2024-03-29T11:19:45+03:30 http://ijnr.ir/browse.php?mag_id=43&slc_lang=fa&sid=1
43-1883 2024-03-29 10.1002
Iranian Journal of Nursing Research IJNR 1735-7012 1735-9074 10.22034/ijnr 2017 11 6 The Effect of Clinical Learning and Assessment of Community Health Nursing Apprenticeship Using Portfolio Method on Nursing Students’ Satisfaction Arman Azadi azadi.arman@gmail.com Masoumeh Bastami Mohammad Reza Bastami Introduction: In recent years, the use of portfolio as a learning and assessment method has become more widespread in medical education. The aim of this study was to examine nursing students’ satisfaction toward using portfolio for educating and assessment of community health nursing apprenticeship. Methods: This was a quasi-experimental study. The study samples included all the final year nursing students (n = 30) which were spread in 10 urban health centers of Ilam city. The urban health centers were randomly allocated to each of the experimental and control groups. In the experimental group, the education and assessment were performed using portfolio and in the control group, the learning and assessment activities were conducted using the routine method. The data collection tool was a validated questionnaire designed according to previous studies, which was filled by the study participants in both groups after the intervention. Results: The finding showed that the mean (SD) of overall satisfaction scores in experimental and control groups were 21.26 (2.15) and 14.46 (2.77), respectively (P < 0.001). Furthermore, in most of the satisfaction items of the questionnaire, the participants of the experimental group had significantly higher scores than the control group. Conclusions: The findings of this study highlighted the effectiveness of portfolio as a learning and assessment tool of nursing students in apprenticeship courses. However, it is essential that students and tutors be given clear guidelines on principle and structure of the portfolio. Portfolio Nursing Student Clinical Learning Clinical Assessment 2017 2 01 1 6 http://ijnr.ir/article-1-1883-en.pdf 10.21859/ijnr-11061
43-1884 2024-03-29 10.1002
Iranian Journal of Nursing Research IJNR 1735-7012 1735-9074 10.22034/ijnr 2017 11 6 Comparison of Hospitalized Adolescents\' Satisfaction of Clinical Services and Physical Environment in Children and Adults’ Wards in Isfahan in 2009 Azam Rahmani Narges Sadeghi n45sadeghi@yahoo.com Introduction: Adolescence is a crucial juncture in the evolution. The hospitalization process could have harmful effects on the health of an adolescent’s mind and body. Since recently, patient satisfaction survey has been considered as one part of the annual assessment, the present study was performed to compare the hospitalized adolescents' satisfaction of clinical services and physical environment in children and adults’ wards in Isfahan. Methods: This cross-sectional and descriptive analytical study was conducted by sampling of 200 adolescents aged 10-19, discharged from adults and children's wards in general hospitals of Isfahan in 2009. Sampling was conducted through the available method and for carrying out the research, a standard questionnaire was used. Demographic information and information related to satisfaction of nursing, medical, other personnel, facilities and quality of environment were collected. Content validity and Cronbach's alpha coefficient (0.85) were used to confirm the validity and reliability of the tool, respectively. Data analysis was performed using SPSS software and independent t-test. There was no significant relationship between age and satisfaction of nursing, medical, other staff services, and the environment. However, there was a significant relationship between gender and satisfaction of medical services; the mean satisfaction score of medical services in girls was more than that in boys, and the difference was significant. Results: Most admitted adolescents’ satisfaction of clinical services and physical environment belonged to high category (80-100). Adolescents admitted in children’s ward had a higher satisfaction of nursing care (P = 0.005) and environment (P = 0.04) than those admitted in adults’ ward; this difference was statistically significant. In contrast, satisfaction of medical services (P = 0.073) and other personnel (P = 0.09) in the adolescents hospitalized in adults and children’s wards were not statistically significant. A total of 87% of young adults who were hospitalized in adults’ ward and 3.35% of teens who were hospitalized in children’s ward preferred to be admitted in adolescents’ ward. Furthermore, the relationship of age and gender with satisfaction of cervices was assessed. There was no significant relationship between age and satisfaction of nursing, medicine, other staff services and environment. However, there was a significant relationship between gender and satisfaction of medical services; the mean satisfaction score of medical services in girls was higher than in boys, and the difference was significant. Conclusions: The results of this study showed that adolescents were more satisfied of the environment and nursing services provided in children’s ward than those in adults’ ward. Adolescents also expressed the need for a special ward for hospitalization of adolescents. It is suggested that wherever allocation of separate sections for young people is not possible, necessary facilities should be provided for young children in children’s wards; also, personnel and physicians should be trained on how to communicate and deal with teenagers as well as the changes needed in service providing. Satisfaction Adolescents Hospitalization Medical Services Hospital 2017 2 01 7 13 http://ijnr.ir/article-1-1884-en.pdf 10.21859/ijnr-11062
