فهرست مطالب ژیلا عابد سعیدی

Unfortunately, despite the emphasis of documents and contemporary theories on the belief that nursing is a science and an art in care, a review of published studies shows that only the nursing science has developed. Many experts believe that by recognizing and perceiving this concept the clinical field can develop aesthetic knowledge in the education of nursing students. Since there are no studies to explain perception of nursing art in Iranian nursing culture, so this research was conducted to explain the client's perception of nursing art.

This study was an interpretative phenomenological research. Unstructured interviews were used to gather the data. Participants in this study were 12 hospitalized clients that were purposefully selected. Their experiences were analyzed using Van Manen’s hermeneutic phenomenological framework.

13 clusters and five main themes were derived after thematic analysis of the phenomenon of nursing art. Emerged themes were: subjective description, overt spirituality, opening desperate impasse, unity of feeling and manifestation of capabilities beyond duty.

Emerged themes of client's perception from nursing art involved holistic care behaviors in the current literature on nursing with an emphasis on spirituality and skill. By identifying these behaviors, we can help nurses provide better care and respond to the realistic expectations of their patients.

Consistent with health care changes, nursing schools also require revising of clinical education programs, especially, the nursing student’s first clinical experience. The first clinical experience is considered the cornerstone in professional nursing education. The present study was conducted with the aim to identify challenges of clinical training of the fundamentals of nursing to undergraduate students and develop them with a collaborative approach in the School of Nursing and Midwifery in Ahwaz Jundishapur University of Medical Sciences, Iran.

The presents study reports the two operating cycles of an action research with a collaborative approach and focus group discussion, and with the participation of 84 stakeholders. Content analysis approach was used to analyze the data obtained in focus discussion interviews. In addition, reflective evaluation was performed during the operation and final evaluation at the end of each cycle with the participation of all members, including students.

The findings of this qualitative study detected a lack of consistency in planning and implementation of curriculum, inadequate intra- and extra-organizational communication management, inadequate student understanding of situation, and improper control of restrictors and improper use of facilitators in teaching and practice. After classification of problems, educational decision-making authorities of the School developed an operational program within the national curriculum framework through participation in clinical skills and principles training program. Overall, the evaluation results in the two operating cycles confirm that the general success of the action plan is based on professional collaboration of faculty trainers and administrators, and clinical nurses involved in the process.

Planning fundamentals of nursing training in partnership with all those involved in practice and education, together with students can be effective in reducing educational failures, gap between theory and practice, and result in the satisfaction of all stakeholders.

The impact of lower limb amputation is great on patient's physical and psychosocial functioning. In fact, the future of patients can even be affected by this experience. This study aimed to explain the experience of patients with lower limb amputation in the Red Crescent Rehabilitation Center in Tehran, Iran.

In a qualitative study, purposive sampling method was used to select 16 patients with lower limb amputation (below knee) in the Red Crescent Rehabilitation Center in Tehran for at least having lower limb amputated within 6 months. Data were collected through semi-structured interview. The data were analyzed based on the content analysis.

The results of this study revealed five main themes including perceived threats for the loss of a limb, changes in life, well-being problem, need to be understood and acceptance of loss of a limb and prosthesis.

The patients with lower limb amputation participating in this research required adequate and correct knowledge about amputation and psychological needs and supports. The support that those receive from family and healthcare team members was unexpected for them and this issue concerns them about the amputation. Thus, the role of family and healthcare team members and rehabilitation in the training and support, especially emotional support, is essential.

Objective (s): The framework approach was developed in the 1980s as a method to manage and analyze qualitative data in applied policy research. The aim of this article is to introduce the Framework analysis for qualitative data analysis.

Electronic literature search was performed using PubMed, Science Direct, Ovid, ProQuest, and Google. Then relevant literature was retrieved and was reviewed.

A number of scientific evidences were identified. In general there were two types of papers: those applied framework analysis in healthcare and social investigations, and those explained about the framework analysis processes. The five steps of framework approach constitute a hierarchical thematic framework that is used to classify and organize data according to key themes, concepts and emergent categories.

The framework approach has become popular, especially among novice healthcare researchers, due to flexibility, easy and clear steps.

Abstract

Performance appraisal is an essential process in health care organizations to ensure that the quality of care goal is met. The aim of this study was to determine the most important dimensions of performance appraisal from the perspective of nursing researchers.

In this review study، the published articles from 2002–2012 were assessed. In order to achieve related evidences، electronic search was done in both English and Persian language by using the key words; appraisal، nurse، assessment، evaluation in the following databases: Magiran، SID، IranMedex، PubMed، Science Direct، InterScienc، Ovid، ProQuest and Google.

Search results in multiple sites covering 10 Persian articles on nurses’ performance appraisal in the last 10 years in Iran. There was not found any related article in English language. 5 studies (50%)، mainly considered the following topics: relationship between performance appraisal and variables such as job satisfaction، job motivation، job rotation and managers’ education. 5 (50%) of the studies were conducted in Tehran، 2 of them (20%) were quasi experimental and 8 studies were quantitative study.

Performance appraisal is associated with job satisfaction، motivation and identification of nurses’ training needs. Objectives in appraisal، appropriate implementation and training can play a significant role in the success of this system.

Conscience is the foundation of morality and influences private and professional life. Furthermore، conscience expresses the right image of right and wrong as well as good and bad. It helps nurses to hold their ethical integrity. How acts are led by conscience is different and how it is perceived by health care providers is unclear. Thus، the current study was carried out to develop a valid and reliable instrument to assess perception of nursing conscience.

In a methodological study، primary items of our previous phenomenological research systematic review and previous questionnaire were merged to a single questionnaire. Content face and construct validity was confirmed reliability of the questionnaire was measured by split half and Cronbach α coefficient.

Factor analysis determined the five factors of conscience perceived ethical conscience، supervisor conscience، protective conscience، caring conscience and reaction of conscience. Furthermore، the reliability and validity were achieved by statistical tests. Α Cronbach for internal consistency was 0. 945 and Guttmann splitting half was r=0. 917. Content validity index was more than 90% for each item.

The nursing conscience perception questionnaire had 24 items and 5 dimensions and had both validity and reliability، but it needs to be tested over and over to enhance its validity and reliability.