Medical-Surgical Nursing Journal
Year:2022 | Volume:11 | Issue:2|Papers Count:6

Background: The operating room is a high-risk environment in which practitioners with different educational backgrounds work together to provide safe care for surgical patients. The surgical team needs to use teamwork skills for safe performance and error prevention. Pediatric surgery is a very sensitive surgery type that needs special psychological skills. Objectives: This study aimed to assess surgical teams’,teamwork skills in pediatric surgery. Methods: This cross-sectional study was conducted on 154 surgical teams working in the pediatric operating rooms of two public hospitals in Shiraz, Iran, during the summer of 2021 using convenience sampling. The data were collected by the Mayo High-Performance Teamwork Scale. An operating room technologist collected the data by observing surgeries. Descriptive statistics were used for the analysis of the data. The data were analyzed using SPSS software (version 22). Results: The mean value of the teamwork score was 1. 57 ±,0. 20 (out of 2). The total teamwork score was 25. 20 ±,3. 31 (out of 32). The majority of items had a score of more than average. The team members had the highest score in recognizing a leader. The studied surgical teams had low scores in verbalizing their activities and repeating back the instructions. Conclusions: The overall teamwork score in the studied teams in the pediatric operating rooms was at an acceptable level. However, the studied teams did not do well in team communication behaviors. Interventions, such as educating, standardizing communications, and implementing a pediatric surgical safety checklist, can improve team communication skills.

Background: Pain is a process of daily burn dressing changes. Evidence shows the effect of God’, s name on reducing pain. Objectives: This study aimed to evaluate the effect of Islamic dhikr on pain severity and quality of burn dressing change. Methods: This clinical trial was performed on 71 patients with burns in 2017. Patients were selected by convenience sampling and randomly assigned to intervention and control groups. Then, 10 minutes before the start of the dressing change, the participants were asked to repeat the praises of Hazrat Fatima (PBUH). Patients in the control group received routine care. Pain severity was measured in patients before and 15, 30, 45, and 60 minutes after the dressing change with the Visual Analog Scale (VAS). The pain quality of patients was measured 15 minutes after the dressing change with the modified McGill Pain Questionnaire (MPQ). Data were analyzed using SPSS version 22 software with descriptive and analytical statistics. Results: The independent t-test showed a statistically significant difference between the experimental and control groups in terms of meanpain severity 15, 30, and 45 minutes after the dressing change (P = 0. 001, P = 0. 04, and 0. 007, respectively). Also, the repeatedmeasures analysis showed that the variation of the mean pain severity scores was statistically significant across all phases of the study (F = 30. 42, P < 0. 001). The results showed a statistically significant difference in the mean scores of sensory and emotional dimensions and the total score of pain quality between the two groups (P = 0. 003, P = 0. 07, and P = 0. 047, respectively). Conclusions: Islamic dhikr can reduce pain during burn dressing changes.

Background: Respiratory failure caused by pneumonia is the leading cause of death in coronavirus disease 2019 (COVID-19) patients,furthermore, anxiety and depression caused by this disease and its complications, as the most common psychological disorders might harm the mental health of COVID-19 patients. Objectives: This study aimed to look into the effect of a home-based pulmonary rehabilitation (HBPR) program on anxiety and depression in COVID-19 patients (severe acute respiratory syndrome). Methods: This randomized clinical trial was conducted on 70 COVID-19 patients in Kerman, Iran, in 2021, randomly allocated into 2 equal groups of control (n = 35) and intervention (n = 35). In the control group, the patients received only routine post-discharge care, and in the intervention group, the patients received HBPR procedures based on the “, Guide to Restoring Movement COVID-19 Protocol”,by John Hopkins University, the United States, that teaches to patients after discharge. The Hospital AnxietyandDepression Scale was used to determine anxiety and depression status and scores before and after 4-week procedures. Additionally, the chisquare, Fisher’, s exact, and Mann-Whitney U tests were used to compare anxiety and depression status and scores between the 2 groups. P < 0. 05 was considered statistically significant. Results: The median score of anxiety (5 vs. 14, P < 0. 0001) and depression (6 vs. 10, P < 0. 0001), 4 weeks after discharge from the hospital in the intervention group, was significantly lower than in the control group based on the Mann-WhitneyUtest (P< 0. 0001). Conclusions: This rehabilitation procedure is effective in the reduction of anxiety and depression in COVID-19 patients and their pulmonary status. Therefore, it can be used as a treatment procedure for mental recovery in these patients.