43-1885 2024-03-29 10.1002
Iranian Journal of Nursing Research IJNR 1735-7012 1735-9074 10.22034/ijnr 2017 11 6 Hidden Trauma in Overweight Women Nahid Hossein Abbasi nahid.habbasi@gmail.com Neda Mehrdad Alireza Nikbakht Nasrabadi Introduction: Excess weight is a major risk factor for a number of chronic diseases, including diabetes, cardiovascular diseases and cancer. Once considered a problem only in developed countries, excess weight is now dramatically rising in developing countries. While most of the studies conducted on excess weight have concentrated on issues related to why people gain weight, there is little knowledge about what overweight people really experience in their daily lives. The aim of this study was to create an understanding of the real experience of obesity in women. Methods: In this qualitative study conducted using interpretive phenomenological approach, 12 overweight women were purposefully selected. Data were collected during individual, semi-structured and deep interviews. The recorded interviews were transcribed and analyzed by the Van Manen (2006) approach. Results: Life experiences of excess weight in women were summarized by a main theme: “The Hidden Trauma” and subthemes including: “offended of speaking”, “finger of accusation to weight” and “unequal opportunities”. Conclusions: Findings of this study showed that most of the participants experienced negative feedbacks during their interactions with the society. The achievement of the present study was the fact that if overweight women experience negative feedbacks due to their weights in the society, especially through family members and health care providers, its negative outcomes prevents them from receiving health care services or participating in the society and also will cause lack of effective communication in the family. All the above factors have negative impacts on women’s health and consequently on families and the society. The way we interact with and give feedback towards these people is really important. Lived Experience Excess Weight Women Hidden Trauma Hermeneutics Phenomenology 2017 2 01 14 22 http://ijnr.ir/article-1-1885-en.pdf 10.21859/ijnr-11063
43-1886 2024-03-29 10.1002
Iranian Journal of Nursing Research IJNR 1735-7012 1735-9074 10.22034/ijnr 2017 11 6 Investigation of Health Education Based on Health Belief Model on Prevention of Unhealthy Weight Control Behaviors in Female Adolescences Aged 13-15 Farzaneh Youssefi Sara Sadat Hosini Esfidarjani Zahra Rahnavard Zahra.rahnavard@gmail.com Tahereh Sadeghi Introduction: the prevalence of unhealthy weight control behaviors in adolescents is increasing and unhealthy weight control behaviors can have serious physical and mental consequences in adolescents. The aim of this study was to determine the effect of education based on Health Belief Model on the prevention of unhealthy weight control behaviors in female adolescents aged 13-15 year. Methods: This was a quasi-experimental study conducted on 160 girls in high schools of Karaj city. Sampling was performed in two stages: in the first stage, schools were randomly selected and assigned to two groups. In the second phase, samples, based on the entry criteria, were selected by convenience sampling. Data for pre-test were collected using a questionnaire in both groups. The experimental group received the educational intervention in the form of presentations in four sessions, conducted along with questions and answers. Eight weeks after the educational intervention, post-test was given to both groups and data were analyzed before and after the training using SPSS software and Fisher's exact test, chi-squared and independent and dependent t-tests. Results: In comparison of the mean score of Health Belief Model parts (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, guide to action, and preventive behaviors) between the intervention and control groups, there was a significant difference between before and after the intervention (P < 0.001). Conclusions: The results of this study showed that educational interventions based on Health Belief Model can be effective in preventing unhealthy weight control in adolescents. On this basis, it is suggested to run trainings in order for the prevention of unhealthy weight control behaviors based on Health Belief Model for young people and in schools. Education Health Belief Model Unhealthy Weight Control Behaviors Adolescents 2017 2 01 23 31 http://ijnr.ir/article-1-1886-en.pdf 10.21859/ijnr-11064
43-1887 2024-03-29 10.1002
