نشریه پرستاری ایران
پیاپی 88 (تیر 1393)

Asthma is one of the most common chronic diseases in the world and despite medical advances; it is still a major problem for healthcare systems. Improving the quality of life is one of the objectives of the nursing care programs. This study was done to evaluate the effect of partnership care model on the quality of life of patients with Asthma. It was a clinical trial which was conducted in 2012، in medical wards of Imam Khomeini Hospital of Jiroft University of Medical Sciences. Using convenience sampling method، 80 hospitalized patients were selected and randomly assigned into experimental and the control groups. During a period of 3 months، intervention including the stages of motivation، preparation، engagement، and evaluation was performed. The control group just received routine care. Data was collected by Quality of Life Questionnaire for adults including 26 questions on the four major dimensions of the quality of life: physical، psychological، social and living environment and was analyzed by Chi-Square، paired samples t-test، independent samples t- test and ANOVA using SPSS-PC (v. 20). There was a significant difference between the two groups in terms of the mean quality of life score (from 46. 3 ± 12. 2 to72. 93 ± 9. 2 in the experimental and 41. 1 ± 13. 1 to 41. 5 ± 13. 8 in the control group). There was also significant differences between the dimensions of quality of life including physical، psychological، social، and environmental aspects in the two groups (P<0. 05). According to the findings، this model could be recommended for caring of asthmatic patients.

Attachment styles are among interpersonal resources that can help to reduce stress levels in adverse conditions and decrease the negative impact of stress. Attachment styles are important in predicting mental health. Therefore, the main purpose of this study was to study the relationship between attachment styles and mental health among nurses. It was a descriptive- correlational study. The research population included all nurses in Shahreza Amir Almomenin Hospital. Using Cochran formula, 114 nurses were selected by simple random sampling method. To gather data, two questionnaires were used including general health questionnaire (GHQ) a nd adult attachment inventory (AAI). Data was analyzed by inferential statistics (ANOVA, t-test and Regression analysis) using SPSS-PC (v. 19). The finding showed that the mean score of secure attachment style (3.2 ± 0.70) was higher than hypothesized average (3) and avoidant (2.54 ± 0.76) and insecure ambivalent attachment (2.62 ± 0.77) were lower than hypothesized average (3). Also mean scores of physical symptoms (9.43 ± 4.46), anxiety (9.00 ± 5.69) and social symptoms (13.14 ± 3.56) were higher than cut-off point (6) but depressive symptoms (4.58 ± 3.33) were lower than cut-off point (6). The findings also revealed that the mean score of nurses’ mental health (36.3 ± 11.30) was higher than cut-off point (23). The results of the study showed that attachment style s play a key role in nurses’ mental health. The findings also revealed that only ambivalent attachment style had the ability to predict mental health.

Each group of staff has their individual career goals in work place. The aim of the study was to determinate mediational role of personal career goals attainment in relation to organizational justice, work engagement and positive organizational behavior. It was a correlational study. The statistical population was all female nurses working in Isfahan Alzahra hospital in 2013. Among them 208 nurses were recruited by stratified proportion to size random sampling method. The research instruments were organizational justice inventory (Niehoff & Moorman, 1993), Utrecht Work Engagement scale (2002), a researcher made personal career goals attainment tool and positive organizational behavior (Nguyen & Nguyen 2011). The direct and indirect effects were examined using Normal distribution test and Bootstrap procedure in Preacher and Hayes (2004) SPSS Macro program (2004). The findings indicated direct and indirect effects of career goals attainment in relation to organizational justice, work engagement and positive organizational behavior (P < 0.05). The results have significant implications for managers of hospitals toward establishing organizational justice and consequently, creating career engagement and positive organizational behavior among the nurses. The organizational justice is related to positive organizational behavior (hope, optimism, self-efficacy, and resiliency) and work engagement through the personal career goals attainment. Therefore, hospital managers can benefit from all profits of positive organizational behavior and work engagement.

Self- care, as an important pediatric nursing concept, enables parents and children for management of post-tonsillectomy complications. This study was aimed to determine the effect of self-care education on the control of post tonsillectomy complications in school-age children after discharge of Hamadan’s hospitals. In this clinical trial, 68 six to twelve year old children admitted to tw Hamadan’s hospitals for tonsillectomy were selected with one parent by convenience sampling and then were randomly assigned to experimental and control groups (each 34 paired). For experimental group, individual training was carried out the night before surgery and telephone follow-up performed in the first three days after discharge. Data collecting tools included a demographic questionnaire, two checklists for pain (Numerical Rating Scale and Wong- Baker FACES Pain Rating Scale) and home events recording sheet. Data was analyzed by ANOVA with repeated measures, post-hoc tests, independent t- test and Chi-square test using SPSS-PC (v.16). Significant differences were observed in the mean scores of pain intensity (p<0.01), painful swallowing (p<0.01), the number of fluid intake (p<0/05), the number of analgesics used (p<0/001), and use of non-pharmacological pain reduction methods (p<0/001) between experimental and control group after discharge. No significant differences were seen between the groups in terms of the other behavioral changes, analgesic side-effects, body temperature and quality of night sleep, except for appetite (p<0/05). Self-care education to children and their parents was effective in the control of common postoperative tonsillectomy complications at home. Accordingly, it is suggested to further study the effect of self-care education on long-term complications of tonsillectomy in children, and to empower parents to control pain and complications after other outpatient surgeries.

