2024-03-28T22:28:59+03:30 http://sjnmp.muk.ac.ir/browse.php?mag_id=13&slc_lang=fa&sid=1
13-157 2024-03-28 10.1002
Scientific Journal of Nursing, Midwifery and Paramedical Faculty SJNMP 2476-4841 2476-4841 10.29252/sjnmp 2018 4 1 Strategies of Professional Nursing Autonomy Mostafa Roshanzadeh mroshanzadeh62@gmail.com Mirhossein Aghaei mirhosseinaghaei@yahoo.com Ehsan Kashani ehsanlashsani20@yahoo.com Zahra Pasaeimehr parsaeimz1@yahoo.com Ali Tajabadi alitaj58@yahoo.com Strategies such as expansion of roles, development of associations, documentation, determining proper measurement tools, specific and accurate definitions, interprofessional team formation, having the support of administrators, expansion of nursing services in the community, and interprofessional educations can play an effective and important role in the professional autonomy of nurses. According to Papathanassoglou et al., one of the important strategies of developing professional autonomy is expansion of the professional roles of nurses (1). In order to achieve positive professional identity and development of autonomy, nurses need to improve their public image and gain a stronger position in healthcare organizations, which can be obtained through increasing their presence in scientific and professional assemblies and specialized nursing organizations. In general, specialized nursing organizations must use strategies and establish rules to strengthen their professional identity and achieve autonomy in nurses. Nursing standards act as a measure taken to form the professional and legal basis for nursing and obtain safe performance (2). The existence of standards makes nurses accountable and responsible for their actions and provides the necessary knowledge, attitude, skills, and judgment for clinical decision-makings. Nursing profession rules must be accurately employed by management groups as a factor for professional autonomy along with official relations. Having a determined function area by individuals and maintaining professional autonomy could be achieved by observing the professional regulations and establishing a job description. In this respect, one of the effective strategies is the use of hospital information system and quality of data report documentation, which can play an important role in achieving professional development. While the nursing process is carried out by nurses, it is necessary to improve the documentation system to further enhance the accreditation of interventions and increase its quality to achieve high-quality interprofessional communications. According to Toulabi et al., nursing documentation system could be improved by providing a prepared nursing report form, placing the network on a portable electronic device or above the patients’ bedside, and having access to remote health, which consequently contribute to effective implementation of data recording system. Improvement of capabilities of the nursing electronic documentation system and interprofessional relations will lead to the provision of accurate and scientific care. In addition, enhancement of nursing documentation system leads to the recognition of duties and responsibilities by nurses and determining of the position of the field for other healthcare groups (3). Moreover, nursing information documentation systems increase the improvement of care and functional areas of nurses in fields of management and education, thereby improving the decision-making of nurses and their role as a member of the interprofessional team. One of the important challenges in the field of professional autonomy is the vague definition and the use of inappropriate means for measurement. The existence of tools plays an important role in assessing and determining the strengths and weaknesses of roles and responsibilities of nurses. According to Skar, the lack of a clear definition of autonomy has led to multiple interpretations and the creation of a one-dimensional view on independent performance of nurses. Therefore, a definite definition of autonomy and a certain theory are required in the field of nursing (4). Another important issue to be considered in this area is teamwork, which is a necessity of cooperation of nurses with other team members. According to Sollami et al., effective teamwork increases the quality of care and motivation and decreases work conflicts. One of the important influences of teamwork is increasing professional autonomy, which itself leads to improved skills, competency, responding ability, trust, respect, and decision-making ability in nurses (5). Independent decision-making requires the approval and support of managers since it improves the self-confidence, efficiency and progress of