Iranian Journal of Nursing Research
Year:2014 | Volume:9 | Issue:3 (34)|Papers Count:12

Introduction: Sleep disorder is associated with several physical, behavioral and psychological problems. There are some evidences on disturbance of sleep quality in hemodialysis patients. For this, the present study was to evaluate the effect of applying Hathayoga exercise on sleep quality of hemodialysis patients.Method: The present study had two groups that 31 patients from shahid Labbafinejad in Tehran hospital were selected for the control group and 31 hemodialysis patients from the baqiatallah hospital for the intervention group and HathaYoga exercises after initial training by yoga instructor, in the group test was done for one hour twice a week and two months. Data gathering was done by Pittsburg sleep quality questionnaire, and demographic information that was before the intervention and two months after it was measured. Then data analysies with descriptive statistics, Chi-square test, independent test and paired t-test was used.Results: According to that in Pittsburg questionnaire the less score shows the better situation, the mean score of sleep quality before the intervention (12.3±2.8) was significantly (P<0.001) more than that before the intervention (6.2±2.3). While these differences in control group were not significant.Conclusion: Performing the Hathayoga exercise has positive effect on sleep quality of hemodialysis patients. Training patients in using this Hathayoga exercise can affect the improvement of sleep quality of hemodialysis patients.

Introduction: One of factors that involves in pregnant women with first experience, is psychological characteristics and ideas of these people. The current research was done to investigate the role of Meta cognitive beliefs and positive and negative affect in the fear of childbirth of pregnant women.Method: This research was a descriptive cross-sectional study. The statistical populations consisted of pregnant women with first experience of Ardabil in 2014, in which number of 121 women who had their first experience of pregnancy, in birth control health centers were selected by simple available sampling. We used Questionnaire of Childbirth Attitude Questionnaire (CAQ), Meta Cognition Questionaire-30 (MCQ-30) and Positive Affect and Negative Affect Scales (PANAS) for collecting data. For data analysis Pearson correlation coefficient and enter regression by SPSS v.20 were used.Results: The result showed that there is significant correlation between variables metacognitive beliefs and positive and negative affect with the Fear of childbirth in the pregnant women with first experience (P<0.05). Also, these variables can predict the Fear of childbirth in the pregnant women with first experience.Conclusion: In according to the role of psychological characteristics in the Fear of childbirth in the pregnant women with first experience, and mental and social changes induced in this period, the need for and guidance to learn about this course is necessary and improving the health of mothers and the quality of life in all stages of life.

Introduction: Nursing is a stressful career and that’s why nurses are prone to burnout. Emergency department nurses, due to the nature of the part they are working in, suffer from more stress than other nurses in other parts of the hospital. This can cause higher rates of burnout, which ultimately led them to resign. Present study aimed to determine the rate of burnout and intention to leave and the relation of these two variables among nurses working in the emergency department of selected educational hospitals in Shiraz.Method: This is a descriptive - analytic study done among 187 nurses working in emergency departments in selected educational hospitals affiliated to Shiraz University of Medical Sciences. Job and demographic information questionnaire, and Mazlach job burnout questionnaire, and Hinshaw Anticipated Turnover Scale, were used to collect data. Data was analyzed by SPSS software using descriptive statistics and independent t-test, ANOVA and Pearson correlation coefficient at a significance level of 0.05.Results: Findings demonstrated that all nurses working in the emergency department suffer from moderate burnout in dimensions of emotional reduction [Frequency: 22.99 (13.79±) Intensity: 26.72 (15.01±)], depersonalization [Frequency: 6.39 (6.06±) Intensity: 7.17 (6.30±)], and suffer from high burnout in dimension of the individual unsuccessful [frequency: 30.93 (9.22±) intensity: 31.09 (7.8±)]. Also the rate of tendency to leave service was in an average range (2.95 out of 5) and there was a significant correlation between burnout and tendency to leave service.Conclusion: According to our findings, it is necessary that authorities make some decisions to reduce the rate of burnout among emergency department nurses which would lead to a reduction intention to leave.

Introduction: Spiritual aspect has played a significant role in patient’s wellbeing and quality of life. Acquiring patient’s spiritual needs is considered as an essential element in medical care. Therefore, it seems very logical that there is a professional requirement for nurses to achieve competence in the delivery of spiritual care. The purpose of this study was to examine the impact of nursing spiritual wellbeing on patient spiritual care.Method: The cross-sectional descriptive-analytical study had been conducted to determine the impact of nursing spiritual well-being on patient spiritual care. Two standard questionnaires- Basic Psychological Needs Questionnaire by Emmons and Paloutzian and Spiritual Care Competence Scale by Van Leeuwen et al- were used. The spiritual health questionnaires were distributed between 210 nurses of special wards (response rate, 90%) and the spiritual care questionnaires were completed by researchers for evaluating nurses’ spiritual care of 567 patients during their hospitalization period (from September to February in 2014). Descriptive and inferential statistics were used to analyze the data.Results: Most participants were women, ranging in age from 26 to 30 year old. Participants’ clinical experience was upper 5 years (41%). 59.2 percent of the nurses have Spiritual health scores in Medium level and 40.8 per cent were high. In relation to the spiritual health nurses provided 5.8% of spiritual care in poor, 53.4% optimal level and 39.8% in the highly desirable. There are significant relations between the average scores of spiritual health and age (P<0.04), clinical experience and spiritual health (P<0.02), education and spiritual health (P<0.03) and education and spiritual care (P<0.02). Overall, a significant relationship observed between spiritual health and spiritual care (P<0.01).Conclusion: This study found that most participants were able to meet the spiritual needs of patients; however, some of the nurses cannot. Whereas, there is a positive relationship between spiritual health and spiritual care, providing workshops and training in spiritual care for improving the ability of nurses in catering to the spiritual needs of patients could be of benefit.

