فهرست مطالب nazila javadi

The ability of proper communication is the core issue in all nursing care. Effective professional inter-professional communication is necessary for ensuring the coordination of care, improvement of satisfaction, and overall health outcomes of patients. The present study aimed to determine the status of professional and inter-professional communication in the nursing of Iran. In addition, attempts were made to recognize problems in the field and discuss their consequences and coping strategies.

This was a review study, and data were obtained through searching databases of Science Direct, Google Scholar, SID, and PubMed to find published articles regardless of their date of publication and language.

The primary search with keywords of “nurse” or “nursing student”, “physician”, or “doctor” or “resident”, “patient”, “communication”, or “teamwork” or “cooperation” or “interaction, and “professional communication” or “inter-professional communication” or “interpersonal communication” (both in Farsi and English) resulted in detecting a total of 7181 studies. However, 20 related articles were selected for review in the final assessment stage. The data gathered in the field of communication of nurses was discussed in three areas of nurse-physician, nurse-nurse, and nurse-patient and family communications.

Studies emphasized the importance of teamwork and inter-professional competencies more than ever. It is recommended that educational programs include inter-professional and teamwork training so that the triangular process of physician-nurse-patient communication is formed in the educational environment in a way that students can work in teams and have inter-professional cooperation in line with achieving healthcare goals.

The concept of patient safety is the essential component of health systems; and delivering safe and high quality care is the professional, ethical and legal responsibility for health care professionals. Hence, the aim of this study was to determine the impact of patient safety workshop on knowledge and practice of nursing students. This study was a quasi-experimental study that community of the study were all third semester nursing students of Shahid Beheshti Nursing and Midwifery school of Rasht in 2015. Then data were collected by valid researcher-made questionnaire which consisted of 84 questions based on 9 patient safety solution at the World Health Organization. Afterwards, data were analyzed with SPSS and by descriptive and inferential statistics, with regard to the significance level of   P≤0.05. Consequently, the results showed that education through workshop were only able to temporarily increase the level of knowledge (immediately after workshop) (P<0.0001) eventhough in the long term (after internship) had not been able to increase knowledge (P<0.14). Moreover, education through workshop on performance after the internship was not effective (P=0.12). According to the results of the study and considering the importance of safety concept, it is recommended that the safety concept as a training concept to be subjected in the content of nursing Lessons, or this concept to be taught continually in all clinically practical units or to be evaluated in the form of public evaluation, therefore, by being repeated in evaluating students it can implement an effective role.

  As knowing the characteristics of a good teacher is important, various methods like students' perspectives are used to determine these characteristics. This study aimed to identify the characteristics of a good clinical instructor from the perspective of nursing students. This descriptive qualitative study was conducted using conventional content analysis. In this study, 18 senior nursing students were selected through purposive sampling. Data were collected using a semi-structured interview. Coding and data analysis were performed using MAXQDA 2007. To achieve the reliability and accuracy of the data, the Lincoln and Guba authenticity criteria were used.   After analysis of the recorded interviews, 48 basic codes were obtained. Also, one theme called "professional competence" and six main categories including academic ability, clinical skills, communication skills, evaluation skills, personality, and educational management in the clinical setting were considered as characteristics of a good clinical instructor based on the participants’ perspectives. The results of this study identified the characteristics of a good clinical instructor from the perspective of nursing students, which can help the authorities in successful and efficient educational planning

The subjective workload is a significant stressor in nursing profession and the stress can lead to cognitive problems and occupational cognitive failure. However, the relationship between subjective workload and cognitive failure is ambigious. Therefore, this study was conducted to determine the relationship between nurses’ Subjective workload and occupational cognitive failure in intensive care units. This analytical cross-sectional research was conducted on 176 nurses working in intensive care units of Rasht medical centers in 2017. Samples were selected using census method. The data collection tools consisted of personal and occupational data, standard questionnaires for subjective workload (NASA-TLX) and occupational cognitive failure (OCFQ). The data analysis was performed by the software of SPSS 21 and descriptive and inferential statistic tests of Mann-Whitney and Kruskal-Wallis, Spearman correlation. The majority of samples were female (93.2%) with a mean age of 35.85 ± 7.8, married (71%) and undergraduate (92.2%), ICU (71%), Formal employment (64.2%) with an average work record of 12.21 ± 7. 06 years (86.9%). Mean score and standard deviation for subjective workload was 59.95 ± 16.41 and for occupational cognitive failure 70.31 ± 17.06. There was a significant positive correlation between occupational cognitive failure and subjective workload (r = 0.272, p <0.001). Considering the relationship between subjective workload and cognitive failure, the patient's safety and eventually the quality of care may be improved by designing strategies to reduce the subjective workload and considering its related factors in the planning of human resources employed in intensive care units.

