جستجوی مقالات مرتبط با کلیدواژه « holistic care » در نشریات گروه « پزشکی »

The Intensive Care Unit (ICU) is a specialized hospital unit designed to provide care for critically ill patients. Nurses who work in these departments play an important role in ensuring patient safety and providing safe and quality nursing care. However, various factors can affect nurses' ability to provide safe nursing care in these settings. This study was conducted with the aim of investigating the factors affecting safe nursing care in the ICU department.

The present study was a qualitative study of conventional content analysis. The participants included nurses, doctors, and specialists in the field of patient safety, patients and accompanying patients. A total of 20 individuals were included in the study using purposive sampling method. Data collection was done using individual, in-depth and semi-structured interviews. Then, data analysis was done using the method proposed by Graneheim and Landman (2004) and the views of nurses and people related to patient safety in ICU were identified.

Two themes including holistic care and safety-oriented organization and four categories including systematic care, comprehensive care of all systems, human resource management and safe environment were extracted as effective factors in providing safe nursing care in ICU departments.

The results of this study reveal the importance of promoting safe nursing care in ICU departments through a holistic care approach as well as a safety-oriented organization. These findings support previous research that emphasizes the importance of systems thinking and safe nursing care in improving patient safety and overall quality of care. In this way, by implementing targeted interventions and strategies based on these factors, healthcare organizations can create a safer environment not only for patients but also for the staff of the ICU.

With the use of nursing theories in patient care, It was hoped that standards of care can be improved for patients, reduced the cost of nursing care and quality of life of patients co Reduced costs of nursing care and quality of life of patients correction.

Using Neuman theory as a solution in Iranian nursing care challenges.

In order to find studies and resources related to Neuman Theory and Iranian nursing care,  we used three-step techniques. digital databases in the National Library of Medicine of Iran (Elsevier, Nursing consult, Proquest, Scopus, ...) and Google scholar and Persian databases including Irandoc, Iran Medex, Magiran, SID and Medlib was used. Search articles from 1980 to 2016 in English and Persian papers from 1380 to 1395. Then, based on analysis of various studies on the use of Betty Neuman's theory challenges were identified. in early search 803 artcle was found. 231 article was related to the theory Newman, education and nursing care and at the end of the second stage only 23 articles reviewed. 12 cases (52%) articles related to nursing education, 8 (34% ) in relation to nursing care and other articles associated with the gap between theory and practice.

The results of the studies showed that the use of the Neuman Theory in the Iranian nursing system is very poor. More nurses in hospitals, provided nursing care to patients in the secondary level of prevention And their activities in other areas and other prevention levels in community settings and Holistic care, is very limited and it is inconsistent with the philosophy of holistic nursing care.

Neuman's theory focuses on a community vision is to provide nursing services.Due to the importance of the country's nurses' knowledge and skills in health promotion community, empower the nurses in this field is a special place of access to the education system in need of objective review Nursing and health care system in order to use the services of nursing theory nurses to provide care to care to the individual and society are ready.

Spiritual healthcare team members, especially nurses, play a key role in providing holistic care. Spiritual wellbeing in students is essential to identifying the spiritual needs of patients and their spiritual support. Characteristics such as spiritual intelligence influence the attitude of individuals toward spiritual matters, as well as their spiritual wellbeing. The present study aimed to determine the association between spiritual intelligence and spiritual wellbeing in nursing students. This descriptive-analytical study was conducted on 178 students in Borujen Nursing College, Iran in 2015. Participants were selected via census sampling. Data were collected using a demographic questionnaire, spiritual intelligence questionnaire (Badi et al.), and spiritual wellbeing scale (Paloutzian and Ellison). Data analysis was performed in SPSS version 16 using descriptive and analytical statistics. A positive, significant correlation was observed between the spiritual intelligence and spiritual wellbeing of the students (r=0.7; P≤0.001). According to the regression analysis, spiritual intelligence could predict spiritual wellbeing (r2=0.54; P≤0.001). Mean total spiritual intelligence in the students was 3.63±0.3 (range: 1-5), and mean total spiritual wellbeing was 4.3±0.6 (range: 1-6). No significant correlations were observed between spiritual intelligence and spiritual wellbeing with demographic variables (P≥0.05). According to the results, spiritual intelligence results in the spiritual wellbeing of students. Moreover, spiritual intelligence could predict the improvement of spiritual wellbeing. Therefore, it is recommended that educational managers consider the role of spiritual intelligence in spiritual wellbeing and periodically review and improve these variables in students through proper planning

