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Showing 10 results for Mohammadnejad
Esmaeil Mohammadnejad,
Volume 2, Issue 3 (12-2013)
Abstract
Abstract Aim. The purpose of this review of article is to assess the reuse of angioplasty devices as a challenge to the health center. Background. Processing and reuse of disposable medical products began in the United States in 1970. Method. Nowadays, infection is one of the common post-operative complications which have different severities and types based on social, financial and cultural conditions in different countries. Ignoring the proper disinfection and sterilization of hospital devices and equipment is one of the most important sources for distribution and transmission of nosocomial infections. The papers from 1998 to 2013 were searched for based on the key words "Reuse", "Single Use Only", "Disposable", "Medical Equipment", and "Reuse of Single Used Devices (SUD)" (alone or in combination) in Cumulative Index of Nursing and Allied Health Literature (CINAHL), Scopus, Medline, EMBASE, and PsycINFO. Findings. The main problems in reusing angiography devices include the failure in cleaning, disinfection and sterilization of equipment due to structure design, lack of knowledge and not providing information to patients and families regarding to reuse of disposable devices, unclear cost for the equipment, ambiguous disinfection and sterilization techniques for disposable medical equipment due to lack of proper staff supervision, lack of informed consent for reusing equipment, contradiction to the principles of clinical governance, patient safety, JCI standardization, and negligence of the ethical issues of patient care. Conclusion. According to the lack of efficient reprocessing the angiography devices in country, lack of official license and policies issued by Ministry of Health and the Center of Medical Equipment, and the above mentioned risks, the reuse of these devices is not recommended.
Esmaeil Mohammadnejad, Abbas Abbaszadeh, Hamid Soori, Shirin Afhami,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. The aim of the study is to investigate the need for hospital infection control and prevention.
Background. Nosocomial infections are among the major health problems which increase mortality and hospital costs, especially in intensive care units. Successful control of nosocomial infections depends on recognition of hospital challenges in this issue.
Method. This study is an overview study. The keywords “hospital infection” and “ICU”, alone or together, with Persian equivalents were searched in websites such as Iranmedex, CINAHL, Scopus, Medline, Embase, SID, PubMed, Magiran and Irandoc.
Findings. Based on the findings, the main causes of nosocomial infections included multiple procedures and invasive diagnostic and therapeutic treatments, especially in ICUs. Compromised immune system, duration of hospitalization, absence of hospital surveillance reporting system, inappropriate disinfection and sterilization of equipment, inappropriate physical structure of ICU, non-cooperative managers and departments, and lack of knowledge of medical staff, especially physicians and nurses.
Conclusion. Identifying causes of hospital infections and the use of especial measures to promote safety and enhance quality of care in the treatment and prevention of these infections are necessary for a comprehensive and integrated controlling program.
Farshid Heidari-Beni, Zohreh Ahmadi-Tameh, Amir Tabatabaee, Esmaeil Mohammadnejad, Ayeshe Haji-Esmaeelpour,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. This study was performed with the aim of determining the effect of peer education on self-efficacy in people with heart failure.
Background. Heart failure is a clinical syndrome which may have negative effects on self-efficacy. Given the positive role of education in improving self-efficacy, probing a suitable educational method to improve the self-efficacy of these patients is important.
Method. In this clinical trial study, 60 people with heart failure were recruited and randomly allocated to experimental (n=30) and control group (n=30). After preparing the peer group, four peer to peer training sessions were conducted during one month. Persian translation the self-efficacy questionnaire was used for data collection, which was completed by both groups, before, just and one month after the intervention. Data were analyzed in SPSS, version 21 and P values less than 0.05 were considered significant.
Findings. No statistically significant difference was observed between groups in overall self-efficacy score before the intervention. The mean score of self-efficacy, immediately after the intervention was 50.3±7.21 and24.9 ±1.7, in the experimental and control group, respectively, and a statistically significant difference was seen between the mean scores of the groups (P≤0001). The mean score of self-efficacy, one month after the intervention was 48.8±1.2 and 23.4±4.6, in the experimental and control group, respectively and paired t-tests showed a statistically significant difference between the mean scores of the groups (P≤0001)
Conclusion. Based on this study, Peer education intervention can be a beneficial educative-supportive approach and enhance the self-efficacy life of heart failure patients. Therefore, using this method is recommended in patients with heart failure patients.
Ali Hosseinzadeh, Alireza Shameli, Somayyeh Esmailian, Esmaeil Mohammadnejad,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This study was conducted with the aim of determining the effect of peer education on outcome in people with heart failure.
