Iran Journal of Nursing
Year:2005 | Volume:18 | Issue:43|Papers Count:12

Nurses' early professional experiences have a significant role in forming their perception, conceptualization of care & satisfaction from nursing profession. Generally, works experiences can influence on decision making toward continue to work or to quit it. A descriptive design was selected to assess the work experiences of temporary employed nurses within the program of human research project in 3 domains of tasks, duties and interaction with the physicians and other nurses, to encounter with the real work situation in the university hospitals. In the study, the sample size was 166 nurses with at least 2-6 months work experiences. A self-report questionnaire was used as a data collection instrument. The study findings showed that the majority of the subjects (74.5%) reported positive experiences of increased knowledge in the duties, (72.5%) improved practical skills and 68% reported learning of new skills during their working in the nursing profession, regarding interaction with physicians & other nurses. In addition, the subjects reported both positive & negative experiences.Approximately forty-five percent of the subjects suggested that they are regretted to choose "nursing" as a profession, whereas 43.9% felt loss of motivation during working in the hospitals. Also 72% of the subjects reported that, academic nursing educations were not prepared them sufficiently as a competent nurse to work at the hospital climates.Findings of the study showed the importance of supportive roles of coworkers and colleagues to reduce occupational stress as well as to orient freshman nurses to the work situations. Therefore, it was recommended that the supportive orientation program should be provided for new employed nurses in hospitals, to achieve positive work experiences.

Drug abuse is one of the problematic issues in almost every countries in the world. To assess knowledge and drug abuse among young adults, particularly in university students is more important. Therefore this study was conducted in order to assess knowledge and drug abuse among students.The study design was cross-sectional. In the study, 200 students who were studying in lar 2004, were randomly selected. Data were gathered by a questionnaire with acceptable validity & reliability. Reliability of the instrument was assessed by test retest method (r=0/84). One hundred and ninety two out of 200 students responded to the questionnaire. The questionnaire consisted of demographic characteristic items regarding knowledge of drug dependency and addiction signs & symptoms of drug abuse and it's side effect among drug users.The study results showed that, at least 22.4% of the total subjects (N=200), had used illegal drugs and about 38% of the subjects were participated in a drug abuse party. One of the study findings was statistically significant regarding relationship between living in the university dormitory and drug abuse (P=0.0001). In addition, 65% percent of the subjects believed that religious bond could prevent people to have a tendency to drug abuse invasion.It seems that, living in the university dormitories is a predisposing factor in the pattern of drug abuse. Therefore, it would be necessary that to pay more attention to the environmental living situation of the students, in the universities.

Prognancy is a natural process which may create some changes in different parts of body, such as oral and dental systems. The changes might lead to oral diseases if sufficient and permanent care is not provided. For example, improper nutrition, covert oral and dental problems can affect the health of dental organ and even the other parts of body.The aim of the study was to determine the relationship between awareness, attitude and practice of pregnant women regarding oral and dental care during pregnancy.The study sample consisted of 320 pregnant women in their 28th -42th week of pregnancy. In this study the stratified random sampling was used.The results showed that, 5.6% of the subjects had high awareness toward dental hygiene, whereas 65.9% and 28.4% of the women had moderate and low level of awareness respectively. In addition, 30% of the subjects had positive attitude toward dental care, whereas the majority (70%) had negative attitude. Regarding the performance of oral and dental care, only 34.4% had good practice. According to the results of the analysis, of variance there were correlation between variables of the awareness and attitude, awareness and practice and finally attitude and practice of the subjects (P=0.000). Also the correlation coefficient between the variables of awareness and attitude was more than the others (r=0.512). Based on the study findings, the investigators recommend that pregnant women should be educated effectively regarding oral and dental health awareness that might lead to good attitude and practice toward them. In addition it is recommended that the reasons of noncompliance of women toward dental higiene and not receiring dental care, should be assessed in future studies.

Normal transition to a parenthood stage would be critically superimposed by birth of an infant with Congenital Heart Disease (CHD). Providing some information about how to take care of the baby with CHD and heart surgeries and also supporting the mother will decrease maternal stress and consequently improves infant's health.Objective: to investigate the learning needs of the mothers of infants with heart surgeries regarding post operative care in the health centers in Tehran, 1384.Method: the design was a descriptive study in which a questionnaire was as a data gathering instrument.Sixty-two mothers of the infants with congenital heart diseases with continuous sampling method participanted in this study.The study findings showed that 14.5%, 66.1% and 19.4% of mothers had low, moderate and high levels of learning needs respectively. There were not any significant relationships between learning needs and any other variables age or educational levels.According to the results of the study, providing information to meet the learning needs of mothers would eventually, decrease mothers their stress to look after the babies in a better way. Soit seems that, providing educational classes based on the mothers' learning needs would be necessary in the setting of children's' hospitals with heart surgeries wards. It is recommended that, needs assessment of the mothers of infants with heart surgeries, after discharge, would be necessary for future studies.