Considering the role of nurses in health organizations and the transcendent goals of organization, their intention to leave is among the most important managerial concerns of human resource management. The aim of this study was to determine and compare nurses’ intention to leave in hospitals of execute/non -execute organizational excellence model in Tehran University of Medical Sciences. This comparative descriptive cross-sectional study was conducted in 2013. The study population included all nurses working in hospitals of execute/non-execute organizational excellence model in Tehran University of Medical Sciences. A total of 248 nurses were selected by random stratified sampling method. Data was collected by Hinshaw “Turnover Prediction Scale” and analyzed by descriptive and inferential statistics (Independent T-Test) using SPSS-PC (v. 17). The results showed that the mean score of intention to leave in the nurses working in hospitals of execute/non-execute excellence model was 33.64 ± 5.58 and 35.59 ± 4.94 respectively. Moreover, the findings revealed that 21.6 % and 18.7 % of the studied nurses from non-execute and execute hospitals had a high level of intention to leave respectively. The independent “t “test indicated significant difference in the mean score of turnover intention (P = 0.004). According to the findings, it can be concluded that the organizational excellence models by providing an appropriate activity context for nurses and enhancement of their motivation and satisfaction, could prevent their intention to leave.

Communicating with a psychiatric client due to the impairment in their cognitive, emotional and behavioral processes needs essential skills. Regarding the importance of acquiring knowledge of real experiences of nursing students in practice setting and improving the quality of education and considering the capabilities of qualitative approaches, this study was done with the aim of the recognition of nursing students’ experiences of communication with psychiatric clients. It was a qualitative phenomenological study. Fifteen female nursing students of Islamic Azad University were recruited by purposeful sampling. Data was collected by in-depth unstructured interviews until saturation and analyzed using Colaizzi method. Ninety codes were emerged from the interview manuscripts that were classified into four major themes including: learning communication skills, task-based communication, Psycho-social adaptation, and Anxiety. Knowledge of students’ lived experiences helps to better recognition of their communicative problems with psychiatric clients.

Collaboration of health care team in clinical dicision making is a key factor to provide safe and efficient care. Since nurses have the most continous contact with patients, they could have great influences on diagnostic and therapeutic decisions. The aim of this study was to determine nurses’ collaboration in clinical decision-makings and its related factors. This descriptive, cross-sectional study was conducted among nursing staff of educational hospitals of Rasht-Iran. A total of 193 nurses were selected by stratified random sampling. Data was collected by Decision-making Activities Questionnaire (PDAQ) and analyzed by descriptive and inferential statistics including pearson corrolation test, Independent T test, One-way ANOVA and Generalized Estimating Equations (GEE) using SPSS-PC (v. 16). The mean score of nurse's collaboration in clinical decision-makings in all three dimentions (clarifying the problem, suggesting and evalutiong possible methos and selecting from one of suggested ways) was more than 50. Moreover, the findings revealed that the participation score of those with master degree, intersted in continuing their job at current ward, worked in intensive care units or in morning shifts have been significantly higher than other nurses (P<0.05). There was also a significant relationship between nurse's decision-making scores, their age and work experinces (P<0.05). Level of education, and present job experiance had the most positive effect, and high job experince and having no responsibility in working place had the most negative effect on nurse's level of clinical participation (P=0.00). Regarding the importance of nurses’ collaboration in decision making and the influence of higher leveles of education and working in ICU, providing appropriate context for more participation of nurses in decision making processes is suggested.

Nurses are one the important groups in patients’ recovery and safety and have an important role in the reduction of their mortality. The aim of the study was to identify nurses’ perceptions of patient safety culture in Mazandaran‘s hospitals. It was a descriptive correlational study which has been done in a two month period in the hospitals of Tonekabon, Chaloos, and Ramsar. The sample was recruited by census (n= 456). Data was collected by Persian version of HSOPS, developed by Agency for Healthcare Research and Quality (AHRQ) that measures 12 dimensions of patient safety culture, and analysed by descriptive statistics and t- test, one way ANOVA, and Pearson correlation coefficient using SPSS-PC (v. 16). Amongst the 12 dimensions of AHRQ, the nurses assigned the highest score to "team work within units" (4/02 ± 0/98) and "Organizational learning-continuous development" (4/06± 0/75). They assigned the least score to “Staff” (2/39±1/11) and “non-punitive response to error” (2/53±0/98). Nurses (%53/7) reported 1-2 errors during the last year. There were significant negative correlations between the dimension of "team work within units”, age, and years of experience (P< 0/05). It seems the patient safety culture requires some modifications to be able to create a safer clinical environment. It is suggested that punitive culture be replaced with non -punitive culture so that health care staff share their clinical errors.