فهرست مطالب
Scientific Journal of Medical Sciences
Volume:2 Issue: 2, Spring 2023
- تاریخ انتشار: 1402/09/25
- تعداد عناوین: 8
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Pages 47-51Aims
This study aimed to determine the effect of professional ethics education on nursing students' knowledge and ethical sensitivity.
Materials & MethodsThis semi-experimental study was carried out by post and pretest design in the second half of 2021-2022 in Islamic Azad University of Shahrekord, Iran. Thirty sophomore nursing students who had the nursing ethics course and did not have a formal education in ethics in the past year were selected by the available sampling method. Data were collected by knowledge of nursing professional ethics and the ethical sensitivity of nurses' questionnaires and were analyzed using paired T-test through SPSS 22 software.
FindingsThere was a significant difference between the mean score of professional ethics knowledge of nursing students before (12.33±2.44) and after (15.40±2.23) training (p<0.001). There was a significant difference between the mean score of ethical sensitivity of nursing students' before (86.10±6.34) and after (93.86±4.49) training (p<0.001).
ConclusionProfessional ethics training by formal education courses increases the nurses’ ethical awareness and sensitivity.
Keywords: Knowledge, Ethical Sensitivity, Nursing Students -
Pages 53-56Aims
Acute syndrome is among the most critical health challenges in Western and Eastern societies, including Iran. It is still the most common cause of death in the subgroup of cardiovascular diseases. This study aimed to assess the effect of triage training on the clinical performance of emergency department nurses.
Materials & MethodsThis semi-experimental study with pre-test and post-test groups was conducted in Imam Khomeini Hospital of Khoy Faculty of Medical Sciences in 2019. 100 patients referred to the emergency department of the Imam Khomeini Hospital of Khoy, in which "Emergency Severity Index (ESI)" triage was actively performed, were selected by the simple random method. Data were collected by the nurses' demographic information questionnaire, patients' demographic characteristics questionnaire, and the time measurement form. The data before the training was compared with the data after the training using SPSS 20 software, and the test non-parametric Chi-square and independent T-test and analysis of variance were used to analyze the data
FindingsThe analysis of the variance test showed a statistically significant difference in patients' average length of stay in the emergency department, both before and after the intervention. T-test showed that the triage time, arrival to the first clinical procedure, arrival to the first doctor's visit, and the patient's stay in the emergency department before and after the intervention had a statistically significant difference (p<0.01).
ConclusionThe triage training of emergency ward nurses decreases the average time of arrival until taking an ECG and the average time of arrival until receiving a thrombolytic.
Keywords: Triage, Acute Coronary Syndrome, Emergency Department, Education -
Pages 57-61Aims
Nurses' empowerment in educating mothers to take care of infants at discharge is a critical issue that prevents potential adverse consequences and re-admissions. This study examined the effectiveness of an empowering nurses’ program in educating mothers about neonatal respiratory management.
Materials & MethodsTwo before-after quasi-experimental studies were conducted simultaneously in the neonatal intensive care unit of Shahid Beheshti Hospital in Isfahan City, Iran, in 2017. Nurses were selected by convenience sampling, and their performance in educating mothers was assessed before and after the program with validated checklists. Simultaneously, two mothers (n=70) groups were assessed for their knowledge and practice of neonatal respiratory management before and after the intervention.
FindingsNurses' performance was significantly higher after intervention (76.0±7.4) compared to before (17.3±8.5; p<0.001). Also, mean scores of mothers' knowledge and practice were significantly (p<0.001) higher at discharge time in the second group of mothers (75.4±10.1 and 91.4±9.7, respectively), compared to the first group (16.1±6.7 and 24.7±22.2, respectively).
ConclusionImplementation of an empowerment program in mothers' education concerning respiratory management of premature neonates with respiratory distress during the days of admission and presentation of educational materials in the form of simulation by nurses in the post-interventional period have positive effects on mothers’ knowledge and practice in the care of their neonates from discharge until a week later.
Keywords: Infants, Premature, Respiratory Management, Nurses, Mothers, Discharge Planning, Capacity Building, Empowerment -
Pages 63-66Aims
Differentiation is a self-differentiation that means balancing emotional and intellectual issues. Differentiation has affected personality dimensions in different dimensions, considering that self-esteem is the most definite factor in a person's psychological development and one of the most important factors affecting students' academic success. This study aimed to determine the relationship between differentiation and self-esteem in Jahrom University of Medical Sciences students in 2021.
Instrument & MethodsThis cross-sectional study was performed by available sampling with the participation of 170 medical, nursing, operating room, anesthesia, public health, and laboratory students of Jahrom University of Medical Sciences in 2021-2022. Data collection tools were the Skorn and Friedlander differentiation and Eysenck's self-esteem questionnaires. Data were analyzed using SPSS 21 software by Spearman correlation test.
