Nursing And Midwifery Journal
Year:2021 | Volume:19 | Issue:7 (144)|Papers Count:9

Background & Aims: One of the most important duties of a nurse is oral care of anesthetized patients that can prevent many complications. The aim of this study was to determine and compare the effect of mouthwashes (echinacea, listerine and chlorhexidine) on the microbial flora and the severity of oral health disorders in intensive care units. Materials & Methods: This study was a clinical trial in which 180 patients in the intensive care unit of Imam Hossein and Shohada Tajrish hospitals in Tehran in 2020 were studied. Individuals with a level of consciousness less than 8, with an endotracheal tube, within the age range of 15-65 years, were assigned into three groups of 60 people by randomized hexagonal blocking method. To collect the data, in addition to the saliva sample test, the "tooth value" (BOAS) was used and each of the mouthwashes of Echinacea, Listerine, and Chlorhexidine were used twice a day for the patients in the groups and after a weekthe data were collected. Data analysis was performed using SPSS software. Results: The results showed that there was a statistically significant difference between the three groups in terms of the frequency of positive and negative bacterial cultures before and after the intervention. In addition, the use of mouthwashes changed the severity of oral hygiene disorders from moderate to mild (p <0. 05). Conclusion: Since the use of all three types of mouthwashes reduces the severity of oral hygiene disorders and considering the benefits of herbal compounds, Echinacea can be suggested as a suitable alternative to other mouthwashes, especially chlorhexidine.

Background & Aims: Clinical competence has a great impact on providing quality nursing care in Neonatal Intensive Care Units (NICU). Clinical competence is a complex concept that has different dimensions and its level and related factors have been reported numerously and sometimes contradictory in different clinical wards. The aim of this study was to evaluate the clinical competence and its relationship with job stress of nurses in NICUs affiliated to Shahid Beheshti University of Medical Sciences in Tehran in 2018. Materials & Methods: In this descriptive cross-sectional study, 143 nurses working in NICU of hospitals affiliated to Shahid Beheshti University of Medical Sciences were enrolled by census sampling. Clinical competence (level of competence and rate of application of clinical skills) and job stress of nurses were measured using "Nurse Clinical Competence Scale" (with 73 items and 7 domains) and "ASIPO Job Stress Questionnaire" (with 60 items and six domains). Data were analyzed using SPSS 22 statistical software using descriptive statistics and Pearson correlation test, independent t-test and one-way analysis of variance at a significance level of p <0. 05. Results: The mean score of clinical competency level was 68. 3 ±,21. 19 and was at a good level. The mean job stress of nurses was 207. 43 ±,34. 59 and was evaluated at a moderate level. The mean clinical skill utilization was 241. 3 ±,31. 9 which was at the moderate level. Work shift-type showed a significant relationship with total clinical skill utilization score (p = 0. 041). A negative correlation was found between the clinical skill utilization and job stress (p = 0. 006) and also the rate of using clinical skills in the domains of education and guidance (p = 0. 017), managerial skills (p=0. 045), therapeutic intervention (p=0. 041), quality assurance (p=0. 001), and organizational tasks (p = 0. 007) had a negative correlation with total job stress of nurses. Conclusion: The level of clinical competence of nurses and the level of utilization of skills from their point of view were good and average, respectively. Increased total clinical competency was associated with reduced total job stress. Reduced job stress was associated with increased use of clinical skills in the domains of education and guidance, managerial skills, therapeutic intervention, quality assurance, and organizational tasks. Therefore, it is necessary for nursing managers to pay attention to reduce the job stress in order to promote the use of clinical skills in different dimensions and to provide conditions for improving the clinical competence.

Background & Aims: Satisfaction with marital life depends on several factors, and one of the important factor that influencing marital satisfaction is sexual self-efficacy. The aim of this study was to determine the mediating role of sexual self-efficacy between personality characteristics and marital satisfaction. Materials & Methods: This study was a correlational study. The statistical population of the study included all married women living in Tehran. In this study, 290 married women were selected through convenient sampling and they completed NEO-Five Factor Inventory (FFI), Enrich Marital Satisfaction Questionnaire and sexual self-efficacy questionnaire. Descriptive statistics, correlation coefficient, path analysis and bootstrap test were used to analyze the data using SPSS and AMOS softwares. Results: the results showed that there were significant correlations between personality characteristics (conscientiousness, extraversion, neuroticism) and sexual self-efficacy with marital satisfaction and sexual self-efficacy can significantly have a mediating role between extraversion & neuroticism and marital satisfaction. Conclusion: The results showed that low levels of neuroticism and high levels of extraversion can increase marital satisfaction through increasing sexual self-efficacy. Due to effect of marital satisfaction on physical and psychological health of couples, it suggested that therapists pay more attention to the components of this study, especially sexual self-efficacy.

Background & Aims: Clinical education environment with different educational models is a place to develop students' clinical skills to enter their working community, i. e. the hospital. The aim of this study was to determine the level of satisfaction of operating room students with the implementation of clinical education by preceptorship method in Alborz University of Medical Sciences in 2019-2020. Materials & Methods: In this descriptive-analytical cross-sectional study, 52 7th and 8th semester undergraduate operating room students entered the study. Data were collected through a clinical facilitation satisfaction questionnaire and entered into SPSS software and analyzed through descriptive tests (mean and standard deviation) and analytical tests (Pearson’, s correlation coefficient, t-test). Results: The results of the present study showed that the students' satisfaction with the implementation of the preceptorship model is at a desirable level and its average is 97. 51. T-test showed a significant difference between the mean satisfaction score in women and men (p = 0. 007) and the satisfaction score was significantly higher in men than women. Conclusion: Considering the satisfaction of final year students of the operating room with the implementation of this educational model, this method can be used along with other methods in the clinical education of students.

