Nursing And Midwifery Journal
Year:2019 | Volume:17 | Issue:2 (115)|Papers Count:8

Background and aims: Changes in the vital signs of burn patients are one of the most common problems during dressing. We should look for ways to reduce pain and anxiety followed by changes in the vital signs of these patients. Aromatherapy has been introduced as a low-cost, accessible and safe way to reduce pain and anxiety in patients. Therefore, this study aimed to compare the effect of aromatherapy massage and inhalation aromatherapy on vital signs in burn patients. Materials & Methods: This single-blind randomized clinical trial was performed on 90 patients admitted to the burn ward of Sina Hospital in Tabriz, Iran. Patients were randomly divided into three groups: massage aromatherapy, inhalation aromatherapy and control. The vital signs of the patients were recorded in the 3 groups before and after the intervention (the control group received no intervention) and the results of the data were analyzed using SPSS software. Result: The results of this study showed that the massage therapy reduces systolic blood pressure, respiratory rate and heart rate in burn patients and the inhalation aromatherapy reduces systolic blood pressure in these patients. Conclusion: Using aromatherapy methods can lead to fewer changes in the vital signs of burn patients and ultimately reduce the duration of hospitalization and burn complications.

Background & Aims: Disease perception is based on patients’ beliefs and perceived information about their condition which affects the mental health of the individual and how they deal with it. The purpose of this study was to determine the perception of disease in patients with heart failure. Materials & Methods: This descriptive cross-sectional study was performed on 150 patients admitted to the Cardiology Care Units of selected hospitals affiliated to Iran University of Medical Sciences in 1396. All patients were selected by the sequential method. Data were collected as self-report using the Brief Illness Perception Questionnaire (B-IPQ). Data analysis was done using descriptive and inferential statistics (Scheffé test (Post Hoc Test) ANOVA and Pearson Correlation Coefficient) in SPSS software version 16. Results: The lowest score of illness perception in the selected units was 30, the highest score was 76, and the mean score of disease perception in patients with heart failure was 59. 42 ± 7. 86. The lowest mean was allocated to the illness perception (4. 58 ± 3. 17) and the highest mean related to the outcome (9/33 ± 1/34) followed by the patients’ degrees of concern (8. 79 ± 21. 14). Most of the units (54. 7%) considered stress and psychological problems as the most important cause of the disease. The second and third factors were their lifestyle (46%) and socioeconomic problems (30. 7%). The results showed that educational level variables (P = 0. 004), income adequacy (P = 0. 002), discharge fraction (P = 0. 001) and severity of disease (P <0. 001) and exercise or physical activities (P = 0. 001) were related to illness perception. Conclusion: According to the findings, patients were considered to be at high risk for illness perception. The results of this study can be the basis for further research in order to select appropriate strategies for improving illness perception in patients with heart failure which can ultimately lead to advancement of disease management by patients.

Background & Aim: One of the important aspects in education is the psychological backgrounds which can be effective in Critical thinking (CT). Critical Thinking and Emotional Intelligence are essential skills in health care to provide optimal care for patients. The aim of this study was to investigate the correlation of emotional intelligence (EI) with CT. Materials & Methods: This was a descriptive correlation study. A total of 100 nursing and midwifery students of Bushehr University of Medical Sciences participated in this study during the second semester of the academic year 2017. The Data was collected by California Critical Thinking Skills Test and Bar-On EI inventory and with descriptive statistics (frequency, mean, standard deviation) and analytical statistics (Spearman correlation, Pearson correlation, T test, regression model) were analyzed using SPSS-PC (v. 16). Results: there is a positive correlation between total CT score and total EI score (p<0. 05). It is in components of EI intrapersonal, adaptation, and stress management (p≤ 0. 05). The regression model shows stress management is as predictive factor for CT. Conclusion: This study suggested more focus to components of EI intrapersonal, adaptation, and stress management of students to prepare students for entry into professional practice. Students, while faced with complex situations and decisions in the clinical setting, need to adapt and attention to human needs. In this regard, the integration of critical thinking with cognitive-emotional approaches in nursing and midwifery education programs is suggested.

Background & Aims: One of the important dimension of health is mental health. Men in order to confront stresses, have used defense mechanisms for life-long. Defenses play an important role in mental health. Each mental disturbance relates with a given maladaptive defense mechanism. In this study the relation between the mental health and defense mechanisms of the bachelor students of Urmia University of Medical sciences has been assessed. Methods & Materials: In this descriptive study 189 bachelor students of UMSU were chosen by randomized cluster sampling and completed defense mechanisms questionnaire (DSQ40) and mental health questionnaire (GHQ28). The data’ s were analyzed by descriptive statistics and Independent t test and Pearson’ s coefficient correlation. Results: It was revealed that mental health and its dimensions have a statically significant Relation with immature defense mechanisms, in which people who have a lower level of mental health use much more immature defense mechanisms than the others. It was shown that somatic symptom with a 95% confidence level had a weak and opposite correlation with neurotic defense mechanisms (p <0. 01). Conclusion: There are degrees of disturbances in different dimensions of mental health in these students and use of immature defense mechanism has a negative effect on their mental health. Evaluation of students’ mental health and appropriate medical and educational intervention is necessary.

