Iranian Journal of Nursing Research
Year:2020 | Volume:15 | Issue:1|Papers Count:9

Introduction: Considering that spiritual dimension and spiritual well-being are closely related to the dimensions of mental, physical and social health of each person, attention to it is important in health promotion. Family is one of the most important factors affecting the spiritual health of adolescents. Objectives: The aim of this study was to determine the relationship between spiritual health and demographic and family characteristics among adolescent girl students of first grade high schools in the 1 and 5 area of Isfahan. Methods: The present study is a descriptive-analytic study. The study population included 125 high school students from two area of Isfahan who were selected by multi-stage random sampling method. This study was conducted in the academic year 2015-2016. The data gathering tool was a two-part questionnaire, the first part containing demographic information and family characteristics that were prepared using the literature review and the second part was Palutzian Elison's spiritual wellbeing. Data was analyzed using descriptive and inferential statistics and analyzed by using of SPSS 18 software. Results: The findings of this study showed that the mean score of total spiritual health in the students was (95. 5%) and in the religious health (49. 99%) and existential health (44. 96%). In general, students' spiritual well-being was moderate. The total score of spiritual well-being and the score of the existential health of students were directly related to their average score (P <0. 05) but there was no significant relationship with their age and number of children (P> 0. 05). The religious health scores of students were inversely related to their age (P <0. 05), but their mean score and the number of children in the family did not have a significant relationship (P> 0. 05). In The overall score of spiritual health and religious and existential health There was no significant relationship between with educational background and the birth rank of the students and age, and the level of education and work of their mothers and fathers (P> 0. 05). Conclusions: Considering that spiritual health is an important aspect of the health of adolescent girls and the role of family in adolescents health is crucial, adolescence as an infrastructure for community health, conducting further studies and providing appropriate services in the field of spiritual well-being Adolescents and their families by school nurse should pay attention to the health services of schools.

Introduction: Changes and evolution in health care systems, especially in nursing, are achieved through scientific researches. Research is essential for better implementing care and improving quality in clinical practice. Thus, this study aimed to explore nursing professors’ perceptions about research in nursing. Methods: This qualitative study was carried out with conventional content analysis in Urmia nursing school in 2018. Purposive sampling was used to select participants. The data were collected through open and semi-structured interviews with 10 faculty members who had at least 4 years of experience. Six steps of conventional content analysis as described by Graneheim and Landman were used to analyze data. Results: After analyzing the data, the main categories were merged as “ Research in nursing” . The sub-categories included: a) The necessity of nursing research, b) Research status in Iran, c) Research status in the world. Conclusions: Despite the many barriers to use research results, our study shows that participants in the study agree with the necessity of research in nursing. They want to use it in practice and make it develop. The comprehensive support of universities and hospitals for evidence-based nursing and the removal of barriers to nursing research will enhance the scientific knowledge of nursing and improve the quality of health services in the community and in hospitals.

Introduction: Caring for people with cancer and chemotherapy is emotionally challenging. Nursing students, as people who are in the future accepting nursing roles, are no exception. Therefore, it is very important to know their experiences in the first exposure to the patient under chemotherapy in order to train efficient staff and provide quality care. Methods: This study is a descriptive phenomenological study. In this study, purposive sampling was performed among students who had experience in caring of patients under chemotherapy for at least 10 days and wished to express their experiences. Sampling was continued until the depths and richness of the data. The data collection tool was a semi-structured interview. Data analysis was carried out based on Colaizzi’ s method, and Lincoln and Guba criteria were used to ensure rigor and data consistency. Results: In this study, 11 students aged 21-24 years and studied in nursing 8-5 semester were interviewed. After analyzing the data, six sub themes and three main themes were extracted, including altruism, prejudices, and incompetency. Conclusions: The sense of incompetence and lack of preparedness that results in a student judgment and prejudices among students indicates their need to be more prepared to facilitate confrontation with these patients and provide more effective care. On the other hand, maintaining students' mental health should be considered along with using altruism as a powerful motivating force. Therefore, with regard to the above, more accurate educational planning is appropriate.

