Iran Journal of Nursing
Year:2017 | Volume:29 | Issue:104|Papers Count:10

Background & Aims: Drug prescribing by nurses is a historic movement for the nursing profession and an essential part of the solution that the leading countries health care system applied in order to improve access and reduce patients waiting time to receive medication. Despite the increasing attention of the world to discuss nurse prescribing, the review of the literature indicates that there is no evidence in nurse prescribing in Iran. This study aimed to assess nurse prescribing context in our country.Material & Methods: This study was designed as a descriptive qualitative study. The purposeful sampling method carried out through semi-structured interviews with various stakeholders of health care system, including policy makers, doctors and nurses. Data analysis was conducted using conventional content analysis and the coding of interviews was performed by MAXQDA software. To achieve the accuracy and reliability of the data, the Lincoln and Guba authenticity criteria were used.Results: Analysis of the recorded interviews of participants in this study resulted in 38 original codes, 5 sub categories and 5 main categories. The main extracted categories were "The theoretical context of nurse prescribing " with 2 sub categories, "Organizational context of nurse prescribing" with 3 sub categories, "Educational context of nurse prescribing", "Research context" and "The socio-cultural context of nurse prescribing,".Conclusion: The views and perspectives of nursing policy makers and health care system stakeholders indicated there are many challenges in organizational, educational, research and socio-cultural context of nurse prescribing that require the problem based designing in nurse prescribing field.

Background & Aim: Child sexual abuse is a serious social problem which is a priority health issue in many countries due to profound impact on child’s growth and personality. This study was conducted to explain the effect of child sexual abuse prevention education program on knowledge, attitudes and practices of parents with children aged 6 to 12 years.Material & Methods: A quasi-experimental study was conducted with a pretest-posttest design with the control group. A convenience sampling method was used to recruit a sample of parents referring to Health Centers in Aligoudarz, Iran. Participants were recruited and enrolled in the experimental (n=50) or control group (n=50). This study was conducted using Persian version of “Child Sexual Abuse” (CSA) questionnaire. The experimental group received education about identifying different types of child sexual abuse and preventing methods, focused on the importance of family and the role of parents in the prevention of sexual abuse and providing self-protection training for children. Different methods including questions and answers, group discussion, lecture, educational film, brochures and booklet were used to educate parents during the four (60 minutes) sessions. Data collecting took 6 weeks after intervention from parents in both groups and data analyzing have been done via paired and independent samples t-test, chi-square and fisher tests using SPSS software (version 16).Results: The results showed significant difference in terms of the mean scores of knowledge and performance of parents after 6 weeks of training (P<0.05).Conclusions: The findings of this study revealed that designing and implementing training programs for the prevention of child sexual abuse can lead to increased knowledge and practice of the parents but making change of attitude requires more studies. It is recommended that further studies should be conducted in teachers working in schools and kindergartens.

Background & Aims: Domestic violence during pregnancy can seriously threaten the physical and mental health of mother and baby and finally is a serious threat to public health. The purpose of this study is to determine the prevalence and risk factors for domestic violence against pregnant women in an Iranian setting.Material & Methods: In this cross-sectional survey, 300 pregnant women with the inclusion criteria were selected with Convenience sampling in Urban Health Center in Minoodasht, Golestan, Iran. In the present study we used the demographic questionnaire and the Revised Conflict Tactics Scales (CTS2). The researcher completed the questionnaires through structured interviews. Finally, the data were analyzed by using SPSS software version 18 and descriptive and inferential statistics (Chi-square, Exact Fisher and t-test).Results: The prevalence of domestic violence was 46%. The most common type of violence was psychological (35%), physical (7.8%) and sexual (3.2%) respectively. There was no significant relationship between age, education and occupation of women and their spouse with domestic violence. Unwanted pregnancy was significantly associated with the incidence of violence against women (P<0.05).Conclusions: Because of negative effects of domestic violence during pregnancy, it is recommended that all health centers routinely screen the domestic violence especially in unwanted pregnancies.

Background & Aims: Increasing patients’ satisfaction with the quality of nursing services requires planning. Therefore, in the present study, Peplau model was used for planning to increase patients’ satisfaction with the quality of provided nursing services at the cardiac intensive care unit and the results were evaluated.Material & Methods: The present study was a semi- experimental research. Study population included all the patients who were hospitalized at the cardiac intensive care unit of the Ali-Ibn-Abitaleb hospital of Rafsanjan in 2015. Participants were selected through simple non-randomized sampling and were allocated into two groups of intervention (34) and control (34). Data gathering tool was the standard 21- item Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ). Data were analyzed using SPSS 16 and Chi-square test, Mann-Whitney test, and Fisher’s exact test.Results: Results showed that after the intervention, patients’ satisfaction with the quality of provided nursing services was significantly increased (P<0.05). Also, in the domains of nursing skills and knowledge (P<0.05), nursing ethics (P<0.05), communication with patients (P<0.05) and education (P<0.05) a significant difference was observed between the intervention and the control group after the intervention.Conclusions: Peplau model could be used to increase patients’ satisfaction with the quality of provided nursing services at the cardiac intensive care units.

