Iran Journal of Nursing
Year:2011 | Volume:24 | Issue:73|Papers Count:10

Background & Aims: Stoma surgery is one of the events that strongly influences individual life and causes major changes in life style. Self-efficacy as a personal coping resource can facilitate adaptation with these changes. So the aim of this study was to assess self-efficacy and the related factors in ostomates.Material & Methods: It was a cross-sectional study. Eighty four patients with ostomy who were referred to selected educational centers of Tehran University of Medical Sciences and Iranian Ostomy Association (IOA) were selected through convenience sampling. The data were collected using personal information form and Stoma Self-Efficacy Scale (Stoma SE Scale). Data was analyzed by SPSS 15 using descriptive statistics, independent t-test, ANOVA and regression analysis.Results: Half of the participants gained at least half of the overall self-efficacy scores. The mean score of social self-efficacy was lower than the mean score of stoma care self-efficacy. Self-efficacy was associated with marital status, stoma status and stoma duration (P<0.05) but the relationship between self-efficacy and age, gender, educational level, type of stoma and reason of stoma was not statistically significant.Conclusion: the Present study provided useful information about self-efficacy and its related factors in stoma patients. This information can be used for designing and performing appropriate nursing interventions to promote these patients’ self-efficacy, especially in the social dimension which is weaker in most ostomates.

Background & Aim: Human resources are one of the most assets of organizations, and their intention to remain at organization is very important. This paper aims to examine the relationship between organizational commitment and nurses' intention to remain at health centers affiliated to Army of the Islamic Republic of Iran.Material & Method: It was a descriptive correlational Study. The research population consisted of nurses working in health centers affiliated to Army of the Islamic Republic of Iran. One hundred and forty nurses were recruited by quota sampling. Data was collected by questionnaire and analyzed by Pearson Correlation Test using SPSS-PC (v.11).Results: There was a significant association between intention to remain and affective commitment (r=0.44) and also normative commitment (r=0.38) (P<0.001).Conclusion: considering the findings, using approaches to enhance the level of affective and normative commitment would increase the possibility of intention to remain at work in nurses working in health centers of the Army of the Islamic Republic of Iran.

Background & Aims: Workplace violence is one of the most complex and dangerous occupational hazards facing nurses working in today's health care environment and it has been noted that workplace violence most frequently occurs in hospitals.The purpose of this study was to assess the situation of workplace violence committed against healthcare workers in Tabriz.Materials & Methods: It was a descriptive, cross- sectional study. Clinical personel (n 400) of Tabriz educational hospitals (13% of study population) were recruited by cluster sampling of hospitals, and randomly selection of one cluster in each group (seven hospitals were selected) considering their position. Data was collected using a questionnaire through face- to- face interviews and analyzed by logistic regression using SPSSPC (v.16).Results: Twenty-one percent and 64.3 percent of workers reported experiencing physical and verbal workplace violence during the last year respectively. The frequency of reported violence was 23.6%. There was a strong correlation between physical and verbal violence (p<0.001).Avoidance of reporting violence was occurred because of shrug violence off (31.9%) or to be known as an offending or problematic person (18.9%). Men had more chance to confront with violence than women (CI: 0.26-0.82, p<0.009).Conclusion: Performing some measures such as educational courses about prevention of violence, repression of the opponent’s anger explanation of rules and regulations for workers and clients are recommended.

Background & Aims: Women’s nutrition during their pregnancy is considered as the key factor in mother and fetus health. Adequate nutrients of different types are required to meet the increased demands of mother and the developing fetus. This study aims to determine the nutritional status of pregnant women considering different food groups and its related factors.Material & Methods: In this cross sectional study 1036 pregnant woman were selected from health centers of urban areas in Qom by quota sampling. Personal interviews using the questionnaire method, 24h dietary recall were used to elicit data.Efficiency of food groups was Calculated by [(reported dietary intake–Predicted dietary requirement) /100]. Food consumption was compared with food guide pyramid.Results: Consumption of bread and cereal (65.3%), meat, egg, nuts and legume (45.7%), milk and milk products (57.4%) was lower than recommended values. Fruits and vegetables were consumed more than daily requirements for pregnant women (65.8%). Consumption of fruits and vegetables was higher in the second trimester of pregnancy (p=0.01). Significant association was found between consumption of meat, legume, milk, milk products, fruits and vegetables and mothers occupation and their educational level (p<0.05).Discussion: Nutritional education and support for pregnant women especially, low income and employed groups are recommended.

