فهرست مطالب

  • Volume:8 Issue: 3, 2019
  • تاریخ انتشار: 1398/09/11
  • تعداد عناوین: 8
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  • Zeinab Bakhteari, Nasrin Jafari Varjoshani*, Nasrin Hanifi, Kourosh Amini Pages 1-8
    Background

    Although nurses are legally and morally responsible for the quality of patient care, patients also have the right to receive high-quality and decent nursing care.

    Objectives

    The purpose of this study is to determine the effect of education-based empowerment program on the nursing care quality in the dialysis ward.

    Methods

    The present semi-experimental clinical trial study was performed as pre-test and post-test, before and after the intervention, in two stages. All hospitalized patients (150 subjects) in the dialysis center of Valiasr Hospital in Zanjan were enrolled by the census method. At the end of the study, the number of subjects was 125. Before the intervention, the SERVQUAL questionnaire was completed by the patients. Afterwards, nurse empowerment sessions were held. Finally, after the intervention, the SERVQUAL questionnaire was filled by the patients. To analyze the collected data, paired t-test, independent t-test, and variance analysis were performed using SPSS V22 software.

    Results

    The findings of the study showed significant differences between the patients’ expectations and  perceptions of services, before and after intervention, in terms of tangibility, reliability, responsiveness, and overall dimensions (P<0.0001).

    Conclusion

    The results of the present research indicated that education-based empowerment program affected nursing care quality in different dimensions. Hence, it is recommended paying more attention to education-based empowerment program to improve nursing care quality

    Keywords: empowerment, nursing care, quality of health care, dialysis
  • Hosein Masoumi Jahandizi, Masood Hejazi*, Mohamad Saeid Ahmadi, Mohamad Masood Vakili Pages 9-17
    Background

    Identification of the factors that result in academic achievement and prevent academic failure is of extreme importance due to the effective role of nursing in the health and wellbeing of human beings.

    Objectives

    This study is done with regards to the important role of academic emotions in academic achievement and the double effect of academic engagement mediators and cognitive strategies in the process; Therefore, the focus of this investigation is the influential role of academic emotions in academic achievement of the nursing students of Zanjan University of Medical Sciences through mediation of academic engagement and cognitive strategies.

    Methods

    This research is causal-comparative in nature, covering a statistical population of 178 male and female students of nursing in Zanjan University of Medical Sciences, who were found qualified for this study. Questionnaire was used as an instrument for collection of data, which was then analyzed using SPSS24 and LISREL 8.8.

    Results

    The findings showed that academic engagement with a coefficient of 0.58 and cognitive strategies with a coefficient of 0.22 mediated academic achievement and academic emotion. Moreover, the adequacy of the model was above 0.90 through the Goodness-of-Fit Indices. Moreover, the adequacy of the model was proved through such Goodness-of-Fit Indices as the Chi-square test, which equaled 6.12, the six degrees of freedom (6DoF) and the 0.40 level of statistical significance (p).

    Conclusion

    Therefore, it is concluded that mediation of academic engagement and cognitive strategies will enhance effect of academic emotion in academic achievement and the variables have well proved their mediation role.

    Keywords: academic emotion, academic achievement, engagement, cognitive strategies, nursing students
  • Atefeh Vaezi, Mansoureh Sepehri Nia*, Mahboobeh Shali Pages 18-26
    Background

    Informed consent is the cornerstone of medical ethics and is related to four out of ten articles of the patient's legal charter, aimed at supporting the patient and clarifies ethical principles in the physician-patient relationship.

    Objectives

    The purpose of this study was to assess the quality of receiving patients’ informed consent in the surgical wards in Zanjan University of Medical Sciences.

    Methods

    In this descriptive cross-sectional study, all patients, admitted to surgical wards of public hospitals in Zanjan, were selected through stratified random sampling method. Data were collected after admission and before surgery, using a questionnaire designed according to library studies and considering Sheikh Taheri et al.’s study in two sections: general and specific. Mann-Whitney and Kruskal-Wallis tests were used to analyze the results. The content validity method was used to determine the validity, and the reliability of the questionnaire was evaluated by internal reliability using Cronbach's alpha coefficient.

