mohammadsaeed mirzaee
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Introduction
In the ever-evolving healthcare landscape, nurses are at the forefront of patient care. Nurses’ procedural skills are the lifeblood of quality care. Artificial Intelligence (AI) is a useful game changer that can change how we approach nursing practice. This scoping review of reviews was conducted with the aim of determining the potential of AI in improving nurses’ clinical, educational, decision-making, informational, and research skills.
MethodsEight electronic databases (PubMed, Scopus, Web of Science, Embase, CINAHL, ProQuest, Microsoft Academic, and OpenGrey) were searched to find all studies (peer-reviewed and grey literature) published up to September 2024 using the keywords AI, nursing skills, and related terms. The Google Scholar search engine was used to find relevant sources and complete the search coverage. Data collected from included studies on each role that AI could play in nurses' skills were analyzed using narrative methods.
Resultsfinally, thirty review studies were included. Accordingly, AI has a beneficial effect on six main themes (education, decision, clinical practice, research, information, and psychiatric nursing) and thirty-three subthemes.
ConclusionThe results of our study showed that AI plays a fundamental role in improving the clinical, educational, decision-making, informational, and research skills of nurses. The integration of AI technologies not only fosters better patient outcomes but also equips nurses with the tools necessary for continuous professional development and efficiency. Future research should continue to explore specific applications and address any barriers to implementation to fully realize the benefits AI can bring to the nursing profession.
Keywords: Artificial Intelligence, Nurse, Skills, Education, Decision, Clinical Practice -
Journal of Research Development in Nursing and Midwifery, Volume:20 Issue: 1, Spring-Summer 2023, PP 31 -34Background
Adhering to nursing professional ethics codes and being familiar with these codes enables nurses to make sound ethical decisions in challenging circumstances. Recognizing the significance of awareness regarding professional ethics codes and their continuous growth, this study was conducted to determine and compare the influence of classroom-based and short message service (SMS) training on the ethical sensitivity of nursing students.
MethodsThis study employed a quasi-experimental design and was conducted in 1401 at Yasuj University of Medical Sciences in Iran. The participants included 120 nursing students who were selected using convenience sampling based on criteria such as enrollment in the bachelor's nursing program, ability to communicate effectively, willingness to participate in the study, and scoring 50 or lower on the ethical sensitivity questionnaire. The samples were randomly assigned to three groups: intervention 1, intervention 2, and control. After obtaining the necessary ethical approvals, data were collected using the Lützen Ethical Sensitivity Questionnaire. Data were collected immediately before and one month after the completion of interventions. The intervention group received a blended teaching approach, which included concept mapping, small group discussions, and role-playing sessions conducted twice a week for one month. Data analysis was performed using descriptive statistics (mean, standard deviation, frequency, and percentage) and inferential statistical methods (paired t-test, chi-square test, and ANOVA) using SPSS software version 21.
ResultsThere was a significant difference in the mean age of students among the three groups, flipped classroom, short message service, and control (p = 0.047). However, no significant difference was observed in terms of gender distribution among the three groups (p = 0.291). Prior to the intervention, there was no statistically significant difference in the overall mean score of ethical sensitivity among the three groups (p < 0.05). However, after the intervention, a significant difference was observed (p < 0.05). Post-hoc comparisons revealed a significant difference in the ethical sensitivity scores of students among the flipped classroom, short message service, and control groups (p = 0.001).
ConclusionBased on the effectiveness of both the flipped classroom and short message service methods in enhancing the ethical sensitivity of nursing students, it is recommended to incorporate these educational approaches into the nursing curriculum for planning and implementation.
Keywords: Codes of ethics, Sensitivity, Flipped classroom, Morals -
Background
Like other countries in the world, Iran is facing the problem of a shortage of nurses. Meanwhile, many Iranian nurses migrate to other countries every year. The present study aims to assess the relationships between migration intention, workload, and a healthy work environment for nurses.
MethodsThis cross-sectional correlational study was conducted in 2020 using a proportional stratified sampling of 360 nurses working in the Iran University of Medical Sciences (IUMS) teaching hospitals. The study data were collected through a demographic questionnaire, the nurses’ intention to migrate questionnaire, the NASA task load index, and the American Association of Critical-Care Nurses Healthy Work Environment Assessment. In this study, we used the independent t-test, analysis of variance, and the Pearson correlation coefficient for data analysis at a significance level of <0.05 in SPSS software, version 16.
ResultsThe Mean±SD intention to migrate score was 65.59±33.51. A weak but significant positive correlation existed between the intention to migrate and workload (r=0.166, P=0.002). There was an inverse and weak relationship between the intention to migrate and a healthy work environment (r=-0.160, P=0.002). There was also a significant relationship between the intention of nurses to migrate and their work experience (P=0.048) and employment status (P=0.001).
