Iran Journal of Nursing
Year:2014 | Volume:27 | Issue:87|Papers Count:8

Background & Aim: There has been increasing emphasis on professional nurses’ competency to identify areas for professional development and educational needs and to achieve this, it is required that nurses’ competency to be assessed by valid instruments. The aim of this study was to assess psychometric properties of the Persian version of Competency Inventory for Registered Nurse (CIRN).Material & Methods: This psychometric evaluation of the “Competency Inventory for Registered Nurse” used a methodological study design. Three hundred clinical nurses from two general hospitals in Tehran were selected by simple random sampling method. Original version of the instrument was translated from English to Persian language using Backward-Forward translation method. The validity of the instrument was determined using Waltz and Bausell’s content validity index, face validity and confirmatory factor analysis. Reliability of the instrument was reported by Alpha Cronbach coefficient and Intraclass Correlation Coefficient. The SPSS-PC (v. 16) and LISREL was used to analyze the data.Results: content validity index was obtained 0.94 for the scale, and more than 0.83 in each item. According to the results of factor analysis, factor loading of items were 0.38-0.67, all of them were significant and the 7 subscales of the original instrument were confirmed with acceptable scores. Intraclass correlation coefficient of the scale was 0.94. Moreover, internal reliability of the total scale was determined by alpha Cronbach coefficient (0.97) and it was 0.68-0.87 for the subscales.Conclusion: The results of this study indicated that the Persian version of “Competency Inventory for Registered Nurse” is a valid and reliable instrument for the assessment of competency among Iranian nurses and it can be used as a reliable instrument in nursing management, education and research.

Background & Aim: The impact of stroke on patients’ lives is usually unexpected and devastating. It leads to some changes in their life and eventually deteriorates their quality of life. The aim of this study was to determine the quality of life of stroke survivors and its related factors.Material & Methods: It was a cross-sectional, descriptive study. The study population included all stroke survivors living in Kerman city. Ninety-five patients were recruited by convenience sampling. Data was collected by demographic sheet, short form 36 (SF-36), and National Institutes of Health Stroke Scale (NIHSS) and was analyzed by descriptive and referential statistics (Pearson and spearman coefficient correlation) using SPSS-PC (v. 16).Results: The results showed that stroke survivors had low scores indicating poor health at some of the subscales of (SF-36). Elderly stroke patients, single/ divorced patients and those with poorer socio-economic status had lowest quality of life (p<0.05). Long duration and severity of disease had reduced quality of life (p<0.05).Conclusion: According to the findings, measurement of quality of life of stroke survivors and its related factors is very important and this knowledge could help to appropriate planning to promote the quality of life of these survivors.

Background & Aim: Nowadays hospitals bear with the financial and human costs because of nurses’ turnover. Many factors affect nurses’ turnover and work-family conflict is one of these variables. Thus, the purpose of this study is determining the relationship between work-family conflict and intention to leave among nurses.Material & Methods: It was a descriptive, cross-sectional study. A total of 257 nurses working in Emam Khomeini, Firouzgar, and Day & Hashemi Nejad hospitals in Tehran who were selected by stratified random sampling participated in the study. Data was gathered via Carlson et al. and Tei & Yamazakei standard questionnaires. Data analysis performed by Structural Equation Modeling, Path Analysis, and Independent T-Test via LISREL and SPSS-PC (v.16).Results: Path Analysis showed that work-family conflict had a positive significant relationship (b=0.9) with intention to leave among nurses (P<0.01). Pearson correlation test showed that there is a positive significant relationship between gender and work-family conflict (P<0.05, r=0.13), Intention to leave and age (P<0.05, r=0.15) and years of work experience (P<0.01, r=0.17). Also we found that work-family conflict in public hospitals was more than private hospitals (P=0.02). However, there was no significant difference between intention to leave in public and private hospitals (P=0.66).Conclusion: Recognition of nurses' work-family conflict can play an important role in reducing the consequences and negative outcomes such intention to leave among nurses and provide an efficient basis to adopt effective strategies for human resource management.