Background & Aim: Spirituality is an important dimension of holistic nursing and spiritual care is essential in order to ensure the achievement of educational objectives in the nursing profession, providing proper care and obtaining minimum standards of professional competence and maintaining and promoting it. The aim of this study was to investigate nurses and nursing students’ viewpoints about spirituality and spiritual care of patients. Materials & Methods: This study was a descriptive cross-sectional study. The study population included all nursing students and nurses working in hospitals affiliated with Larestan University of Medical Sciences. Finally, 221 subjects were selected by simple random sampling. After collecting data, research data were analyzed using SPSS version 25 and descriptive statistics. Results: Among 221 participants in the study, 86 (38. 9%) were men and 135 (61. 1%) were women, 93 (42. 1%) were nurses and 128 (57. 9%) were nursing students, 124 Individuals (56. 1%) were single and 97 (43. 9%) were married. The assessment of the total score obtained by nurses and nursing students shows that the majority of nurses (49. 5%) had a score range between 63-92(favorable condition) and nursing students (100%) had a score range between 32-62 (average condition). Also, the findings of this study indicated that there is a significant difference between the mean scores of attitude toward spirituality and spiritual care, gender and job status (P <0. 05). Conclusion: A good attitude toward spiritual care among nurses and nursing students can provide a good basis for providing spiritual care to patients.

Background & Aims: Ethnicity is one of the most important social and cultural context of childbearing. The aim of this article is to examine the impact of ethnic differences on the gender preferences and value of children among Kurdish and Turkish women in the city of Maku. Materials & Methods: The method was survey and data collected using questionnaire with a sample size of 384 Kurdish and Turkish married women, aged between 15-49 years old, who were selected by multi-stage sampling. Results: The results showed that the value of children and high fertility (three children and more) is more common among the Kurds than the Turks. Among the women of both groups, there is still son preference, but this preference is greater among Kurdish than Turkish women. The results of multivariate analysis indicated the significantly effect of ethnicity on gender preference and value of children. In fact, despite controlling of the effects of demographic variables, ethnicity has positive and significant effects on the son preference and value of children. Conclusion: Fertility behaviors are influenced by socio-economic, cultural and demographic backgrounds of society. Among them, ethnicity, as a socially-culturally construct, has key role on fertility and childbearing.

Background & Aims: The Preceptorship model has been adopted to support new nurses for their learning in the clinical setting. The success of the Preceptorship model depends very much on the preceptors. The purpose of this study was to examine the preceptors' perceptions of commitment to the preceptor role in a new nurse preceptorship program. Materials & Methods: This descriptive study was conducted in a tertiary teaching hospital in Northwest of Iran. A convenience sample of forty five preceptors from inpatient wards participated in this study. The study used a four-part validated questionnaire including Preceptor’ s Perception of Benefits and Rewards Scale, Preceptor’ s Perception of Support Scale, Commitment to the Preceptor Role Scale and demographic and professional information section. Data were collected during March 2016 and were analyzed using SPSS v. 21. Descriptive statistics including frequency, percentage, mean and standard deviation were used for the analysis. Results: The research findings show that the preceptors had a moderate commitment to their role as preceptors (M = 4. 49, SD = 0. 75). Additionally, support from the nursing admmistrators and coworkers was considered vital for participation in the role. Conclusion: The findings of this study have implications for nursing admmistrators and nursing educators to ensure that appropriate and adequate benefits, rewards and supports are available to preceptors.

Background & Aims: The operational planning is a process that by it managers regular the actions for receiving to goals. One of The problems in Management of Iranian hospitals is the lack of native model for operational planning. This study has been conducted to designing a model for operational planning in Hospitals affiliated to the Ministry of Health and Medical Education of Iran. Materials & Methods: In this functional study, the theoretical models of operational planning were examined through Library Studies and after determining the variables of different models of operational planning, a questionnaire was developed and a survey from 176 experts from academic and administrates of hospitals, the data was collected and Exploratory and confirmatory factor analysis was performed. In order to identify the factors influencing planning, the method of analyzing special values and rotation using the method of varimix and also the cumulative percentage of variance has been used. In order to verify the accuracy of the factor analysis performed on the data and also the adequacy of the sample size from the Keser-Meyer-Alekin Index and the Bartlett Spread Test, and for validating and verifying the final model of the Amos22 software, and to examine the model obtained from the fitting model Used. Results: results of exploratory analysis indicated that effective factors on operational planning in Iranian district hospitals were 8 factors. These factors to the effect arrangement in model consist of: guidance of planning operational and coordinating formation (0. 916), goals Management (0. 912), policy and organizational procedures (0. 878), planning rules (0. 846), statistical reports and evaluation (0. 837), problems Management (0. 830), providing of resources for plan performing (0. 829), organizing of planning team (0. 761). Conclusion: guidance of planning operationals and coordinating formation and goals Management are most effective factors in operational planning in iranian hospitals and use of them and other factors of model can improve the performance of operational planning in hospital.