فهرست مطالب

Research Development in Nursing and Midwifery - Volume:16 Issue:2, 2019
  • Volume:16 Issue:2, 2019
  • تاریخ انتشار: 1398/08/10
  • تعداد عناوین: 8
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  • Fahimeh Dehghani*, Fatemeh Foroughian Yazdi, Rohollah Askari Pages 1-10
    Background

     The quality of hospital systems depends greatly on the performance of nurses, and the performance of nurses has a significant effect on individual patients` satisfaction. Therefore, it is important to examine the factors related to nurses' performance. This study was designed to investigate the relationship between spiritual intelligence and occupational hardiness and the job performance in pre-hospital and hospital emergency nurses in Yazd.

    Methods

    This cross-sectional study was carried out on 132 nurses working in pre-hospital and hospital emergency in Yazd University of Medical Sciences, who were selected using stratified sampling with proportional allocation in 2016. Data were collected through three questionnaires including spiritual intelligence, occupational hardiness and job performance. Data was analyzed using descriptive statistics and multiple regression in SPSS version 19.0 (IBM, USA).

    Results

     The mean score of job performance, spiritual intelligence and occupational hardiness were 52.46±11.16, 121.32±12.59, and 53.29±8.72, respectively. According to the results, spiritual intelligence and occupational hardiness can predict the job performance. (R2=%18, P<0.01). Both spiritual intelligence (β=0.32, P=0.001) and occupational hardiness (β=0.24, P=0.004) showed significant positive contribution in the prediction of the job performance.

    Conclusions

     According to the results, developing spiritual intelligence and occupational hardiness can help to improve the job performance of the pre-hospital and hospital emergency nurses.

    Keywords: Intelligence, Spirituality, Job Performance, Emergency, Nurses, Hardiness
  • Shahla Biglar, Abolhassan Rafiee, Maryam Puryaghoob, Fariba Sharafi, Fatemeh Moghaddam*, Zahra Nisari Pages 11-18
    Background

    The management of Psychological symptom in patients and nurses, effective communication with patients are important issues that should be taken into consideration in nursing care. This study aimed to examine the effects of nursing welcome program on the level of stress and satisfaction in patients in the Coronary Care Units (CCU).

    Methods

    The interventional study was done on 72 patients, who were admitted to CCU at Emdadi hospital in Abhar in 2017. The patients were selected by convenience sampling and were allocated into intervention (n= 36) and control (n= 36) groups. Data was collected using a questionnaire including demographic; Depression, Anxiety and Stress Scale (DASS-21), and the La Monica–Oberst Patient Satisfaction Scale (LOPSS). The DASS-21 was fulfilled by a welcome nurse through interview in both groups. Then the welcome nurse began to implement the Nursing Welcome Program in the intervention group. The level of patients' stress and satisfaction were measured an hour and 24 hours after the intervention respectively. Patients in the control group received routine care without any intervention. Data was analyzed using independent t-test, chi-square test, and Fisher's exact test in SPSS-16.

    Results

     The Mean±SD of stress in intervention and control groups after intervention were 8.23±3.24 and 11.9±4.20 respectively (p= 0.001). The Mean±SD of satisfaction in intervention and control groups after intervention were 249.26±26.7 and 236.10±23.71 respectively (p=0.031).

    Conclusions

    According to the importance of nurses' position in communicating with patients, employing welcome nurses as an effective care method to reduce psychological symptoms and increase patients' satisfaction is suggested.

    Keywords: Stress, Satisfaction, Nurse, Coronary Care Units
  • Fatemeh Najafi, Sharjabad*, Mohammad Rayani Pages 19-29
    Background

    Human Papilloma Virus (HPV) is the causative agent of cervical cancer. Vaccination against HPV is an effective strategy against cervical cancer. This study aimed to assess the acceptance of HPV vaccination for cervical cancer prevention and its relationship with knowledge and attitude about HPV vaccination among students.

    Methods

    This cross-sectional study was carried out on 360 female students at Bushehr University of Medical Sciences in 2018. Students were recruited using proportional stratified random sampling method. Data was gathered using a questionnaire about knowledge, attitude and effective factors of HPV vaccine acceptance. Descriptive analysis, chi-square, independent sample t-test, and logistic regression were used to analyze the data in SPSS-16.0 (SPSS Inc., Chicago, IL, USA).  The significance level was set at P < 0.05.

