Iran Journal of Nursing
Year:2017 | Volume:30 | Issue:107|Papers Count:10

Background & Aim: Nurses can identify potential donors and obtain the consent of their families for organ donation. The aim of this study was to investigate the knowledge and attitudes of the employed nurses in the Intensive Care Units of Mazandaran province hospitals towards organ donation in 2016.Materials & Methods: This was a descriptive-analytical study. Using census sampling method, 226 Intensive Care Unit nurses from Mazandaran province hospitals were participated in the study. The instruments were demographic formand the Chakradhar’s Knowledge and Attitude questionnaire regarding organ donation. After translating questionnaire, its reliability and validity were confirmed. Data were analyzed by descriptive and inferential statistical tests and SPSS version 16.Results: Our results showed that the mean scores for knowledge and attitude were 8.3±1.7 (out of 13) and 49.6±6.8 (out of 65), respectively. Also, the nurses obtained 63.8% and 76.3% of the maximum achievable score on the knowledge and attitude questionnaire, respectively. The knowledge score for the nurses who had an organ donation card was higher than those who had not (P=0.003), and there was a significant correlation between attitude and work experience in Intensive Care Unit (F=5.216, P=0.006).Conclusion: The Intensive Care Unit nurses have a high level of knowledge and attitude about organ donation, and they can play an important role in encouraging organ donation among community members and the families of brain dead patients.

Background & Aims: The main problem in hospitals that leads to spread the musculoskeletal disorders among staff is related to the activities that achieved in order to carry and dislocate the patients. Since training has an important role in development of nurse’s safety, this study has done to determine the effect of training about carrying patients on musculoskeletal disorders among nurses assistance.Material & Methods: This study was a non randomize experimental-clinical (quasi-experimental) that nurses assistance were the samples of the study. The research environment included emergency, internal, surgical and parts of the selected educational centers of iran university of medical sciences. The number of participants in the control and test group was 50, who were entered in to the study by using a complete sampling method. The data collection tools were demographic questionnaire and the Nordic musculoskeletal disorders questionnaire that were completed by the participants before intervention and 3 months later. The training programme for experimental group was performed during 3 sessions in the form of lectures, role playing, practical exercises, group discussion, question and answer with the use of slides, show clips, training booklet about how to carry patients were presented. Then the data was analyzed with SPSS soft-ware version 16 and using descriptive statistical methods such as frequency, frequency percent, mean and standard deviation and inferential tests such as chi-square, independent t-test and Fisher test.Results: Research results showed that frequency distribution musculoskeletal disorders in terms of pain and numbness in the experimental group before and after 3 months of training program intervention in the neck and shoulder (P=0.031) and back (P=0.008) organs, The difference was statistically significant. But compared with two groups control and experimental before and after the 3 month, musculoskeletal disorders only foot and ankle in nueses aid showed statistically significant statistical differences (P=0.006).Conclusion: Although training program transport patients in this study only in reducing the frequency mean musculoskeletal disorders area of foot and ankle figure and failed to all musculoskeletal disorders, but these results could be due to the limitations need time to practice learned skills, a shortage of manpower, high workload and the lack of mechanical and electrical tools in the transportation of patients has arisen, and also the medical team staff still good enough and correct understanding of the importance of transport patients are not in need. As a result in addition to providing more effective training the abovementioned factors should also be considered.

Background & Aim: Falling is one of the most common health problems in elderlies as the result of multiple risk factors interference. Lifestyle is a behavioral risk factor for falling. Hence, studying lifestyle factors and demographic characteristics in falling accidents is very important for prevention of this event. This study aimed to determine the components of lifestyle in fallen elderlies who have referred to hospitals affiliated to Isfahan University of Medical Sciences.Materials & Methods: This study is a cross-sectional study on 200 elderlies who, following their fall, had referred to 5 selected government hospitals and were discharged afterwards in 2013. These hospitals were affiliated to Isfahan University of Medical Sciences. The subjects were selected using stratified random sampling. The data collection tools included the demographic data and a questionnaire of healthy lifestyle in elderly people. For data analysis, SPSS v.17 was used. Descriptive statistical test was used to describe the data and independent t-test, ANOVA and Pearson correlation coefficient were used for analytical analysis.Results: Most of them (70%) fall at home and 20% of them had appropriate life style. The scores of lifestyle components were 11.5 for physical activity and exercise, 17.6 for stress management. The mean score of social and interpersonal relations was 21.67. It was 36.62 for healthy eating and 53.73 for accident prevention.Conclusion: According to the results of the study, only 20% of the participants had appropriate lifestyle. Most components of lifestyle were low except for“accident prevention”. Hence, with regard to other factors, improving indoor and outdoor environment and providing social welfare services are recommended to prevent falling.

Background& Aim: Breast cancer is the most common type of cancer in women. Screening by mammography is the most sensitive and specific test that can be used for early detection of breast cancer. The aim of this study was to determine the state of screening by mammography and its related factors in a population of women in Rasht.Materials & Methods: This cross-sectional descriptive and analytical study was conducted on 1, 000 women by systematic sampling in Rasht during 2014-2015. Data collection by socio-demographic questionnaire and screening status was done via phone. Then, data were analyzed by SPSS 16 and T-Test, Chi-square test and logistic regression.Results: The mean of the age of women was 49.43 ± 10.18 years.45% of women had done mammography. In 80% of women, repeat screening intervals was more than 3 years. The average age of the first mammography was 44.1± 9.2 years.68.4% of women noted that screening is because of checking their health status.65.3% of women have announced that they did not do screening because they had no problem, and 3.4% have said that they did not have enough information about screening.Conclusions: The findings of this study revealed that most women do not realize the need for screening and doing that on regular basis. Therefore, it is suggested that preventive measures, as a general education, should be considered in order to raise awareness and provide conditions for mammography to reduce disease prevalence, improve health status, reduce costs resulted from breast cancer among female population.