work, motivation and safety. Studies in this field have suggested that managers in clinical systems can help the autonomy of nurses by making proper decisions. According to Sarkoohijabalbarezi et al., inefficient management structures are the most important deficiencies in achieving progress in the nursing profession, creating negative attitudes (e.g., frustration and dissatisfaction) in nurses toward their profession and, thereby, causing the intention to leave the profession (6). The support of managers and the approach used by these individuals to resolve conflicts among their staff can be effective in promoting relationships between members of a healthcare team. In fact, managers can contribute to the improvement of the interprofessional communications between employees with the appropriate support of the personnel. The development of nursing services at the community level is a great opportunity for nurses in the field of employment and presenting nursing society's capabilities in promoting community health and providing qualitative and suitable services to the public. In addition, expanding the primary services with the management of nurses in the community determines how a university nurse can provide people with low and affordable services. In this regard, Gagne and Choi have marked that service provision systems at the community level can play a significantly important role in the decision-making and planning, prevention, care, and referral to the physician in the healthcare team with the leadership of the nurses. Furthermore, promoting primary care by nurses will create an opportunity for introducing the nursing community to the people. Management and planning of these services by nurses at an extensive level in the community increase the professional autonomy of these individuals (7). Freedom of action and authority in managing the conditions of community members and providing and improving care can be effective in the autonomy of nurses. On the other hand, while nurses can provide people with the most complex issues and problems and most critical services at home, cultural problems in society and obstacles to these activities must be resolved. Finally, it seems that special attention must be paid to interprofessional education in order to achieve professional autonomy. In this respect, the priorities of nursing education must focus on creating educational programs that increase the strength of individuals. Therefore, it seems crucial to correct the curriculum of students to better recognize and respect themselves and develop their independent behaviors, and use educational strategies and proper interactive styles for empowering students and acquiring professional autonomy.   Nursing Professional Autonomy Strategy 2018 9 01 1 5 http://sjnmp.muk.ac.ir/article-1-157-en.pdf
13-160 2024-03-28 10.1002
Scientific Journal of Nursing, Midwifery and Paramedical Faculty SJNMP 2476-4841 2476-4841 10.29252/sjnmp 2018 4 1 Challenges for Improving the Quality of Nursing Care in Iran: A Systematic Review Mohsan Taghadosy taghadosi_1345@yahoo.com Fattemeh Hosieini hossini1389@yahoo.com Background & Aim: Today, improvement of quality of nursing services has faced numerous challenges. Therefore, recognizing the relevant aspects and concepts can help nursing managers properly plan their care programs. This study aimed to identify the challenges of nursing quality improvement in Iran. Materials & Methods: This systematic review was conducted by searching keywords such as “challenge”, “nursing care quality improvement”, and “Iran” in the articles published in the databases of Web of Sciences, PubMed, Google Scholar, SID and Magiran during 2000-2018. While 897 articles were retrieved after the initial search, a total of 16 articles (nine descriptive, two empirical, and five quasi-experimental studies) that met the inclusion criteria were entered into the study. Results: In this study, the main challenges in the improvement of quality of nursing cares in Iran were reported to be educational and management weakness, high workload of nurses, physical and mental stresses of nurses, and old methods of division of labor. The positive effects of communication with patients, application of nursing process, peer assessment and use of an educational supervisor have been established in studies conducted in an interventional manner to improve nursing care. Conclusion: According to the results of the study, interventions should be designed and implemented based on the quality improvement challenges in research in order to use their results in improving the quality of nursing services Challenge Nursing Care Quality Iran 2018 9 01 6 16 http://sjnmp.muk.ac.ir/article-1-160-en.pdf