Background: The family-centered empowerment model seems to be effective in empowering the patient and engaging family members in identifying the patient’, s care needs and cooperating with the patient to control diabetes and its complications. Objectives: The present study aimed to evaluate the effect of the family-centered empowerment model on family functioning in children with type 1 diabetes. Methods: This quasi-experimental study was conducted on 80 primary caregivers of children with type 1 diabetes admitted to the diabetes clinic of Hazrat Ali Asghar (AS) Hospital in Zahedan, southeast Iran, in 2021. The diabetic children were selected using convenience sampling, and then the participants were equally classified by the random block method and were assigned to 2 groups (intervention and control groups). The data were collected using the family assessment device (FAD) and a demographic information form. Repeated measures analysis of variance (ANOVA) was used to assess the effectiveness of the training intervention by modifying the effect of some quantitative variables. The significance level in this study was set at 0. 05 (P = 0. 05) using SPSS version 26. Results: The mean age of the children was 8. 95 ±,2. 18 years in the intervention group and 9. 10 ±,1. 97 years in the control group (P = 0. 75). The mean family functioning scores were not significantly different between the intervention and control groups before the intervention. However, the 2 groups showed a significant difference in terms of family functioning scores one and a half and 3 months after the intervention (P < 0. 001). Conclusions: Teaching family members about disease control can be very useful because there is a strong connection between the family and the health status of its members. People, especially those with chronic diseases, are dependent on their family members, and even their attitudes are affected by the family.

Background: This study aimed to determine the effect of blood groups on dyadic adjustment, quality of life, and health anxiety in nurses. Methods: In this causal-comparative research, 200 married nurses working in the health care centers of Iranshahr City were selected by simple random sampling using Cochran’, s sample size formula in 2019. Data were collected using Spinner’, s marital adjustment questionnaire, War and Sherborn’, s quality of life questionnaire, and Salkovskis’,health anxiety inventory. Results: To investigate the difference among the groups, SPSS was applied, and multivariate and one-way analyses of variance were run. Amongthe subscales of dyadic adjustment, only the mean score of dyadic cohesion was higher in blood group A than in groups B and AB. Among the subscales of life quality, the mean score of affective role play was higher in blood group A than in groups B and AB, the mean score of social function was lower in blood group B than in blood group O, and the mean score of general health was higher in blood group A than in group B. However, the mean score of health anxiety was lower in blood group A than in blood group B. Conclusions: Given the relationship between health anxiety, marital compatibility, and quality of life with blood types among married nurses, the present study results can help increase people’, s awareness about at-risk blood types. As a result, vulnerable groups can be screened and trained to improve their lifestyles, healthy behavior, and environment to live a better life.

Context: Nursing students must have the minimum necessary competencies to enter the nursing profession, and supervision in clinical education is one of the critical strategies to improve students’,clinical skills. Clinical supervision in clinical education for nursing students leads to developing the desired standards in patient care. Accordingly, as was the objective of this study, an awareness of the challenges facing nursing instructors’,clinical supervision can help improve the effectiveness of clinical supervision. Methods: This qualitative study was conducted using a conventional content analysis approach. The participants were 18 individuals, including 11 instructors, three students, and four experienced nurses, who were selected using purposive sampling. The sampling process continued until data saturation. The data were collected using semi-structured interviews and analyzed via the conventional content analysis approach. Results: Clinical supervision in nursing education is influenced by a non-constructive setting, which is characterized by (1) student overcrowding, (2) clinical education with limited equipment, (3) negative attitudes in the clinical setting, (4) physician-oriented education, and (5) the inefficiency of the education-treatment system to support students. Conclusions: Non-constructive supervisory settings disrupt the instructor’, s performance as a supervisor and increase the complexity of clinical supervision. Thus, recognizing the challenges in the environment and solving them by educational managers can pave the way for the effective implementation of clinical supervision in nursing education.