Iran Journal of Nursing
Year:2017 | Volume:30 | Issue:109 |Papers Count:9

Background & Aim: The quality of Randomized Controlled Trial (RCT) reports can significantly affect trust towards the results. However, the quality of RCTs published in Persian nursing journals has rarely been evaluated. This study aimed to evaluate the quality of RCTs published in Persian nursing journals. Materials & Methods: This is a descriptive cross-sectional study. The sample included 62 RCTs published from March 2015 to June 2016 in eight Persian nursing journals with at least 10 years of publishing history. A checklist, designed based on the CASP scale, was used to gather data. Descriptive statistics were used to analyze the data. Results: Out of 62 RCT papers, only three fully met the criteria. Only half of the papers used a formula to calculate the sample size. 48.39% of the papers did not report the type of randomization method and 74.20% did not explain how to allocate the participants to study groups. In 51.61% of the RCTs, the study groups were so different, which might have affected the results. In 53.33% of the articles, there was no report about blinding of the study. Although 98.39% of the papers reported the P value of the tests, only 4.84% of them reported the confidence interval. Conclusion: Most of the RCTs had deficiencies in reporting methodology and results. Deficiency in reporting the sample size calculation, randomization and allocation method, blinding method, and the confidence interval, were the most common problems in the RCTs.

Background & Aims: Clinical education is the heart of nursing profession. The available clinical educations do not empower students for gaining clinical competency and skills. Because educator’ s performance and behavior is one of the main determinants of effective clinical education, the present study aimed to determine the relationship between educators’ clinical behaviors and students’ learning in shiraz university of medical sciences. Material & Methods: This descriptive, correlational study was conducted on 128 nursing students selected through the convenience sampling. The students’ viewpoints were assessed regarding the extent to which educational behaviors are applied by nursing educators as well as the effectiveness of these behaviors in students’ learning. The data were collected using the Nursing Clinical Teacher Effectiveness Inventory (NCTEI) developed by Knox and Morgan. Then, the data were analyzed by descriptive and inferential statistics and Pearson’ s correlation coefficient using the SPSS software version 19. Results: There was a significant positive relationship between the educational behaviors applied by the clinical educators and the effectiveness of these behaviors in nursing students’ learning (P=0. 001, r=0. 71). Regarding educational behaviors, the results showed that the teaching ability and personality traits had the highest and lowest priority, respectively. Also considering the effectiveness of these behaviors in learning, teaching ability and evaluation gained the highest and lowest priority, respectively. Conclusion: The effective educational behaviors of educators lead to improve the nursing students’ learning. According to the results of the study, there is a need to improve the educators’ conditions for doing effective clinical behaviors in the areas of educators’ personality traits and student evaluation methods. In this regard, the use of educational programs to show the importance of doing educational behaviors related to the mentioned areas by clinical educators and their effects on students learning can be very beneficial.

Background & Aim: Maternal-Fetal Attachment (MFA) is one of the most important components in achieving motherhood identity. One of the recommended interventions in this regard is to consider fetal movement. Therefore, the present study evaluated the effect of education of fetal movement counting during the second and the third trimesters of pregnancy on MFA in first-time pregnant women. Materials & Methods: In this semi-experimental study, 47 pregnant mothers were selected through simple sampling from selected health-care centers in 2015. Then, they were randomly allocated into two groups. Faceto-face training was provided on counting and recording the daily fetal movement. Next, the subjects in the first group counted and recorded the fetal movement in specific forms between the 24th and 28th weeks of pregnancy once a day and the second group did it between 28th and 32nd weeks. Before and after the intervention, both groups completed Cranley’ s Maternal-Fetal Attachment Scale. Data analysis was conducted, using SPSS 16, with a significance level of p < 0. 05. Paired t-test was used to compare the mean score of MFA before and after the intervention in each group and independent t-test was used for between groups comparison. Results: The mean score of MFA before the intervention in the first group was 86. 63 ± 11. 62 and in the second group was 90. 50 ± 8. 93. No significant difference was observed between the two groups. After the intervention, the mean score of MFA was 96. 30 ± 10. 81 in the first group and 95. 92 ± 11. 40 in the second group. This change was statistically significant in both groups (first group: p = 0. 001, second group: p = 0. 01); but the changes of maternal-fetal attachment had no significant difference between the two groups. Conclusions: Education of fetal movement counting during the second and third trimesters had a similar effect on MFA. For more accurate evaluation of the effect of this intervention in different times, it is recommended to perform this study with a control group.

Background & Aim: Abortion, as one of the factors affecting maternal health, is considered as a health and social problem. This paper aimed to investigate the status of abortion among Kurdish women in Mahabad and to determine the prevalence of spontaneous abortion and induced abortion and its related factors. Materials & Methods: This research is a cross-sectional survey. The study sample size included 360 married women, aged 15-49 years old. Researcher constructed questionnaire was adopted for collecting data. Using cluster sampling, four regions were selected, and women were chosen through random sampling. Data were analyzed by SPSS and PLS software, and X2 and Logistic regression (P= 0. 05) were adopted for analyzing the relationships of variables. Results: A total of 30. 6 % of women had experienced abortion and 34. 5% of them had induced abortion. Women with high socioeconomic status mostly committed induced abortion and those with low-level socioeconomics had spontaneous abortion (x2 = 6. 421, P = 0. 02). Women who were employed or had high level of education mostly committed induced abortion (x2 = 28. 40, P= 0. 001). According to logistic regression, individualism (B = 0. 612, P= 0. 04), rationality (B = 0. 979, P= 0. 02), and adherence to religion (B =-0. 987, P= 0. 006) had significant impacts on committing induced abortion. Conclusion: Unmet needs of women can affect induced abortion. Unmet needs besides religious and secular beliefs may determine the level of induced abortion in society. The increasing tendency toward individualism and instrumental rationality may increase the couples’ tendency to control the number of children. It is the case while the failure of contraception may lead to induced abortion.