Background & Aims: Personal protective equipment is used as an equipment to protect against various occupational injuries and prevent the transmission of infection to others. Therefore, the aim of this study was to investigate the effect of multimedia education on the use of personal protective equipment among nurses in the pediatric intensive care units. Materials & Methods: This quasi-experimental study was performed in the pediatric wards of Motahhari Hospital affiliated to Urmia University of Medical Sciences by stratified random sampling in 2019. The use of personal protective equipment by nurses before and after training was assessed by the researcher (invisibly) using a self-made checklist (with approved validity and reliability) by attending various shifts. Intervention through a CD containing multimedia on the use of personal protective equipment during various procedures consisted of two instructional videos. The data were then analyzed by SPSS software version 16 with one-way ANOVA and t-test. Results: The overall performance of nurses in the use of personal protective equipment after multimedia training increased significantly (p = 0. 012), and the highest rate was related to mask use (0. 001 > p), glasses (p = 0. 012) and, gowns (p = 0. 019), except for gloves (p = 0. 162). Also, the highest and lowest rates of observance in different clinical procedures were related to bone marrow puncture (100%) and blood transfusion (50%) procedures, respectively. Conclusion: The multimedia training program, due to its merits in meeting the educational needs of nurses, increased the use of personal protective equipments in a variety of procedures.

Background & Aims: Diabetes Mellitus (DM) is the most common chronic disease in the world that is the major risk factor of fatal diseases such as myocardial infarction and stroke also the complication of DM is a common cause of disability. The most important treatment to control DM is insulin therapy,however, due to several factors, patients do not tolerate this method. We aimed to identify the factors affecting poor adherence to insulin therapy in the patients and families. Materials & Methods: This study was performed on 216 patients (108 patients with diabetes and 108 families). Demographic information and insulin rejection questionnaire were completed by patients and patients' families. Data were compared based on the Mann-Whitney and independent t-tests. Results: Findings of our study showed that among the group of diabetic patients, mean and standard deviation of the score of factors such as fear of needle, injection site pain, additional cost, family injury with needle, other people's experiences, psychological trauma, injection difficulty, fear of side effects ratio, and other factors were significantly higher and they were the most important reasons for not taking insulin in this group. Among the diabetic family group, the mean and standard deviation of the score of factors such as family dependence, fear of needles, injection site pain, additional cost, other people's experiences, trauma, injection difficulty, and fear of complications were significantly higher than other factors. Conclusion: Based on the results, most of the barriers to the non-use of insulin are due to unnecessary fears in patients that training and eliminating the barriers with training classes can increase patients' compliance with insulin and increase their adherence to the treatment regimen.

Background & Aims: Colorectal cancer is the third most common cancer in the world and is associated with a significant mortality rate. The survival rate in colorectal cancer is completely related to the time of its diagnosis and so screening is a valuable method for its early detection. This study was performed to determine the predictive factors for participation in colorectal cancer screening based on the BASNEF model. Materials & Methods: This is a predictive correlational study that was performed on 576 subjects over the age of 50 in Tabriz in 2019. The sampling method was multi-stage clustering method. To collect the data, a demographic questionnaire and a researcher-made questionnaire based on the constructs of BASNEF model were used. Data analysis was performed using SPSS software version 16 and descriptive and analytical statistical methods. Results: Only 20. 4% of patients reported a history of performing fecal occult blood test and 9. 5% of patients reported a history of colonoscopy. Based on linear regression modeling, among BASNEF model’, s constructs, knowledge and subjective norm and also marital status, smoking and education were significantly related to colorectal cancer screening participation (p <0. 05),and these variables can predict 23. 9% of changes of variance of colorectal cancer screening participation. Conclusion: The constructs of the BASNEF model are good predictors of participation in colorectal cancer screening. Regarding the importance of early diagnosis of colorectal cancer and the low rate of participation in its screening, it is necessary for policymakers to pay more attention to predictive/effective factors in participation of colorectal cancer screening and use interventions such as raising awareness and using important resources of subjective norms.

Background & Aims: Anxiety due to hospitalization and treatment can negatively affect children's recovery. Reducing children's anxiety also makes the experience of hospitalization pleasant for children and their parents, which is one of the important activities of nursing. The aim of this study was to determine the effect of aromatherapy of orange essential oil on anxiety in hospitalized children. Materials & Methods: In this clinical trial, 70 children admitted to Valiasr Hospital in Birjand were selected by convenience sampling method and then randomly assigned to two groups of orange essential oil and routine care. In the intervention group, aromatherapy was performed for 3 days (three times a day). At the beginning and end of the intervention, the Spielberger situational-characteristic anxiety questionnaire for children was completed. Data analysis was performed using SPSS software version 16 and Chi-square, Mann-Whitney, paired t-test, Wilcoxon and t-test were used. A p-value of less than 0. 05 was considered statistically significant. Results: The results of paired t-test showed that in the control group, the mean score of overt and covert anxiety before and after the intervention was not significantly different (p> 0. 05). However, the results of the Wilcoxon test showed that in the intervention group, the mean score of overt and covert anxiety before and after the intervention was significantly different (p <0. 05) and the scores after the intervention were significantly different from the scores before the intervention. Conclusion: The results showed the positive effect of inhaled aromatherapy of orange essential oil on reducing the anxiety of hospitalized children, so aromatherapy is suggested as a new and easy option to reduce the anxiety in hospitalized children.