found between social support and financial status ( c 2 =7.74, p=0.02) and place of residence ( c 2 =9.19, p=0.007). Third and fourth year nursing students had poorer sleep quality. In addition, there were a statistically significant relationship between perceived social support and quality of sleep in nursing students (r =-0.33, p= 0.01).   Conclusion : Considering the relationship between social support and sleep quality among nursing students, managers of the nursing school and families could improve their sleep quality by providing the required social support.  Received: 22 Oct 2012   Accepted: 4 Jan 2013 Perceived Social Support Quality of Sleep Nursing Students 2012 12 01 12 23 http://ijn.iums.ac.ir/article-1-1430-en.pdf
73-1436 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2012 25 79 Mothers’ Performance on Caring for their Premature Infants: A Pilot Study M Ghasemi T Dehdari t-dehdari@tums.ac.ir P Mohagheghi MR Gohari Z Zargrzadeh   Background & Aims : Mothers’ involvement in the care of their premature infants is one of most effective ways to prevent disorders associated with hospitalization. This study aimed to determine mothers’ Performance on Caring for their Premature Infants in hospitals affiliated to Tehran University of Medical Sciences, during 2012.   Materials & Methods : It was a descriptive , cross-sectional pilot study. First two hospitals affiliated with Tehran University of Medical Sciences which had NICUs were randomly selected and then 90 mothers of premature infants were recruited by convenience sampling. Data was collected using an observational checklist (including kangaroo mother care, massage, breast feeding, cup feeding and bathing) by two trained nurses and analyzed by descriptive statistics, chi- square tests and one-way analysis of variance using SPSS-PC (v. 16).   Results : The mean age of the mothers was 27±1 with the range of 16-46 years old. The findings showed that 42.02 percent of mothers had poor performance, 41.16 percent had moderate performance and 16.82 percent had appropriate performance in the care of their premature babies. There were no significant relationship between mothers’ education, job, age, and infants’ weight and the mothers’ performance. There was not also a significant difference between birth order, the number of children and the mothers’ levels of performance (P>0.05).   Conclusions: Regarding the findings, executing educational sessions on care of premature infants for their mothers in NICUs is recommended. More studies with larger samples are also required.  Received: 13 Nov 2012   Accepted: 23 Jan 2013     Neonatal Intensive Care Unit Mothers Care Premature Infant 2012 12 01 24 33 http://ijn.iums.ac.ir/article-1-1436-en.pdf
73-1439 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2012 25 79 Evaluating the Effect of Mouth Washing with Chlorhexidine on the Ventilator Associated Pneumonia M Seyedalshohadaee F Rafii i H Haghani F Faridian Arani Ft.faridian@yahoo.com   Background & Aim: One of the most important hospital infections which lead to more mortality, duration of hospitalization, and health care costs is ventilator-associated pneumonia. The purpose of this study was to determine the effect of 12% chlorhexidine mouthwash on the frequency of ventilator-associated pneumonia in patients hospitalized in ICU.   Material & Methodos: It was a clinical trial which was done on 130 patients under ventilation and hospitalized in ICU. The study was conducted during a nine-month period from May 2011 to January 2012 in one of the medical teaching hospitals affiliated with Tehran University of Medical Sciences. The sample was first selected by convenience sampling and then was assigned to either experimental or control group by minimization. The experimental and control group received 12% chlorhexidine and serum soluble salt mouthwash three times per day respectively. Pneumonia clinical version was used to diagnose pneumonia. Data was analyzed by Chi-square tests, Fisher exact test, and T test using SPSS-PC (v.16).   Results: Findings showed that the frequency of pneumonia was 23/1% in total which 18/5% was observed in experimental group and 27/7% in control group. Chi-square test showed that there was no significant difference between experimental and control groups (p > 0/05). The most common bacteria isolated from the patients were Acinetobacter baumannii, Pseudomonas aeruginosa, Kelebsiella and Ecoli respectively .  Conclusion: Frequency of pneumonia was not significantly different between the patients who received mouth wash with 12% chlorhexidine and those with saline. There was also no difference between the isolated bacteria from the two groups. Therefore, further studies with higher concentrations of chlorhexidine are needed.   Received: 3 Nov 2012   Accepted: 30 Jan 2013   Ventilator Associated Pneumonia Chlorhexidine Mouthwash ICU 2012 12 01 34 44 http://ijn.iums.ac.ir/article-1-1439-en.pdf
73-1445 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2012 25 79 The Effect of Diclofenac Gel on the Pain Intensity Related to Vein Puncture using Angiocatheter: a Randomized Clinical Trial Khalili Shomia S Shomia@Ymail.com Safavi M Yahyavi SH Farahani H   Background & Aims: Injections in general and especially the insertion of angiocatheters are often associated with pain and anxiety in most patients. Consequently finding methods to decrease the pain caused by vein puncture is required. Accordingly the present study was planned to evaluate the effect of applying Diclofenac gel on pain intensity related to vein puncture in patients undergoing cesarean section.   Material & Methods: A randomized, placebo-controlled clinical trial was conducted on 60 women undergoing cesarean section referred to Imam Ali Hospital in Amol city from May to June 2010. The patients were selected continuously and randomly assigned to either experimental or placebo (Vaseline) groups. Data was collected by Visual Analogue Scale (VAS) and a checklist and analyzed by Mann-Witney U test and Chi-Square test using SPSS-PC (v.16).   Results: The intensity of pain associated with vein puncture with Diclofenac gel was significantly lower than that of Vaseline cream (P<0.001). In addition, no short-term side effects were detected with the Gel.   Conclusion: Compared to Vaseline cream, application of Diclofenac gel significantly decreased the pain associated with vein catheter insertion. Accordingly application of Diclofenac gel is recommended an hour before intravenous cannulation in patients undergoing caesarian section. Vein Puncture Pain Diclofenac Gel 2012 12 01 45 53 http://ijn.iums.ac.ir/article-1-1445-en.pdf