Background. Heart failure is a complex clinical syndrome that is considered as a public health problem due to its chronic, progressive and irreversible nature.
Method. In this review study, a comprehensive search of scientific databases and search engines such as Science Direct, Scopus, PubMed, Google Scholar, and Medline using the keywords heart failure and peer education in both Persian and English language was done to find literature published between 2000 and 2018.
Findings. Studies about the effect of peer education on outcomes of heart failure patients in the country showed that these trainings have examined three outcomes of self-care, quality of life and self-efficacy in people with heart failure, and that this method has had a positive effect on all three components.
Conclusion. Peer education improves self-care, self-efficacy, and quality of life in people with heart failure. It is recommended to use this training program as an effective, cost-effective method without the need for specialized equipment.
Ali Hosseinzadeh, Mahnaz Varedi Kolahi, Esmaeil Mohammadnejad, Rasool Raznahan,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The present study aimed to determine the quality of end-of-life nursing care in the intensive care unit from the perspective of critical care nurses.
Background. Assessing the quality of nursing care is one of the most important strategies for nurse mangers to improve nursing care services and achieve high-quality nursing practice; it is crucial to assess this index on a regular basis.
Method. In this descriptive cross sectional-study, data were collected using modified quality of nursing care questionnaire. The questionnaire was adopted from the standardized Quality Patient Care Scale in psychosocial, physical, and communication dimensions. A convenient sampling method was used to recruit 191 registered nurses participated in the study within a 2-month period. The data were analyzed SPSS version 20 using descriptive and inferential statistics.
Findings. The mean score for quality of end-of-life nursing care was 83.62±8.62 in the psychosocial dimension, 85.36±7.74 in the communication dimension, and 92.23±10.88 in the physical dimension. Quality was reported to be favorable in the psychosocial dimension (62 percent), communication (50.3 percent) and physical dimension (81.7 percent), respectively. There was a statistically significant relationship between the quality of end-of-life nursing care and passing educational course.
Conclusion. The quality of end-of-life nursing care was good from the perspective of critical care nurses, but it was not as good as expected in some dimensions. The psychosocial aspect of end-of-life nursing care needs to be improved. Taking measures and planning educational programs to improve the appropriate therapeutic relationship between the nurse and the patient and paying attention to the psychological and social needs of patients as much as possible can be an effective step in improving the quality of end-of-life care.
Amir Tabatabaee, Esmaeil Mohammadnejad,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The purpose of this study is to review studies that have investigated the effect of family-centered self-care program on the activity of people with cardiovascular disease after hospital discharge.
Background. Adherence to medication, diet and physical activity in people with cardiovascular disease is very crucial to prevent readmission, independence in daily activities, and complications.
Method. In this review study, a comprehensive search of scientific databases and search engines such as Science Direct, Scopus, PubMed, Google Scholar, and Medline using the keywords cardiovascular disease, adherence to treatment regimen, and family-centered self-care program in both Persian and English languages was done to find articles published between 2000 and 2020.
Findings. Family-centered post-discharge self-care program can be a principled and effective method to increase adherence to medication, diet and physical activity in heart people with cardiovascular disease.
Conclusion. One of the most important factors in effectiveness of self-care is active family participation and family-centered self-care, which can be effective in three areas after the discharge of people with cardiovascular disease.
Fatemeh Nemati, Amir Tabatabaee, Zahra Salehi, Esmaeil Mohammadnejad,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The purpose of this study is to review studies that have investigated the effect of CardioPulmonary Cerebral Resuscitation (CPCR) training on nurses' knowledge and performance.
Background. CPCR is a systematic procedure and a set of targeted measures have been used by nurses to restore the vital functions of the body's central organs, such as the heart, lungs, and brain. The application of teaching is a suggested method for improving the knowledge and skills of nurses PCPR in most published articles.
Method. In this r eview study, a comprehensive search of scientific databases and sear ch engines such as Science Direct, PubMed, Cochrane, Medline, SID, Scopus, CINAHL, OVID, Iran Doc and Magiran using the keywords cardiopulmonary resuscitation, nurses, practice, knowledge in both Persian and English languages was done to find articles published between 2010 and 2022.
Results: CPCR training in both face-to-face and virtual form can be effective on the knowledge and performance of nurses, and in all studies there was a significant relationship between the scores before and after the training. The implementation of these trainings should be repeated for nurses permanently and every six months.
