Nursing And Midwifery Journal
Year:2016 | Volume:13 | Issue:11 (76)|Papers Count:9

Background: Clinical decision making in professional nursing practice, distinguishes essential part ofprofessional nursing care staff with that of unprofessional. Each factor in clinical decision making, hada significant effect on the quality of care and clinical decision-making process to identify the needs ofpatients, and it determines the nursing care. Therefore, this study aimed to determine the level ofparticipation in clinical decision making by nurses in hospitals affiliated to Shahid Beheshti Universityof Medical Sciences.Methods: This study is a descriptive cross-sectional study on 200 nurses working at the hospitals ofShahid Beheshti University of Medical Sciences. The samples were selected through stratified randomsampling. The tools for data collection were personal data and standardized questionnaires to assess theactivities of clinical decision making (PDAQ). Data were analysis with SPSS 19 software anddescriptive test.Results: Statistical tests showed that the participation of nurses in clinical decision making in selectedhospitals of Shahid Beheshti University of Medical Sciences, were moderate (36.3), (p=0.001). Theclinical decision making is influenced by factors such as age, sex, marital status, work experience andtype of employment.Conclusions: The variables affecting nurses' participation in clinical decision making can be a way toimprove clinical decision.Therefore, identification of factors in clinical decision making in this contextcan be helpful.

Background& Aims: Most women experience the premenstrual syndrome at their reproductive ages. This syndrome is a combination of psychological, physical and behavioral changes that interfere withfamilial communication and social activities. Different methods have been suggested to reduce it; oneof them is using medical herbs. This study was carried out to evaluate the effects of curcumin on severityof symptoms of PMS.Materials and Methods: In this double-blind clinical trial, 70 students with PMS were randomlyassigned to either the curcumin or placebo groups. Each participant received two capsules daily fromseven days before menstruation to three days after menstruation for three cycles. They recorded severityof the symptoms by daily record questionnaire. The data of before interventions, and 1, 2 and 3 monthsafter interventions were analyzed by repeated measurement ANOVA and independent t-test. SPSS-18 software was used for analyses and P<0/05 was considered significant.Results: Before intervention, there were no significant differences between the mean scores of PMSsymptoms in the two groups (103.6±39.19 in curcumin group VS 106.7±44.65 in placebo group, P=0.77), but after 1, 2 and 3 months intervention, there were significant differences between the meanscores of PMS symptoms in the two groups (respectively 93.72±40/13, 91.36±49.13 and 91.45±50.49in placebo group, and 53.5±22.68, 42.1±19.1 and 29.7±11.6 in curcumin group) (P<0.0001).Conclusion: Based on results of this study, curcumin is effective in reduction of severity ofpsychological, physical and behavioral symptoms of PMS, and we suggest curcumin as treatment forPMS.

Background & Aims: Nurses are responsible for a noticeable number of invasive procedures ofhospitalized neonates in ICU, and recently, making error has risen in guarding endangered infants. Nursehas maximum relational friction surface, care and therapeutic contact with human client; therefore, theycould be one of the most problematic parts of the management of human errors.Materials and Methods: The purpose of this study is determining the types of nursing errors in gastrictube insertion procedure of preterm infants in neonatal intensive care units in Sanandaj in 2013. In this descriptive study, 28 employed nurses were chosen in neonatal intensive care units in Besat andTamin Ejtemaei hospitals. The data were gathered through a researcher-made checklist by directobservations of the nurses. Each nurse was observed four times. The data were analyzed through SPSSsoftware version 13.Results: The findings revealed that in all observations the most common error in gastric tube insertionof preterm infants is related to implementation stage, registration stage, and preparation stagerespectively.Conclusions: The results showed that the most common type of nursing error in gastric tube insertionof preterm infants occurs in implementation stage. These errors can be prevented to a large degree bychanging and improving the educational process and through an educational planning by officials ofnursing education.

Background & Aims: Infertility is a global problem that inflicts serious damage to the body' sreproductive health. This study aimed to determine the status of marital adjustment and it’s relationshipwith thinking styles in infertile women referred to Alzahra hospital of Tabriz, from Auguest untilOctober 2014.Materials & Methods: This cross-sectional study was conducted on 160 infertile women (aged 15-49 years). Samples were selected based on census. Data were collected by Dyadic Adjustment scale (DAS), Sternberg’s thinking style scale and socio-demographic questionnaire. Pearson correlation testwas used to explore the association between thinking styles and marital adjustment.Results: The mean scores of marital adjustment in infertile women was 100.0±22.3 from possiblerange score of 0-151. There were a moderate correlation between marital adjustment with legislativethinking style (r=0.47) and judicial thinking style (r=0.34) and low correlation between maritaladjustment with executive thinking style (r=0.28).Conclusion: The findings of this study show that correlation of legislative and judicial thinking stylewith marital adjustment is more than executive thinking style. The findings of this study can be usedby consultants to inform the women of their thinking style, and it's impact on marital adjustment andpsychological support through adjustment or change current thinking style in order to promotewomen's marital.