Background & Aims: Many children and adolescents with epilepsy live in Iran. This disease affects their quality of life and their social performance. Accordingly this study aims to determine the quality of life of adolescents with epilepsy and its related factors.Material & Methods: It was a descriptive cross- sectional study. One hundred and eighty 11-20 years old adolescents referring to Iran epilepsy society and Loghman-e- Hakim hospital were recruited by continuous sampling during a four months period. Data was collected by QOLIEZ- AD- 48 and Analyzed using SPSS-PC (v.16).Results: Total score of Quality of life was (43.97±11.58). The highest score was related to school performance (80.79±18.09) and the lowest score was related to attitude towards epilepsy (15.65±15.76).Among the studied factors, the number of epileptic seizures (p=0.002) and the last time of experiencing seizure (p<0.001) had significant association with quality of life. There was also a significant relationship between ethnicity (p=0.042), the place of residency (p=0.032), adolescents’ education (p=0.001), mother’s education (p=0.002), income (p=0.001), number of children (p<0.001), awareness of peer group (p=0.006) and quality of life.Conclusion: Considering the level of quality of life and its related factors is recommended in caring about these adolescents in the community.

Background & Aims: Self-efficacy is closely related with different dimensions of the elderly life such as their health and quality of life. This study was conducted with the aim of determining the self-efficacy of the elderly living in rest homes and its relationship with their personal characteristic in west Tehran.Material & Methods: It was a descriptive, cross-sectional study. The sample consisted of 100 above 60 years old males and females elderly who were living in rest-homes of west Tehran for six consecutive months at least. Sample selection was done using stratified sampling with proportionate allocation during 2010. Data collected with GSE-10 and analyzed using T-test, ANOVA, Shefe exact test, and Regression analysis with SPSS (v.16).Results: The mean score for general self-efficacy was 21.44±3.83 (of maximum of 40 according to GSE-10). ANOVA showed that the difference between the three age groups of 60-70, 71-80, and about 81was significant (p=0.001). Self-efficacy of men was more the women (p=0.003). There was a significant relationship between the elderly self-efficacy and their education (p=0.05), and duration of living in rest- homes (p=0.011). Linear regressions showed that the general self-efficacy was mostly related with sex (b1.54, p=0.004).Conclusion: Regarding the low level of self- efficacy of the elderly living in the rest- homes, especially the women, more attention should be paid to promotion of their self-efficacy, by heath care professionals. Interventional studies is recommended to assess the effect of appropriate programs on the elderly self-efficacy.

Background & Aims: critical thinking is an index of cognitive ability. The nurses’ cognitive ability, specifically their ability for information processing and decision making, is the key component of nursing practice. The aim of this study was to determine the relationship between critical thinking and clinical decision making in nursing students of Guilan University of Medical Sciences.Material & Methods: Fifty senior nursing students from Guilan University of Medical Sciences participated in this descriptive–correlational study by census. Data was collected using California Critical Thinking Questionnaire and clinical decision making cards by Q-Sort and analyzed by Chi- Square and Fischer Exact tests using SPSS-Pc (v.14).Results: Findings did not show a significant relationship between critical thinking and clinical decision making. Chi square test showed a significant relationship between critical thinking and educational average score (p=0.001) and between decision making and history of exposing to patients undergoing Billrut 2surgery (p=0.008).Conclusion: Conducting the same research with a larger sample using multiple tools is recommended. The findings could be used as a guide to nursing educational planning.

Background & Aims: Nurses, as the pioneers of healthcare in societies, play an important role before, during, and after disasters. Enhancement of their professional skills for the purpose of helping the injured is one of the basic principles in health management in accidents and disasters. The aim of this study is to investigate the effects of a disaster nursing education program on the improvement of nurses’ preparedness.Material & Methods: It was a quasi-experimental, single group study. The sample including 113 nurses working in Razi psychiatric hospital were selected by census and asked to fill out the “preparedness for confronting disasters” questionnaire, which was developed by the authors. The preparedness program, which consisted of a one-day workshop on disaster management, top-table maneuver, and an operational maneuver, were performed for the participants. The preparedness of all participating nurses was measured one week and also one month after the program. Data were analyzed ANOVA for repeated measures by SPSS-PC (v.17).Results: Our results showed that the mean scores of knowledge, attitude, and performance improved from 5.55 to 19.88, from 66.18 to 72.41, and from 3.36 to 12.48, respectively in pretest and follow up measurements, which indicated a statistically significant difference (p<0.001). In addition, the mean score for total preparedness was increased from 75.14 in pretest to 104.77 in follow up, which is statistically significant (p<0.001).Conclusions: According to the findings in order to promote and maintain the preparedness of nursing staff, inclusion of disaster programs in their academic educational curriculum and as a continued educational program is recommended.