Today, injuries caused by sharp instruments and needle sticks are one of the most important and serious biological threats among caregivers. The injuries might cause the ease of transmission of fatal diseases such as AIDS and hepatitis Band C.The aim of this study was investigating the frequency and characteristics of the injuries and protective measures in caregivers.The research design was a descriptive study in which a questionnaire was used to gather the data. The study sample consisted of all staff of medical team of selected three hospitals in yazd. The result showed that 38.7% of the subjects stated that, they had experienced the injuries within the past 6 months prior to the study. There were significant statistical correlations between the variables of the injuries with age, as well as the injuries with occupational groups and work settings (P=0.04, 0.000 and 0.000) respectively. According to the results, it was found that the most threatening unit was emergency ward (53.6%). The most dangerous instrument were needles (79.9%) and the most hazardous procedure, were injections (47.6%). Sixty percent of the subjects suggested not putting latex gloves on during medical procedures and 7.9% of the staff have not been recapped the disposable needles. About 44.2% of the subjects, suggested that they compressed the injury sites to reduce bleeding and 23.6% had reported the accident verbally.According to the study findings, providing educational sessions regarding safe injections, appropriate written reporting of the accidents, general percussions (put gloves on, recapping needles) and immediate appropriate interventions after occurrence of the injuries, are strongly recommended.

One the most important aspect of quality of prenatal care, is satisfaction among clients. In fact the main goal of prenatal care is giving birth, with a healthy newborn without complication. In this study, the objective was to determine satisfaction of pregnant women attending to the health center that receive prenatal care.The design of the study was cross-sectional descriptive. The sample size was 460 subjects (338 pregnant women and 122 women in their postpartum period). The sampling method was census selection. The instrument for data collection was a questionnaire, consists of the items of demographic characteristics, satisfaction of prenatal care services and its' quality. The study setting was 54 small health centers in shire van chardavel district.The study results showed that the majority of the subjects (89.8%) had high and very high satisfaction with the timetable of the prenatal care, whereas 10.2% had low and very low satisfaction. Regarding prenatal care facilities, 79.8% of the subjects had high and very high satisfaction and only 20.2% of the subjects had low and very low satisfaction. Approximately 93.6% of the women had high and very high satisfaction in relation to the communication of the prenatal care personnel, whereas 6.3% had low and very low satisfaction about 60.2% sixty percent of the women who participated in the current study, had low and very low satisfaction with the received prenatal care information whereas 39.8% had high and very high satisfaction. House wives and employees in han, more satisfaction with the timetable. The rate of satisfaction during first pregnancy (P=0.035) and in the your women (P=0.027) were high.According to the study findings, the majority of the subjects were satisfied with the received prenatal care, though 60.2% of the women were unsatisfied regarding the information of the prenatal care.Apparently there is a necessity to update the prenatal care providers' knowledge. It is recommended that more studies should be conducted regarding the barriers of raising the awareness and giving appropriate information to the women in prenatal clinics.

The period of labor in women is a great event 'as a result of a stressful situation, which occur in short-time. Laboring women need comprehensive support to enable themselves to cope with the stress of labor. Fear and anxiety may cause failure of progression and consequently, necessitate surgical interventions. The one to one midwifery care provides a situation in which the mother would be able to cope better with the stress of labor. This study with a randomized controlled clinical trial design was conducted on 290 low risk pregnant women. All the subjects were randomized into two groups of experimental (145) and control (145). Non-pharmacologic interventions to relif pain (such as breathing technique, relaxation, massage) were provided to the experimental group during caring the women to enhance their psychological and physical comfort during labor. The aim of this study was to determine the effects of the one to one midwifery care during labor on modes of delivery. The study findings showed that significant decline in caesarean section and use of instrumental vaginal delivery (P=0.001), in the experimental group compared to the control group. According to the study results, one to one midwifery care as responding knowledgeably and sensitively to the individual needs of laboring women would eventually decrease surgical interventions, complications and medical costs. The researchers suggest that, this method can be used by midwives in obstetric centers. Therefore, providing of the one to one midwifery care in the delivery and labor rooms of birth centers is recommended.

Sleep pattern has changed dramatically during recent centuries. In fact the lack of coordination between children's sleep pattern and school time schedule, expose them to insomnia which daily fatigue and influence on their health.The design of this study was cross sectional. The aim of the study was assessing sleep pattern in school age children and the relationship between sleep pattern and some variables such as age, and sex.The study analysis based on the results of 900 school age children for whom mothers have completed a related questionnaire and participated in an interview. The result indicated that Mean and standard deviation of bed time 10.53 (0.90) h and wake- up time in the morning was 6.69(0.73). The mean and standard deviation of total sleep time was 8.82(1.23). A considerable proportion of the children (49.2%) have been sleeping less than 9 hours during nights. In addition, there were significant relationships between the variables of the sex and age with the children's sleep pattern. To conclude, the findings showed that the children don't have normal amount of sleep. Therefore, it would be necessary that the time of school hours being matched with the developmental stages of children and it was recommended that to investigate sleep pattern of children in different ages in the future studies.