Nursing And Midwifery Journal
Year:2020 | Volume:17 | Issue:11 (124)|Papers Count:8

Background & Aims: One of the new educational approaches adopted by many medical schools around the world as a suitable method for teaching and learning is the task-based curriculum developed by Harden et al. (1996) in the medical education curricula. The purpose of the present study was to identify the characteristics and methods of teaching and learning task-based curriculum in nursing education. Materials & Methods: This qualitative study was based on an interpretive model and it was implemented using phenomenological method. Data was collected using semi-structured interviews with 12 nursing educators who met the inclusion criteria. Colaizzi method was used to analyze the interview data. Results: Two main components including task-based curriculum teaching and learning features and methods and the 9 sub-components including problem-centered, learner-centered, flexibility and adaptability at macro and micro level, applicability and practicality, laboratory methodology, simulation, problem-solving, integrated methods, and collaborative learning were extracted after analyzing and integrating the findings. Conclusion: The results showed that among the subcomponents obtained from the analysis of the responses of nursing educators, the most important component in identifying task-based curriculum features was applicability and practicality and using integrated methods was important in the main component of the method Teaching and learning.

Background & Aims: Colonoscopy is the most important diagnostic and therapeutic method for colorectal diseases. Patients' satisfaction with such aggressive procedures is an important criterion for assessing the quality of health care. The purpose of this study was to determine the effect of compilation education through video tutorials and visual aids on satisfaction in patients undergoing colonoscopy. Materials & Methods: This quasi-experimental study was performed on 180 outpatient colonoscopy candidates referred to Imam Khomeini Hospital in Urmia in 2018. The participants were selected by convenience sampling method and they were randomly assigned to control and intervention groups. Training videos and educational charts on colonoscopy before colonoscopy and on colonoscopy day were screened for the candidates of the colonoscopy, and the additional information and patient questions were provided. Patients' satisfaction after intervention was assessed by GHAA-9 questionnaire. SPSS software version 16 was utilized and descriptive and inferential methods were used for data analysis. Results: The mean score of satisfaction was 46. 07 ± 5. 03 in the intervention group and 24. 72 ± 7. 94 in the control group. The independent t-test results showed that there was a significant difference between the two groups after the intervention (p <0. 0001). Conclusion: The combination of education through educational videos and video cards significantly increased patient satisfaction, therefore the colonoscopy unit staff are recommended to improve the quality of care and patient satisfaction by using such methods.

Background & Aims: Diabetes is the most common metabolic disease in the world, and self-care is one of the main strategies for controlling the disease. Several studies point to the lack of optimal self-care in diabetic patients as psychological barriers, and emotional distress seems to be one of the factors affecting it. Therefore, this study was conducted to determine the relationship between self-care and emotional distress in patients with type 2 diabetes. Materials & Methods: In this descriptive cross-sectional study, 380 patients with type 2 diabetes were selected from among those referring to Yazd Diabetes Research Center in 2018. A demographic questionnaire, an emotional distress questionnaire, and a self-care questionnaire for diabetic patients were utilized for gathering data. The collected data were analyzed by SPSS software version 21, and descriptive statistics and Pearson correlation coefficient were utilized. Results: The results showed that the mean score of self-care patients was 56. 65 ± 13. 13 and the mean score of emotional distress was 40. 82 ± 15. 15. Therefore, self-care and emotional distress were moderate in most patients. Based on the Pearson correlation coefficient, there was a negative correlation between self-care score and emotional distress in diabetic patients (r =-0. 25, p = 0. 01). Conclusion: Reducing emotional distress is one of the factors affecting the improvement of patients' self-care behaviors, therefore it is necessary to pay attention to it in educational and counseling programs to prevent complications of diabetes and to increase the self-care behaviors of patients.

Background & Aims: Medication error is the most common medical error and it is one of the factors involved in patient safety and it can create complications caused by the combination of both human and systemic factors. The ethical commitment of nursing staff is one of the important variables of organizational behavior that affect their job performance. The purpose of this study was to determine the relationship between ethical commitment and medication error among nurses working in centers affiliated to Urmia University of Medical Sciences in 2018-9 Materials & Methods: This descriptive correlational study was performed on 326 nurses working in 5 medical centers of Urmia. Subjects were selected by multistage sampling method. Data were collected using the Cadozier's ethical commitment questionnaire and the researcher-made questionnaire of selfreported medication errors. Finally, after data collection, data were analyzed by SPSS18 software using descriptive and analytical statistics. Results: In this study, most of the samples were female (71. 8%) with a bachelor's degree (88. 7%). The mean incidence of medication error in the last three months was 1. 64 ± 1. 1 per nurse. The most common type of error was the wrong drug with the wrong dosage and incorrect documentation. 29. 5% of the errors occurred at moderate to high levels of significance, and 26. 7% of the errors resulted in injury to patients. There was a significant relationship between work experience and error rate. The majority of nurses had a low ethical commitment score (30. 67 ± 7. 6). No significant correlation was found between ethical commitment and error score (frequency of errors)(p = 0. 52, r = 0. 035). Conclusion: Although there was no significant relationship between medication error and ethical commitment as an individual factor, the role of organizational factors in medication errors seems to be important. It is essential to focus on individual factors to eliminate medication errors. Also, managers and health providers should work to improve organizational factors so as to reduce medication errors and increase patient safety.