13-156 2024-03-28 10.1002
Scientific Journal of Nursing, Midwifery and Paramedical Faculty SJNMP 2476-4841 2476-4841 10.29252/sjnmp 2018 4 1 Comparison of Death Anxiety in Women with Reproductive and Gastrointestinal Cancers and Predicting Factors Nasrin Nezami nasrin.nezami.nurse@gmail.com Forouzandeh Dashti dashti@khuisf.ac.ir Leyla Alilou Shiva Heidari communityhn@gmail.com Background & Aim: Death anxiety is one of the most common problems in cancer patients and can affect the beneficial course of treatment. This study aimed to compare the death anxiety among women with reproductive and gastrointestinal cancers and related factors in healthcare centers of Isfahan, Iran in 2017. Materials & Methods: This descriptive and analytical research was conducted on 160 women with breast and cervical cancers and gastric and colon cancers divided into two equal groups of 80. The subjects were selected via random sampling, and data were collected applying demographic characteristics questionnaire and Templer death anxiety scale. In addition, data analysis was performed in SPSS version 22 using statistical and descriptive tests. Results: In this research, the highest frequency of breast and cervical cancers (52.5%) and gastric and colon cancers (53.8%) was related to the age range of 41-60 years. Results demonstrated that the mean score of death anxiety was significantly higher in women with breast and cervical cancers (47.8±20.30), compared to the subjects with gastrointestinal cancers (44.19±41.10) (P=0.045). Moreover, in the participants with gastrointestinal cancers, death anxiety was less observed in those with no children, compared to the subjects with children (P<0.05). Conclusion: According to the results of the study, death anxiety level was higher in women with breast and cervical cancers. It could be concluded that cancers associated with damage to female identity cause more anxiety in women. Therefore, it is suggested that this issue be considered by nurses of the cancer wards to provide spiritual support with the help of support systems (e.g., family of patients). Women Cancer Death Anxiety 2018 9 01 17 28 http://sjnmp.muk.ac.ir/article-1-156-en.pdf
13-167 2024-03-28 10.1002
Scientific Journal of Nursing, Midwifery and Paramedical Faculty SJNMP 2476-4841 2476-4841 10.29252/sjnmp 2018 4 1 Effect of an Incremental Interval Endurance Rope-Training Program on Antioxidant Biomarkers and Oxidative Stress in Non-Active Women Bahloul Ghorbanian b.gorbanian@gmail.com karim Azali alamdari azalof@yahoo.com Yousef Saberi saberiyousef@yahoo.com Fariba Shokrolahi b.ghorbanian@gmail.com Hakime Mohamadi b.ghorbanian@gmail.com Background & Aim: Aerobic exercises are recommended as an important technique to control and prevent cardiovascular diseases and metabolic disorders. Therefore, this study aimed to evaluate the effect of an incremental interval endurance rope-training program on antioxidant biomarkers and oxidative stress in non-active women. Materials & Methods: This quasi-experimental research was conducted on non-active female subjects (overweight and obese) at the age range of 20-30 years. In total, 20 eligible participants were selected via random sampling and divided into two control and intervention groups of 10. The training program included eight weeks (four 45-minute sessions per week) of incremental rope training. Data analysis was performed in SPSS version 20 using dependent and independent t-tests at the significance level of 0.05. Results: The results of dependent t-test showed a significant increase in the level of superoxide dismutase enzyme, total antioxidant capacity, and glutathione peroxidase, compared to the pre-test state of the subjects (P<0.05). Meanwhile, a significant decrease was detected in the level of malondialdehyde (P>0.05). Moreover, results of independent t-test demonstrated a non-significant increase in the total antioxidant capacity and glutathione peroxidase in subjects of the intervention group, compared to the control group. On the other hand, there was a significant increase and decrease in superoxide dismutase and malondialdehyde, respectively (P<0.05). Conclusion: According to the results of the study, rope training increased antioxidant defense and decreased oxidative damage and lipid peroxidation. Therefore, it seems that this type of training can prevent cardiovascular diseases in overweight and obese individuals. Rope Training Oxidative Stress Antioxidant Non-active Women 2018 9 01 29 40 http://sjnmp.muk.ac.ir/article-1-167-en.pdf
