Nursing And Midwifery Journal
Year:2019 | Volume:15 | Issue:12 (101) |Papers Count:9

Background & Aims: The Nursing Information System is part of the hospital information system and health care system, are designed to help nurses provide better patient care. The correct functioning of these systems will improve the integrity of clinical data, improve the quality of nursing care and meet the needs of users. The Nursing Information System facing barriers and challenges. This study has been conducted with the aim to identify the challenges and barriers of the Nursing Information System and provide strategies to address these barriers.Materials & Methods: The present study is an integrated review of evidence and conducted based on the Broome approach. The studies that related to the purpose of study, being written in English or Persian, the full text were accessible and published in the last 10 years, entered into research. Articles without name, no date and non-scientific were excluded. A wide range of key word such as Nursing Information System, Information System, Nursing, and Hospital Information System was used to retrieve related studies. Besides studying library, Persian and International accredited online databases such as CINAHL, EBSCO, SID, Magiran, Iranmedex, PubMed, Medline, Google scholar, Elsevier, Sciencedirect were used. Ultimately, 23 articles were included. Data were analyzed based on Broom' s method.Results: Analysis results showed that barriers challenges and barriers of nursing information systems consist of six main categories: Non-compliance of designed programs with nursing duties: a) lack of nursing standard terminology; b) lack of minimum nursing data sets; 2) lack of proper and comprehensive classification system; 3) lack of system support from nursing clinical decision making; 4) Barriers to nursing documentation: a) Lack of formatting and grouping of reports; b) Computer and technical problems; c) confidentiality issues and patient information security; 5) individual factors; 6) organizational factors.Conclusion: Nursing information systems can easily meet nursing information needs. These systems help nurses manage information, improve workflow, implement nursing processes, improve nursing care, and manage data, information, and knowledge. In this regard, the development of information systems is needed, removing existing challenges and obstacles.

When someone does something and then thinks about it, he actually reflect. One way to improve the teaching and learning process is to rethink the individual (student, teacher, etc.). For this reason, students are asked to rethink about the patients they have seen, the teacher's teachings, the events that occur, the experiences and effects that come from an incident like taught. in education, reflection refers to a process in which thoughts go back to be interpreted and debugged, initiating this process is an event or a situation and the consequence of it is an increase in understanding and awareness.

Background & Aims: Entry to the university is a gigantic change in the students’ lives and the increase in the assignments and homework pressures, the other peer students’ influence, the increase in popularity and easy access to the drugs causes them to become inclined to the drug use. The psychological health and hygiene of the students as the elites of the society is among the worries and concerns of the planners and decision-makers in a macro level. Thus, the current descriptive-analytical research aims at determining the factors contributing to the drug use in Urumia’s Medical Sciences University.Materials & Methods: The present cross-sectional study has been carried out based on a descriptiveanalytical method. The study sample volume includes 538 Urmia’s Medical Sciences University undergraduate students. The sampling was undertaken in multiple stages. To gather the required information, a researcher-made questionnaire was administered to the study subjects. The face validity of the questionnaire was conducted via inquiring six specialist professors for their corrective ideas and the questionnaire’s reliability was determined by taking advantage of test-retest method. The data were analyzed by means of SPSS software, ver.23. Descriptive statistical tests were applied to characterize the data and chi-square test was utilized to investigate the relationship between the various variables exerting an influence on the drug abuse.Results: The results indicated that 28.3% of the university students had addictions to cigarettes and narghile, 12.5% of them were addicted to alcoholic drinks and 14.7% were drug abusers. Among the factors influencing the drug use, affective failures (57.7%), psychological-mental pressures (54.9%), feeling the lack of parents’ love (36%), loneliness (32.6%), relieving pain (30%), seeking pleasure (26.8%) and purposelessness (25%) were most prevalent. Moreover, Chi-square test showed a significant relationship between smoking and hookah with gender and residence status, between alcohol consumption with gender, family economic status, residency and field of study, and between addictive drug abuse and economic status of the family, residency status, and field of study (p<0.05).Conclusion: According to the drug use and fact that the psychological-mental factors play a considerable role in the university students’ tendencies towards drug abuse, the education authorities and experts are hereby suggested to make comprehensive plans regarding the control of factors giving rise to the drug abuse as a result of which the university students’ mental-psychological health can be enhanced.

Background & Aims: In addition to pain that the patients may have due to their chief complaint, painful and healing interventions are actions that can lead to affliction of the patients. The purpose of the present study was to determine the rate and kind of painful interventions and management methods of this pain in trauma patients in an emergency department.Materials & Methods: This study is a descriptive cross-sectional study that has performed on traumatic patients referred to emergency department in ten days consecutively. Patients recruited to study with continuous non-probability sampling and according to entrance criteria. One self-created checklist was used for data collecting. The researcher and related colleague presented in 24 hours in emergency department and filled the checklist. The data analysis was conducted using SPSS software, version 16.Results: The average age of 400 participants was 35.4 that 326 (81.7%) were male. The average of pain severity before and after painful procedure was 6.35±2.69 and 5.57±2.6 respectively that Paired T test showed significant difference between those measures (p=0.000). Totally for 245 (%61.2) patients painful interventions were performed. Suture was the most painful intervention (%21.8).Conclusion: Procedural pain is prevalent in emergency department and severity of this pain is moderate so it is necessary to implement more and comprehensive studies about procedural pain and management of this pain. Measures should be taken to pain management of interventions, their variety and quantity, with regard to the complications and limitations of each method.