ConclusionThe prevention of nurses’ migration must be investigated thoroughly to determine the reasons. But according to the results of this study, providing a healthy work environment and maintaining the current workforce by providing the indicators desired by nurses may partly prevent excessive migration of nurses.
Keywords: Immigration, Workload, Healthy work environment, Nurse -
Nurses’ Challenges in Caring for Patients with COVID-19: A Qualitative StudyBackground
Nurses who care for patients with coronavirus disease 2019 (COVID-19) face challenges in providing care for these patients. This study aimed to explain the nurses’ perception of challenges in caring for patients with COVID-19.
MethodsThis study was carried out using the content analysis method in 2020. In this study, 28 nurses were selected via purposive sampling. Individual and semi-structured interviews were conducted to collect the data. Data collection continued until data saturation. Content analysis was used to categorize the data and the method proposed by Elo and Kyngäs was also applied to analyze the data.
ResultsNurses’ challenges were classified into three categories including organizational problems, defective communication process, and psychosocial challenges. The first category was divided into two subcategories including shortage of nurses and lack of personal protective equipment. The second category included two subcategories of defective communication with colleagues and defective communication with the patients and their families. Moreover, the third category was classified into two subcategories including psychological distress and sociocultural challenges.
ConclusionTo address the challenges of nurses in caring for patients with COVID-19, the shortage of nurses should be eliminated. Nurses need to participate in comprehensive communication skills training courses. Furthermore, it is necessary to develop educational programs and present them to the public based on the cultural context of the society.
Keywords: Caring, Coronavirus disease-2019, Nurses, Challenge, Qualitative research -
بیدل در مثنوی هایش به صورت جدی به موضوع انسان به عنوان رمزگان محوری خود پرداخته است. انسان، ابعاد و امکانات وجودی او، مهم ترین دغدغه ی بیدل است. از منظر بیدل، تمامی مظاهر هستی، زاییده ی «ادراک» آدمی است. وی در حکایت هایی که تنها یک شخصیت محوری دارند، سفر انسان را در جستجوی خود، روایت می کند. انسان مرکزی روایت بیدل، پس از جستجوهای بسیار درمی یابد که هرچه هست، از دایره ی «ادراک» و «وجود» او بیرون نیست و خود او، درواقع حقیقت یگانه ی هستی است. این پژوهش با بررسی ابعاد مختلف روایت مندی در مثنوی های بیدل براساس بلندترین حکایت ها و امکانات خوانش روایی و فهم روایت در نسبت با اندیشه ی بیدل، تلاش می کند تا نشان دهد وی با امکانات و ظرفیت هایی که در روایت خود به کارمی گیرد، چگونه و چه رابطه و نسبتی با مخاطب فرضی خود در مقام یک «انسان نوعی» دارد. درواقع، این پژوهش، هم عرض با بررسی رابطه ی میان «داستان» و «گفتمان»، به بررسی رابطه و نسبت میان «راوی»، «تک شخصیت محوری داستانی» و «مخاطب فرضی» می پردازد، تا بتواند نموداری ترسیم کند که جهت روایت بیدل را در لایه ها و سطوح مختلف داستانی به ما نشان دهد.
کلید واژگان: الگوی ارتباط، انسان، روایت، مثنوی های بیدل دهلویBoostan Adab, Volume:12 Issue: 2, 2020, PP 243 -263In his Masnavi, Bīdil has seriously addressed human beings as a pivotal character. Human beings, his dimensions and existential potentials are among the most important concerns of the poet. To Biddle, all manifestations of existence lie in human "perception". In his stories - where there is only one single central character - Bīdil narrates the journey of human in search of his own existence. In this journey, he finally realizes that there is nothing beyond the scope of his own “perception” and “existence”. This makes man the sole truth of the universe. The study tries to show what sort of relationship Bīdil establishes with his hypothetical reader, as a “typical human”, and how he achieves this by drawing on the potentials and power in his narratives. This is carried out by examining the various aspects of narration in Bīdil’s longest stories. In fact, this study, in order to draw a pattern of Biddle's narrative at various layers of the story, along with examining the relationship between the "story" and "discourse", examines the relationship between the narrator, the single pivotal character of the story and the hypothetical reader.
