فهرست مطالب

Nursing and Midwifery Studies
Volume:4 Issue: 3, Jul-Sep 2015

  • تاریخ انتشار: 1394/07/09
  • تعداد عناوین: 10
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  • Masoumeh Abedzadeh Kalahroudi * Page 1
  • Nasrin Rasoul Zadeh, Hamidreza Sadeghi Gandomani, Masoumeh Delaram *, Zohre Parsa Yekta Page 2
    Background
    Development of practical skills in the field of nursing education has remained a serious and considerable challenge in nursing education. Moreover, newly graduated nurses may have weak practical skills, which can be a threat to patients’ safety..
    Objectives
    The present study was conducted to compare the effect of concept mapping and conventional methods on nursing students’ practical skills..Patients and
    Methods
    This quasi-experimental study was conducted on 70 nursing students randomly assigned into two groups of 35 people. The intervention group was taught through concept mapping method, while the control group was taught using conventional method. A two-part instrument was used including a demographic information form and a checklist for direct observation of procedural skills. Descriptive statistics, chi-square, independent samples t-tests and paired t-test were used to analyze data..
    Results
    Before education, no significant differences were observed between the two groups in the three skills of cleaning (P = 0.251), injection (P = 0.185) and sterilizing (P = 0.568). The students mean scores were significantly increased after the education and the difference between pre and post intervention of students mean scores were significant in the both groups (P < 0.001). However, after education, in all three skills the mean scores of the intervention group were significantly higher than the control group (P < 0.001)..
    Conclusions
    Concept mapping was superior to conventional skill teaching methods. It is suggested to use concept mapping in teaching practical courses such as fundamentals of nursing..
    Keywords: Students, Nursing, Practical Skills, Concept Mapping, Conventional Teaching Method
  • Mahdi Shamali, Mohsen Shahriari, Atye Babaii, Mohammad Abbasinia * Page 4
    Background
    Nurses, as health care providers, are insurmountably obliged to the practice of shift work. Literature has reported shift working as one of the inducing factors of burnout. Despite numerous studies in this area, there are inconsistencies on the relationship between shift working and burnout among nurses, especially in those who work in critical care settings..
    Objectives
    The aim of this study was to compare the occupational burnout in critical care nurses with and without fixed shift schedules..Patients and
    Methods
    In this comparative study, 130 nurses with rotating shift schedule and 130 nurses with fixed shift schedule from six university hospitals were selected using stratified random sampling. Maslach burnout inventory was used for data collection. Independent samples t-test, chi-square and one-way ANOVA tests were used to analyze the data..
    Results
    Most of the participants were females (62.7%), aged between 22 - 29 years (38.5%), married (59.2%), and had a bachelor degree (86.9%). The mean score of emotional exhaustion was significantly higher in nurses with fixed shift schedules (P < 0.001). However, no significant difference was found between the mean scores of the two groups in the personal accomplishment and depersonalization subscales (P > 0.05). Moreover, no significant difference was found in burnout mean scores between nurses with fixed morning and fixed night shifts (P > 0.05). The means of the emotional exhaustion subscale were significantly different in nurses with different characteristics (P < 0.05) except the gender and working unit..
    Conclusions
    As a result of this study, it was found that critical care nurses with fixed shift schedules display more burnout in emotional exhaustion dimension, compared to those working with rotating shift schedules..
    Keywords: Critical Care, Nurses, Burnout, Shift Work
  • Marzieh Abdal, Negin Masoudi Alavi *, Mohsen Adib-Hajbaghery Page 5
    Background
    Clinical education has a basic role in nursing education, and effective clinical training establishes a sense of clinical self-efficacy in senior nursing students. Self-efficacy is a key component for acting independently in the nursing profession..
