Avicenna Journal of Nursing and Midwifery Care
Year:2016 | Volume:24 | Issue:3|Papers Count:10

Introduction: Educational goals are the most important components of any educational program and achieving these goals is a fundamental reason for the existence of educational system. In this research, we assessed goal achievement in nursing clinical education as well as its effective factors.Methods: In this descriptive-analytical study, all the nursing students of Hamadan Nursing and Midwifery School who had received internship courses of mental health nursing, community health nursing, children nursing, and nursing management in the 2010-2011 academic year were selected by census method. Data collection with five questionnaires and analysis with SPSS version 16 were performed.Results: Based on ANOVA test results, student’s stress in clinical settings had significant relationships with the following factors: nursing management training goal achievement, student’s identified duties, course objectives presentation on the first day of training, educational objectives and personnel’s expectations matching, professional ethics and proper communication with patients, meeting the prerequisites training courses, meeting clinical education training goals, proper communication between trainer and student, trainer’s patience, collaboration between personnel and the student, student’s decision making power in patient care planning, enough welfare in ward, employment motivation in future, and enough supervision on clinical education with children nursing training goal achievement (P<0.05).Conclusions: Goal achievements of clinical courses in mental health, community health, children nursing and management groups are acceptable. Effective factors with the most frequency were complete support of the student by the instructor in the clinical setting and appropriate instructor communication with student.

Introduction: With respect to the importance of chronic pain acceptance role on coping with chronic pain in the elderly, the current study aimed to evaluate the association of chronic pain acceptance, life style with pain, and restriction related chronic pain in the elderly.Methods: This was a descriptive-analytical research, in which 200 elderly patients with chronic pain were selected by multistage random sampling. Data were collected from Ahwaz health care centers, Iran, in 2014. Chronic pain acceptance, life style with pain, and restriction related chronic pain questionnaires were used for pain acceptance, life style with pain and restriction related chronic pain measurement, respectively. All of these questionnaires are standadrd instruments for elderlies. Independent t-test and linear regression by SPSS software (version 21) were conducted for data analysis.Results: There was a positive significant relationship in pain acceptances and life style with pain (P<0.001, B=0.41) as well as negative significant relationship between pains acceptances and restriction related chronic pain (P<0.001, B=-0.15). Furthermore, a negative significant relationship between life style with pain and restriction related chronic pain (P< 0.001, B=-0.43) was obtained.Conclusions: Elderlies with more pain acceptance had better life styles with pain and lesser restrictions. Moreover, in the elderlies with better life styles with pain, lesser restrictions were observed. Therefore, application of acceptance-oriented treatments for effective pain management in the elderly is proposed.

Introduction: Nurse Managers’ effective leadership style could motivate and satisfy nursing personnel and enhance efficacy and productivity in educational hospitals, and consequently promote the level of community health. This study aimed to investigate the correlation of nurse managers’ demographic characteristics with their emotional intelligence in educational hospitals of Hamadan city, Iran.Methods: A correlation descriptive study was conducted on 370 nurse managers of five educational hospitals (Besat, Farshchian, Beheshti, Fatemieh and Ekbatan) of Hamadan city. Metzcus and Burden’s leadership styles questionnaires were used to collect data. Data were analyzed using descriptive and inferential statistics such as Pearson’s correlation coefficient, T-test and variance analysis.Results: Nurse Managers had dominant people-oriented (laissez-faire) (10.45 ± 2.07 out of 15), task-oriented (autocratic) (12.25±3.04 out of 20) and democratic (7.78±1.27 out of 11.7) leadership styles, respectively in educational hospitals of Hamadan. Moreover, there were significant correlations in age, marriage status, work experience, managerial experience, income level, and employment with Nurse Managers’ leadership styles (P<0.05).Conclusions: Demographic characteristics of nurse managers should be considered according to their crucial roles in enhancing the efficacy and productivity of educational hospitals in selection processes. Furthermore, it seems essential to consider democratic leadership style as an effective style for enhancing the productivity and morale of nursing personnel at in-service educational programs for Nurse Managers.

Introduction: Healthy and adequate diet during pregnancy is critical to maternal health as well as to infant growth and development. The aim of this study was to measure health belief model (HBM) constructs in regards with nutritional practices of pregnant women in Saveh University of Medical Sciences.Methods: A cross- sectional and analytical study was conducted in 2014. The study population was a random multi-stage selection of 260 pregnant women in health centers dependent to Saveh University of Medical Sciences. The data were collected through a self-administered questionnaire based on HBM constructs and the checklist of pregnant women’s practice on diet and was analyzed by statistical methods such as logistic regression test and chi- squared test through SPSS version 18.Results: According to the findings, the mean age of pregnant women was 27.4 ± 5 years.Regression analysis showed that all HBM constructs were significant predictors for nutritional practices (P<0.05). In addition, variables of perceived barriers, self efficacy and perceived sensitivity were identified as the most important constructs of the HBM in predicting nutritional practices.Conclusions: Our study highlights the need for improving the beliefs related with nutritional behaviors, designing educational programs with emphasis on increasing self-efficacy, and removal of barriers to healthy diet behaviors.