Backgrounds & Aim: A relationship enrichment program involves family therapy with psychosocial training and skill-based approach that aims to improve couples’ psychological and emotional satisfaction. The aim of current study was to determine the effect of a couples’ relationship enrichment program on couple burnout from the perspective of spouses of patients with multiple sclerosis (MS). Materials & Methods: A quasi experimental study was conducted in 2016 on 80 patients with MS and their spouses who were members of MS center in Zahedan. The participants were randomly divided into two groups including control and intervention The Couple Burnout Measurement was used to collect the required data. The individuals in the intervention group participated in a five-session couples’ relationship enrichment program. The control group did not receive any intervention except routine programs. Marital burnout was evaluated in two groups 12 weeks after the last session. Data were analyzed by independent t-test, paired t-test, chi-square and analysis of covariance. Results: After the implementation of the couples’ relationship enrichment program, the mean score of couple burnout in the intervention group significantly decreased from 86. 17 ± 21. 80 to 51. 57 ± 12. 93 in comparison with the control group (from 84. 42 ± 21. 43 to 87. 55 ± 21. 64) (P<0. 05). Conclusion: Considering the positive effect of couples’ relationship enrichment program on reducing couple burnout from the perspective of spouses, the application of the program is recommended to improve marital relationship quality as the most important sources of support for patients with MS.

Background & Aim: Self-concept or self-perception is a person’ s own imagination and idea about himself/herself. Self-concept has a competent effect on one’ s psychological and educational conditions, and can lead to either the individual’ s growth and excellence or multiple harms. Self-concept in child laborers is an important factor in harm prevention and the provision of their required services. This analysis aims to clarify the self-concept in street child laborers compared with its classic definitions. Materials & Methods: This concept analysis study was done using Walker & Avant approach. After an extensive review of the relevant articles, all papers with quantitative and qualitative research design were assessed, and based on that, the definition, uses, attributes, antecedents, consequences, and empirical referents of self-concept were extracted. Results: Street child laborers have to work because of their living conditions, and this fact has led to positive and negative changes in their self-concept. Specific traits of self-concept in child laborers are "being aware of own potential as a sense of responsibility towards family, and financial independence", "interacting with others and forming support groups while competing with each other", "the influence of various variables on internal and external dimensions of self-concept", "being flexible and influenced by education", "acceptance and compatibility with the existing status" and "lack of understanding of the ways to deal with the harm". Conclusion: The self-concept in street child laborers should be deeply studied and compared to its classic definition to prevent physical, psychological and social harms by providing the required support and needsbased training.

Background & Aim: communication with the board of nursing as well as patient and their families are one of the most important daily activities of nurses. On one hand, Nurses are in close contact with people and are responsible for their health and life, and on the other hand, burnout influences the quality of patient care. Therefore, the identification of factors affecting the burnout of nurses and the variables involved in this effect will be helpful in improving the quality of health services. The purpose of this study is to investigate the moderating role of self-esteem between social undermining and burnout of nurses working in charity hospitals in Mashhad city. Materials & Methods: The current study is an analytical survey. The statistical population was the nurses of charity hospitals in Mashhad city in 2015. The Duffy et al questionnaire was used to measure social undermining, the Maslach & Jackson questionnaire was used to measure burnout, and the Tinakon & Nahathaiquestionnaire was used to measure self-esteem. The Cronbach alpha of questionnaire was. 0. 91 for social undermining, 0. 95 for burnout and 0. 98 for self-esteem. Data were analyzed by structural equation modeling and hierarchical multiple regression. Results: Social undermining (β =. 40) and its components i. e. colleague’ s social undermining (β =. 56) and manager’ s social undermining (β =. 04) had a significant impact on burnout. In addition, self-esteem moderated the effect of social undermining on burnout (p<. 05). Conclusion: Nursing managers can reduce nurses’ burnout by identifying and eliminating the factors causing social undermining at the workplace. Furthermore, utilizing the techniques to increase the nurses’ self-esteem may reduce their burnout.

Background & Aim: Accreditation refers to the systematic assessment of health care centers based on certain standards. The nursing accreditation system is a system that evaluates the capabilities of nurses. Given that nurses have ability to implement and monitor the accreditation process, accreditation process is influenced by nurses’ performance. The present study was conducted to evaluate the effect of educating clinical nursing service accreditation on the attitude and knowledge of nurses. Material & Methods: This semi-experimental study was conducted on 30 nurses working at Alavi hospital affiliated to Ardebil University of Medical Sciences. Data were collected using a researcher-made questionnaire on knowledge (41 items) and attitude (18 items) towards clinical nursing service accreditation. At first, participants were evaluated regarding their level of knowledge and attitude about clinical nursing service accreditation. Then, samples participated in an educational course about the criteria, audits, checklists and the indicators of clinical nursing service accreditation. Two months later, their level of knowledge and attitude were re-evaluated. Data were analyzed by SPSS19 using descriptive and inferential statistics. Results: The mean score of nurses’ knowledge about clinical nursing service accreditation before the intervention was 121. 23 ± 16. 80 that increased to 141. 53 ± 14. 33 after the intervention (P= 0. 001). The educational intervention led to increase the scores in all the aspects of knowledge except for equipment and facilities (P=0. 153). However, the educational intervention had no significant effect on the attitude of nurses towards clinical nursing service accreditation (P=0. 219). Conclusion: Education would increase the knowledge about clinical nursing service accreditation. Performing specific interventions for changing nurses’ attitude to operate clinical nursing service accreditation seems necessary.