Background & Aims: Fatigue and sleep problems are experienced by most patients with multiple sclerosis (MS) that can interfere with a patient's daily functioning. Complementary therapies are widely used by multiple sclerosis patients and Progressive Muscle Relaxation Technique (PMRT (is a form of complementary therapies. This research was conducted to investigate to identify the effects of applying Progressive Muscle Relaxation Technique on of fatigue and sleep problems patients with multiple Sclerosis.Materials & Methods: This is a study –experimental study on 50 patients with MS. Samples selected through convenience sampling method, and were allocated to intervention (7 weeks usual care and relaxation) and control (usual care only) groups randomly. Means of data collection included: demographic Information Questionnaire, Fatigue Severity Scale was used for measuring fatigue, and the Pittsburgh Sleep Quality Index was used for evaluating the sleep quality. Percentage, one way ANOVA, paired sample t-test and independent sample t test were used in the assessment of data.Results: Independent t-test showed a significant difference (p<0.023) between the mean and standard deviation of fatigue score in control (5.06±0.31) and case (4.05±0.39) groups. The average sleep quality score in control and case group after the study was 12.04±0.91 and 6±0.62 respectively (P<0.001) Conclusion: This study supports the effect of PMRT on fatigue and sleep quality in patients with MS, and it is recommended that further studies be conducted on this subject in the future.

Background & Aims: Because of having relationships with the community and the patients, nurses need a thorough mental health to be able to continue their profession as a nurse. On the other hand, mental health can be improved through self-efficacy enhancement. The objective of this study is defining the correlation between self-efficacy and mental health of nurses and head nurses working in educational hospitals of the city of Bandar Abbas.Materials & Methods: The present study is a descriptive-correlation study.115 nurses and head nurses working in educational hospitals of the city of Bandar Abbas were selected through relative stratified sampling in 2011. Data collection tool was a three part questionnaire, having been checked for validity and reliability, including demographic data, general health questionnaire, and general self-efficacy questionnaire. Data collected was statistically analyzed using SPSS version 18. Descriptive tests (mean and standard deviations) and inferential statistic tests (Pearson correlation coefficient and regression) were performed with the significance level of p<0.05.Results: The average age was 29.88 (SD=6.09) for nurses and 41.51 (SD=5.64) for head nurses.84 nurses and 31 head nurses took part in the study. A significant negative correlations between selfefficacy and mental health of nurses (P<0.001 & R=-0.455) and head nurses (P<0.001 & R=-0.642) were observed. Social function was a strong predictor of self-efficacy and mental health among nurses, and anxiety and insomnia were strong predictors among head nurses.Conclusion: Factors as individuals’ beliefs and expectations from their abilities for enhancing mental health, holding workshops and educational courses for coping with job stress, reducing job conflicts, and a compatible and appropriate environment can be effective in the enhancement of nurses and head nurses’ mental health.

Background & Aims: Improving living conditions and increasing longevity and life expectancy has led to an aging phenomenon. The phenomenon of increasing elderly population is one of the most important economic, social and health challenges of the present century. Therefore, this study was conducted to investigate the relationship between social support and social and psychological well-being among elderly people in city of Khorramabad.Material & Methods: The method used in the research, survey and data collection tool was Wick' s Social Support Questionnaire and Goldberg & Hiller's General Health Questionnaire. The statistical population consisted of all elderly citizens over 65 years old and a sample number of 337 people. The sampling method was multi-stage cluster and cluster sampling. Data was collected from 6 selected neighborhoods in city of Khorramabad in 2017. Data were analyzed by Pearson correlation coefficient, multiple linear regression test and Independent mean t-test using SPSS-21 software.Results: Findings indicate that the social support components are related to the social and mental health of the elderly, and this relationship is statistically significant (P<0.001). Also, independent t-test showed that the social and mental health of the elderly is different in both sexes but is not statistically significant (P<0.05).Conclusion: According to the results, the social support of the elderly can be enhanced, and they benefit from more social and mental health. These findings contain important therapeutic applications regarding the importance of these variables in increasing the social and mental health of the elderly.

Background & Aims: The aim of this study was the relationship between prenatal concerns, depression and quality of life with general health of pregnant women.Material & Methods: The study was descriptive and correlation. The population of all pregnant women in the city Tabriz that from May to July 2016 had been referred to the office of obstetricians and Gynecologists, the number of which 420 are formed. The sample of 200 pregnant women with available samples and based on Morgan table of content of gynecologists were selected and studied. To collect the data, general health, Alderdice & Lynn Prenatal Distress Questionnaire, World Health Organization Quality of Life and Beck Depression Inventory were used. Data analysis was performed using Pearson correlation and regression analysis.Results: The results showed that there is a significant negative relationship between the quality of life and general health of pregnant women. Also there is a significant negative relationship between public health, concerns and depression during pregnancy. In addition, results of regression analysis showed that depression, anxiety and quality of life during pregnancy can predict the general health of pregnant women are variable.Conclusion: General health of pregnant women is one of the important issues of pregnancy and the results of this study can be used by doctors and specialists in the field of pregnancy.