مجله دانشکده پرستاری و مامایی رازی کرمان
سال نهم شماره 1 (پیاپی 18، بهار - زمستان 1388)

Approximately half of the cardiac arrest mortality occurred in hospitals and nurses are one of the key persons in acceptance duty. For proper performing resuscitation nurses have to have theoretical knowledge and practical skill. Literature review shows knowledge as well as skill deficiency among nurses in this topic. To investigate the effect of CPR education by booklets and brushers on knowledge of Emergency staffs and members of CPR team in one Kerman province hospital at2008.In this quasi-experimental study, to assess CPR knowledge; a questionnaire consists of 15 items was used. After confirming the validity and reliability, it was distributed among participants (CPR team and emergency ward staffs). After pretest, booklets and brushers (according to the new protocol of CPR for each part of subject) were distributed among participants. Post test was done after 8 days and data were analyzed by SPSS17.According to the results, after education, knowledge scores of staff about CPR was significantly more than that of before education (P<0.001). Mean of knowledge scores of ICU and CCU nurses in both pre test and post test were higher than that of others (P<0.001).It can be concluded that education, even if it would be inexpensive and brief, has positive effect on improvement of nurses’ knowledge. This study highlights the role of education in development of competency and confident of nurses in the topic of CPR.

When nurses can positive attitude to death and care of people dying to have a relationship with the humanitarian community to have people. Nurses in palliative care due to the success of their relationship with all patients, their willingness and interest to a dying patient can be. This study was aimed to determine attitudes of Iranian nurses toward caring for dying patients.In this descriptive analytic attitude Cancer Society and the hospital nurses, but Tehran age to the care of dying patients in 2007 using two questionnaires (DAP-R), (FATCOD) and examined demographic was. Questionnaires to 120 hospital nurses, but Cancer Center that evening and were introduced by the supervisors were given. 98% had answered questions in the questionnaire. Data analysis was performed by spss software. Data analysis using descriptive analysis techniques (frequency, mean and standard deviation) and inferential (Pearson) were performed. Most respondent's to death as a natural part of life and a way to achieve life after death were noted. Most nurses tend to take care of dying patients and emotional support from their families were but they did not like about death with patients or their family speak or give them training in this area. Many nurses did not like the patients or their families decide be willing to engage patients and their families in care. Personal look at nurses as their personal experiences influence their attitudes toward death and care of dying patients can be Lack of education and experience plus career and cultural constraints, creating a negative attitude towards death, the study nurses and care of dying patients were involved. Appears to be that nurses can create an interactive environment, their feelings about death and dying can express effective way to identify influential factors in nurses interacting with patients are dying. Continuing education for nurses in palliative care to improve the quality end of life care is needed by.

In order to encourage of faculty members in Kerman University of medical science, the Research council approved an internal guideline for writing and performance of non- centralized research projects by faculties, research centers and committees based on their research activities.The purpose of this research was determination of outcomes of centralized and non- centralized research projects regard to scientific products and expenditures from May2005 to May 2007.In this study, all research projects records were studied and the necessary data entered in checklists. If the accuracy of the data in records was corrupted, the investigators were called and the information was collected.Sixty-four centralized and non- centralized research projects were included in the study. The most projects related to faculties from schools. The median of personnel cost was 13452700Rials in centralized projects and 8066092Rials in non-centralized projects. The median of total costs were 28705760 Rials and 12876935 reials in respectively. In regard to number of projects, kerman university of medical science not placed in the inter-quartile range among the first level ranking universities. seven papers from non- centralized projects and 9 papers from centralized projects on the basis of trapezoid table, gained 77 and 117 scores respectively.In spite of that median of total expenditures in non-centralized projects were less than half of centralized projects but indices such as published papers, participation in congress and seminars and etc, were similar to centralized projects outcomes. This indicated increment in ability of investigators because non-centralized projects were not arbitrated in the research council but they had acceptable output. Hence, to increase the productivity and optimum usage of research financial resources, the policy of university research managers must be toward decentralizing and giving research authorities to colleges and research committees.

The progress in nursing education requires maintaining the quality of services. Nursing faculties have to improve themselves using evidence-based quality strategies. Evaluation of educational services quality by nursing students is widely used in formulating quality improvement of nursing education. The aim of this study was to determine the nursing student's viewpoint about educational services’ quality in Kerman University of medical sciences.. In this cross sectional descriptive study a stratified random sampling consist of 500 students from four nursing faculties (Bam, Zarand, Jiroft and Kerman) were selected. The data were collected using SERVQUAL questionnaire. The data were analyzed by SPSS version 12 software using descriptive and analytical (t test and ANOVA) statistics. Significant level was set as 0.05.According to the results, the reliability dimension of service quality had the highest score and responsiveness dimension had the lower score. There was a significant difference among five dimensions of Service quality (p< 0.05). Service quality score in Kerman nursing school (razi) is higher than others (p<0.000).According to the finding, there are opportunities for quality improvement in these faculties. Nursing managers should not neglect the importance of investing in educational services, especially when they intend to improve the quality of their services.

Cardiovascular diseases are one of the most common health problems that threaten life. coronary artery disease (CAD) is major cause of morbidity and mortality in human communities.CAD have many mental, physical and social consequences for sufferer and its risk factors divided to two major groups: modifiable and no modifiable that modifiable risk factors will control with change in life styleThe main purpose of this study was to determine the coronary risk factors status among patient with 3VD after angiography that candidate for CABG.The study investigated 1000 coronary patients with 3VD (660 males and 340 females) aged 54.8±9.1 years. Outcome variable included demographic and coronary risk factors parameters were collected. We used of a questionnaire for collecting data from patient. Using descriptive statistics performed data analysis38% of patient had history of diabetes mellitus, 32% had hypertension and 40% had history of cigarette smoking.11% had BMI≥30, % 45.6 of patient had O+ (blood group).87% of patient had total cholestrol≥200, 81% had TG≥200 and about 70% had LDL>100.there were statistically significant differences between sex with cigarette smoking, HTN, DM (P<0.05) and age with TG (P<0.05).Coronary risk factors such as inappropriate clinical status and undesirable lipid profile status threaten population health and CAD patient with 3VD, therefore more control and preventive strategies should be considered.

