نشریه توسعه پرستاری در سلامت
سال سیزدهم شماره 38 (بهار 1401)

The most wildly used model in measuring and evaluating the quality of health care is the evaluating of services in the field of structure, process and outcome based on the Donabedian model. In this study with emphasise on the role of the prenatal care in improving maternal health, the Donabedian model was investigated.

This cross-sectional study was performed in 2019 on 320 pregnant women. The instruments used included midwife and client demographic information questionnaire, care structure, technical performance, satisfaction and interpersonal interaction questionnaires. Data was analyzed with SPSS-16 software and significance level of 0/05 was considered.

In this study, the mean scores of the care structure were optimal. The performance of midwives with an average score of 21.19 ± 4.89 was not at the desired level. The highest level satisfaction of clients was the way of providing service in the field of counseling and care with an average of 38.8 ± 6.10 and the lowest level of training received with an average score of 15.60 ± 5.10. Also in the interpersonal interaction section the average overall score of communication skills was 27.80 ± 1.15 and verbal skills were 19.25 ± 2.46, which is at the desired level. But non-verbal skills, active listening and privacy were average.

According to the obtained results reforming the distribution of midwives and training them in the field of importance of providing standard of care and communication skills training can increase the quality of care in all dimensions.

Diabetes is one of the most common non-communicable diseases in the world and has become a global challenge. The prevalence of depression in this chronic disease leads to a decrease in adherence to treatment and thus a change in the prognosis of diabetes in patients. The aim of this study was to investigate the effect of educational intervention on depression in patients with type 2 diabetes.

The present study was a quasi-experimental study performed on 60 patients (30 in the intervention group and 30 in the control group) with type 2 diabetes mellitus with mild to moderate depression. The Beck scale was used to measure depression score. This questionnaire was completed twice, before and after the six-month educational intervention by the participants. Data were analyzed using SPSS software version 18 through paired t-test and independent t-test.

The results showed that before the intervention there was a significant difference between the two groups in terms of depression score but after the educational intervention the depression score in the intervention group compared to the control group showed a significant decrease (p <0.001).

According to the results of the study, educational intervention can reduce the symptoms of mild to moderate depression in type 2 diabetic patients. However, more evidence is needed.

Teachers use different teaching strategies to achieve their goals. Teaching different topics and skills requires the use of different methods and techniques. The aim of this study was to evaluate the attitude, performance and satisfaction of midwifery students in teaching clinical skills with the help of video.

The present study is a quasi-experimental before and after with a group that was performed on all midwifery students (20 people) admitted to Hamadan University of Medical Sciences in 1398. The data collection tool was a questionnaire and a checklist for evaluating demographic information and measuring the researcher's attitude, satisfaction and performance. In each session, first the procedure was performed with the teacher's explanations and performed on the model, then the students' attitude, satisfaction and performance were measured by this method, then the same procedure was performed with an educational video for the students and all cases were re-examined. Stata-13 software was used for data analysis and Shapirovilk tests, central and dispersion indices, Mann-Whitney and independent t-test were used for analysis.

In all procedures, the total score of the student's attitude after the intervention was higher than before the intervention and the attitude score was significant in the injected and preoperative delivery procedures (p = 0.005 and p = 0.04, respectively). Student satisfaction score was also higher in all procedures after the intervention. This difference was significant in catheterization procedures, oxygen therapy, injections and prep and delivery deliveries. The mean of the total satisfaction score was also significantly higher after the intervention (p = 0.01). In all procedures except oxygen therapy, the student's performance score after the intervention was significantly higher. The mean total score of performance after the intervention increased significantly (p <0.001).

Educational videos can have a positive effect on students' performance, attitude and satisfaction in teaching medical procedures. Therefore, the correct use of video resources may be able to improve the quantity and quality of teaching.

Low birth weight is one of the problems of premature infants in neonatal intensive care unit. Skin irritations such as touch therapy play an important role in stimulating growth hormones and improving the physiological parameters of premature infants and increasing the developmental development of premature infants. Therefore, the aim of this study was to evaluate the effect of Yakson touch on weight gain in preterm infants admitted to the intensive care unit.

This clinical trial study was performed on 42 infants admitted to the intensive care unit of Taleghani Gonbad Kavous Hospital in 3939 by simple random sampling in two control groups. In the experimental group, YaKson touch therapy was performed on the seventh day of the infant's hospitalization for 3days. The infant's weight was recorded 3days later by 1control nurses. Data were analyzed by SPSS 33 statistical software with inferential statistics (independent t-test and Repeated Measure test).

Independent t-test did not show a significant difference between the weights of the control group before the intervention (P = 9.4). After the intervention, the neonatal weight did not show a significant difference in any of the studied times in the experimental and control groups (P = 9.37).

The results of the present study showed that YaKson touch therapy has no effect on preterm weight gain. Other similar studies need to be done to remove the limitations of this research.

Mothers as primary caregivers have a unique and fundamental role in providing physical care as well as psychosocial improvement of their children. First, their physical and psychological needs must be identified and addressed so that they can be cared for Take a more active role in caring for their sick children. Therefore, the aim of this study was to identify the care needs of mothers with children with burns in the pediatric ward of Motahhari Hospital and to provide solutions to address them.

A field study was conducted in two stages, the first stage was to identify the needs of mothers with children with burns and the second stage was to confirm the existence of these needs and provide solutions to address them.

A total of 30 descriptive codes were identified at the end of the interviews. In the data reduction phase, 11 categories and finally 4 main themes about the needs of mothers with children with disability due to burns were obtained. The focus of the researcher's activities was in the planning phase using the Delphi technique. The results of the second phase included proposed solutions for information, support, economic and family-related needs.

In order to provide family-centered care, in addition to meeting the needs of the child as the main client in the health care system, mothers' concerns should be addressed and their needs should be well met.

28 Errors or Never Events are cases that should never happen and in case of occurrence, the Vice Chancellor of the University should be informed immediately and the Vice Chancellor should inform the Office of Supervision and Accreditation of the Deputy Minister of Health within a maximum of 6 hours.

The present study is a retrospective cross-sectional analytical study that was performed on all operating rooms of public hospitals under the auspices of Lorestan University of Medical Sciences, which have completed the 28 events reporting form. Data were analyzed using SPSS software version 16 and descriptive and inferential statistics.

The results showed that the highest frequency of errors was related to death or complication of mother and infant following cesarean section (58.3%). Also, a significant relationship was found between the incidence of errors with age group, type of hospital and the day of the accident, but not with other variables.

Due to the importance of death and complications of mother and infant in the operating room, it is recommended to avoid unreasonable cesarean section if possible and to use skilled midwifery and anesthesia personnel and complete resuscitation equipment in the operating room.