Nursing And Midwifery Journal
Year:2018 | Volume:16 | Issue:7 ( 108)|Papers Count:8

Background & Aims: The purpose of this study was to determine The Effectiveness of psychological First aid on Coping Skills with Stress and the Emotional competence of postpartum women. In this semi experimental study, a two-group design with pre and posttest was used. Materials & Methods: The study population consisted of all women referred to Ghamar Banihashem Hospital in Khoy for delivery in February 2018. A total of 24 people were selected through purposeful sampling and randomly assigned to experimental and control groups. For the experimental group, psychological First aid was conducted in 8 sessions of 90 minutes, while the control group did not receive any training. The data were collected by Endler & Parker Stress coping strategies Questionnaire and Brasseur et al. Data analysis was done by using covariance analysis in SPSS21 software. Results: The findings of the study showed that the mean score of the problem-solving coping strategy in the experimental group was higher than the control group and the mean score of the Emotional coping strategy of the excitement circuit was significantly decreased. (P<0. 005). But scores of avoidant coping in the experimental group compared to the control group had no significant difference. There was a significant difference between two groups in terms of emotional competence (P<0. 005). Conclusion: Based on the results, it can be concluded that psychological First aid in postpartum period is effective in coping with stress (Emotional and problem-solving) and women's emotional competence.

Background & Aims: The nursing master degree programs should prepare graduate nurses to integrate advanced theoretical, research-based, and clinical knowledge into clinical nursing practice. Since comparing the nursing master degree programs in different universities is of key importance in identifying their strengths and weaknesses and utilizing successful strategies and experiences, this study aimed to compare Iranian neonatal nursing curriculum with the neonatal nursing curriculum of the McMaster University of Canada. Materials & Methods: This descriptive comparative study was conducted in 2018 using the Beredy model in four steps of description, interpretation, proximity, and comparison. The comparative elements included the philosophy, mission, vision, value, goals and objectives, Graduates' roles, entry requirements, duration and courses, executive strategies, teaching and evaluation methods, and accreditation. Results: The values and goals of both master programs were based on the beliefs and values of the community and their mission was clear. In the Iranian program, the role of neonatal nurses included the supportive, educational, research, and management while the Canadian program did not mention the future roles of their neonatal nurses. Also, the McMaster University provided more comprehensive and more relevant admission requirements and postgraduate courses for the neonatal nursing program than the similar Iranian program. Conclusion: The results showed that the Iranian neonatal nursing program, compared to the Canadian one in McMaster University, has mainly focused on research and has had executive failures in organizing robust entry requirements for student admission, enriching the students’ competencies in specialized neonatal nursing skills, and providing and securing a better position for the graduates in the clinical settings. Therefore, we should address these deficiencies in the Iranian neonatal nursing program to improve our curriculum and achieve better outcomes and high-quality care in the field of nursing practice.

Background & Aims: Empathy is the basis of the healthcare provider-patient relationship which has favorable outcomes for patients in stressful and technological environment of operating room. Determining the empathy score in operating room students can help to identify existing deficiencies and enhance this skill. Therefore, the purpose of this study was to investigate the empathy for patient score and its related factors in undergraduate operating room students. Materials & Methods: This cross-sectional (descriptive analysis) study was carried out in the academic year 2017-2018 on 110 operating room students from the first to the fourth years that were selected by convenience sampling in the School of Nursing and Midwifery at Isfahan University of Medical Sciences. The research instrument completed by the samples was the Jefferson Scale of Empathy-Health Profession Students version. Data were analyzed using descriptive statistics and statistical tests in SPSS 22. 0 software. Results: Total mean empathy scores of operating room students was 89. 2 ± 14. 2 and the scores of its dimensions including: perspective-taking was 55. 06 ± 5. 5, compassionate care was 26. 3 ± 12. 01 and standing in patient’ s shoes was 7. 8 ± 2. 3. There was no significant difference between the total empathy scores and demographic characteristics of the samples. Conclusion: The empathy score in operating room students was moderate. So empathetic communication training for students in this field of study should be considered. Since the relationship between empathy score and demographic characteristics was not significant, definite conclusion in this regard requires more research.

Background & Aims: Patient safety is the priority of the operating room. Since retained surgical items and specimen management errors are the most important safety issues, operating room nurses and technologist are in a unique position to report the errors that occur in the OR. On the other hand, documentation is also the task of these personnel, so the aim of present study is to determine the effect of counting surgical items and specimen care documentation forms on the number of reported errors. Materials & Methods: A semi-experimental, single-group and pre-post design was conducted. Sampling was done by census and 65 technologists and nurses met the study inclusion criteria. The data collection tool was an error reporting questionnaire. During intervention documentation of the intraoperative care was performed for two months and the error reporting questionnaire was distributed before and after intervention period. Results: The frequency of unreported errors after the intervention was significantly decreased but the frequency of oral reported errors were not significantly different between before and after the intervention, and the frequency of counting surgical items written errors after the intervention was significantly increased. Conclusion: Using appropriate documentation can encourage OR nurses and technologists to report errors and increase patient safety.