    Results

    The number of patients was 400 (211 males and 189 females) and their mean age was 33.78. The results showed that 24% of the samples rated as “appropriate” the process of signing the consent form, and 19% of them considered the status of information submission appropriate. Three percent of the respondents regarded the comprehensibility of the questionnaire, and 12% considered the voluntary nature of obtaining the informed consent, as well as 19% found the relationship between the physician and the patient as appropriate. Other findings revealed that there was no significant relationship between sex and marital status with the sum of the questionnaire dimensions, but there was a significant relationship between the type of hospitalization and how to submit information consent and the process of signing the consent form, and also between the number of hospitalizations. Moreover, the type of job was found to be statistically significant with the form signature process variable.

    Conclusion

    This study found that there were some shortcomings in the process of obtaining a surgical informed consent. Therefore, considering the role of the patient in the process of obtaining informed consent, providing sufficient information on physician’s treatment, training physicians and providing the patient with the opportunity to choose the treatment method can be effective in improving the quality of obtaining an informed consent.

    Keywords: informed consent, patient, surgery
  • Fatemeh Ghasemi, Nasrin Bahraminejad*, Masoumeh Namadian, Ramezan Fallah Pages 27-34
    Background

    Women's lifestyle affects their health and having a healthy lifestyle reduces the risk of developing non-communicable diseases. Evidence suggests that disadvantaged women are more subject to the risk of non- communicable diseases such as type 2 diabetes.

    Objectives

    This study aimed to investigate the lifestyle of disadvantaged women at the risk of type 2 diabetes under the support of social welfare center of Zanjan city in 2018.

    Methods

    This cross-sectional study was performed on 287 women aged 65-35 and under the support of social welfare centers of Zanjan who were selected by Poisson random sampling. Data collection tools included a three-part questionnaire including demographic and background characteristics, an international physical activity questionnaire (IPAQ), and a Mini Nutrition Assessment questionnaire (MNA), filled out by a researcher at the social welfare center. Data were analyzed using descriptive-analytic statistical tests (mean index, standard deviation and one-factor analysis of variance, Kolmogorov-Smirnov) by applying SPSS software version 24.

    Results

    The minimum and maximum age of women were 35 and 61 years, respectively, with a mean of 41.6(±9). The minimum and maximum body mass indexes were 16.2 and 42, respectively, with a mean of 26.1±4.3. In terms of education, the majority of women (42%) had Quranic-elementary education and concerning the income, 76% had insufficient income. As to the marital status, the majority of participants (69%) were widowed or divorced. According to the quantitative criterion of physical activity questionnaire (IPAQ), more than half of the women (60%) had low to moderate physical activity and according to the quality criterion of WHO physical activity, 89% of women had unfavorable physical activity. In terms of nutritional status, more than half of the women (50.5%) had poor nutrition.

    Conclusion

    The findings of the study indicated that the majority of women were undesirable in terms of physical activity and healthy nutrition. Therefore, interventional research is needed to find appropriate educational models to improve diabetes preventive behaviors in this population group.

    Keywords: Behavior, prevention, women, deprived, type 2 diabetes
  • Sassan Rajabi, Mojgan Sadat Aghvamy*, Nasrin Bahraminejad, Ramezan Fallah Pages 35-41
    Background

    Today, asthma is one of the most prevalent chronic respiratory diseases, involving a large number of people and communities. Research show that the disease overshadows the social, psychological and even economic life and performance of the patients.

    Objectives

    This study was conducted in Zanjan Province hospitals with the purpose of comparing the life style and quality of life asthma patients with healthy people.

    Methods

    This study is descriptive-comparative in nature, focusing on two groups of individuals (healthy people and those suffering from asthma) using convenience sampling method to serve the goals of the study. The instruments used for collection of data were the World Health Organization Quality of Life (WHOQOL) questionnaire and the Life Style Questionnaire (LSQ). The data were analyzed using the SPSS software version 16.

    Results

    The demographic data relating to both groups (n=50 for each group) did not show any difference of statistically significant. The mean scores of the life style of the healthy people and the asthma patients were 149.34 and 136.48, respectively (p<0.05). Furthermore, the mean scores of the Quality of Life (QOL) of healthy people and asthmatics were 36.260 and 29.205, respectively (p<0.05).

    Conclusion

    The life style and QOL of asthma patients are deteriorated to a large extent. Therefore, it is recommended that educational interventions to improve the life style and QOL of patients included in their care plan

    Keywords: asthma, quality of life, lifestyle, asthma patients
  • Rahim Baqaei*, Hamidreza Khalkhali, Parva Rezaeifar Pages 42-50
    Background

    In the hospitalization wards where phlebitis has an incidence and accounts for the most serious complications of environmental fluid therapy.

