Iran Journal of Nursing

  Background and Aim: Sleep and rest are major needs of human which are included in physiologic needs category of Maslow's hierarchy of needs. Since nurses work on morning, evening and night shifts irregularly, they are exposed to sleep problems. The purpose of this study was to investigate the quality of sleep and related factors among staff nurses working in Imam Khomeni hospital affiliated to Tehran University of Medical Sciences and Health Services.

  Material and Method: This study had a descriptive – analytical design in which staff nurses working at Imam Khomeini Hospital lacated in Tehran were studied. The samples consisted of 120 nurses selected by simple random sampling. The instrument for data collection was the Demographic Information Questionnaire and Pittsburgh Sleep Quality Index.

  Results: The results showed that %62.5 of nurses had low sleep quality %33.5, low sleep quality and only %4.2 had good sleep quality. When examining relationship between sleep quality and the pattern of working shifts, statistical Chi-square test showed a statistically significant relationship (P<0.05) and staff nurses with irregular working shifts had lower sleep quality.

  Conclusion: This study showed that a much percent of nurses suffered from low sleep quality. Also, working shift pattern and the amount of work hours played an important role in quality of sleep in staff nurses.  

  Background and Aim: Coronary artery diseases are the most common cardiovascular diseases and considered as the main cause of mortality in the world and in Iran. A set of risk factors interfere to make these diseases. The aim of this study was to evaluate risk factors of coronary artery diseases in patients with myocardial infraction.

  Material and Method: This case-control study was conducted on 60 patients with myocardial infarction admitted in cardiac care unit of Fatemieh hospital (as case group) and other 60 patients admitted in ENT and eye ward of Amiralmomenin hospital (as control group) in Semnan, Iran. The data collection tool was checklist, and the patients were evaluated regarding four main modifiable risk factors of coronary artery diseases as smoking, hypertension, diabetes, and hypercholesterolemia.

  Results: The findings showed that 71.7% of the patients with myocardial infarction were male, the mean age of patients with myocardial infarction was 62.9 years, and the most common risk factors were smoking and hypertension, diabetes, and hypercholesterolemia, respectively. There was a statistically significant difference between two groups relative to the prevalence of the risk factors as smoking, hypertension, and hypercholesterolemia, but the difference was not statistically significant for diabetes. Odd's ratio relative to smoking, hypertension, hypercholesterolemia and diabetes were 2.95, 2.25, 2.78, and 2, respectively. Odd's ratio relative to smoking, hypertension, and hypercholesterolemia were significant, but it was not significant relative to diabetes.

  Conclusion: The results indicated that smoking, hypertension, and hypercholesterolemia are the most common risk factors in patient with myocardial infarction. Smoking with the highest Odd's ratio is the most important risk factor. Because these risk factors are modifiable, therefore, knowing them and taking actions to modify them are very important in reducing the risk of myocardial infarction and related mortality.

  Background and Aim: Education as a continuous and dynamic process can be analyzed through educational pathology to identify problems and barriers and to plan applicable strategies. The aim of this study was to determine factors influencing Health Assessment Course in Bachelor of Science nursing program.

  Material and Method: This is a qualitative study with thematic analysis method in which face-to-face semi-structured interviews and focus group was used to collect data from a purposeful sample of 17 participants, 14 nursing students and 3 nursing instructors in Baghiatallah nursing faculty. Content analysis was used to analyze data.

  Results: Data showed that barriers in Health Assessment Course presentation were in educational planning, environmental equipments of nursing school and hospital, nursing instructor and evaluation methods.

  Conclusion: Regarding the barriers, we should focus on nurses' roles in real situations to make this course applicable. Also, reinforcing present educational system and continuing education of instructors and clinical nurses would minimize problems.