Keywords: B?dil, Narrative, Masnavi, discourse, narrative pattern, typical human beings -
سابقه و هدفهموویژولانس با حذف عوارض تزریق خون موجب ارتقاء مراقبت های پرستاری و افزایش رضایت بیماران می شود. پژوهش حاضر با هدف تعیین تاثیر آموزش هموویژولانس به روش نقشه مفهومی بر سطح آگاهی دانشجویان پرستاری انجام شد.مواد و روش هامطالعه از نوع نیمه تجربی در دانشکده علوم پزشکی ساوه در سال 1396 انجام شد. نمونه ها 60 نفر از دانشجویان پرستاری بودند که با روش سرشماری و بر اساس معیارهای ورود و خروج انتخاب و با تخصیص تصادفی به دو گروه آزمون و کنترل تقسیم شدند. اطلاعات به وسیله پرسشنامه آگاهی از هموویژولانس جمع آوری شد. روایی آن مورد تایید بوده و پایایی آن با استفاده از ضریب آلفای کرونباخ 0/83 گزارش گردید. مداخله طی 4 جلسه انجام شد. برای تجزیه و تحلیل اطلاعات از روش های آمار توصیفی و آمار استنباطی با نرم افزار SPSS نسخه 25 استفاده شد.یافته هااز نظر سطح آگاهی دانشجویان بین دو گروه آزمون و کنترل بعد از مداخله اختلاف معنی دار وجود داشت (0001=P). نمره آگاهی دانشجویان در گروه آزمون و کنترل، بعد از مداخله دارای اختلاف معنی دار بود (0001=P). تغییرات میانگین نمره آگاهی دانشجویان از قبل به بعد از مداخله در گروه آزمون دارای اختلاف معنی دار بود (0001=P).نتیجه گیرینقشه مفهومی روش نوینی بوده که آموزش هموویژیولانس از طریق آن موجب افزایش آگاهی دانشجویان پرستاری شده و می تواند از عوارض ناشی از کاربرد ناصحیح فرآورده های خونی در بیماران بکاهد.کلید واژگان: آگاهی، نقشه مفهومی، هموویژولانسBackground and ObjectiveHaemovigilance recognizes and eliminates complications caused by blood transfusions, improves the quality of nursing care, and increases patient satisfaction. With regards to the importance of the problem, this study aimed to determine the effect of haemovigilance education, using a conceptual map on the knowledge of nursing students.Materials and MethodsThe present study was a semi-experimental study carried out at the Saveh University of Medical Science in 2017. Samples consisted of 60 nursing students of the Saveh University of Medical Science. They were selected by census sampling and based on entry and exit criteria and randomly assigned to two groups of test and control. For data collection use of the haemovigilance knowledge questionnaire. Its validity was confirmed and its reliability was reported as 0.83 using Cronbach's alpha coefficient. The training program was conducted in 4 sessions. For data analysis, descriptive statistics and inferential statistics (independent t-test, chi-square, Fisher's exact test and Wilcoxon test) and SPSS-25 software were used.ResultsThere was a significant difference between the two groups in the test and control groups (P=0.0001). There was a significant difference in the level of knowledge among students between the two groups after intervention (P = 0.0001). The students' knowledge score in the test and control groups was significantly different after the intervention (P = 0.0001). The mean change in knowledge of students before the intervention was significantly different in the test group (P = 0.0001).ConclusionThe Conceptual map is a new method that haemovigilance education through it increases the awareness of nursing students and reduces the complications of improper use of blood products in patients.Keywords: Conceptual Map, Haemovigilance, Knowledge
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زمینه و هدفبیش از 50 درصد افراد دچار قطع عضو از درد عضو خیالی رنج می برند. مطالعه حاضر با هدف بررسی تاثیر روش حساسی تزدایی با حرکات چشم و پردازش مجدد بر درد عضو خیالی بیماران تحت قطع عضو انجام شد.
مواد و رو شها: این مطالع هی نیمه تجربی در بیماران تحت قطع عضو در شهر یاسوج در سال 1393 تا 1394 انجام شد. در مجموع 40 بیمار مبتلا به قطع عضو به صورت نمون هگیری در دسترس انتخاب شده و به طور تصادفی به دو گروه تجربی و کنترل تقسیم شدند. در گروه تجربی، روش درمانی حساسی تزدایی با حرکات چشم و پردازش مجدد در 12 جلسه انجام شد. در گروه کنترل هیچ مداخل های صورت نگرفت.داده های درد عضو خیالی، قبل از درمان و بعد از درمان گردآوری شده و با استفاده از آمار توصیفی، آزمون تی مستقل، آزمون تی زوجی و مجذور کای تجزیه و تحلیل شدند.یافته هانتایج نشان داد که تفاوت معن یداری بین میانگین درد عضو خیالی قبل و بعد از مداخله در گروه تجربی وجود دارد) 001 / .)P>0میانگین درد عضو خیالی در گروه کنترل بعد از مداخله در مقایسه با قبل از مداخله تغییر معن یداری نداشت) 05 / .)P<0نتیجه گیریروش حساسی تزدایی با حرکات چشم و پردازش مجدد باعث کاهش درد عضو خیالی در بیماران تحت قطع عضو می گردد.