Introduction: Staff development in nursing is the most important responsibility for nurse manager. It is include activities to improve of knowledge, awareness, information and skill of nurses that cause to improve quality of nursing care, which is a great challenge in our country. So we decided to determine the quality of nursing staff development programs at hospitals affiliated Tehran University of medical science, in order to find facilities, limits and capability of this planning in these hospitals.Method: It is a descriptive study. One hundred seven head nurses and ten educational supervisors by census, also three hundred ten of nurses by cluster randomized were recruited for this study. Valid and reliable three researcher made questionnaire conducted to interview and assess the views of the samples. The first part of the questionnaires assessed the data demographic of the samples (head nurses, supervisors and nurses) and the second part contains questions related to the quality of nursing education programs. Data was analyzed by descriptive statistical tests by through SPSS-PC (v. 16).Results: We studied 427 nursing employees’ opinions. The number of nurses surveyed was 310; the majority (82.2%) female, (88.4%) had bachelors. Head nurses were 107, the majority (87%) women, with a bachelor degree (49.5%), in the ages between 50-40 years (57%). educational Supervisors were 10, all women, (50%) had bachelor degree, and aged less than 40 years. the majority of nursing employees (65%) expressed that the Quality of Staff development programs were at Moderate level. In addition, the majority of nursing staff dissatisfied of quality of determining educational needs, design, implementation and evaluation of these programs.Conclusion: Results showed that the majority of nursing employees expressed that the Quality of Staff development programs were at Moderate level. It is hoped that results of this survey can be effective on improvement of these programs and its consequences to be improvement in quality of nursing care.

Introduction: Care is one of the most important concepts in nursing. Concept of care is dependent on philosophy of community then in this research we defined of care concept based on Islam and explain of different of it with caring theories.Method: The concept of care was done with subjective research in Islamic documents.Results: Care in Islam has four dimensions: - care’s God from human- care’s from human of self- care of human from human- care’s environment from human. All of humans must be cared of each other’s. In this process they become excellent. Then human must be cared of self-based on God’s order and environment is servant of human. All of the event and experience in human’s life is under view of God’s orders.Conclusion: In Islam care has origin in human nature and is internal agent and tries to be actually all of potential’s nature. In caring theories care is external agent and planned based on experiences and interactions of human with universe. InIslam experiences and interactions with universe are valid. But moving based on human’s nature is more important and nursing implementation must be done based on nature of human.

Introduction: Bruising and pain are the most common complications of heparin subcutaneous injection that can be leads to limited areas for next injections, anxiety, disturbance of body image, refusal of treatment by patient and reduce the effectiveness of nurse-patient trust. Although various methods have been proposed to minimize this unwanted effects but so far none of these methods has not been able to effectively reduce the adverse effects. The aim of this study was to compare the effects of air locks and duration of pain and bruising caused by the subcutaneous heparin injection.Method: This Quasi-experimental study, done on 35 patients that treated with subcutaneous heparin in ICU, CCU, emergency and cardiology wards in Imam Khomeini hospital in Tehran. For each patient, two injections of 10 seconds without the use of an air lock (the usual method), and 30 seconds with the use of air lock (case study method) were carried out in the abdomen on the right or left, randomly. The interval between injections was 12 hours. Bruising 24 and 48 h after injection was measured using a plastic ruler and pain was measured using the VAS scale immediately and 24 hours after injection.Results: Size of the bruises caused by the injections in study method, significantly less than the size of the bruises were caused by injection in the usual method (P³0.0). Average size of the bruises in the usual method at 24 and 48 h after injection of subcutaneous heparin were 1.791 and 1.817 respectively, And 0.854 in study method. Pain intensity immediately after injection in study method was significantly less than it in usual method (P³0.004). Difference in pain intensity in two method 24 hours after injections was not significant, although average of pain intensity in study method was less than pain in usual method.Conclusion: Due to the dramatic reduction in size of the bruising and pain caused by subcutaneous injection of heparin, looking to increase the injection time and the use of air lock in order to improve the quality of care and minimize unpleasant and stressful experience for patients, increasing the injection duration to 30 seconds and use an air lock heparin subcutaneous injection is recommended.

Introduction: Eendotracheal tube suctioning is one of the most nursing cares to improve oxygenation in patients with endotracheal tube. There is controversy over the amount of negative pressure during the endotracheal tube suctioning. This study aimed to evaluate the effects of endotracheal tube suctioning with negative pressure of 100 and 200 mmHg on physiologic indices in patients hospitalized in the intensive care units.Method: In this clinical trial, 60 patients were selected among those undergone mechanical ventilation in ICU of Isfahan’s Al-Zahra Hospital using convenience sampling method. Then the subjects randomly allocated to two groups (suctioning with negative pressure of 100 and 200 mmHg). Arterial blood oxygen saturation (SpO2), Heart rate (HR) and mean blood pressure (MBP) was measured in stages immediately before, during, 5 and 20 minutes after each type of suctioning. Data were analyzed using repeated measures ANOVA, chi-square and independent t-test.Results: The finding of this research showed that SpO2 significantly decreased and HR and MBP significantly increased after suctioning in both groups. (P<0.05). However, these changes were not significant between the two groups (P>0.05). Conclusion: Both endotracheal tube suctioning with negative pressure of 100 and 200 mmHg are similarly effective on SpO2, HR and MBP. Therefore, nurses can perform the endotracheal tube suctioning with each of these methods. Since both methods are effective on physiological indices of patients, nurses should measure these indices before and after the endotracheal tub suctioning.