Iranian Journal of Nursing Research IJNR 1735-7012 1735-9074 10.22034/ijnr 2017 11 6 Exploring Home-Based Rehabilitation in Traumatic Spinal Cord Injury Patients: A Qualitative Study Alireza Nikbakht Alireza Bastami Kian Norouzi Tabrizi Fatemeh Pashaei Sabet pashaii1392@gmail.com Shima Gomarverdi Introduction: Rehabilitation is an interdisciplinary field of study and is dependent upon the culture of the place of study, and has a significant role in the patient’s well-being and their return to work and normal life. The sequence of a phenomenon rehabilitation care and socio-cultural context in which returning veterans with spinal cord injury, traumatic health and prepare the patient to return to normal life and this community have an important role to explore various aspects of rehabilitation. Several studies have investigated spinal cord injuries that take place at home with the aim of providing more effective services. Therefore, this study aimed to explore patients with spinal cord injuries, for whom traumatic home-based rehabilitation was performed. Methods: A qualitative study was conducted during year 2014 in Tehran's hospitals. Participants included 12 victims of traffic accidents with injuries of the spine (spinal cord injury), two family caregivers, five nurses, four doctors, two physiotherapists, and two occupational therapists in inpatient wards and outpatient trauma centers that explained the process of care based rehabilitation at home for patients with spinal cord injury. Firstly, purposive sampling was performed and was continued by theoretical sampling on the basis of codes and classes. Data were collected through individual semi-structured interviews. Data were analyzed by the conventional content analysis approach. Results: Data analyzes led to the emergence of four main categories including home-based rehabilitation process of patients with traumatic spinal cord injury, consisting of four main sub-categories: facilitator of recovery, limitations, seek support and challenging return to society. Conclusions: Support of spinal cord injury patients at home with a team of doctors, nurses, social workers, psychologists and clergy is necessary. Rehabilitation Spinal Cord Injuries Patients Qualitative Research 2017 2 01 32 41 http://ijnr.ir/article-1-1887-en.pdf 10.21859/ijnr-11065
43-1888 2024-03-29 10.1002
Iranian Journal of Nursing Research IJNR 1735-7012 1735-9074 10.22034/ijnr 2017 11 6 Analysis of Social-Acceptance Strategies of Nurses with Their Role in Relation to Culture and Tendency towards Resistance at Hospitals Seyed Aligholi Rowshan Baqer Kord Alireza Tashakorian Jahromi alirezatashakorian@pgs.usb.ac.ir Introduction: This study discussed the impact of the social strategies of nurses as a solution that converts hospitals into corporate organizations and helps create and change management at hospitals. This research was done to evaluate the impact of social strategies of nurses on resistance and the impact of cultural dimensions on these tactics. Methods: In this analytical study, simple random sampling was used and using Cochran, 82 of the nurses of internal, surgery, emergency, psychiatric, Intensive Care Unit (ICU) and Coronary Care Unit (CCU) were selected from the social security hospital in Zahedan, in March 2016, and a survey questionnaire was completed by them. The study tools were a questionnaire designed by Jones (1986), Assessment of Organizational Socialization and Study Questionnaire of Dorfman and Howell (1988), which were used to measure cultural dimensions. The resistance to change questionnaire by Don Hamm et al. (1989) was also used to evaluate the reliability and validity. To analyze the data, Pearson correlation test and Friedman test using SPSS software and Smart PLS software were used, two-stage partial least squares method and structural equation model were used to analyze the assumptions, confirmatory factor analysis and Path analysis and GOF fitting indicators were used to evaluate the fit of the model. Results: The results showed that weakness in the socialization strategies of the nurses could not play a useful role in nurse's resistance. This mediating role is missed completely in the relationship between culture dimensions and resistance to change (Rig = 0.147, Sig = 0.180). The analysis results indicate that culture dimensions have a significant positive effect on socialization tactics (Reg = 0.481, Sig = 0.000). These cultural dimensions have an effect on resistance to change (Reg = 0.454, Sig = 0.000). The results of the analysis of Friedman test show that among cultural dimensions, collectivism is the most evident among the nurses. Conclusions: Officials should employ nurses with tactics of socialization to increase positive behavior in hospitals and reduce anti-organizational behavior. Socialization tactic Culture Tendency to Resistance Role of Nurse Hospitals. 2017 2 01 42 53 http://ijnr.ir/article-1-1888-en.pdf 10.21859/ijnr-11066
43-1889 2024-03-29 10.1002
Iranian Journal of Nursing Research IJNR 1735-7012 1735-9074 10.22034/ijnr 2017 11 6 Investigation of the Effect of Health Education Based on Health Belief Model on Nutritional Self-Efficacy in Prevention of Osteoporosis in Adolescent Females Seyedeh Narjes Razavi Zahra Rahnavard zahra.rahnavard@gmail.com Marhamat Farahaninia Amel Malehi Saki Introduction: Osteoporosis is the most common metabolic bone disorder that is characterized by decreased bone mass and changed microscopic architecture of bone tissue. Ultimately, these processes increase fragility of bone and induce pathologic fracture. Healthy nutrition and change of incorrect habits of nutrition play a significant role in reducing incidence and prevalence of osteoporosis. These goals will be impossible except with proper education. Considering the importance of preventive education in adolescence, this study was performed to determine the effect of health education, based on health belief model, on self-efficacy in prevention of osteoporosis