Conclusion: Basic training can lead to increasing the knowledge of nurses in the field of basic and advanced cardiopulmonary resuscitation. Based on this, regular theoretical and practical workshops and training courses are recommended.
Amir Tabatabaee, Esmaeil Mohammadnejad, Ali Karimi, Zahra Salehi, Fatemeh Sadat Izadi-Avanji,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This study was conducted with the aim of investigating the effect of family-centered self-care program based on home visits on adherence to physical activity of patients with acute coronary syndrome
Background. Coronary artery disease is one of the most common cardiovascular diseases. The importance of physical activity as an important factor in controlling and preventing the recurrence of the disease in these patients. Adherence to physical activity in patients with acute coronary syndrome (ACS) has a significant effect on preventing re-hospitalization and reducing complications.
Method. In this semi-experimental study conducted in 2021-2002, 72 people with ACS were randomly divided into experimental and control groups (32 people in each group). For the control group, routine interventions, and for the experimental group, family-centered self-care was delivered. Data collection tools were demographic questionnaire and Beck's physical activity level questionnaire.
Findings. Before intervention, there was no statistically significant difference between groups in the mean score of adherence to physical activity. Immediately after the intervention, the mean score in the experimental and control group was 6.31±2.01 and 5.98±1.21, respectively, indicating a statistical significant difference between groups. One and half month after the intervention, the mean score in the experimental and control group was 9.14±1.44 and 78±0.9, respectively, showing a statistical significant difference between groups.
Conclusion. Family-centered self-care in patients with acute coronary syndrome is effective on adherence to physical activity of these patients. Therefore, it is recommended to use this educational method as one of the effective and non-pharmacological methods for people with ACS in medical centers and at home to improve the quality of life among these patients.
Esmaeil Mohammadnejad, Faezeh Samadi, Ali Karimi Rozveh,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This review discusses the studies that have investigated the effect of cardiac rehabilitation programs on people with Covid-19.
Background. It has been previously revealed the profits of cardiac rehabilitation for patients who suffer from cardiovascular diseases. With the occurrence of the covid-19 pandemic, many have suffered from cardiovascular complications due to the coronavirus infection. Despite the application of many medications and therapeutic interventions to control the side effects, many are still experiencing the secondary complications of the disease, specifically the cardiovascular complications, and the search for an effective solution continues. The use of cardiac rehabilitation for these patients may be effective.
Method. A broad search was conducted in scientific databases and search engines such as Science Direct, PubMed, Cochrane, Medline, SID, Scopus, CINAHL, OVID, Iran Doc, and Magiran with the keyboards “Covid-19”, “post covid-19 period”, “cardiac rehabilitation” and “rehabilitation” in both English and Persian language journals published between 2000 and 2022. After a comprehensive review, nine studies that met the purpose of this study were selected.
Findings. Cardiac rehabilitation programs decrease complications, mortality, and readmission of people with Covid-19, and modify the signs, physical and cardiovascular functions, and the quality of life in these patients.
Conclusion. For finer efficacy of cardiac rehabilitation programs, designating a program suited for the patient's condition, schedule adherence, and evaluation of the findings should be considered. It seems that cardiac rehabilitation programs can be beneficial for people with Covid-19 in reducing complications and mortality rates. More studies are needed for more information.
Esmaeil Mohammadnejad,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. In this review article, the cost-effectiveness of disposable suction bottles in Iran was discussed.
Background. Healthcare-associated infections (HAIs) cause mortality and morbidity in patients, especially in the intensive care unit. There are different methods and instructions to control HAI, which is an important and fundamental problem related to suction.
Method. Searching out for articles through databases including Science Direct, PubMed, Cochrane, Medline, SID, Scopus, CINAHL, OVID, Iran Doc and Magiran using the keywords "disposable suction", "hospital infection", "waste management" and their English equivalent were conducted. Articles that were published between 2000 and 2022 and were more related to the main focus of the research topic were selected. The inclusion criteria included their publication in reputable scientific journals, publication in Farsi or English, and access to the full text of the article. Exclusion criteria included publishing articles in weak and invalid journals.
Findings. Disposable suction bottles was evaluated in five domain including hospital infection control and prevention, water consumption management, ease of use, waste management, and cost effectiveness.
Conclusion. Considering the lack of manpower for disinfecting disposable suction bottles, the costs of disinfectant solutions and their improper use in diluting them, and the management of waste water from used solutions and emptying suction cups; disposable suction bottles have priority over reusable suction bottles in Iran.
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