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Scientific Journal of Nursing, Midwifery and Paramedical Faculty SJNMP 2476-4841 2476-4841 10.29252/sjnmp 2018 4 1 Relationship between Urinary Tract Bacterial Infections and Blood Groups in Patients Referring to Alavi Hospital in Ardabil, Iran in 1395 Roya Safarkar Royasafarkar@yahoo.com Reza Bonabi rezabonabi@yahoo.com Alireza Massiha amirmassiha@yahoo.com Saeedeh Dejagah saeedeh_biology@yahoo.com Samira Khani Royasafarkar@yahoo.com Nemat Abafat rezabonabi@yahoo.com Mohammadrezamajid Khoshkholgh Pahlaviani amirmassiha@yahoo.com Abstract Background & Aim: Urinary tract infections are one of the most common bacterial infections of humans and also known as the second infectious agent. Blood group antigens are susceptible agent to cause infection in different parts of the body and have an important role in the pathogenesis of urinary tract infection. The purpose of this study was to determine the type of bacteria causing urinary tract infection in different blood groups. Materials & Methods: In this descriptive cross-sectional study, 491 urine samples were collected by Midstream clean catch technique from patients referring to laboratory of Alavi hospital in Ardabil. The questionnaires including patient characteristics, history of the disease and type of blood group were completed for each patient. Data analysis was carried out using SPSS software version 20, fisher and chi-square test. Results :The results of this study revealed that the most common bacteria causing urinary tract infection was Escherichia coli which had high incidence in both the A and O blood groups 76.4% and 91.4%, respectively (P= 0/042).Moreover, the prevalence of urinary tract infection by Escherichia coli was higher in women than in men (P= 0.128). Also, there was a significant relationship between blood groups and incidence rate of types of urinary tract infection in women(P= 0.005).  In this study, a significant correlation was observed between age(P= 0.025) and gender(P= 0.016) in patients. Conclusion: This study demonstrated that A and O blood phenotypes are more prevalent, and Escherichia coli is the most commonly isolated organism from urine culture samples. Keywords: Urinary tract infection, Blood Groups, Escherichia coli             Urinary Tract Infection Blood Group Escherichia coli 2018 9 01 41 51 http://sjnmp.muk.ac.ir/article-1-148-en.pdf
13-171 2024-03-28 10.1002
Scientific Journal of Nursing, Midwifery and Paramedical Faculty SJNMP 2476-4841 2476-4841 10.29252/sjnmp 2018 4 1 Effects of training Pilates and Aerobic on happiness and desire for physical in inactive women Yousef Saberi Saberiyousef@yahoo.com Bahloul Ghorbanian b.gorbanian@gmail.com Behrouz Ghorbanzadeh behrouzghorbanzadeh@hotmail.com Asghar Iranpour a.sportiranpour@yahoo.com Background & Aim: Balance between mental and physical health plays an essential role in happiness and desire for physical activities in individuals. On the other hand, Pilates and aerobic exercises play a pivotal role in creating balance between mental and physical health, in a way that sport activities could improve self-satisfaction and happiness. This study aimed to evaluate the effect of eight weeks of Pilates and aerobic exercises on happiness and desire for physical activities in inactive women. Materials & Methods: This quasi-experimental research was conducted on 40 inactive women in Tabriz, Iran in 2016. Subjects were selected through random sampling and were divided into four groups of control, Pilates, aerobic, and Pilates-aerobic program. In total, the participants attended 24 60-minute Pilates and aerobic sessions (three times per week) and filled the questionnaire of happiness and desire for physical activities before and after the intervention. It is notable that the reliability of the research tool was estimated at the Cronbach’s alpha of 0.93 and 0.87, respectively. In addition, data analysis was performed in SPSS version 20, and P-value less than 0.05 was considered statistically significant. Results: According to the results of ANOVA and Tukey’s test, intervention caused a significant increase in both happiness and desire for physical activities in the subjects. However, there was no significant difference between the groups regarding the level of improvement. Conclusion: According to the results of the study, physical exercises and sports, specifically Pilates and aerobic exercises, are not only valuable tools for maintaining physical health, but also they have a close correlation with mental health and happiness of inactive women. Therefore, it is suggested that these types of activities be applied as a solution for creating and increasing a good mood in women’s society. Aerobic Exercises Pilates Exercises Happiness Desire for Physical Activities Inactive Women 2018 9 01 52 61 http://sjnmp.muk.ac.ir/article-1-171-en.pdf
13-165 2024-03-28 10.1002