    Objectives
    This study was designed to outline senior nursing students’ views about clinical self-efficacy and to determine its level in nursing students..Patients and
    Methods
    A mixed-methods approach, including a quantitative cross-sectional study and qualitative content analysis,was used in this study. Participants were senior nursing students who were in their two last semesters. During the initial quantitative stage, all students in the 7th and 8th semesters of the nursing major were invited to participate. They were asked to complete the Nursing Clinical Self-Efficacy Scale (NCSES) and, during the subsequent qualitative stage, the 14 students in the 7th and 8th semesters were asked to participate in semi-structured interviews..
    Results
    In the quantitative part, 58 students completed the self-efficacy questionnaire; the mean score was 219.28 ± 35.8, which showed moderate self-efficacy in students. Self-efficacy was different across skills. In the qualitative part, the 355 open codes that were extracted from the interviews were clustered to 12 categories and 3 themes. The main themes included the factors related to self-efficacy, outcomes of self-efficacy, and ways to improve self-efficacy..
    Conclusions
    Students had moderate self-efficacy. Several factors such as environment, nursing colleagues, and clinical educators could influence the creation of clinical self-efficacy in nursing students..
    Keywords: Self, Efficacy, Education, Nursing Students, Questionnaires, Interview
  • Pinelopi Varela *, Areti C. Spyropoulou, Zacharias Kalogerakis, Martha Moraitou, Iannis M. Zervas Page 6
    Background
    Prior studies have reported inconsistent findings regarding the link between antenatal depressive and anxiety symptomatology, with neonatal outcomes..
    Objectives
    The aim of the present study was to assess the possible association of prenatal depressive and anxiety symptoms, in the third trimester of pregnancy, with perinatal outcomes (birth weight of the newborn, Apgar score and the newborn’s admission in neonatal intensive care unit) in a sample of pregnant women, in Greece..Patients and
    Methods
    A total of 117 women from Athens, during the 32nd to 35th week of pregnancy, participated in the study. Demographic and obstetric history data, as well as neonatal outcomes, were recorded. Three self-administered psychometric scales (Beck depression inventory (BDI), Edinburg postnatal depression scale (EPDS) and beck anxiety inventory (BAI)) were used to evaluate in detail the prenatal depressive and anxiety symptoms. Descriptive statistics, Spearman’s Rho coefficients, Mann-Whitney U and Kruskal-Wallis testes were applied to analyze the data..
    Results
    On the basis of BDI, 81.1% of the sample showed minimal, 15.4% mild, 2.6% moderate and 0.9% severe depressive symptoms, respectively. Furthermore, 80.3% of the participants, scored on EPDS below the cut-off point for a likely diagnosis of depression. According to BAI scale, 43.6% showed minimal, 42.7% women mild, 10.3% moderate and 3.4% severe anxiety symptoms. No statistically significant correlations were found between depressive and anxiety symptoms and neonatal outcomes (birth weight, Apgar score and admission in neonatal intensive care unit)..
    Conclusions
    Limited levels of prenatal depressive and anxiety symptoms do not seem to be associated with neonatal outcomes. In clinical practice, pregnant women, who suffer from low levels of prenatal depressive and anxiety symptoms, may be reassured, in respect of the adverse outcomes of these mood symptoms on the neonate..
    Keywords: Depression, Anxiety, Prenatal, Intensive Care Units, Neonatal, Mood Disorders
  • Tiran Jamil Piro, Shahrzad Ghiyasvandian *, Mahvash Salsali Page 7
    Background
    Studies introduce maternal and neonatal safety phenomena as important challenges to the public health, particularly in low-income countries. However, few researches are conducted on the identification of safety issues in maternity hospitals in Iraq. It was the first study on nurses’ perspectives on safety issues in Kurdistan, Iraq..
    Objectives
    The current study aimed to describe nurses’ perspectives on what constitutes a safe maternity service in Kurdistan, Iraq..Patients and
    Methods
    A qualitative design, based on a content analysis approach, was used. Ten Kurdish nurses who worked in the delivery room of Kurdistan, Iraq maternity hospital were recruited through purposive sampling. Semi-structured interviews were performed to collect data. All interviews were audiotaped and transcribed verbatim. Sampling continued to the level of data saturation. Data analysis was performed based on the steps suggested by Graneheim and Lundman..