Background & Aim: Telemedicine and telenursing are two methods of remote care in improving the quality of patient’s care. The subject of the present study was to examine the knowledge and attitudes of nursing students toward telemedicine and telenursing in Ardebil University of Medical Sciences.Materials & Methods: It was a cross-sectional and descriptive-analytical study. By using convenience sampling method, 184 nursing students were selected from nursing faculties affiliated to Ardabil University of Medical Sciences in 2016. The data were collected, using Glnkowski et al.’s questionnaire that were used after content validity and reliability confirmation. The data were analyzed, using SPSS 16 software, descriptive statistical tests, Spearman correlation coefficient, and Chi-squared test.Results: The results showed significant differences in telemedicine and telenursing knowledge between the nursing students (P<0.05). However, there was no significant difference between education and knowledge levels on telenursing. Moreover, 81.8% of students considered the use of telenursing in the healthcare system as necessary, and 72.3% believed that telenursing education should be provided in the nursing curriculum.Conclusion: The results showed that the majority of students were familiar with telemedicine and telenursing terms and they had a positive attitude toward telenursing. Thus, it seems that the authorities should consider the development of telenursing through providing the required infrastructure and equipment in order to facilitate using this technology in nursing.

Background & Aim: Medical errors are among the most challenging threats to health systems in all countries.Thus, it is essential to take actions to reduce the risk of sentinel events reoccurrence. Root cause analysis is one of the risk management models, used for retrospective analysis of the root cause or causes of errors and weaknesses in a system or its related processes systematically. This study aimed to analyze the root causes of a sentinel event led to death in one of the hospitals in Isfahan in 2015.Materials & Methods: This is a case report study that analyzes root causes of medical errors. The study was consisted of seven steps including: determining an event that must be analyzed, organizing a team to run it, gathering relevant data, identifying problems, searching for the causes of the incident, providing solutions, implementing solutions, and assessing and writing research report that lasted for 9 months.Results: The results showed that the first reason was lack of policy and protocol, developed for how to triage patients from one service to other services in the hospital, which caused problems in managing and assuming the responsibility of the patient's administration. The second fundamental problem was the patient’s examination by different specialists regardless of the status and progression of the clinical symptoms of the patient that caused loss of key information in the process of the patient clinical symptoms.Conclusion: Due to the benefits of this technique in identifying the root causes of errors, it can be used to prevent similar errors, eliminate organization defects, correct processes in the organization, and improve patient safety.

Background & Aims: Conflict in nursing profession is inevitable and may result in nurses’ dissatisfaction and low quality services to patients. Proper management of conflicts in nursing may result in an increase in nursing productivity. The aim of this study was to examine the conflict management strategies used by the nurse managers of educational hospitals affiliated to Tehran University of Medical Sciences.Materials & Methods: It was a descriptive and cross-sectional study, performed in 2015. The statistic population included 269 nurse managers of educational hospitals affiliated to Tehran University of Medical Sciences. The instrument was a self-made questionnaire based on Thomas-Kilmann conflict management model. The SPSS software version 22 was used for statistical analysis of the data, using descriptive and inferential statistics.Results: Nurse managers mainly used collaborating, compromising, and avoiding strategies in management of conflicts. There were significant associations between using collaborating styleand nurse managers’ age, work experience, conflict management training courses and type of hospitals. Those managers who had higher work experience and passed conflict management training courses, mostly used collaborating style (P<0.05).Conclusion: The nature of nursing services requires nurse managers to apply more collaborating and compromising strategies for conflict resolution. Appointing well-experienced nurses as nurse managers and training them in conflict management reduce destructive consequences of conflicts in hospitals.

Background & Aim: Nurses are involved in providing end of life care for end stage individuals. Thus knowledge and attitude of them can be used as a key factor in planning and implementing programs for such care. The purpose of this study was to determine the knowledge and attitude of nurses Toward Caring for End of Life Patients.Materials & Methods: In this cross-sectional study the stratified non-random sampling method was used to select the 240 participant nurses from the teaching hospitals of Tabriz, Iran. Data collection tools were the knowledge test and the Frommelt Attitude Toward Caring For Dying Patients questionnaire. Data analysis was done by descriptive statistics, independent samples T-test, ANOVA, and Pearson correlation.Results: Mean score of nurses' knowledge of end-of-life care was 14.26 (SD=4.37) out of 29. Fifty-five percent of the nurses stated that they have not received sufficient training on providing end of life care. With a score of 100.32 (11.79) of a maximum score of 150, Participants' attitudes toward patient care were positive. The attitude level was higher in staff with an experience of care in home care centers (P<0.01). Also, the average score of knowledge was higher in staff with an experience of care in home care centers, care of close relatives and more exposure to patients at the end of life.Conclusion: Considering the low level of nurses' knowledge about providing end-of-life care, educational programs should be developed to improve the knowledge of nurses. Regarding the positive attitude of the nurses toward such care, training programs can contribute to developing professional end of life care in Iran.