Journal of Research Development in Nursing and Midwifery
Year:2020 | Volume:17 | Issue:2|Papers Count:10

Background: One of the main pillars of sustainable development is health and wellness which is an integral part of improving the quality of life. Lack of hygiene facilities and human resources and their inadequate distribution in urban and rural areas are major problems in providing health services in third world countries. The main and important reasons for inequalities in the distribution of health sector resources include inappropriate and poor budget allocation to the health sector, inadequate and long-term planning. This study was conducted to determine the degree of development of Abadan, Khorramshahr and Shadegan cities in terms of health indicators using numerical taxonomy model. Methods: This descriptive study was conducted in 3 cities of Abadan, Khorramshahr and Shadegan in Khuzestan province in 2016. The data collection tool was a checklist containing information needed to calculate 15 health indices that were collected from Abadan Medical School Deputy of Health. The numerical taxonomy of these cities was evaluated in terms of degree of development of health indicators. Results: According to the values of the upper and lower limits of homogeneity distance and the values of the shortest distance between cities, it was found that all cities (regions) were homogeneous and were in the same group. Finally, the results showed that Abadan is considered to be developed (0. 47), Shadegan under developed (0. 78) and Khorramshahr undeveloped (0. 81). Conclusion: Regarding the results obtained for improving the health status and managing the health sector, it is suggested that a comprehensive development-based program to be developed for reducing gaps and inequalities in terms of health indicators and to pay specific attention to the main development indicators of health care system based on population in each region.

Background: Stressful situation are among the challenging experiences especially in clinical setting. The aim of this study was to compare the level of work-related stress among nurses working in Intensive Care Units (ICUs), General ward and Emergency setting. Methods: This cross-sectional study was conducted at different private tertiary hospitals of Karachi in 2017-2018. Two stage sampling technique including quota and convenient sampling technique was used to collect the data. A total of 225 participants were recruited. Pre-validated questionnaire was used which contained different stress related categories. Midwives, nursing assistants, part time nurses and nurses employed at management positions were excluded from the study. Data were presented as frequency and percentage and mean and standard deviation. The chi-square test was used for examine association of categorical variables. The SPSS used for data analysis. Results: The mean age of participants was 26. 5± 2. 4 years. Stress among nurses working in emergency department was found to be highest in all categories. Management related stress was 77. 3% and 69. 3% due to criticism by supervisor and inadequate support by supervisor, respectively. Patient related stress was 72% and 64% due to health risk posed by patient contact and communication about death to patient. About 81. 3% of the nurses of emergency department reported high level of stress due to covering work for another employee followed by 66. 7% related to working overtime. Moreover, 86. 7% and 62. 7% of participants had high level of stress due to inadequate salary and lack of recognition. Conclusion: The study concludes that the level of stress varies within different departments in the hospitals. There are several work-related stressors that found more in Emergency department than ICU or General ward.

Background: The knowledge and attitudes of nurses and midwives, as well as nursing and midwifery students on pediatric pain are crucial in the management of hospitalized children’ s pain. However, few studies have addressed the preparedness of nursing and midwifery students to manage children’ s pain based on their knowledge and attitudes. This study therefore assessed nursing and midwifery students’ knowledge and attitudes pertaining to children’ s pain management. Methods: This descriptive cross-sectional study was conducted on 554 nursing and midwifery students who were in their last year at four nursing and midwifery training institutions in city Ghana in 2018-2019. Data were collected over a three-month period using the Pediatric Nurses’ Knowledge and Attitudes Survey regarding pain (PNKAS). Data analyzed by the SPSS version 25 and presented using descriptive statistics and independent T test and one-way ANOVA. Results: Participants had an average PNKAS score of 42. 1% (range: 21. 4% to 81. 0%). The nursing and midwifery students in either public (44. 1%± 7. 9%) or private (43. 7%± 9. 6%) university had significantly higher scores than those in a public nursing and midwifery training college (40. 3%± 6. 9%) (p<. 001). Conclusion: Nursing and midwifery students in the study generally had insufficient knowledge and attitudes toward children’ s pain. There is an urgent need to intensify education in this area so as to adequately prepare these students to cater to the pain needs of vulnerable children and their families. Future studies should focus on how student’ s theoretical knowledge and attitudes are linked to their pediatric pain assessment and management practices.