Background & Aims: Sexual desire is one of the most common forms of sexual dysfunction. Counseling with a solution-focused approach can offer helpful support to couples in solving this problem because they have an optimistic and promising perspective on life problems. The aim of the current study was to determine the effect of the solution-focused approach on low sexual desire disorder in women referred to Hamadan health centers. Materials & Methods: This quasi-experimental study was conducted on 120 women with decreased libido referred to health centers in Hamadan, 2016. They were randomly divided into intervention (n=60) and control (n=60) groups. The demographic and socio-demographic information forms, and the low libido assessment questionnaire (Decreased Sexual Desire Screener) were completed before and after the counseling sessions. Intervention group participated in seven sessions of 90 minutes of counseling and care. Data were analyzed by ANCOVA and repeated measure ANCOVA using SPSS software version 16. Results: The findings showed that the mean and standard deviation of libido in the intervention group before and after the intervention were 8. 8± 3. 2, and 6. 7± 1. 7, respectively (p= 0. 001). In the control group, there were no significant differences between pre-and post-intervention scores (8. 7± 2. 8, 8. 5± 2. 8 respectively)(p=0. 520). Conclusion: The results indicated the success of counseling with a solution-focused approach in improving female libido, so this method of counseling can be used to improve libido.

Background & Aims: Human papillomavirus (HPV) infection is the underlying cause of cancer and prevention of this health problem through vaccination has been considered in all countries. The Health Belief Model (HBM) as a behavioral study model helps researchers determine the causes of health behaviors. Therefore, the present study aimed to determine the relationship between HBM constructs and intention to perform HPV vaccination among nursing and midwifery students of Urmia University of Medical Sciences. Materials & Methods: This cross-sectional study was done among 202 midwifery-nursing students at Urmia University of Medical Sciences in 2019. Samples were selected based on census method and entered into the study. The data collection tool was a valid and reliable researcher-made questionnaire containing demographic information and HBM constructs. Data were analyzed using descriptive and inferential statistics (mean, standard deviation, Pearson correlation coefficient, and linear regression) in SPSS software. The p <0. 05 was considered significant. Results: Among HBM constructs, all constructs except construct of perceived barriers showed a significant statistical relationship with students' intention to HPV vaccination. Overall, the present study model explained 62 percent of the variance in HPV vaccination intention. The predictive power of perceived self-efficacy was more than other model constructs. Conclusion: The present study revealed that the HBM was a good approach to explain the intention to perform HPV vaccination. Therefore, the results of this study can be used to design educational interventions to improve the beliefs and attitudes of women regarding HPV vaccination.

Background & Aims: Vaginismus is one of the sex disorders that can cause infertility and affect the concept of femininity and the ability to be a mother and it can also damage the mental and sexual health. The purpose of this study was to evaluate the effectiveness of hypnotherapy on sexual function, pain catastrophizing, and irrational beliefs about fear of sex. Materials & Methods: This study is a quasi-experimental study with a pretest-posttest design and control group and a two-month follow-up. Using the available samples, 30 women with vaginismus were randomly divided into two groups of fifteen. The experimental group received three 90-minute sessions using hypnosis and systematic desensitization based on their individual progress. The control group received no treatment during this time. Both groups were assessed using three questionnaires of sexual function, pain catastrophizing, and irrational beliefs about fear of vaginal penetration in pretest, posttest, and follow-up stages. Results: The results showed a significant difference between the two groups in terms of sexual function, pain catastrophizing, and irrational beliefs about sex in the post-test and follow-up phase (p<0/001). After treatment, all 13 patients in the experimental group were able to have intercourse. Conclusion: The results showed that the use of hypnosis provides the opportunity to treat women with vaginismus in fewer sessions without the presence of a spouse.

Background & Aims: Breast cancer is considered as a serious health concern worldwide. The early diagnosis of this disease plays an important role in reducing mortality and morbidity rates. Therefore, the present study was conducted to investigate the role of motivational interviewing on changing women's mammography behavior in 2017. Materials & Methods: The study population was selected using simple random sampling and then the subjects were assigned into two groups of intervention and control. The motivational interview was conducted in 5 sessions (one hour in each session) once a week for the intervention group. The control group received no intervention. Both groups filled out the demographic and the stages of change questionnaire before and two months after the intervention. Results: In the interview group, no significant differences were observed in the pre-contemplation and action stage prior and two months after intervention (p= 0. 333, and 0. 219, respectively). However, after two months, significant differences were observed in contemplation and maintenance stage in intervention group (p= 0. 006, and 0. 035, respectively). In the control group, most of the women were in contemplation (24%) and maintenance (32%) stages prior to the intervention. Nevertheless, there were no statically significant differences in any stages before and two months after intervention in the control group (p>0. 05). Conclusion: It seems that motivational interview based on the stages of change model was effective in promoting mammography behavior of women. Moreover, counseling based on this model could lead to the promotion of screening behaviors in women.