    Results

    56.4% of students had poor knowledge while 54.1% were willing to accept HPV vaccination as well as 43% who had positive attitude towards HPV vaccination. Paramedical students were 96% more likely to accept the HPV vaccination compared to health sciences faculty students (OR= 1.96; 95% CI= 1.04-3.68; p=0.036).  Also, for each unit increase in the HPV knowledge score, students were 15% more likely to accept the vaccine (OR= 1.15; 95% CI= 1.07-1.24; p <0.001). Moreover, for each unit increase in attitude score, students were 16% more likely willing to accept HPV vaccine (OR= 1.16; 95% CI=1.08 -1.28; p =0.002).

    Conclusions

    It is necessary to implement on HPV vaccination for students. Inclusion of HPV vaccine in the National Program on Immunization would also be an effective strategy for improving HPV vaccination.

    Keywords: Knowledge, Attitude, Acceptance, Papillomaviridae, Vaccination, Students, Uterine Cervical Neoplasms
  • Tayebeh Ebadi, Borghei Narjes Sadat*, Rogaye Bayrami, Zahra Mehrbakhsh Pages 30-40
    Background

    Preconception care is an opportunity to change unhealthy behaviors which in turn reduces unplanned pregnancy and plays an important role in reducing maternal and infant mortality. The aim of this study was to determine the level of preconception care and its related factors in pregnant women.

    Methods

    This cross-sectional study was conducted on 394 pregnant women referred to Gorgan health centers in 2017. Samples were selected by multi-stage stratified sampling method from Gorgan health centers in Golestan province. Data was gathered using self-report questionnaire. Data analysis was performed using chi-square test, Fisher's exact, and Kruskal-Wallis tests in SPSS-16. The P-value less than 0.05 were considered significant.

    Results

    32.7%  of women were received complete preconception care and 17.8%  had no pre-pregnancy care. Only 44.2% of women used folic acid daily since the first trimester of pregnancy. Most of pregnant women (63.7%) performed triple screening laboratory test (FBS, CBC, TSH). Preconception care was more successful in mothers with higher level of education (p<0.001), having health insurance (p<0.001), history of disease (p=0.027), higher family income (p=0.044), and nulliparity (p= 0.049).

    Conclusions

    Preconception care coverage and acid folic consumption is not optimal. It seems necessary to plan more precisely on how such services need to be provided. The identification of factors associated with this care showed that far less attention was paid among low-income, without assurance coverage and low-educated people. Since these people do not have enough money to take care of mother and infant during pregnancy, health policymakers should provide the related services for free.

    Keywords: Preconception Care, Pregnant Woman, Reproductive Health
  • Ali Zafarzadeh, Abotaleb Bay, Seyed Kamal Mirkarimi*, Ahmad Heidari Pages 41-51
    Background

    Pesticides are chemical compounds which are used to fight against and to control plant and animal pests as vectors of diseases. In view of being exposed to pesticides, farmers are at high risk of occupational diseases. In this regard, the predictability of Health Belief Model (HBM) has been confirmed for the studies in promoting health behaviors. The aim of the study was to investigate the determinants of health behaviors of farmers on poisoning with pesticides in Golestan province based on HBM.

    Methods

    A cross-sectional study was conducted on 294 farmers covered under Health centers in Azadshahr, Golestan province in 2015. A multi-stage sampling method was used. Data was collected through HBM questionnaire and analyzed using Pearson and Spearman rank correlation coefficient, one-way ANOVA, and linear regression model in SPSS-16. The P-value was considered significant as <0.05.

    Results

    The mean age of participants was 46.12±11.45 years (ranged from 17 to 75). The majority of participants was under diploma (60.1%) and used television educational programs (76.9%) as main source of information and chemical dealers (68.4%) as main cues to action. There was a significant correlation between educational status and the amount of pesticide (p=0.024). In final, perceived barriers was the variable for predicting the healthy behavior of farmers (β= 0.208, p=0.004).

    Conclusions

    The results presented in this study recommend that since the majority of farmers were awarded high school diploma, designing and developing effective interventions in order to promote knowledge and perceived self-efficacy should be considered.

