Iranian Journal Of Nursing and Midwifery Research
Volume:15 Issue: 2, Spring 2010

Interpersonal communication is considered as an important and effective factor of job satisfaction and efficiency and has special significance in nursing career because of face to face relationship with patients. This study aimed to determine the association between head nurses'' interpersonal communication and job satisfaction of nurses under their supervision. The study was conducted in educational hospitals of Isfahan University of Medical Sciences in 2006. This is a descriptive and analytical study on 203 nursing personnel working in educational hospitals of Isfahan University of Medical Sciences in 2006. Data were collected using Job Descriptive Index (JDI) developed by Smith and Kendall and interpersonal communication was measured using a researcher-made questionnaire. Data were analyzed using SPSS software and Pearson''s test and presented in tables and diagrams. Majority of the participants (148 subjects, 73%) believed that head nurses'' interpersonal communication was excellent and in general Pearson''s test showed a significant association between head nurses'' interpersonal communication and their personnel''s job satisfaction (p < 0.011). Based on the results of this study on the relationship between interpersonal communication of the head nurses and job satisfaction of their personnel, we can improve the job satisfaction of nursing personnel as well as patients'' satisfactory and level of services by developing educational courses and workshops on importance and effectiveness of interpersonal communication for head nurses.

Infant mortality rate is reported 3.18 in 1000 births in Iran. International organizations such as World Health Organization (WHO) and United Nations Children''s Fund (UNICEF) consider applicable standards essential for providing effective health services in hospitals and health centers. Therefore, it is essential to create national care standards for neonatal intensive care units (NICU) in Iran. This is a multiple triangulation study conducted in 2007. In the first step, international standards were extracted from appropriate sites. Then, using Delphi method, as well as the viewpoints of 15 experts in clinical medical sciences, a set of suggested standards for intensive care unit was prepared. In the third step, 42 clinical science experts of Iran were selected, and their viewpoints on applicability of the suggested standards were investigated through a descriptive survey method. Data obtained in this step were analyzed using descriptive statistics. First, intensive care standards were extracted; then clinical science experts reviewed the suitability and applicability of suggested set of standards for Iran and finalized them. Finally, 386 standards for intensive care were drafted and approved by 77.5% to 100% desirability rate for NICUs of Iran. The findings of the study showed that most standards were either appropriate or fairly appropriate. So, necessary changes in final standards were made based on subjects, viewpoints and suggestions as well as the results of consulting with supervisors.

The population of elderly in Iran and in the world is increasing. It is predicted that the population of elderly reaches to 10 millions in Iran by the year 2019. Elderly more than other age groups are at risk of chronic diseases and health problems; and it affects their self-management and makes them feel disabled. Since the knowledge of self-management for Iranian elderly is not well developed, this paper aims to determine the concept of self-management for Iranian elderly. This is a qualitative study with grounded theory approach on Iranian elderly self-management. Data were collected through deep interviews with 26 participants in a period of one year and were analyzed using a Strauss Corbin analysis method. Self-management in the context of power means using different managing methods in dealing with daily life needs, especially in interactions with others in a way that accelerates affairs with efficiency and satisfaction. The main categories emerged from this qualitative study included: managing plans, managing life goals and policies, persuading the desired goals, managing self care, directing others, coordinating and consulting with others. The findings of this study provide a deep understanding of elderly perceptions of self-management in their lives. These findings can be a baseline for future researches on developing effective health interventions such as developing a nursing model for increasing the elderly self-management abilities in Iran. Such a model can provide a strong basis for nursing care.

Prematurity is the main cause of death in infants under one years of age and is the main reason for NICU hospitalization. The stressful environment of NICU exposes preterm infants to inappropriate stimuli. This study aimed to determine and compare the mean of heart rate and oxygen saturation of premature infants before and during a designed program in NICU. In a clinical trial study of before and after intervention on a single group، 31 hospitalized premature newborn in NICU of Al-Zahra Hospital in Isfahan were selected by simple continuous sampling method. Data were collected through interview، observation and records of a checklist. The data was analyzed using SPSS and descriptive and inferential statistics. Out of 31 premature infants in the study، 60% were boys and 35% were girls. The mean of arterial oxygen before and during the designed program were 92. 80±2. 54 and 94. 22±2. 59، respectively. The results of paired t test showed a significant difference between the mean of oxygen saturation of the infants before and during the program (p = 0. 048)، but there was no significant difference between the mean of the infants'' heart beat before and during the intervention. The findings showed that applying daily silence periods can greatly help to increase oxygen saturation and this could lead to improve the growth of premature infants. Therefore، by providing more facilities in clinical environments of NICU، conducting programs to reduce light and noise in these wards would be possible.