Background: Physical activity reduces the risk of Coronary Heart Disease (CHD). The precise mechanism for reducing CHD risk after physical activity has not been determined. The aim of this study was to determine the relationship between physical activity and some biochemical parameters in patients with Acute Coronary Syndrome (ACS). Methods: This cross-sectional study was conducted on patients with ACS referring to Heshmat Medical Center in 2016. Convenient sampling method was used and 280 eligible patients with ACS were included in the study. For data gathering the checklist was used for demographic characteristics of patients and biochemical parameters and the Baecke Questionnaire was used to assess the patients’ physical activity. The data were analyzed in PASW Statistics for Windows, Version 18. 0. Chicago: SPSS Inc. using Spearman correlation and multiple regression analyses. The significance level was set at P>0. 05. Results: The results showed that 67% of the patients were male and the mean age of the patients was 62. 38± 12. 01 years. The BUN blood urea nitrogen (r=-. 121 and-. 177) and blood creatinine level (r=-. 259 and-. 185) had a significant correlation with physical activity in general and at the work hours, (P<. 05). However, these correlations were poor, and only the correlation between the creatinine level and physical activity at work was moderate. Conclusion: The correlation between physical activity level and biochemical parameters was not observed in our study. However, because the protective effect of physical activity on the cardiovascular system is clearly observed, it is suggested that appropriate physical activity and regular fitness be incorporated in the care plan for patients with cardiovascular diseases. Further clinical studies are recommended.

Background: Knowledge sharing ensures the distribution of the best business methods within organizations and Knowledge sharing are being applied to enhance nursing education curriculum. The aim of present study was to identifying solutions and barriers to knowledge sharing in Universities from the viewpoint of the faculty members. Methods: This cross-sectional study was conducted on 203 faculty members of Guilan University of Medical Sciences in 2017. Data was gathered using a questionnaire that measured the factors influencing the knowledge sharing behavior. The obtained data were analyzed in SPSS-21 software, using Pearson correlation. The significance level was set at P≤ 0. 05. Results: The most influential factor was organizational factors (Mean=2. 91, SD= 0. 33), and the most influential index was “ dependency” , and the index with the lowest score, “ innovation” was revealed to be an important barrier to knowledge sharing. “ The perceived organizational motivations, ” known as authorities’ inattention to the significance of knowledge sharing. No significant relationship was observed between the effective factors and variables such as gender, professional background, and educational level. Conclusion: Identification of the solutions and barriers to knowledge sharing by the current study and their presentation to the authorities would remove the current barriers as much as possible leading to greater propagation of effective solutions to knowledge sharing for the promotion of organizations and society.

Background: Self-medication is an important concern for health authorities throughout the world. The women of reproductive ages were the most vulnerable groups at risk for self-medication in the society. The purpose of this study was to determine the frequency and some associated factors of self-medication in women of reproductive ages in Gorgan, north of Iran. Methods: This cross-sectional study was carried out on 800 women of reproductive age (15-49 years) who were residents in Gorgan, in 2018-2019. Data were collected through home visits and interviews using a checklist with 19 questions. Data were analyzed in SPSS-16 using Pearson's chi-squared test. Results: Self-medication was reported in 68. 9% of reproductive ages. The majority of the self-medication was in the age range of 40-49 years (78. 5%). The main cause for self-medication was found to be headache (68. 6%) and common cold (57. 7%). Most frequently, self-medication was related to pain killer drugs (90. 6%) and NSAIDs (64. 4%). Also, the major causes of self-medication were found to be the previous use experience (n=307) and availability of drugs at home (n=266). Finally, we found a significant association between self-medication with age, marital status, occupation, education, income, number of children and family size (p<0. 05). Conclusion: Self-medication, mainly in pain-killer drugs and NSAIDs were high among women of reproductive age in Gorgan. Therefore, it seems necessary to provide public trainings for all women of reproductive age and train them about the dangers and side effects of self-medication.

Background: Communication skills are of top priority for health care provider's professional traits and communication is an essential part of the midwifery care. Many studies of midwifery and midwifery students' communication skills are poor and average. This study aimed to evaluate the effects of communication skills training through the Calgary Cambridge model on communication skill among midwifery students. Methods: This randomized controlled field trial was conducted in 2018. Thirty midwifery students were recruited using conventional sampling method from Golestan University of Medical Sciences, Gorgan, Iran. Then subjects was assigned into two experimental and control groups by stratified random allocation method. Initially, their communication skill was assessed using Queendom scale. Participants in the experimental group received communication skills training based on Calgary-Cambridge model in four four-hour sessions held twice weekly. The control group did not receive any intervention. Communication skill in both control and experimental groups was re-assessed respectively four weeks after pretest. Data were analyzed using the Mann-Whitney U test, the independent-sample t test and the paired-sample test in SPSS-16 software. Results: The pretest mean scores of communication skill in the experimental and the control groups were respectively 122. 43± 9. 40 and 122. 29± 7. 81, with no significant between-group difference. At post-test, the mean score of communication skill in the experimental and the control groups was respectively 122± 8. 06 and 120± 8. 08 and the between-group difference was not significant (P=0. 51). Conclusion: Communication skills training through Calgary-Cambridge model is not effective in significantly improving midwifery students’ communication skill. Therefore, to improve communication skills, this model is insufficient and may need to be modified, or it is necessary to add more intervention to this model.