Considering the students' physical, mental and social health status will provide the necessary context to achieve healthy life in community for next years. This study aimed to compare various dimensions of social well- being in medical and paramedical students of Guilan University in 2015. This study conducted on 489 students with stratified and random sampling method by The Keyes social well -being questionnaire. The internal reliability and validity were confirmed in different studies. Data analysis was performed with descriptive and analytical statistics by using SPSS software ver. 16. The findings in relation to the different dimensions of social well- being showed that the highest mean scores in both medical and paramedical students were, respectively related to “social integration” and “social actualization” then and the lowest average scores were related to “social coherence”. Despite the observed differences, findings revealed that apart from the “social contribution” dimension between medical and paramedical students; there is no significant difference in other dimensions (P˃0.05). The results of this study can be considered by managers to provide the necessary planning and the required arrangements improve the social health of students, especially in the dimensions that have had the lowest average score.

The role of nursing managers is crucial for the success of health care organizations. Due to the complexity of roles and workloads, they have considerable job stress. The majority of studies have examined the role of stress and coping with it in nursing staff. However, research on the topic of stress in nursing managers is rare. Therefore, the present study was conducted to determine the status of occupational stress between nursing managers and nurses working in the wards. This analytical cross-sectional study was conducted on 318 nursing staff (261 nurses, 34 head nurses, 16 supervisors and 7 matrons), including nursing managers and nurses working in health centers of Guilan province, who were selected using multistage cluster sampling. The research instrument was Hospital Occupational Stress Questionnaire (HSS-35). The questionnaire consists of 35 items and 11 subscales. Data were analyzed via descriptive and inferential statistics using SPSS 19. The results showed that the majority of the samples in all groups had moderate stress. There was no statistically significant relationship between stress levels in different groups of managers and nurses working in wards (P = 0.74, F=0.41). It was remarkable that supervisors had moderate stress compared to other groups (87.5%). The severity of stress was higher in matrons (28.6%) than other groups. Despite the emphasis of various studies on the attention of managers of organizations to stress among nursing staff, the results of the study indicate that nursing managers have more stress. Therefore, there is a need for planning of stress reduction in all nursing groups (including managers and nurses working in the wards).

Coping strategies play an important role in reducing stress and as a result the general health of individuals. The purpose of this study was to identify coping strategies with stress and associated factors in nursing staff working in health centers of Guilan province. This article is part of a larger analytical-cross sectional study in which 318 people were selected using multi-stage cluster sampling. The research tool was coping inventory for stressful situations (CISS) questionnaire. Descriptive and inferential statistics (T-test and ANOVA) was applied to analyze the data using SPSS19. Most of the samples (41.2%) were in the age group of 31-40 years and the majority of them were female (94%), married (73.3%) and BSc (94.7%). In relation to coping strategies, personnel primarily used task -oriented strategy (M±SD 47.71 ± 7.88) and then with a partial difference used avoidant strategy (M±SD 47.09 ± 7.99). There was a significant relationship between coping strategies and demographic characteristics such as age, marital status and work experience (P <0.05). According to the findings of this study, coping strategies are affected by some demographic characteristics such as age, marital status and work experience. Awareness of this result can be considered by the managers to provide context for effective coping strategies to reduce stress and increase the health of nurses by planning and providing the necessary arrangements.

Sleep disorders among heart failure (HF) patients negatively influence the quality of life. Awareness of sleep disturbances, as one of the disturbing factors of the quality of life among HF patients, and its related factors would help health care staff to provide more comprehensive care. Hence, this study was conducted to determine the quality of sleep and its related factors in hospitalized patients with HF. This cross-sectional survey study was conducted on 240 patients with HF hospitalized in one of the health centers of Guilan University of Medical Sciences between July and December 2013. Samples were selected by convenience sampling. The Pittsburgh Sleep Quality Index and a researcher-designed questionnaire on sleep disturbing factors were the instruments of this study. The correlation and relationship between sleep quality and variables related to personal, environmental, and disease factors were assessed. The majority of the samples (91.2%) had a poor sleep quality. A significant positive correlation was found between sleep quality and age (r = 0.322; p value < 0.001), body mass index (r = 0.212; p value < 0.001), number of comorbidities (r = 0.205; p value = 0.001), number of hospitalizations (r = 0.202; p value < 0.001), number of drugs consumed (r = 0.178; p value = 0.003), and length of stay in hospital (r = 0.149; p value = 0.011). Also, significant differences were seen between sleep quality and sex (p value = 0.014), smoking (p value = 0.038), educational level (p value = 0. 047), and hospital noise (p value = 0. 004). Age, sex, educational level, smoking, and obesity were the most significant factors affecting the sleep quality in our HF patients.