Several Studies revealed that musculoskeletal pain in the elderly is very common and they have performed cognitive and behavioral methods for its relief.The purpose of this study was to explore self-care management strategies among elderly with musculoskeletal pain in Kerman city.in a cross - sectional study, 370 elderly people in Kerman were selected (90 subjects were resident in nursing homes and others resident in the family). The Data were collected using questionnaires and analyzed by SPSS 15 software.Prevalence of self-care management strategies was 79.2 %(293). Most subjects were used psychological strategies more than other strategies. Women used the medical strategies more than men. There were statistically significant differences between education level and control pain strategies.identification of musculoskeletal pain control strategies among elderly is important. These strategies can be applied as accepted methods to reduce pain, and thus improve quality of life of elder patients.

Personal space is necessary for privacy, independence, and identity. Hospitalization through lack of ability on control of milieu and invasion to privacy space, may be caused fear, insecurity and distrust in patients. To respect one's privacy would meet satisfaction.This descriptive study was performed to determine patient's attitude on respect to personal privacy.This survey was included 400 patients through quota sampling. For data gathering, interview with a questionnaire was used which includes demographic characteristics and 15likert type questions about patient's attitude regarding to maintain privacy in medical surgical wards. For data analysis, Man Whitney u, Kruskall wallis, central and distribution indices were used.Results showed item “I like when one come into my room knock the door” with X=4.18was the highest and” I like to eat my food alone” with X=2.98 was the lowest score in the responses. There was significant difference between sex and attitude to privacy, it means the women had more positive attitude than men. Other variables include age, marital status, hospitalized days, occupation, educational level; times of hospitalization, ward, family member number, activity level, history of hospitalization were no significant differences. The findings of study can be useful in nursing education and nursing administration, because main dimensions of personal space and human territory identified.

Anxiety is vague and excruciating distress which is usually experienced in some extent by students before taking exams. Reduction of this status by use of safe methods such as complementary medicine can lead to intensification of self confidence and improvement of learner’s educational function. This single group clinical trial study was done on students of Kerman Medical University to determine the effect of therapeutic touch on the anxiety level of them before taking test. First, to assertion the sample size a pilot study was done and the sample size determines to be 37 participants. In the data collection phase, the standard Beck Scale Anxiety questionnaire was used. On the beginning, learner’s anxiety level was assessed at the night before the testing session. Then after doing the therapeutic touch, by use of the same questionnaire their anxiety level was scored. The scores gained by questionnaire before and after the therapeutic touch were average and this data were analyzed by, One Way ANOVA, and pair T-test.Demographic information such as; age, type of course, pre-knowledge of therapeutic touch, prior usage of therapeutic touch, and acceptance of therapeutic touch as a method had no significant relationship with anxiety reduction after the intervention. After intervention 29.7% students feel weightless and 24.3% of them feel relax. But meanwhile, there was a significant difference between the intervention and average anxiety level (p value<0.001).In attention to significant relationship between average anxiety numbers before and after the intervention, probably therapeutic touch can be reducing anxiety level of participants.

Finally the event of death of every human face is. But the nurses every day who witnessed the death of patients spend their final days of their lives. Nursing students also involved in the care of patients end their lives are the days spend will be involved. Attitude toward death is one of the most important factors on behavior related to health care professionals affects. To compare the attitude towards Kerman and Bam to death and care of dying patientsIn this cross - sectional study of Kerman and Bam attitude toward death and care of dying patients, using two questionnaires DAP-R (revised attitude towards death) and FATCOD (fromelot attitudes toward care dying patients) were studied. All questionnaires were collected. 98% of questions were answered. Data analysis was performed with SPSS software. Data analysis using descriptive analysis techniques (frequency, mean and standard deviation) and inferential (Pearson) were performed. Nursing students Bam death in January 2003 had the experience to nursing students near Kerman view that the death had not the fear of death were lower. In both groups of students about death and dying were trained compared to untrained students had more positive attitudes towards death were. Results showed that Bam and Kerman attitude towards care of dying patients is different. Although they live in a province and have similar cultures, this study suggests that palliative care education curriculum in nursing students be put to work quality of nurses even in the final days of life of patients will improve.

The computers are the greatest human invention of the twentieth century. Their abilities to store, share and transmission of multimedia data are used in the business, entertainment, health and medicine. Telemedicine technology is one of the abilities that can cause medical information exchange will be at long distances. Telemedicine is using telecommunications and information technology to provide modern clinical services and remote data transfer to take care of patients. This study was done aimed to review the remote treatment and care.This study was done using literature related to nursing and telemedicine in Latin and Farsi databases included Proquest, Science direct, Ovid, SID, IranMedex.Telemedicine and telenursing are included transfer of medical and nursing data, such as sound, images, and animated pictures. It is used in areas like management of chronic diseases, prevention of diseases, public health, routine consultation, education of patients and disaster controls. According to the function of this technology and easiness of performance it is expected that its application in medical science to spread quickly. Therefore it is necessary to develop health services in our country and take more attention. This article wants to introduce the fundamentals of telemedicine and telenursing. Obviously knowing the details of their applications need more review and study.