Advances in Nursing and Midwifery
Year:2012 | Volume:21 | Issue:75|Papers Count:11

Background and aim: Health care organizations spend huge amount asset in attracting, developing, and maintaining an effective workforce. The purpose of this study was to examine the correlation between leadership styles of nurse managers and nurses’ intention to stay at work in specialized wards in Imam Hossien and Moddaress teaching hospitals, in Tehran, Iran.Material and methods: This study used a descriptive correlational design. The sample of the study consisted of 148 nurses in specialized wards of Imam Hossien and Moddarss teaching hospitals in Tehran. Data were collected by a demographic form, Management style measurement questionnaire and intention to stay questionnaire. The management style questionnaire constituted of a four-point Likert scale with 24 statements, and intention to stay questionnaire consisted of 21 items with a four-point likert scale. The validity of these questionnaires was determined by content validity. Reliability of questionnaires was assessed by internal consistency measuring Alpha Cronbach, Cronbach’s alpha was0.87 and 0.94 for intention to stay and leadership style questionnaires respectively. Data were analyzed by SPSS software.Findings: respondents were predominantly female and consist of 83.9% females and 16.9% males. The mean age was 31.5±6 years. There was no significant correlation between the imperious, propitious-advisory leadership styles of nurse managers and nurses’ intention to stay. There was a significant correlation between partnership management style of nurse managers and nurses’ intention to stay.

Background and aim: Sexual function is associated with emotional-physiological, cultural and personal factors. World Health Organization recently defined sexual health as "the experience of the ongoing process of physical, psychological and sociocultural well-being related to sexuality. Sexual dysfunctions are particularly prevalent among women seeking routine gynecological care. Addressing sexual problems is an essential part of health care standards. The Aim of this study was to determine sexual satisfaction, sexual function disorders and associated factors in women of reproductive age who attended to Dezful health centers, Iran in 1387.Material and Method: A descriptive-cross-sectional design was used. The sample of the study consisted of 250 women of reproductive age who attended to health centers in Dezful, Iran. Data were collected by demographic questionnaire, and sexual function questionnaire. The validity of questionnaire was determined by content validity. Reliability was confirmed by test re-test.Findings: Mean score of total sexual function was 27.4±7.3. The study findings showed that 64.6% of respondents had sexual dysfunction. There was also a significant correlation between sexual satisfaction and sexual function (p<0.001). The results of this study indicated that the majority of participations (78.6%) experienced good sexual satisfaction. Domain of sexual desire and sexual function indicated significant correlation with age, marriage age and educational level (p<0.05).Conclusion: The findings of this study indicated that inability at induce a healthy communication and pleasure with sexual partner can result in physical, psychological and social problems. Young couple education can improve their recognition of sexual relation and should be a part of pre marriage consultation. The findings of this study indicated that sexual dysfunction is prevalent.

Background: Assessment of patient’s needs is the first step for recognizing problems and prevention of complications. Assessment tools are needed in order assess needs, and plan nursing care to prevent complications such as diabetic foot ulcer.The purpose of the present study was to develop self-care requisites assessment tool for prevention of diabetic foot ulcer and examine its validity and reliability.Material and Methods: This methodological study consisted of two phases, phrase I was development of the comprehensive assessment form, for which a qualitative study and a literature review was conducted. Phase 2consisted of testing the instrument for validity and reliability. In qualitative study unstructured interviews were conducted with 8 patients with type 2 diabetes. Validity of the instrument was measured by content validity, concurrent validity (criterion related validity) and construct validity. A sample of153 type two diabetic patients were selected to conduct factor analysis of the tool. Reliability was confirmed by internal consistency. Data were analyzed by SPSS statistical software.Findings: The initial form consisted of 103 items. Final version of self-care requisites assessment form for preventing diabetic foot ulcer consisted of 43 items with 5 sub scales. Validity was established for content, construct and concurrent validity. Content validity was assured by a panel of experts. Concurrent validity was measured by comparing the scores from assessment tool with self-care agency and diabetic clients' quality of life scales, which demonstrated an acceptable correlation among the scores. Internal consistency reliability of the tool was demonstrated with Cronbach's P coefficient ranged from 0.70 to 0.89 for subscales, the overall test re test reliability was 0.97.Conclusion The self-care requisite assessment tool for prevention of diabetic foot ulcer is a reliable and valid instrument to measure self-care needs for prevention of diabetic foot among individuals with type two diabetes mellitus.

Background and aim: The repairing effect of glucose on brain cognition functioning, especially attention has been studied widely. Cognitive performance and attention is a vital aspect in nursing practice. Decreased attention and nursing errors may result in substantial mortality, morbidity, and  additional health care costs. The aim of this study was to determine the effect of the blood glucose concentration on night work nurses’ attention accuracy in military hospitals in Tehran, Iran.Materials and Methods: A quasi-experimental study was carried out. A convenience sample of 60 nurses working in, two military hospitals in Tehran participated in the study. These nurses were randomly allocated in intervention and control groups. The study was carried out from Sep2009 to April 2010. Data were collected using a demographic data form and attention accuracy was evaluated by Toulouse-Pieron and Bonnardel test. Data collection and intervention was carried out during 4 to 5 am. The blood glucose concentration was measured before intervention, then nurses in intervention group received 75 gr glucose solution, and nurses in control group drank water. One hour after intervention attention accuracy and blood glucose reevaluated in both groups. Data were analyzed by SPSS V.15 software.Findings: The results indicated that glucose consumption improved the attention accuracy of nurses (P<0.001).Conclusion: Based on the results, glucose consumption or carbohydrate diet in night work nursing effects on brain cognition performance especially accuracy.