Background: Breast cancer is the most common cancer among women in Iran. Early diagnosis of breast cancer by mammography could decrease the rate of mortality and improve the survival rate. This study aimed to determine the predicting factors of mammography adherence among Iranian women based on transtheoretical model. Methods: This cross-sectional study was done on 300 married women in Yazd in 2018. Subjects was recruited using cluster sampling. Data were gathered through researcher-made questionnaire based on trans-theoretical model. The constructs of decisional balance, self-efficacy, stages and process of change were studied. Data were analyzed using chi-square test, one-way analysis of variance, Spearman correlation coefficient and regression analysis in SPSS-16 software. Results: The mean age of women was 47. 25± 6. 97 years old (ranged from 40 to 70). Most of the participants (86. 4%) were in inactive stages of decision-making for performing mammography and only 5. 3% were in active stages. The mean score of self-efficacy among the studied women was 24. 54± 6. 5. According to linear regression test, the validity of the predicting trans-theoretical model by all of its constructs together was 47%. Conclusion: Results of the present study showed that most of the women were at inactive stages of decision-making for mammography behavior and, based on the results, to improve the stages of the behavior, their self-efficacy should be improved.

Background: Entrepreneurship is a process in which a person with a new idea and thought offers a new product and service to market by mobilizing all resources through building businesses by accepting financial, social and economic risks. Given the existing bases in the field of health, the present study was conducted with an aim to determine the entrepreneurial talent in nursing students at universities of Golestan province. Methods: The present cross-sectional study was conducted on 250 postgraduate nursing students at universities of Golestan province during the academic year of 2018-2019, and they were included in the study using the simple random method. The data were gathered using a 95-item Kordenaeej entrepreneurship questionnaire with eight subscale including need for achievement, Internal locus of control, Moderate risk-taking propensity, Ambiguity tolerance, thought flow, daydreaming, operation oriented, and challenge seeking. The final score of entrepreneurial talent was categorized as very weak (95-264), weak (265-283), strong (284-303), and very strong (304380). Data were analyzed in SPSS16 using descriptive statistics, independent and paired t-tests, and chi-square test. Significance level was considered less than 0. 05. Results: The students' mean age was 20. 95± 2. 37. Samples were strong or very strong only in challenge seeking and thought flow, and were weak or very weak in other features. In the entrepreneurial talent, 47. 7% were very weak, 29. 4% were weak, 17. 4% were strong and only 5. 5% were very strong. There were statistical significant relationships between students' gender and entrepreneurial talent (P=0. 002) as well as students' place of residence and entrepreneurial talent (P=0. 039). Conclusion: Results of the present study indicated that nursing students at universities of Golestan province were weak in entrepreneurial talent. The students' weakness of entrepreneurial talent indicated that it was necessary to pay attention to the entrepreneurial talent and strengthen the above characteristics in nursing students using the necessary interventions and proper planning.

Background: The gap between knowledge and practice is a global issue that reduces service quality by creating barriers to knowledge implementation, and thus strategies should be developed to resolve it. The present study aimed to explain barriers and strategies for implementing knowledge implementation into Iranian health system management. Methods: This qualitative study was conducted on 53 managers and health management graduates in 2018. Participants were recruited through purposive sampling in Medical Sciences Universities in Iran. Data were collected by semi-structured interviews based on the "Promoting Action on Research Implementation (PARiHS)" framework, focus group discussions and Delphi technique. The PARiHS framework has three main elements including; evidence, context and facilitation. The Lincoln and Guba criterion was used to assess the rigor of the study. Data were analyzed in MAXQDA software version 10 using directional content analysis. Results: After data analysis 9 subcategories and 3 main categories including; evidence, context, and facilitation were emerged. In addition to three subcategories including, culture, leadership and evaluation, the socio-political subcategory was a context for knowledge implementation main barrier in the organizational context. The systematic structural planning for the combined use of four sources of knowledge is the most important strategy. Conclusion: The lack of context readiness in using knowledge and lack of efficient system impeded knowledge implementation in the health system management. Therefore, managers and policy makers need to design a comprehensive system based on current knowledge and successful experiences.