in female adolescents. Methods: In this quasi-experimental study, 106 adolescent females were randomly allocated to two experimental (53) and control (53) groups. They were evaluated in two phase (pre-intervention and immediately after the intervention). The data were collected using a new questionnaire, the validity and reliability of which was investigated (P = 0.81). The questionnaire included three parts: demographic information, health belief model and nutritional self-efficacy. After the pre-test, the intervention was performed for the case group during four sessions that lasted one hour. Information was analyzed by statistic methods (Covariance analysis) (SPSS v.16). Results: There was a significant difference in the mean self-efficacy score before and after the intervention in the case group (P < 0.001). There was a significant difference between the intervention and control group, after the intervention, in the following items, perceived susceptibility, perceived benefits, and perceived barriers (P < 0.001). Conclusions: Results of this study showed that behavioral models, such as the health belief model, could provide a framework for improvement of education in the field of nutritional efficacy for the prevention of osteoporosis. Education Health Belief Model Self-Efficacy Osteoporosis 2017 2 01 54 60 http://ijnr.ir/article-1-1889-en.pdf 10.21859/ijnr-11067
43-1837 2024-03-29 10.1002
Iranian Journal of Nursing Research IJNR 1735-7012 1735-9074 10.22034/ijnr 2017 11 6 Implementation of Emotion-focused coping program on occupational stress and maintain public health nurses working in Children Ward Zahra Kaffash zkmedsistera@yahoo.com Mohammadreza Movaghari mohammadrezamovaghari@yahoo.com Naima Seyedfatemi nseyedfatemi@yahoo.com Introduction: occupational stress is the most common issues and Problematic in maintaining public health. Emotion-focused coping and timely is a Effective skills in the nursing profession. This study aim the effect of the emotion-focused coping program on occupational stress and maintenance general health in Nurses working in child care centers. Methods: A quasi-experimental research was carried out  with Pre- and post tests in the intervention and control groups. The study population were the nursing staff of Hazrat Masoomeh (AS) Hospital who were determined randomizing With available sampling, selected 45 members in each group. For data collection Was used  of demographic information and general health questionnaire and Expanded Nursing Stress Scale. Training program during the sixth sessions in 2 hours for the intervention group was done and all nurses in two groups  completed  questionnaires before and one month after intervention  and  data were analyzed statistically by SPSS 22 . Results: The results showed, that the mean stress and general health before the intervention, there was no statistically significant difference between the experimental and control groups. But between the stress and general health after the intervention, there was a statistically significant difference between experimental and control groups (P <0/001). Conclusion: occupational stress and general health scores significantly reduced after the intervention, indicating the effect of emotion-focused coping is to promote public health nurses Therefore, emotion-focused coping programs is recommended to reduce stress in pediatric nursing education. occupational stress general health Nurse coping. 2017 2 01 56 62 http://ijnr.ir/article-1-1837-en.pdf 10.21859/ijnr-11068
43-1890 2024-03-29 10.1002
Iranian Journal of Nursing Research IJNR 1735-7012 1735-9074 10.22034/ijnr 2017 11 6 The Impact of Programs Designed to Empower Nurses with Skills for Physical Health Assessment Mohammad Khoran Fatemeh Alhani alhani-f@modares.ac.ir Ebrahim Hajizadeh Introduction: There is no doubt that the skills for physical health assessment, enables nurses to correctly identify unusual items and provide the basis for the development of nursing diagnosis and plan of care. The purpose of this study was to evaluate the impact of programs designed to empower nurses with skills for the physical health assessment. Methods: This study was quasi-experimental. Overall, 107 nurses were selected based on the inclusion criteria. They were randomly allocation to two groups. Collection tools were a demographic questionnaire and “Self-Assessment of Nurses in Physical Health Assessment Skill Questionnaire”. The intervention group was taught skills for physical health assessment during twelve sessions (30 minutes). Statistical analysis was performed using descriptive and inferential statistical tests. Results: No statistically significant differences were found between age, gender, education level and other demographic information. The two groups were homogeneous at baseline in mean scores of history taking, physical examination and health assessment (P = 0.493). Data analysis after the program showed that there was a significant difference between the intervention and control group in history taking (P = 0.0000), physical examination (P = 0.0000) and health assessment (P = 0.0000). Conclusions: The empowerment program improved nurses’ skills in health assessment. Therefore, it is suggested as an effective and practical method to improve knowledge and skills. Health Assessment Nurse Empowerment Self-Assessment 2017 2 01 61 70 http://ijnr.ir/article-1-1890-en.pdf 10.21859/ijnr-11069