Introduction: The consequences of misconduct in societies are not well understood and vary depending on the social and cultural context of each country. Identifying the consequences of abuse from the point of view of elderly people who are abused can help the community in particular. This study is part of an extensive qualitative study aimed at explaining the consequences of abuse in the elderly. Methods: This study is a qualitative study in which the conventional content analysis approach is used to collect and analyze data to explain the consequences of elder abuse. In this study, 20 elderly people living in the community were selected by purposeful sampling. The method of gathering information was conducted using in-depth semi-structured interviews in person and face to face. MAXQDA Version 10 software was used in this study to help with data management. Results: The results of the data analysis led to the identification of two categories of corruption and the threatened object that the corruption category had under the categories of kicked pride, exhaustion and distress. Conclusions: Maltreatment of the elderly has different physical and psychological consequences, which may have psychological implications, as they may also have physical consequences. Recognition and awareness of the consequences can point to the devastating impact of abuse on the elderly and highlight efforts to preserve the dignity and self-esteem of the elderly.

Introduction: Patients hospitalized in intensive care unit are at risk of aspiration and subsequent complications due to factors such as endotracheal tube, mechanical ventilation, and decreased level of consciousness. Aspiration of gastric residuals to the lung is one of the preventable lesions in patients who are feeding by tube and under mechanical ventilation. This study was conducted to determine the effect of designed care Plan on incidence of aspiration in intubated patients in ICU. Methods: In this clinical trial, the study population included intubated and mechanically ventilated patients who hospitalized in two ICUs of educational hospitals in 2016. Seventy eligible patients were randomly allocated through permuted blocks into two groups of 35 each. A designed care Plan consisting of head of bed elevation, abdominal massage, measurement of gastric residual volumes was implemented for 3 days in the morning and evening in intervention group, while the control group only received routine care. PH-metric process was used to test oral secretions to diagnose aspiration of gastric residuals. Data were analyzed using independent T-test and chi-square by SPSS 15. Results: Before the intervention, aspiration occurred in all patients in both intervention and control groups. On the second day of study, (7. 1%) in intervention group and 92. 9% in control group were inflicted by aspiration. During third day of study, 100% of control group suffered from aspiration while aspiration did not occur in any patient of intervention group (p<0. 0001). Conclusions: Implementation of a designed care plan including bed elevation, abdominal massage and gastric residual volume measurement had reduced the incidence of aspiration in intubated patients in the ICU, so planning for regular implementation of these preventive programs should be considered in patient care.

Introduction: Patient safety in the present age is one of the main components of the quality of health services and clinical governance. One of the most important goals of the health sector is to provide patient safety. Training on safety and human factors is the most important step in ensuring the health and safety of the patient and attention to the phenomenon of professional communication is very important in reducing the incidence of medical errors. Considering the importance of patient safety and the importance of interphase communication and patient safety culture, the researcher decided to investigate "The Impact of SBAR Communication Model on Observance of Patient Safety Culture by Nurses at the Emergency Department of Shahid Beheshti Hospital in Qom 1396". Methods: Data was collected by a safety culture questionnaire. In this semi-experimental study, 64 nurses from the emergency department of Shahid Beheshti Medical Center in Qom in 1396 were selected and randomly assigned to two groups of 32 intervention and control group 32. After completing the safety culture questionnaire by nurses in two groups, intervention and Control as a pre-test, SBAR Communication Skills Training Program for the intervention group, including teaching a communication booklet and safety culture and SBAR communication model, began for two sessions of two hours. All participants were asked to complete the safety culture questionnaire two weeks after the training sessions. Results: Comparison of the subscales of safety culture and the total score of safety culture in intervention and control groups did not show any significant difference before intervention in intervention nurses (P=0/120). But after the intervention, the mean of safety culture and safety culture in the intervention group was significantly more than the control group, which was statistically significant (P<0. 001). Conclusions: The results showed that, two weeks after the intervention, the safety culture score in the intervention group was increased in comparison with the control group. This means that interventions over time have increased the patient's safety culture in emergency nurses, So using this type of training along with other patient safety enhancements will improve the safety culture and ultimately enhance the quality of care and reduce unwanted injuries.