Background & Aim: Professional ethic has a significant effect on individual and group performance and organizational results. The aim of this study was to investigate the relationship between organizational commitment and professional ethics.Materials & Methods: It was a descriptive-correlational study. The sample consisted of 226 persons including nurses and administrative personnel (ward clerks, medical records employees…) of Imam Reza hospital in Amol city. They were randomly selected according to Krejcie and Morgan table and responded to Ali professional ethic questionnaire and Allen and Myer organizational commitment questionnaire. Data was analyzed by Pearson correlation and simple linear regression analysis tests using SPSS-PC (v. 16). Results: The results showed that professional ethic has a positive significant relationship with organizational commitment and it’s three dimensions (Affective, Continuance, Normative). Professional ethic also could predict organizational commitment (P<0.001), in such a way that an increase of one grade in professional ethics, will increase 0.284 grade in commitment mean.Conclusion: According to the findings, it is recommended that the managers of care organizations emphasis on general and specific aspects of professional ethic according to different jobs and as a role model act as a pioneer in consideration of ethic in their performance.

Background & Aim: Urinary incontinence affects various aspects of daily life of patients with Multiple Sclerosis (MS) and remains negative effects on their quality of life. The purpose of this study was to determine the effect of pelvic floor muscle training on urinary incontinence in patients with MS.Material & Methods: It was a quasi-experimental, before-after clinical trial. The sample consisted of 50 MS patients with urinary incontinence admitted to MS clinic of Imam Khomeini Hospital in Tehran who had been selected by convenience sampling method. The patients were taught how to perform pelvic floor muscle exercise and performed the exercises for three consecutive months. The patients completed ICIQ-UI SF questionnaire before the intervention and at the end of the third month. Data was analysed by descriptive statistics, paired t-test, Wilcoxon, McNemar and ANOVA using SPSS-PC (v.16).Results: A total of 45 patients continued to participate in the trial until the end of the third month. There were significant differences between the frequency of urinary leakage, urine leakage and incontinence impact on quality of life before and after training were (P<0.001).Conclusion: According to the findings, pelvic floor muscle training reduces urinary incontinence of patients with MS. Accordingly teaching pelvic floor muscle exercise as a non-pharmacologic, non-invasive and low cost intervention to control urinary incontinence is recommended for these patients.

Background & Aims: To increase the adolescents’ health, parents are required to share the needed information about reproductive health with them and answer their questions in a timely manner. Ignoring this need due to different reasons leads to getting information from unhealthy sources. This study was performed in the city of Tehran to determine parents' views about teaching contraceptive methods for their female students.Material & Methods: It was a descriptive, cross-sectional study. The research population consisted of all Iranian parents of 10-19 years old high school girls living in Tehran in 2013. Cluster sampling was used to select a sample size of 400. Data was gathered using a questionnaire containing three parts of demographic characteristics, parents' views about teaching contraceptive methods and appropriate time, method and sources for teaching contraceptive methods and was analyzed by descriptive statistics and Chi- square test using SPSS-PC (v. 18).Results: According to the findings, 66.7% of parents believed that talking with their daughters has a positive effect on her heath. Chi- square test showed that there is a significant relationship between mothers’ positive perspective about talking with their daughters and mothers’ job (p<0.05). At the meanwhile, 58.2% of parents disagreed on talking with their daughters about contraceptive methods. Chi- square test showed a positive significant relationship between mother ‘education and their positive perspective about contraceptive methods education (p<0.001). A total of 35.3% of the parents believed that the best time for teaching is at the time of marriage. A total of 41.8% of the parents believed that teaching in classroom is the best method and 56.7% mentioned schools as the best source for teaching. Majority of the parents (98%) disagreed with learning this issue by word wide web.conclusion: According to findings, it seems that the parents are not still prepared to teach the issues related to reproductive health to their daughters and do not easily let other sources such as health centers to talk about these topics. The findings can be used by policy makers of Ministry of Health and Medical Education and other related organizations. It seems that doing similar studies considering viewpoints of adolescents and teachers can be very helpful.