Background and aim: Many people sustain injuries in Chahar Shanbeh Soori ceremony that is held at the final hours of the last Tuesday of every year. This study aimed to identify epidemiology of injuries that caused in this ceremony in 2009.Materials and Methods: At this epidemical descriptive study, data and specifications of people, injured in Chahar Shanbeh Soori ceremony, were collected by universities of medical sciences using standard and specified questionnaires and then sent to Preventive of Accident and Emergency Medicine Department to be evaluated. Demographic and epidemic information, as epidemic areas, states, type of explosive materials and jobs of injured people were studied. At the end, data were compared with information of a few years ago.Results: On the whole, 1817 people were injured in this ceremony (%83.2 male and 16.8 female), and average age of them was 20.9±10 years old. Subgroup of 15-24 years old, are the most injured people and the most injuries, were caused by inflammable materials. More than one third of injuries of organs are related to hands (%34.4). %81.4 of injured people, were outpatients, and the rest were hospitalized.Conclusion: as the most group of injured people, were students injured during game with inflammable materials, warning programs, should presented to parents via media and schools.

Background and aim: Premenstrual syndrome is defined as repetition of physical, psychological and behavioral changes during the luteal phase of the menstrual cycle which interfere with daily activities and interpersonal relations. In fact, This syndrome is one of the most common problems of females in their productive ages. Having this syndrome may changes energy and macronutrients Intake around the menstruation time. This study was conducted to evaluate the role of premenstrual syndrome (PMS) in energy and macronutrients intake of female students of nutrition and food industrial faculty in Tehran, Iran.Method and materials: A cross sectional design was used. The sample of the study consisted of 92 female students in nutrition major. Data were collected by using 5 questioners (Demographic status, primary diagnosis of premenstrual syndrome, menstrual calendar, Beck test and food recall) which were completed by self-report. The diet records were analyzed for total energy and macronutrients. Data were analyzed by SPSS 16 statistical software.Results: We found that 58.7% of participants suffered from premenstrual syndrome. In affected group the average intake of energy and macronutrients was significantly greater in luteal phase compared to follicular phase (P<0.05). Also there was a significant difference in the average of energy and carbohydrate intake between 2 groups in the follicular phase which was statistically significant for fat intake between 2 groups in the luteal phase (P<0.05). There was no difference in the average intake of energy and macronutrients between 2 phases in non PMS group.Conclusion: Energy and macronutrients intake in cases suffering from PMS was higher in luteal phase compare to follicular phase.

Background and aim: Delivery is a stressful event. It seems that the cervix of an anxious woman does not dilate easily. The purpose of this study was determine the correlation between anxiety during labor and duration as well as outcome of delivery in women referring to hospitals affiliated to Shahid Behshti Medical University and Shahid Akbar Abadi Hospital.Materials and Methods: A descriptive correlational design was used200 women were selected via a multistage quota sampling in each hospital. A demographic and obstetrical questionnaire, Spielberg's State Trait Anxiety Inventory, and a checklist regarding the condition of the parturient women during hospitalization, duration of labor as well as delivery and Apgar score of the neonate were used for data collection. Data were analysed using SPSS 16 statistical software.Findings: Most women experienced moderate anxiety (%53.5).Mean of total time of delivery was 250.87±150.34 minutes, %94.5 was normal delivery and the mean of apgar score in first minute was 9 and in 5 minute was10.No significant correlation was found between anxiety in labor room and duration (first, second and third stage) as well as outcome (type and Apgar score) of delivery.Conclusion: Since most women experienced moderate anxiety, midwives and other healthcare workers should consider psychological aspects of mothers in labor rooms and make the atmosphere of these placed favorable addition, preparative educational courses during pregnancy is needed.

Background and aim: The most important aim in every organization is achieving the highest level of possible productivity or optimum productivity. An expert and efficient human resource is one of the most important tools for achieving the goals of the organization, because human resource plays an important role in increase or decrease of organizations productivity. The purpose of this study was to examine relationship between emotional intelligence self-efficacy and job satisfaction.Materials and methods: A descriptive correlational design was used. Sample of the research includes 100 nurses of educational and medical centers in Tabriz Province from 10 educational and medical centers in Tabriz that constitutes statistical population of more than 3500 nurses which has been selected by simple random sampling.Data were collection by Austin emotional intelligence questionnaire, job satisfaction (JQI) and sharer self-efficiency Questionnaires.Simple correlation coefficient and multiple regressions have been used for data analyzing.Findings: On the basis of the present research and on the basis of the hypotheses, the relationship between emotional Intelligence and job satisfaction with correlation coefficient 0.36 and in the level of 0.01 is significant.Conclusion: The result of the research has confirmed the relationship between emotional intelligence and self-efficiency; emotional intelligence and job satisfaction and self-efficiency among the nurses of educational and medical center in Tabriz Province in Iran and also the elements of emotional intelligence can anticipate job satisfaction and self-efficiency.