Iran Journal of Nursing
Year:2016 | Volume:28 | Issue:98|Papers Count:9

Background & Aim: Effectiveness of Leadership activities and Skills in nurse managers have benefits for the health organizations. In this way directional performance plays an important role. The aim of the study was to investigate the head nurses’ directional performance through self-measuring and nurse-measuring viewpoint in Qom educational hospitals in 2014.Materials & Methods: This was a descriptive study that all the head nurses (58) and nurses (202) in teaching hospitals of Qom in 2014 invited to study. Data was collected through a self-made questionnaire. This questionnaire was designed to determine the directional performance of head nurses. The analysis of internal reliability was done using the Cronbach alpha coefficient) 0.96 (. Statistical analysis of data was carried out by descriptive and analytical statistics using SPSS ver.21.0 software.Results: Independent t-test showed a significant difference between the head nurses’ directional performance through self-measuring and nurse-measuring viewpoint (P<0.05), so that head nurses had a more favorable view relative to their directional performance. Item of "appropriate reward system based on nursing practice" was the weakest performance from the perspective of nurses.Conclusion: There is a gap between the viewpoint of nurses and head nurses about the present status of directional performance in head nurses; then it is necessary that all the nurse managers try for self-empowerment and promote the quality of the directional performance process.

Background & Aims: Osteoarthritis is a common disease, and one of the most important causes of disability in the elderly, with impaired performance as a prominent symptom. This study was conducted to assess the effect of self-management on performance of elderly patients with knee osteoarthritis attending an orthopedic clinic.Material & Methods: In this quasi experimental study, 88 patients with osteoarthritis of the knee were selected by convenient sampling, and consisted to intervention (44 patients) and control (44 patients) groups. Initially, performance of patients was measured using WOMAC inventory. Then, the intervention group received one 70-minute session of training program per week over 4 weeks. Next, they were given the opportunity to practice the program at home for 4 more weeks. Afterwards, performance of both groups was assessed and compared. Data collected were analyzed in SPSS-18 using Chi-square and independent t-test.Results: No significant difference was found between the two groups in mean performance before intervention (P>0.05) but after intervention, mean performance in the intervention group was significantly higher compared to the control group (P<0.05). Moreover, results showed a significant improvement in mean performance of patients in the intervention group before and after intervention (P<0.05). However, no significant difference was observed in the mean performance before and after intervention in the control group (P>0.05).Conclusion: Results obtained showed improved performance in patients with osteoarthritis of the knee due to self-management training program. By using appropriate diet and pain relief methods, along with exercise, patients will be able to better tolerate exercise movements, and thus improve their performance.

Background & Aims: Cardiac catheterization is a common method in heart diseases that increase the level of anxiety in patients. Present study was conducted to indentify the efficacy of eye movement desensitization and reprocessing on anxiety of patients underwent cardiac catheterization.Material & Methods: In a clinical trial. Sixty patients that waiting for cardiac catheterization hospitalized at cardiac ward of Taleghani hospital in Tehran in 2014 were divided by random assignment into experimental and control groups. In order to collect data, demographic questionnaire and anxiety questionnaire were used. Interventions including eye movement desensitization and reprocessing were performed in up two sessions for 30 to 45 minutes. Anxiety level of patients was measured before and after intervention. Data were analyzed using descriptive statistics, paired t-test, t-test, Wilcoxon, Mann-Whitney U and Chi square tests.Results: Mean anxiety level in experimental group was 46.75±4.18 before intervention and it was 9.51±2.23 after intervention, so it showed a statistically significant difference (P<0.05). Mean anxiety level in control group was 47.56±5.13 before intervention and it was 45.34±5.11 after intervention, so it did show a statistically significant difference (P<0.05).Conclusion: The eye movement desensitization and reprocessing is a newly effective, useful, efficient and non-invasive method for treatment and reducing anxiety in patients undergo cardiac catheterization.

Background & Aim: Overweight and its consequences are the most important complications in hemodialysis patients. Weight Control is an important educational need in hemodialysis patient. Multimedia technology provides easy and stable learning by various forms of interaction. The present study carried out to determine the effect of multimedia training method to weight management in hemodialysis patients.Material & Methods: In a quasi-experimental research 30 hemodialysis patients were divided based on random allocation in two intervention and control groups. Data were collected by demographic data form and standardized weighing scale. In the intervention group training were given about methods of weight control. Weight measurement of patients performed before and after training. Data were analyzed using SPSS software ver.18.0 while descriptive statistics and independent t-test were applied.Results: Comparison of means demonstrated that change in the body weight in intervention group is more than control group (1.63±1.55 VS 0.43±1.07).The average weight change between intervention and control group was significant (P<0.05).Conclusion: Multimedia training method was effective on weight loss in hemodialysis patients as a result this method may improve the weight management of hemodialysis patients.