FindingsThe mean of differentiation was 181.97±37.94. A moderate level of differentiation was observed in 131 subjects (77.1%). A low level of differentiation was observed in 31 subjects (18.2%), and eight subjects (4.7%) showed a high level of differentiation. The mean of the self-esteem was 18.34±5.73. 157 students (92.4%) had a high level, and 13 subjects (7.6%) had a moderate level of self-esteem. There was a positive significant correlation between the differentiation and self-esteem of the subjects (p=0.001; r=0.398).
ConclusionDifferentiation and self-esteem have a positive significant relationship among Jahrom University of Medical Sciences students.
Keywords: Differentiation, Self-Esteem, Students -
Pages 67-71Aims
Admitted neonates in neonatal intensive care units undergo painful, invasive procedures that can have serious consequences. Nurses have a crucial role in pain management. However, studies have shown that their knowledge and attitude in pain management are not acceptable. The present study was done to study the impact of virtual education in pain management on the nurses working in neonatal intensive care units affiliated with Shiraz University of Medical Sciences.
Instrument & MethodsIn this quasi-experimental study, 60 nurses completed knowledge and attitude questionnaires on the neonates’ pain management. Then, they were educated through two virtual education sessions through Adobe Connect. The questionnaires were completed again 8 and 30 days after the educational session. The data was analyzed using SPPSS 21 software through the Bonferroni Test.
FindingsThere was a significant difference between the mean score of knowledge before (17.48±3.14), one week after (19.37±3.63), and the educational intervention (p<0.001). However, the difference between the mean score of knowledge one week and one month after (19.42±3.41) the intervention was not significant (p=0.998). There was no significant difference between the mean attitude score before (52.78±4.62) and one week after the intervention (52.93±4.58; p=0.096). However, this significantly differed after one month (53.45±4.48; p=0.043).
ConclusionVirtual education increases nurses' knowledge about pain management in one week; however, it changes their attitude in one month.
Keywords: Virtual Education, Pain Management, Knowledge, Attitude, Nurses, Intensive Care Units, Neonatal -
Pages 73-77Aims
This study aimed to investigate the relationship between Coronavirus anxiety and academic procrastination of Mashhad Nursing and Midwifery Faculty undergraduate students.
Instrument & MethodsThis descriptive-correlation study was conducted on the 2nd to 8th-semester undergraduate students (nursing, midwifery, operating room, and medical emergencies) of Mashhad Nursing and Midwifery Faculty who participated in the virtual education sessions from August 1, 2021, to January 30, 2022. The research tools were three electronic questionnaires; demographic questionnaire, Coronavirus Disease Anxiety Scale (CDAS), and Solomon & Rothblum Procrastination Assessment Scale-Student (PASS). Data were analyzed using SPSS 26 software through correlation coefficient tests.
FindingsAcademic procrastination had a significant correlation with coronavirus anxiety (r=0.317; p<0.01), psychological symptoms (r=0.335; p<0.01), and physical symptoms (r=0.244; p<0.01). Coronavirus anxiety significantly correlated with procrastination in preparing a project at a certain time (r=0.2; p<0.05), studying for exams (r=0.291; p<0.01), and regular and weekly study of lessons and doing homework (r=0.413; p<0.01).
ConclusionCoronavirus anxiety is an important factor that causes academic procrastination and decreases learning.
Keywords: Anxiety, Coronavirus Anxiety, Procrastination, Academic Procrastination -
Pages 79-84Aims
This study aimed to explain the nurse-patient healing relationship and its challenges.
Information & MethodsThe healing relationship between the nurses and patients was investigated using the scientific internet and library research background. The scientific database was searched using the determined keywords of interpersonal communication, healer, nurse, client, and nursing to 2022 September. Then, related studies were identified and studied completely after reviewing the abstracts. A comprehensive review of the sources provided the basis for the development of the concept and the introduction and comparison of its dimensions.
FindingsThe required knowledge includes personal and interpersonal knowledge and evolutionary theory, cultural diversity knowledge, knowing the clients, knowledge of health and disease, health policies on the patient care of the client, and knowledge of healthcare systems. The required capacities include self-awareness, self-knowledge, respect, honesty, strength, empathy, and awareness of the boundaries and limitations of the professional role.
ConclusionAlthough the important challenges for healing relationships, i.e., the presence of qualified nurses and sufficient human resources, make some obstacles to its implementation, the use of healing communication can increase the independence and professional authority of the nurse. Healing communication as a human approach is suggested to increase favorable outcomes for clients and nurse recommendations.
Keywords: Interpersonal relations, Therapeutic, Nurse-Patient Relations