Although hemodialysis has a therapeutic effect on ESRD, but these patients encounter many physical, psychological, and social stress full factors that lead to a decrease in their quality of life (QOL). One of the factors that are effective on increasing of QOL is self care ability. Review of literature demonstrates that there have been done a few studies on different aspects of QOL in ESRD patients under hemodialysis and their relationship with self care ability in Iran. So in this research beside of determining the quality of life and its dimensions and self care ability of hemodialysis patients, we evaluated their relationship with each other. For this purpose, all hemodialysis patients who had inclusion criteria and were hospitalized in hemodialysis wards of Bonab, Maragheh, and Miandoab hospitals; were selected and data were collected by interview using a questionnaire including three parts of demographic, quality of life, and self care ability. The results indicated that quality of life in 34%, and self care ability in 78/3% of hemodialysis patients were desirable, and there was a direct and significant relationship between these two variables (p< 0.001, r = 0.4), as self care ability explained 29% of variance of QOL. In quality of life subsectors, social dimension in 98/3% of patients was desirable, while physical dimension (80%) and psychological dimension (63/5%) in most of the patients were undesirable. Physical dimension was the most impressible dimension of quality of life from self care ability; whereas self care ability explained 27% of total variance of physical dimension of QOL Nearly two third of mentioned patients had not desirable quality of life and regarding the positive relationship between QOL and self care ability, it is suggested that health care planner and managers would prepare the condition that through educating and reinforcing self care ability in these patients improve the quality of life in hemodialysis patients.

Labor pain is one of the most severe pains which has ever evaluated and its fear is one of the reasons women wouldn''t go for natural delivery. Considering different factors which affect experiencing pain, this study aimed to explain women''s experiences of pain during childbirth. This was a qualitative phenomenological study. The study population was composed of 14 women in 6 weeks post partum period of natural delivery. The data was collected by interview. The data were analyzed by Colaizzi seven-stage method. After analyzing the interviews four main categories were extracted: 1) nature of delivery pain, 2) related factors in labor pain, 3) results of labor pain, and 4) perception of caseworkers. Assessing the women''s experiences can be useful in giving better care besides help understanding delivery pain phenomenon. Positive aspects of delivery pain must be strengthened and its negative aspects must be reduced as much as possible and create a suitable vision of it.

Old methods of administrating can''t cover the rapid changes of today. These changes redounded new organizations like learning organizations to be formed. The purpose of this research is to study the relationship between the learning organization and organizational commitment among nursing managers. This is a descriptive analytic survey. The population of study was 90 nursing managers of 9 educational hospitals. Data gathering was done via learning organizational (LO) and organizational commitment (OC) questionnaires. Data analysis was analyzed using SPSS software. The mean score of LO has been 56.9 ± 18.1 among nursing mangers, and the mean score of OC has been 62.3 ± 10.1. In general there was a significant relationship between LO and OC and there was a significant relationship between LO and job experience based on ANOVA test. In today''s changing environment of very rapid changes which have been seen in different areas of science and technology and the increasing complexity and dynamics of environmental factors, only organizations with active adaptation (dynamic equilibrium) can survive and remain capable of growth. This aim can be fulfilled just in learning organizations.

Labor pain is one of the most severe pains which has ever evaluated and its fear is one of the reasons women wouldn''t go for natural delivery. Considering different factors which affect experiencing pain, this study aimed to explain women''s experiences of pain during childbirth. This was a qualitative phenomenological study. The study population was composed of 14 women in 6 weeks post partum period of natural delivery. The data was collected by interview. The data were analyzed by Colaizzi seven-stage method. After analyzing the interviews four main categories were extracted: 1) nature of delivery pain, 2) related factors in labor pain, 3) results of labor pain, and 4) perception of caseworkers. Assessing the women''s experiences can be useful in giving better care besides help understanding delivery pain phenomenon. Positive aspects of delivery pain must be strengthened and its negative aspects must be reduced as much as possible and create a suitable vision of it.