Background & Aims: Medical errors, in addition to loss of life and property and immoral effects, are the reasons of the many avoidable deaths. So these are the necessities of performing this study. The aim of this study was to determine plenty of medical errors, type and degree of injury in hospitals in 1393. Materials & Methods: In this retrospective descriptive study, all reported medical errors by hospitals in 1393 were studied. Data collection tool was an Error Reporting form approved by the Medical University of Western Azerbaijan province, which was reported by staff and data were analyzed using descriptive statistics. Results: The total number of reported medical errors in that year was 84. One case (1. 2%) resulted in death and 53 cases (63. 1%) of the errors reported in the educational centers of the Urmia were damaged. Most of reported errors related to trauma center. The highest error reporting was reported with 45. 2% of the trauma center. The highest reported errors were nurses with 46. 4% and the most reported errors were 42. 9%. Among the errors in the mistakes, the wrong drug was reported by 21. 4% more than other errors. Conclusion: The total number of reported errors from all centers was much less compared to developed countries. it seems to promoting patient safety culture and eliminate the fear of punishment in centers, got to higher number of error reporting and analysis on how the event error and learning from mistakes, errors can be prevented in the future happened.

Background & Aims: Oral care in patients undergoing mechanical ventilation is one of the essential requirements of nursing practice, the present study was carried out in order to determine the effect of two methods mouth wash (chlorhexidine and chlorhexidine combined with hydrogen peroxide solution) on the frequency of oral plaques in patients undergoing mechanical ventilation in the intensive care unit of Imam Khomeini Hospital in Urmia. Materials & Methods: This study is a randomized, single-blind clinical trial with parallel design on two groups of patients admitted to the critical care units of Imam Khomeini Hospital in Urmia, in which 98 patients with inclusion criteria were randomly assigned to two groups A and B. Intervention in group A was oral care with chlorhexidine mouthwash (0. 2%) and in group B (0. 2% chlorhexidine mouthwash with 1. 5% hydrogen peroxide solution). Data collection tools included demographic characteristic form, Beck oral assessment scale, and Mucosal-Plaque Score. The data were analyzed by SPSS v. 20, chisquare, independent t, and Mann-Whitney statistical test. Results: There was a significant statistical difference between the two groups of chlorhexidine mouthwash and chlorhexidine mouthwash with hydrogen peroxide in terms of oral plaque, oral mucosal health, and ultimately Mucosal-Plaque Score (P <0. 05). Conclusion: Based on the findings of this study, it can be concluded that chlorhexidine mouthwash with hydrogen peroxide can be effective in preventing or reducing the frequency of oral plaques in patients undergoing mechanical ventilation.

Background & Aims: If the stress of a person, he is more than capable of coping capacity, can in the long run, cause physical and psychological. The prediction of stressors is essential in order to plan for educational interventions. Therefore, this study aimed to investigate the role of social cognitive theory structures in anticipation of exotic first year students stress Arak University of Medical Sciences. Materials & Methods: This cross-sectional study was conducted through census method among 156 students of arak University Medical Sciences during 2015-2016 academic years. Data was collected by demographic questionnaire and, Perceived Stress scale (Cohen), Coping self-Efficacy Scale (Chesny) and scale of perceived social support (zimet); that have acceptable reliability and validity. Then Data were analyzed by Descriptive and inferential statistical test. Results: Results showed that 25/6% of students were male and 74/4% of them were female. The participants’ mean age was 18/99± 0/51 years. 28. 8% of students had above-average stress score. Average stress female students was 21/6± 8/03 and male 17/1± 9/2, indicating higher stress in female students. Factors predictive of students stress was self-efficacy and social support that both structures are important social cognitive theory. Between perceived stress and self-efficacy (r=-0/6, p<0/001) and social support (r=-0/31, p<0/001) there was a significant relationship. Conclusion: It seems self-efficacy plays a central role in the regulation of students' mental state, as well as support for informal, family understanding, support received by professors and university employees can have a major role in controlling and reducing stress.

Background & Aims: The occurrence of errors in writing skill in English language is a typical issue among the foreign language learners that requires an error analysis in detail. Accordingly, the purpose of present study is to analysis the type of written errors in papers submitted to Nursing and Midwifery Journal of Urmia University of Medical Sciences before conducting any scientific editing. Materials & Methods: In order to analyze the errors, from among a number of papers submitted to the journal, the English abstract of 50 papers were selected randomly, and the type of written errors were analyzed regarding the frequency and percentage of their occurrence. To analyze the data, SPSS software, version 16 was used. Results: The findings revealed that the ratio of errors in terms of interlanguage interference (first language interference) in the target language (English) was more than the errors in the intralanguage interference (the target language itself), and they were more related to grammatical and lexical errors. Conclusion: The findings showed that first language has a significant effect on the occurrence of written errors in the target language. Therefore, by analyzing the type of errors, and rooting out their causes, we can evaluate the writing proficiency level of the submitters in the target language (English), to prevent the repetition of same written errors in their written materials.