73-1451 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2012 25 79 The Effectiveness of Implementing Nursing Consultation on the Anxiety of Patients Undergoing GI Endoscopy NikbakhtNasrabadi AR Bakhshayeshi O Parsayekta Z Hoseyni M Taghavi T Rezvani H   Background ;Aim: Anxiety has been known as a problem for patients undergoing gastrointestinal procedures. Consultation is an approach used to decrease anxiety and distress in patients. The aim of this study is to determine the effect of nursing consultation on the anxiety level of patientsundergoing upper gastrointestinal endoscopy.   Material; Methods : It was a quasi- experimental study. One hundred and twenty patients undergoing upper GI Endoscopy were recruited by convenient sampling and allocated randomly to either experimental (n=60) or control groups (n= 60). The experimental group received nursing consultation about endoscopy the day before the procedure for 30 minutes, while the control group did not receive any intervention. Anxiety level (recorded by spielburger questionnaire) was measured in both groups before intervention and on endoscopy day (immediately before the procedure). The data was analyzed by descriptive and inferential statistics ( Breslow , Mantel–Haenszel , and ANCOVA using SPSS-PC (v. 11.5).   Result : The mean score of anxiety of the experimental and control groups immediately before endoscopy was 40.1 ± 5.22 and 46.01 ± 5.51 respectively and this difference was statistically significant (P<0/0001).  Conclusion : Nursing consultation provides a good opportunity for reducing the anxiety of patients before endoscopic examination and is recommended as a non-pharmacologic intervention to nurses working in gastrointestinal wards.  Received: 8 Dec 2012   Accepted: 28 Feb 2013   Anxiety Endoscopy Nursing Consultation 2012 12 01 54 62 http://ijn.iums.ac.ir/article-1-1451-en.pdf
73-1452 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2012 25 79 Relationship between Supervisor Social Support and Burnout in Nurses F Mohammadi-Fakhar F Rafii R Heshmat nahalnurse@yahoo.com H Haghani   Background and Aim: Burnout is a common syndrome in people who spend their time on providing support to others. Nurses are particularly susceptible to burnout, because of the nature of their profession. Workplace social support is one of the ways to reduce burnout. So the aim of this study was to determine the relationship between supervisor social support and burnout in nurses.   Material & Methods: It was a descriptive correlational study. Two hundred nurses working in hospitals affiliated to Tehran University of Medical Sciences were recruited by proportionate stratified sampling. The instruments included Maslach Burnout Inventory (MBI) and the Support Appraisal for Work Stressors Inventory (SAWS). Data were analyzed by descriptive statistics and Pearson correlation coefficient using (SPSS)-PC (18).   Results: The majority of nurses experienced high levels of emotional exhaustion and lack of personal accomplishment (61% and 97% respectively), and moderate levels of depersonalization (59%). The mean supervisor social support scores were 2.03-2.1 in various dimensions. Significant relationship was found between all dimensions of supervisor social support and frequency of depersonalization. Moreover, there was significant relationship between emotional and informational dimensions of supervisor social support and frequency of personal accomplishment (P<0.05).   Conclusion: Administrators can reduce nurses’ burnout with the appropriate workplace social support. Further studies are suggested to assess and compare other factors related to burnout.   Received: 21 Dec 2012   Accepted: 16 Mar 2013   Burnout Social Support Supervisor Nurse. 2012 12 01 63 71 http://ijn.iums.ac.ir/article-1-1452-en.pdf
73-1448 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2012 25 79 Nurses’ Perspectives on Causes of Medication Errors and Non- Reporting at ED. Salavati S Hatamvand F fatemeh.hatamvand@yahoo.com Tabesh H Salehi nasab M   Background & Aims: Medication errors caused by healthcare providers can seriously threat patients' health. The first step to present strategies for preventing such incidents is to assess the causes of errors and non- reporting. The purpose of this study was to investigate the causes of medication errors and lack of their reporting from the perspective of nurses working in the emergency department.   Material & Methods: In this descriptive cross-sectional study, 71 nurses working in the emergency departments of five teaching hospitals in Ahvaz city were selected by census. Data were gathered by questionnaire. The questionnaire was consisted of three sections including demographic characteristics, questions about the importance of causes of medication errors, and causes of non- reporting. Data was analyzed by descriptive statistics using SPSS-PC (v.16).   Results: The most important causes of medication errors were occupational fatigue exhaustion , low nurse to patient ratio , large number of critically-ill patients , long working hours, high density of work in units and doing other tasks simultaneous ly with drug administration respectively. The most important cause of non-reporting was "managerial factor" (4.12±0.76). In this respect, "not receiving positive feedback for reporting medication error s" (4.33±0.90) and " managers ' concentration on individual factors rather than system factors as the potential causes of error s” (4.30±0.93) were the most important causes for non- reporting from nurses perspective.  Conclusion: Working condition in the emergency department including nurses' workload and the number of patients cared by nurses are important in the development of preventable medication errors. Positive feedback after error reporting and determination of error s causes can persuade nurses for error reporting.  Received: 5 Dec 2012   Accepted: 27 Feb 2013   Medication Errors Nurses Error Reporting 2012 12 01 72 83 http://ijn.iums.ac.ir/article-1-1448-en.pdf