Background & Aim: The nurses in the emergency department undergo a lot of stress that can influence their quality of life. The aim of the present study was to investigate the relationship between cognitive emotion regulation and spiritual intelligence with quality of life in the emergency department nurses.Material & Methods: This study was a descriptive– correlational research including 100 nurses working in the private hospitals of Rasht in 2013. We selected participants by using cluster sampling method. The instruments were the Cognitive emotion regulation, King spiritual intelligence and Quality of life questionnaires. For statistical analysis of data the SPSS software (version 16) and the descriptive statistics, linear regression and multiple stepwise regression was used.Results: The results showed a significant positive correlation between the cognitive emotion regulation compatible strategies and spiritual intelligence with quality of life of nurses in emergency department (P£0.01) and there was a significant negative correlation between cognitive emotion regulation incompatible strategies and Spiritual intelligence with quality of life of the emergency department nurses (P£0.05).Conclusion: According to correlation between cognitive regulations of emotional and spiritual relationship with quality of life in the emergency department nurses, then it is necessary to consider training for increasing their quality of life.

Background & Aims: Respect for the human dignity as a moral principle is the professional responsibility of each nurse. Studies indicate the fact that the dignity of patients in care is neglected by healthcare professionals.This study aimed to determine the status of dignity in the hospitalized patients from the perspective of nurses in Iran.Material & Methods: In this cross-sectional study which conducted from 2012- 2013 in Isfahan’s hospitals, 368 nurses were selected by cluster sampling method. Data were gathered through a questionnaire with Likert scale in the dimensions of “respecting privacy”, “promotiong autonomy” and “nurse- patients respectful interaction” and were analyzed using descriptive and analytical statistics with SPSS software version 16.Results: Based on the findings from this study nurses were more satisfied with the patient's autonomy and the respectful communication and these componnets had the most mean (0.53±2.43, 0.35±2.40) and score (82%, 79%) respectively. Privacy of the patients had the lowest mean and scores (0.52±2.43, 76%).Conclusion: This study showed the importance of being polite and respectful. A respectful tone of voice, using simple and understandable language, respond to every patient’s question and pay attention to gender of the nurse when the patient prefers a nurse of the same gender is so important in good communication between nurses and patients and require special attention.

Background & Aim: The scientific advances have been caused more access to the medication. The easy accessibility as harmful social phenomena (i.e misuse of medication) is widespread problem in many countries.Self-medication is one of the greatest social and economic health problems of the country. The aim of study was to explore prevalence of self-medication practice among medical students and its relationship with some factors.Material & Methods: In this descriptive cross- sectional study using convince sampling 262 of the students were participated. The data collected by valid and reliable questionnaire consisted two parts; demographic and specific questions related to medication consumption. The data analyzed using SPSS.16 and interpreted by Chi-Square and T-Tests.Results: 51.1 percent of the students were of male. The most commonly used drugs were analgesics 84.8% (229 cases), antihistamines 76.4% (207 people), common cold medications. The most important factor for self-treatment (67.5%) was feeling no need to visit a doctor because of mild symptoms. The most important source for the access to the medication was the pharmacy 34.1 stores.Conclusions: The prevalence of self- medication with drugs without prescription was high. The most commonly used drugs were analgesics. The public education to increase awareness s0till seems necessary.

Background & Aim: Positive impact on each area of work and family can be one of the causes of occupational well-being and success in the workplace. The purpose of this study was to investigate the role of work-family facilitation on job well-being and occupational success among nurses.Material & Methods: This study was a causal-comparative research. The study population included nurses of Amir-Almomenin hospital of Ahvaz that were selected through census method by census method in 2015. Work-Family Facilitation (Holbrook), Job Well-Being (Parker & Hyett) and Perceived Occupational Success (Grebner, Elfering & Semmer) questionnaires were used for data collecting. Data were analyzed based on Pearson's correlation coefficient and multiple regression analysis by using SPSS- 22 software.Results: The study results showed that both of work-family and family-work facilitation, were able to predict job well-being and occupational success of nurses.Conclusion: According to the positive contribution of work-family facilitation on nurses’ success and well-being, managers and administrators should adopt programs for increasing balance and positive impact on each of the two areas.