توصیه می شود که از این روش به عنوان یک درمان مکمل برای درمان بیماران مبتلا به قطع عضو استفاده شود.کلید واژگان: درد عضو خیالی، آمپوتاسیون، حساسیت زدایی حرکات چشم و پردازش مجددAim andBackgroundMore than 50% of patients suffer from phantom limb pain after amputation. This study was conducted to identify the effect of eye movement desensitization and reprocessing on phantom limb pain in patients with amputation.
Methods and Materials: This quasi experimental study was performed in Yasuj City between 2012 to 2014. A total of forty (40) patients suffering from phantom limb pain, were selected using sampling and randomly divided into experimental and control groups. In the experimental group, eye movement desensitization and reprocessing therapy was performed in twelve (12) sessions. The control group received no intervention. Data were gathered on phantom limb pain at pretreatment and post-treatment and analyzed using descriptive statistics, T test, Paired T test and Chi- square.
Findings: The results showed that there is a significant difference between the mean of phantom limb pain before and after intervention in the experimental group (P0.05).ConclusionsEye movement desensitization and reprocessing reduced phantom limb pain in patients with amputation. Therefore, its use as a therapeutic and alleviative method could be suggested for patients suffering from phantom limb pain.Keywords: Phantom limb pain, eye movement desensitization, reprocessing, amputation -
زمینه و هدفمانیتورینگ همودینامیک سنگ بنای مراقبت از بیماران بدحال در بخش مراقبت های ویژه می باشد. مانیتورینگ همودینامیک، بخش جامعی از مراقبت از بیماران بدحال در بخش مراقبت های ویژه بوده و برای شناسایی بی ثباتی همودینامیک و علت های آن و پاسخ به درمان مورد استفاده قرار می گیرد. مطالعه حاضر با هدف بررسی مانیتورینگ همودینامیک به روش غیر تهاجمی در بخش مراقبت های ویژه صورت گرفت.مواد و روش هادراین مطالعه 61 رفرنس که در طی سال 1890 تا سال 2010 در زمینه مانیتورینگ غیر تهاجمی چاپ شده بود استفاده شد. رفرنس های این مقاله مروری ازPubmed، Elsevier، Googlescholar، Elseviermasson، Sciencedirect، JAMA بدست آمدند. نویسندگان از کلید واژه هایی شامل: برون ده قلبی، غیر تهاجمی، بخش مراقبت های ویژه، اکسیژناسیون، مارکرهای upstream، Down stream، مانیتورینگ همودینامیک،روش های حداقل تهاجمی و شوک گردش خون نیز استفاده کردند.یافته هانتایج اکثر این مطالعات نشان دادند که مانیتورینگ مطلوب و بهینه بیماران بدحال بخش مراقبت های ویژه هنوز به عنوان یک چالش باقی مانده است. آگاهی از برون ده قلبی که مهمترین شاخص عملکرد قلب است، برای تصمیم گیری در نحوه اداره بالینی، اتخاذ شیوه درمان، بررسی های بالینی و پیش اگهی بیماران مبتلا به مشکلات قلبی اهمیت بسزایی دارد.نتیجه گیریاکثر این مطالعات نشان دادند که سیستم مانیتورینگ غیر تهاجمی آسانتر، ایمن تر، ارزانتر، حساس تر و اثربخش تر از سیستم مانیتورینگ تهاجمی برون ده قلبی می باشد. ودر صورتی که از این روش بطور مناسب استفاده شود می تواند میزان مرگ و میر و ناخوشی را به طور محسوسی کاهش دهد.
کلید واژگان: برون ده قلبی، مانیتورینگ همودینامیک، غیر تهاجمی، مارکر های، Upstream Downstream، بخش مراقبت های ویژهAim andBackgroundHemodynamic monitoring of critical patients in intensive units is the cornstone of care. It constitutes an extensive part of care and is helpful in determination of the causes and the response to treatment of hemodynamic instability. Aim of this review articale is to investigate of the Non invasive hemodynamic monitoring in critical care units.Materials And Methods61 articales allocated for this study the time frame covered was 1890 to 2010. The references of this review article were obtained from pubmed,Elsevier, Google scholar, Elsevier mason, Science direct, JAMA. The authors have also used the keywords including: cardiac output, noninvasive, intensive care unit, oxygenation, upstream, Downstream Markers,Hemodynamic monitoring, minimum invasive methods, and Circulatory shock.Resultsthe results of this study show that The desirable and premium monitoring of serious patients in the intensive care units have yet remained as a challenge. Awareness on the cardiac output which is the most important indicator of cardiac function is of vital importance for deciding on the method of clinical administration, selection of treatment method, clinical assessment, and prognosis of the patients suffering from cardiac problems.Conclusiona lots of this study show that Non-invasive monitoring system is easier, safer, cheaper, and more effective than invasive monitoring system of cardiac output, if this method is used properly,it could reduce the mortality and morbidity rate.Keywords: Cardiac output, Hemodynamic monitoring, Non, invasive, upstream, Downstream Markers, Intensive Care unit
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