Spirituality as one dimensions of human have an important role in health. Identification spiritual intelligence and spiritual care especially in nursing students as future health provider is very important. Thus this study aimed to determine relationship between spiritual intelligence and competences in providing spiritual care in nursing students.
This descriptive-correlational study was conducted on 185 undergraduate nursing students selected through the census method. Data were collected using a personal demographic information form, Spiritual Intelligence Questionnaire and the competences in providing spiritual care scale. Validity and reliability with internal consistency was conducted. Data were analyzed using descriptive and analytical statistics in SPSS-16.
Spiritual intelligence and competences in providing spiritual care had a positive and significant relationship(r=0.23, p=0.001). Mean scores of spiritual intelligence was 116.18 ± 15.19 and mean scores of competences in providing spiritual care was 90.9±18.53. Students interested in nursing had a positive relationship with spiritual intelligence and competences in providing spiritual care (p According to the results intention to spiritual intelligence and humanity and spiritual capacities in nursing students as powerful point can provide better professional future in holistic care. Also entry of people interested to nursing can appeal attention of nursing students to spirituality and spiritual care for patients.

Since families are responsible for supporting their patients in most cases، paying attention to them is considered as a significant element in the treatment process. Families who are not able to adapt to the hospitalization of their beloved patients in the intensive care units may suffer an emotional crisis. That is، they may show some reactions such as shock، anger، frustration، anxiety، and depression، particularly within 72 hours after the hospitalization. Even in some cases، they may experience more stress than the patients. A review of the related studies shows that the most important needs of the families include being assured that the patient is receiving appropriate treatment and sufficient care، and being informed of the patient’s status، proper prognosis about the treatment process، and the possible consequences. Moreover، the least significant need of the families has been reprted to be their physical comfort. It can be concluded that family-centered care increases the satisfaction of the treatment process and decreases the psychological problems in the families. Therefore، each of the treatment team members in intensive care unit (ICU) should support the family members in dealing with the stressful situations. Evaluating the family needs and performing some essential interventions to fulfill their needs will be effective in declining their anxiety level during the crisis.

Nurses, together with other members of the care team, not only act for the quality and efficiency of the physical care, but also play an important role in the patient's psychological issues. Since nurse's experiences are shaped due to their continuous exposure to real-world situations in burn wards, the aim of this study was to explore the caring experiences of burn nurses faced with patient's needs and providing them holistic care. This study was a qualitative content analysis conducted at the Taleghani Burn Hospital in Ahvaz, 2013. Data were collected by conducting sixteen semi-structured and in-depth interviews with 10 participating nurses selected through purposeful sampling method. Then, they were analyzed by the conventional, qualitative content analysis approach. Following data analysis, three themes emerged including: providing physical care, providing psychological care, and social support of burn patients. The participants described holistic view towards the patients, overall checking and monitoring, providing care in accordance with assessment results, and their demands as the responsibilities of nurses. So, the persons in charge for burn hospitals and nursing managers could take the appropriate measurement for grounding a holistic point of view in care giving of burned patients.

Holistic care is a comprehensive approach for achieving optimal level of care for patients. Identifying the motivational factors can increase quality of nursing care and improve the healing process. Investigation of nurses’ experiences will provide real and meaningful results in this field. In this study we aimed to explore nurses'' experiences regarding holistic care. This qualitative study was conducted on 18 nurses from Uremia، Tabriz، Ardebil and Tehran teaching hospitals of Iran. The data were obtained by interviews with nurses. These interviews were transcribed and analyzed by the conventional content analysis method and using MAXQDA software. Personal characters and experience of hospitalization were identified as motivational and promotional factors in providing holistic care. Considering the role of personal characters and experience of hospitalization in holistic care، paying more attention to nurses’ characteristics and upgrading their communication skills and knowledge are necessary for development of holistic care and are highly recommended.

There are few studies on the spiritual experiences of myocardial infarction patients in the light of cultural context. Therefore، the aim of this study was to explain the spiritual experiences of patients during heart attack. This was a qualitative study. Nine (4 women، 5 men) myocardial infarction patients were interviewed (in-depth interview) in the CCUs of three hospitals in Shiraz. In addition، seven nurses participated in a focus group. Data gathering and analysis were performed simultaneously and continued until data saturation. All the interviews were tape-recorded and transcribed verbatim. Thematic analysis method was used for data analysis. The participants’ spiritual experiences were categorized into four themes and 11 subthemes. The main themes were trust in God، struggling with the heart، family (soothing and stress-inducing)، and help-seeking. According to the results heart attack can bring spirituality in greater focus. Therefore، in order to deliver holistic care، health care providers must be concerned with their patients’ spiritual experiences and needs، especially in life-threatening events