Introduction: The most common cause of elderly admission is cardiovascular disease and also, anxiety can cause nonspecific symptoms in over 80% of elderly people admitted to intensive care units that threaten their lives. On the other hand, using drugs to control it have physical side effects or drug dependency. Therefore, anxiety management is one of the most important nursing cares that can be managed by using non-pharmacological methods including aromatherapy. Methods: This study was a semi experimental that was performed on 60 elderly admitted to cardiac intensive care units who had no cognitive impairment. Coin tossing was used for random allocation (selecting interventional and control group (and sampling was based on sequential and admission to the ward. Data collection tools were demographic information questionnaires, Abbreviated Mental Test and Hamilton Anxiety Rating Scale which was completed before, first, second and third day of intervention for both groups with ethical considerations. The intervention in the interventional group was using of rose water for three consecutive nights. For data analysis, descriptive and inferential statistics (independent t-test and repeated measure) were used by SPSS software version 22. Results: Before intervention, there was a significant difference between the two groups in anxiety (p <0. 0001) and the two groups were not homogeneous. At the end of the intervention, the level of anxiety decreased in both groups, statistically significant (p <0. 009). There was no significant difference between the anxiety score in the control group before and after the intervention (p = 0. 321). But in the interventional group, the anxiety score decreased from the time interval before the intervention to the third day of intervention, which is statistically significant between the four periods (p <0. 0001). A two-way test between time intervals showed that there was a significant difference between the anxiety score of all two time intervals (p <0. 005). Conclusions: Considering the aged population of the country and the prevalence of heart disease among them, it is necessary to pay attention to management of anxiety in the elderly, especially when admitted to the intensive care units. In addition, it is possible to use complementary medicine, and with respect to Iranian’ s culture rose water is the cheapest and most commonly used fragrance available to reduce the anxiety of elderly.

Introduction: Motivation is an intrinsic factor that induces one to act from within and is a source of one's needs and motivation for learning is very important. The purpose of this study was to determine the effectiveness of "metacognitive strategies" training on increasing students' learning motivation. Methods: This research was a quasi-experimental study with pretest-posttest and follow-up with control group. The statistical population of the study was all undergraduate students of psychology department of Abhar Azad University in the academic year 97-98. Thirty of them were selected by systematic random sampling and were randomly divided into two equal groups. Data were collected using the Motivated Strategies Learning Questionnaire. The validity of the questionnaire was confirmed by faculty members of Zanjan Azad University Psychology Department and the reliability of the questionnaire was measured by Cronbach's alpha. The intervention group was trained in ten 90-minute sessions using "metacognitive strategies". They completed the "motivational strategies learning" questionnaire as pre-test, post-test and follow-up. Data were analyzed by SPSS-24. Results: In the pre-test, post-test and follow-up stages, the intervention and control groups had a significant effect on self-efficacy (F = 10. 32, P <0. 01), internal evaluation (F = 8. 83, P <0. 006)., Test anxiety (F = 5. 80, P <0. 023), Cognitive strategies (F = 6. 20, P <0. 019), Self-regulation (F = 48. 24, P <0. 001), Score total learning motivation (F = 0. 05, P <0. 033). There was a significant difference in motivation. Conclusions: "Metacognitive strategies" increased students' learning motivation and this increase was sustained over time. Therefore, it is suggested that psychologists and professors can use this method to increase student learning motivation.

Introduction: Bullying is widely considered as a serious personal, social and educational issue influencing a significant part of the students. The object of the study is to foretell bullying based on thrill-seeking and the atmosphere of the school together with self-concept mediation in students. Methods: The research is conducted through a descriptive methodology while using solidarity schemes and structural equations modeling. The population consisted of Tehran high school second graders in the school year of 2018-19. The sample individuals are a total of 290 students chosen through cluster sampling. The research tools include the Zuckerman’ s thrill-seeking scale (1992), Ojaghi school atmosphere questionnaire (1998) quoted Saatchi (2010), Rogers’ self-concept questionnaire (1977) and Illinois bullying scale (2001). The structural equations modeling has been exercised for data analysis. Results: The results of the statistical test showed that the curve fitting indices are normal. The variable of thrill-seeking influences bullying directly and also indirectly (due to the selfconcept) (p<0. 05). Furthermore, the self-concept played a mediatory role in relation between school atmosphere and bullying (p<0. 05). Conclusions: The results of the current study verify the necessity of the attention to the thrill-seeking and school atmosphere as the two individual and social variables in predicting bullying behaviors of the students across the schools of the State.