    Results
    Thematic analysis led to the identification of six main categories including stressful job, lack of schedule and job description, providing care with limited resources, professional unaccountability, regional sociopolitical factors, and inadequate training..
    Conclusions
    Iraqi nurses identified factors such as limited health resources, lack of job description, and professional unaccountability as major safety issues in maternity services. These findings alarm the need to ensure the provision of females and neonates with appropriate care. This, however, would require coordination between Iraqi Kurdistan health authorities to provide midwifery care facilities, high-quality and relevant staff training, and an effective healthcare system in the maternity units..
    Keywords: Qualitative Research, Nurses, Safety, Maternal, Child Nursing
  • Ali Khani Jeihooni, Alireza Hidarnia *, Mohammad Hossein Kaveh, Ebrahim Hajizadeh, Alireza Askari Page 8
    Background
    Several studies reported the efficacy of osteoporosis prevention interventions in improvement of people’s preventive behaviors. However, there are reports that the interventions were not successful in altering osteoporosis health beliefs and preventive behaviors..
    Objectives
    The current study aimed to assess the effect of a program based on health beliefs model (HBM) on females’ health beliefs and performances about osteoporosis preventive behaviors..Patients and
    Methods
    This quasi-experimental study was conducted on 120 patients registered in two healthcare centers of Fasa, Fars Province, Iran in 2014. A questionnaire including demographic information and HBM constructs was employed to measure the females’ beliefs regarding nutrition and walking performance in prevention of osteoporosis bone mineral density (BMD) measured at the lumbar spine and femur before, immediately after the intervention, and six months after the intervention. Data were analyzed using Chi-square, independent samples t-, Mann-Whitney U tests and repeated measures ANOVA..
    Results
    Immediately and six months after the intervention, a significant increase was found in the intervention group’s health beliefs, nutrition, and walking performances to prevent osteoporosis. Six months after the intervention, lumbar spine BMD T-score increased to 0.127 ± 0.061 in the intervention group but reduced to -0.043 ± 0.059 in the control group. Also, hip BMD T-score increased to 0.125 ± 0.088 in the intervention group, but decreased to -0.028 ± 0.052 in control group..
    Conclusions
    The current study showed the effectiveness of HBM in adoption of nutrition and walking behaviors as well as the increase of bone density to prevent osteoporosis..
    Keywords: Nutritional Status, Walking, Health Belief Model
  • Sarieh Poortaghi, Mahvash Salsali, Abbas Ebadi *, Zahra Rahnavard, Farzaneh Maleki Page 9
    Background
    Although using the nursing process improves nursing care quality, few studies have evaluated nursing performance in accordance with nursing process steps either nationally or internationally..
    Objectives
    This study aimed to audit nursing care based on a nursing process model..Patients and
    Methods
    This was a cross-sectional descriptive study in which a nursing audit checklist was designed and validated for assessing nurses’ compliance with nursing process. A total of 300 nurses from various clinical settings of Tehran university of medical sciences were selected. Data were analyzed using descriptive and inferential statistics, including frequencies, Pearson correlation coefficient and independent samples t-tests..
    Results
    The compliance rate of nursing process indicators was 79.71 ± 0.87. Mean compliance scores did not significantly differ by education level and gender. However, overall compliance scores were correlated with nurses’ age (r = 0.26, P = 0.001) and work experience (r = 0.273, P = 0.001)..
    Conclusions
    Nursing process indicators can be used to audit nursing care. Such audits can be used as quality assurance tools..
    Keywords: Nursing Care, Nursing Process, Clinical Audit, Quality of Health Care
  • Ali Karimi Rozveh, Hamidreza Sadeghi Gandomani, Mohsen Adib-Hajbaghery * Page 10