Introduction: Cardiovascular diseases are the main cause of death and disability. Prevention and management programs of these diseases have a basic role in the control of these diseases. This study aimed to determine the effect of health-related lifestyle self-management intervention on health promotion behaviors in patients with ischemic heart disease.Methods: This clinical trial was performed on 92 patients with accessible sampling. Data were collected via demographic and health promotion behavior questionnaires. The intervention group took part in the self-management lifestyle program and the control group had regular training. Data analysis was done by descriptive statistics and Kolmogorov-Smirnov test, chi-square, independent sample t-test and paired sample t-test using the SPSS software version 16.Results: Results showed significant statistical difference between mean scores of health promotion behaviors in both groups (P<0.05), yet after the intervention in four areas of health responsibility, physical activity, interpersonal relation and nutrition, a significant difference was observed (P=0.0001). Results also showed a significant difference (P= 0.0001) in both groups in all aspects except stress management (P=0.067) before and after the intervention.Conclusions: The results showed that the program was effective on health promotion behaviors of patients with heart disease and appropriate intervention strategies could be utilized to improve the health of patients.

Introduction: Appropriate adaptation in multiple sclerosis can help reduce problems.One of the more effective and practical templates in nursing that has been concerned with this topic is the Roy Adaptation model. This study was done with the purpose of studying the effect of performance care plan based on the Roy Adaptation Model on effects of fatigue in multiple sclerosis patients.Methods: In this study, 80 patients with multiple sclerosis were selected by available sampling, and randomly divided to two groups of 40 subjects, and assigned to intervention and control groups. The data collection tool in this study was, fatigue effect scale that was completed, by both groups before and after the intervention. The intervention consisted of six sessions; two general education sessions and four care programs based on maladaptive behavior. Data were analyzed with the SPSS software and descriptive- inferential statistics.Results: Before the intervention, the mean fatigue effects scores and domain were not significantly different between the two groups. Mean fatigue effects scores and domain, decreased after care programs based on the Roy adaptation model, in the intervention group, when compared with the control group, and this reduction was statistically significant (P<0.001).Conclusions: Implementation of the Roy Adaptation Model, reduced effects of fatigue in people with multiple sclerosis, therefore it is recommended for nurses to use this model to reduce effects of fatigue in patients.

Introduction: Nurses relationship with children and their family can be effective in the stress of hospitalized children. The aim of this study was to determine the communication skills of nurses when dealing with children and their mothers hospitalized at pediatric wards of Besat Educational and Treatment Center in Hamadan.Methods: In this descriptive-analytical study, using the census method, 22 pediatric nurses were selected. After that, using simple random sampling, communication skills of nurses when dealing with hospitalized children and their mothers were assessed for 330 cases during nursing care. In order to collect data, researcher-a made Communication Skill Checklist with mothers and children were employed. Using descriptive statistics and multiple linear regression model, data were analyzed by SPSS software version 16.Results: Seventy-six percent of nurses’ communication skills with mothers (with mean value of 54.5 and standard deviation value of 13.3) and with children (with mean value of 47.4 and standard deviation value of 12.2) were relatively desirable. Multiple linear regression equation showed that among nurses’ demographic characteristics, only the number of children of married nurses had a statistical relationship with their communication skills with mothers (P<0.01). Also type of work shift (P<0.01) and number of children of married nurses (P<0.01) had a statistical relationship with their communication skills with children.Conclusions: Although nurses’ communication skills with mothers and hospitalized children were relatively high but improvement of the quality of nursing care needs to be promoted.It is recommended for in-service training courses to be held in this field.

Introduction: Adolescence is the beginning of concerns, changes in physical, mental and social life, and person’s distress about health-related issues and concerns, which lead to anxiety during this period that can continue into adulthood. Furthermore, the problems of girls in health and psychosocial aspects is more than boys. Since the best time to target preventive behavior is adolescence, this study aimed to determine the impact of group discussion on adolescent health concerns in 15-18 year-old girls of zanjan city in 2016.Methods: This randomized control trial was performed on eighty 18-15 year-old girls of Zanjan city (40 cases and 40 controls), who were selected randomly. Participants were divided to two groups: intervention and control. Data were collected with demographic and health concern questionnaire. The students of the intervention group took part in six group discussion sessions. Before the intervention, pre-test, and immediately and four weeks after the intervention post-test were taken for both groups. Data were analyzed with the SPSS 17 software using the Chi-square test, t-test and repeated measures analysis of variance.Results: The results showed that after the discussion sessions, the health concerns, of the adolescents of the intervention group, had reduced. In personal health and nutrition dimension only concerns at four weeks after the intervention were significantly reduced compared with that before the invervention (P<0.05) but in environment, health care, disorders, control and prevention injuries, public health, communications and emotional health, the concerns immediately and four weeks after the intervention were reduced compared to the pre-test (P<0.05).Conclusions: Due to the specific characteristics of adolescence and the important role of this period in adult life, educational intervention programs in the field of health concerns and with the direct involvement of youth and friendly group discussions for reducing adolescents’health concerns, are recommended.