    Keywords: Health Behavior, Pesticides, Health Belief Model
  • Hamide Jometondoki, Fereshteh Ghorat, Mohammad Hassan Rakhshani, Hasan Khalili* Pages 52-60
    Background

    Intravenous catheterization is one of the most common invasive interventions in the nursing profession which is associated with pain and patient dissatisfaction. The aim of the present study was to investigate the effect of topical lavender essential oil on the severity of pain caused by intravenous catheterization.

    Methods

    This randomized clinical trial performed on 66 elective surgery candidates in Shahid Beheshti Hospital of Sabzevar in 2017. The eligible patients was recruited through convenient sampling method considering inclusion criteria they were then randomly allocated into intervention (n=33) and placebo (n=33) groups using permutation blocks. 3 puffs of lavender essential oil were used onto the insertion sites of patients in the intervention group, while in the placebo group there were applied 3 puffs of distilled water. Severity of pain was measured using Visual Analogue Scale (VAS) at immediate, 5 and 10 minutes after intravenous catheterization. Data was presented descriptive statistics and analyzed using Chi-square and Mann-Whitney in SPSS-16. The P-value less than 0.05 considered significant.

    Results

    The mean score of pain severity in the intervention group immediately, 5 minutes and 10 minutes after the intravenous catheterization was 3.00±2.23, 1.36±1.08 and 0.51±1.14, while in patient of placebo group was 5.72±2.46, 3.12±2.23 and 1.8±1.50 respectively, there was a statistically significant difference between groups.

    Conclusions

    The present study showed that the use of topical lavender essential oil is effective in decreasing pain severity caused by the intravenous catheter insertion. Therefore, the topical lavender essential oil can be used to prevent pain in patients before catheter insertion.

    Keywords: Lavandula, Catheterization, Central Venous, Pain
  • Fatemeh Alijani*, Ahmad Khosravi, Mahdieh Sadat Mousavi, Vanessa Delarosa Pages 61-70
    Background

    Domestic violence (DV) against women is a global public health concern. The study was conducted to determine the associated factors of domestic violence against infertile women.

    Methods

    This cross-sectional study was done on 379 infertile women referred to the infertility clinic in Sari, between October 2015 and March 2016. The convenience sampling was used considering inclusion criteria. Data was collected using Revised Conflict Tactics Scale (CTS2). Data was presented with descriptive statistics and Logistic regression to determine associated factors with DV in SPSS-16 software. The significant level was considered P<0.05.

    Results

    Finding showed that majority of infertile women (88.9%) experienced domestic violence. The age (OR=0.91 95% CI: 0.85-0.99) and smoking (OR=8.12 95% CI: 1.87-35.21) with domestic violence.

    Conclusions

    Regarding the high prevalence of domestic violence and its consequence on society, screening violence in health centers and support at-risk family via counseling are recommended.

    Keywords: Domestic Violence, Infertility, Women, Prevalence, Risk Factors
  • Seyed Ali Majidi*, Shiva Alizadeh, Sobhaneh Kouchakzadeh Talami, Hamideh Safarmohammadi, Ehsan Kazemnezhad Leily, Monika Motagi, Mehdi Barzegar Pages 71-83
    Background

    Patient safety is one of the main components of the health care services quality that implies avoidance of any harm or damage to the patient during the delivery of health care. The purpose of this study was to determine the patient safety culture from the view point of nurses in the hospitals of Guilan province in 2016.

    Methods

    This cross-sectional study was done on 400 nurses from the nurse community in Guilan province, Iran in 2016. The sampling was performed as the two-stage cluster sampling method. Data were collected using a modified questionnaire based on the Hospital Survey on Patient Safety Culture (HSOPSC). Data were presented with descriptive statistics analysis using in SPSS-14. The significant level was considered less than 0.05.

    Results

    Most of the nurses were female (89%), with a mean age of 34.28±6.86 years. The most response to the items was related to “Please give your work area/unit in this hospital an overall grade on patient safety” that was the acceptable option (47.5%). The mean score of the patient safety was 3.28 ±0.86.

    Conclusions

    The results showed two dimensions including staffing and teamwork within units. Feedback and communication about errors were the most important dimensions of the patient safety culture. Accordingly, it should be noted that paying more attention to the patient safety culture can lead to improve hospital condition levels.

    Keywords: Hospital, Nurses, Patient safety, Safety culture