Scientific Journal of Nursing, Midwifery and Paramedical Faculty SJNMP 2476-4841 2476-4841 10.29252/sjnmp 2018 4 1 Surgical Safety Checklist: Documentation of Use of Electrocautery and Tourniquet Devices Fatemeh Maraki fmaraki1373@gmail.com Ahmad Ghadami Ghadami@nm.mui.ac.ir Mohammadreza Zarei mohammad.zarei3113@gmail.com Negin Larti surgicaltechnologist89@yahoo.com Background & Aim: Documentation of cares is one of the responsibilities of operating room nurses. One of the possible patient damages caused during surgery is use of electrocautery and tourniquet devices. Despite the need for recording the performance of these devices, there is no specific part on surgery checklists dedicated to this issue. Therefore, this study aimed to change the safe surgery checklist through documenting the application of electrocautery and tourniquet devices. Materials & Methods: This action research was conducted on 30 operating room nurses in Isfahan, Iran in 2017. The solution of choice was adding a researcher-made checklist to the operating room files in order to document the use of electrocautery and tourniquet devices for three months. In addition, a researcher-made survey on the status of operating room file documentation was filled by the subjects before and after the intervention. Moreover, data analysis was performed in SPSS version 22 using descriptive and analytical statistics. Results: In this research, 28 out of 30 participants had a mean work experience of 11.87±8.30 years in operating rooms. Furthermore, there was a significantly higher frequency of positive response to the question of “Do you think that the checklist is useful?” after the intervention, compared to before the intervention (P<0.001). In total, 90% of the nurses agreed with adding the checklist to patient records, and 96.7% confirmed the effectiveness of the new checklist on decreased professional errors and patient damage. Conclusion: According to the results of the study, the checklist of use of electrocautery and tourniquet devices was useful. It seems that full documentation can reduce the possibility of errors and provide a valid document for healthcare providers when faced with legal problems. Documentation Electrocautery Tourniquet Operating Room Checklist 2018 9 01 62 70 http://sjnmp.muk.ac.ir/article-1-165-en.pdf
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Scientific Journal of Nursing, Midwifery and Paramedical Faculty SJNMP 2476-4841 2476-4841 10.29252/sjnmp 2018 4 1 Prevalence of Workplace Violence of Emergency Medical Staff and Relevant Factors in Sanandaj, Iran in 2016 Abdorraim Afkhamzadeh afkhama@gmail.com Namam-ali Azadi n.azadi@hotmail.com Zahra Farahmandian farahmandian66@yahoo.com Amjad Mohamadi-bolbanabad amohammadi1364@gmail.com Background & Aim: In the past years, workplace violence in the area of health has been reported with an upward trend. This study aimed to evaluate the frequency of dealing with workplace violence in emergency medical staff of Sanandaj, Iran and relevant factors. Materials & Methods: This descriptive, analytical, and cross-sectional research was conducted in the emergency medical centers of Sanandaj in 2016. Considering the limited research population, census method was applied and all 126 staff of these centers were selected. Data were collected via a self-report questionnaire. In addition, data analysis was performed in SPSS version 20 using Chi-square and Fisher’s exact tests. Results: In this research, 84% (95% CI=75-90) of the participants had an experience of workplace violence in the past year, 42% (95% CI=32-52) of which has been physical and 81% (95% CI=72-88) has been verbal violence. In addition, 59.4% (N=47) of the staff reported the source of violence to be the companions of patients. Moreover, 87% of the participants believed that there is no proper procedure to report workplace violence. Results were indicative of no significant relationship between workplace violence in the emergency medical staff and variables of age, marital status, work experience, and having work shift (P>0.05). Conclusion: According to the results of the study, there is an alarmingly high rate of workplace violence in the emergency medical centers of Sanandaj. This level of violence might reduce care quality and increase occupational stress. Considering the high rate of accidents in Iran and the necessity of composure for the staff, management interventions (e.g., public community education, creation of a suitable report system for the personnel and review of reports) are required to improve this area. Prevalence Workplace Violence Physical Violence Medical Emergencies Sanandaj 2018 9 01 71 80 http://sjnmp.muk.ac.ir/article-1-158-en.pdf