Background & Aims: Violence against women during pregnancy is rising as reptile and has been anintangible social problems. Based on various studies, obtained various statistics about violence duringpregnancy. In the present study we attempted comprehensive statistics and Reliable of this problemSystematic review and meta-analysis method is presented to be able to problem solve with the broaderview.Material & Methods: Thirty-two study using keywords Domestic violence, violence against women, violence during pregnancy, The databases in the country, including Magiran, medlibe- sid– iranmedexdatabases and latin pubmed, - google scholar- science direct– scopus were collected Data were analyzedusing the software STATA (version 11.1) and meta-analysis (random effects model). Heterogeneitybetween studies was assessed using the I2 test.Results: After statistical analysis of the prevalence of violence in 15610 pregnant women is 52% (95%CI: 43 to 62) and the types of physical violence, sexual and psychological in order Physical violence, 19% (95% CI: 12 to 26) Sexual violence, 31% (95% CI: 23 to 38) and psychological violence, 45% (95% CI: 38 to 51) respectively.Conclusion: Results showed that the high prevalence of violence in pregnancy is very dependent bylevel of education and job in both sexes, and a strong relationship between the two categories with theSocial and cultural level. Thus the increase in education and employment facilities can be a fundamentalsolution to the problem is in decline.

Background & Aims: Artificial airway standardization cares could reduce the incidence of VentilatorAssociated Pneumonia (VAP). This study aimed to evaluate the effect of an artificial airwaystandardization cares on the VAP.Materials & Methods: In this clinical trial, 64 patients were selected among those who had undergonemechanical ventilation in the ICUs of Al-Zahra Hospital, Isfahan, Iran using convenience samplingmethod. Then, the subjects were randomly allocated to intervention and control groups. In theintervention group the artificial airway standardization cares and in the control group the routine careswere done. Modified Clinical Pulmonary Infection Score (MCPIS) was completed for all the subjects inthe stages before, third, fourth and fifth day of study.Results: The results of this study showed that until fourth days of study, the mean score of MCPIS weresimilar in both intervention and control groups. But on the fifth day of study the mean score of MCPISin the intervention group was significantly lower than control group. Therefore, in order to prevent VAP, the nurses are recommended to perform this cares.Conclusions: The results of this study showed that in patients undergoing mechanical ventilation, theartificial airway standardization cares could lead to the lower increasing in the mean score of MCPIS. Therefore, in order to prevent VAP, nurses are recommended to perform these cares.

Background and Aims: Sleep disorders are common in hemodialysis patients; it can decrease the qualityof life and increase the rate of death. In some studies, the calming effect of lavender has been pointedout, so this research was conducted to examine the effects of aromatherapy with Lavender Essential oilon sleep quality of hemodialysis patients.Materials and Methods: This clinical trial was performed on 60 patients undergoing hemodialysistreatment From May to June 2014. The patients were randomly divided into two groups: interventionand control. To evaluate sleep quality, the researchers applied the Pittsburgh Sleep Quality Index. In theintervention group, the patients were requested to inhale a piece of cloth smeared with three drops ofthe Lavender Essential oil during dialysis sessions. In the control group, only the usual care was given. At the end of the fourth week, the patients’ sleep quality was measured again.Results: Before intervention, the mean total score of sleep in the intervention group was 8.55±4.75, and in the control group, it was 9.00±5.00 that was not statistically significant. After intervention, themean total score of sleep in the intervention group changed to 7.62±4.07, and in the control group, itchanged to 8.46±5.46 which did not show a significant difference. In within-groups comparison thetotal score of sleep in both groups before and after intervention was not statistically significant.Conclusion: The findings of the study demonstrated that aromatherapy with Lavender cannot improvesleep quality in hemodialysis patients.

Background and Aim: Hypertension, with high prevalence in the elderly, is one of the most importantand the most common chronic disease that require the self-care behaviors in patients. The purpose ofthis study was to determine the impact of the empowerment program based on the Telephone Followup (Tele-nurses) on Self Care Self efficacy in elderly patients with hypertension.Materials and Methods: In this quasi-experimental study, 88 elderly patients with hypertension wereadmitted to the outpatient clinic of the Sayyad Shirazi Hospital in Gorgan. The subjects was selected bysequential sampling method, and they were divided to the experimental (n=44) and control (n=44) groups. Data were collected through a questionnaire. All the subjects in the experimental and controlgroups were participated in the self-care workshops. However, the experimental group receivedtelephone counseling and follow-up intervention for 12 weeks. Data was analyzed using SPSS-16Software, and descriptive and inferential statistics.Results: The study findings showed that there were no significant differences between the two groupsin terms of demographic and disease-related variables. The means and standard deviations on the scoresof Self- Efficacy in self-care behaviors, pre–post intervention, were [3.5 (SD=0.4) & 4.1 (SD=0.3)] inthe experimental, and [3.4 (SD=0.3) & 3.6 (SD=0.3)] in control groups, respectively. There was nosignificant difference between the groups regarding the mean scores of Self - Efficacy in self-carebehaviors on before intervention (P=0.44). Whereas, at post-intervention, the elderly patients withhypertension participating in the empowerment program (workshop and telephone follow up) showedstatistically significant increases in self-efficacy (p≤ 0.05) compared with the control group.Conclusion: The findings of the present study showed that empowerment program based on tele-nursingcare was effective in promoting the Self- Efficacy in self-care behaviors of elderly patients withhypertension. Thus, the important role of tele-nursing in promoting Self- Efficacy in self-care behaviorsin this group of the elderly was emphasized and confirmed.