    Objectives

    This study aimed to determine the effect of structured nursing education programs in prevention of admitted patients’ phlebitis.

    Methods

    In this quasi-experimental study in which the post-test design with control and intervention group was used, 400 patients were randomly divided into two groups of 200. Data were collected by questionnaire including demographic questions and Jackson’s Visual Infusion Phlebitis (VIP) scale was used to evaluate the complications of peripheral vascular catheter (phlebitis). The findings were analyzed by SPSS 25 software.

    Results

    The mean score of phlebitis incidence in the hospital wards, whose nurses that had undergone such trainings, was significantly decreased (p<0.001) compared to the mean score of phlebitis occurrence in the wards, whose nurses represented the control group and had taken part in no such training programs. Moreover, the mean score of intensity of Phlebitis complications in the wards, whose nurses that were members of the experimental group, significantly decreased (p<0.001) compared to the mean score of phlebitis intensity among patients of the wards whose nurses represented the control group.

    Conclusion

    The findings of this study testify that holding a structured nursing education programs will be effective in checking the incidence of phlebitis and its complexity among the patients hospitalized in Imam Khomeini Hospital in Mahabad.

    Keywords: structured care training, intravenous catheter, complications, phlebitis, nurse
  • Roya Mohammadi, Nasrin Jafari Varjoshani*, Mitra Payami Bousari, Zeinab Ghahremani Pages 51-61
    Background

    Renal failure is a chronic disease getting more prevalent nowadays.

    Objectives

    Since caring for the patients is expected to result in family functioning disorders, this study was done in Zanjan Province in 2019 to determine the extent of the hemodialysis patients’ family function.

    Methods

    This is a descriptive study. 199 patients undergoing hemodialysis treatment were selected through the stratified random sampling method. Data collection tools included demographic information questionnaire and McMaster Family Functioning Questionnaire. The data were analyzed by Kolmogorov-Smirnov test, descriptive statistics, independent t-test and Pearson correlation coefficient in the SPSS software version 25.

    Results

    About half of the participants were male (52.3%), married (76.4%), the family caretaker (56.3%) and urban dwellers (70.4%), having insufficient income per month (75.4%). 52.7% of the patients under study were more than 60 years old. The age group 20-29 (six percent) had the lowest frequency in the population of the hemodialysis patients under study. Furthermore, 15.1% of the participants had no health insurance coverage and there was no social support system backing 67.3% of the participants. All dimensions of family functioning, under this study, fell within the normal range. The mean scores of family functioning dimensions were lower in terms of problem solving dimension than in other dimensions (The problem solving dimension score equaled 1.88 within the range of 0–4) and families functioned better in this respect. Furthermore, the results proved significant statistical relationship between number of family members, sufficient family income, and the distance from the hemodialysis centers and being covered by the social support system on the one hand and some dimensions of family functioning on the other hand (p<0.05).

    Conclusion

    Regarding the study results, the healthcare system is suggested to provide social support for the patients and their families; furthermore, education of families is recommended in order to promote favorable performance.

    Keywords: family function, chronic kidney failure, hemodialysis patients
  • Zahra Fallah Nezhad, Marzieh Ziaeirad* Pages 62-68
    Background

    The quality of working life depends on the working conditions of the staff, and the decline in the quality of nurses' working life leads to a decline in the delivery of clinical services.

    Objectives

    The purpose of this study was to determine the relationship between qualities of working life and critical thinking in nurses.

    Methods

    The present study is descriptive-correlational that was conducted on 123 nurses working in Milad Hospital in Isfahan. The data collection tools included demographic information questionnaire, Nursing Critical Thinking in Clinical Practice Questionnaire, and Quality of Nursing Work Life Scale. Data collection was carried out during December, 2018. The data were analyzed in SPSS software version 23 using descriptive statistics including mean, standard deviation, and frequency as well as analytical statistics including Pearson correlation coefficient.

    Results

    According to the results, a majority of the participants in the present study were females (52%). The score of nurses' critical thinking was found to be 319.76. The total average of nurses' quality of working life was reported as 138.70. Based on these results, there was no significant relationship between quality of working life and critical thinking in nurses.

    Conclusion

    The results of this study indicated that the critical thinking of nurses is good, and the quality of working life is moderate. There was also no relationship between critical thinking and quality of working life

    Keywords: critical thinking, nurse, quality of working life