Background & Aim: Blood transfusion is one of the most common procedures performed for hospitalized patients. Despite the significant contribution of these products to preserve and improve the quality of life, poor control at any stage - before, during or after the injection- can lead to complications for the patients and it can cause many risks and affect patient safety. Therefore, this study aimed to assess patient safety in the process of transfusion at the Hospitals affiliated to Tehran University of Medical sciences.Material & Methods: This study was a descriptive and observational study. The surgical wards, emergency units and ICU were randomly selected from two hospitals. The instrument of this study was a Checklist with 38 questions developed based on the guidelines for transfusion process, as well as an extensive review of published literature. The observations performed using patients' files and nurses' performances. Data analyzed by SPSS version 16.Results: The results of the study have shown that the patient safety met favorably in less than a fifth (19.2%) prior to injection and about one third during injection (32.7%). In case of side effects, the majority of subjects had desired performance (over 70%) for treat the signs and notifying the doctor.Conclusion: According to the results, it is recommended that in-service courses be taken in the transfusion process and emphasize on observing patient safety before and during injection as a protective stage for preventing from any risk and complication. In addition, it is recommended the guidelines of the transfusion process provide to nurses so that they can implement them.

Background & Aims: Respiratory diseases are the common cause of hospitalization of preterm infants in neonatal intensive care unit. Although mechanical ventilation has saved many infants' lives, like other treatments; it has not been without harm. Developmental care intervention is a potential method for reducing the duration of mechanical ventilation in infants. The aim of this study was to determine the effect of developmental care interventions on duration of mechanical ventilation in preterm infants with respiratory distress syndrome. Material & Methods: This quasi-experimental non-randomized study was conducted on 60 preterm infants of gestational age £33 weeks with respiratory distress syndrome who were divided into intervention and control groups. Infants in the control group received routine nursing care, and those in the intervention group received developmental care as well as routine care.Results: Mean duration of ventilation was 3.63±2.94 days in control group and 4.06±3.05 days in intervention group, with no significant difference between the two groups (P=0.57).Conclusions: According to the results obtained, developmental care interventions had no effect on duration of mechanical ventilation in preterm infants with respiratory distress syndrome.

Background & Aims: Privacy is considered a fundamental value and one of the essential human rights that is closely with normative values, attitudes, beliefs and moral principles. Therefore, protection of patients' privacy as primary and ethical principles should be considered with all the physicians, nurses and caregivers. The study aimed to investigate the viewpoint of patients to the protection of privacy by health care practitioners of Shahid Beheshti hospital, Qom, Iran.Material & Methods: This cross-sectional study conducted on 462 patients hospitalized in Shahid Beheshti hospital of Qom, Iran. Subjects were selected by convenient sampling method. Data collection was the privacy questionnaire. Data analyzed using the Chi-Square, ANOVA and t- test.Results: The results of this study showed that the protection of patients' privacy was inappropriate in 19.3%, in the 48.2% was moderate and in the 32.5% was appropriate.Conclusion: According to the viewpoint of the most patients, the protection of privacy was moderate. Therefore, in order to increase the trust and satisfaction of patients and improving the provided services, the privacy of patients should be given more attention.

Background & Aim: Evaluation and measurement of mother’s satisfaction from postpartum cares is so important in the quality of health care indexes. The purpose of this study was to examine the psychometric properties of the Postpartum Satisfaction Nursing Care Questionnaire (JPSNQ). Material & Methods: This study was a methodological research. At the first, the English version of questionnaire was translated to Persian with regarding of the principles relating to the translation of reliability tests. By Convenience sampling, 150 women who had given birth in the hospital of Sanandaj, Iran were selected and they were completed the Persian version of questionnaire for construct validity (exploratory factor analysis). The reliability was verified by Cronbach's alpha coefficient and the correlation coefficient was confirmed by 20 participants with 10 days intervals. Data were analyzed using using SPSS software version 22.Results: The factor analysis revealed the existence of 6 factors explaining the 63.9 % of total variance explanation. The exploratory factor analysis results showed an acceptable fitting and there was a significant correlation between questions and factors. Also, Cronbach’s alpha coefficient for questionnaire and the six domains were 0.94 and 0.83-0.93, respectively. Therefore there was appropriate correlation between questions, whole of questionnaire and in each domain. Intraclass correlation coefficient (ICC) was 0.89 (CI95%=CI95%=0.83-0.97) indicating good stability.Conclusion: The Iranian version of Postpartum Satisfaction Nursing Care Questionnaire including 39 items was a valid and reliable instrument to assess the satisfaction of patients from postpartum nursing care in hospitalls.