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Showing 19 results for Nursing
Reza Shahrabadi, Daryadokht Masroor, Sakineh Hadjizadeh, Fatemeh Hosseini,
Volume 1, Issue 1 (6-2012)
Abstract
Aim The aim of this study was to compare attitude of the last-year nursing and medical students studying at Iran University of Medical Sciences, Tehran, Iran about spiritual careBackground The spirituality is a complex and multidimensional concepts including cognitive, behavioral and experimental aspects. For promoting spiritual care we have to consider the physical, mental, emotional and spiritual aspects of the human. The studies showed that many patients believe that spirituality plays an important role in their life they believe there is a positive relationship between their recovery and religious and spiritual aspects. Many patients expect health care personnel consider these factorsMethod A descriptive comparative design was used to conduct the study. “Spiritual care perspective scale” (SCPS) was completed by 110 nursing and 220 medical students. Data were analysed by SPSS.Findings Based on the findings, 56% of nursing students and 51.8% of medical students have positive attitude on the spiritual care of patients. There was no statistically significant difference between attitudes of the two groups of students. Nursing students had more favorable attitude about existing a superior force or transcendental existence influencing spiritual health. Medical students had more favorable attitudes about considering spiritual care as part of the caring performance.Conclusion Paying more attention to the spirituality and spiritual care in educational programs for those who provide health services seems to be necessary for educational planning authorities. It is required to improve culturally in the field of principles of beliefs and religion and their education among the young and educated people. It is necessary to improve the culture of religious believes through education among students.
Mona Alinejad-Naeini,
Volume 2, Issue 1 (6-2013)
Abstract
Abstract Aim. This paper reviews staff nurses roles in diagnosing and stabilizing neonates with congenital heart disease. Background. Nowadays, development in managing congenital heart defects has increased survival and quality of life among neonates suffering these defects. Many attempts has been made to detect neonatal congenital heart disease before or immediately after birth, but a large number of neonates with heart problems remain undiagnosed before developing severe signs and symptoms. Although mild forms of the disease may subside spontaneously, severe conditions needs prompt management. Method. In this literature review, papers published during the last 15 years, were searched out through search engines and data bases: Science Direct, Google Scholar, Ebsco, Pub Med, Ovid, Proquest by the keywords nursing care, congenital heart disease, neonatal, cardiac, and management. Findings.Twenty three English papers about diagnosis and stabilization of neonatal congenital heart disease and a textbook were selected. The findings are presented within four domains: 1) physical examination, 2) symptoms of disease, 3) management in delivery room and neonatal stabilization, and 4) communication with the parents. Conclusion. Nurses are the first health care members encounter neonates with congenital heart diseases. Early recognition and stabilization of congenital heart disease is the cornerstone of nursing care of neonates suffering this problem.
Jasmen Shahnazari,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim.This paper introduces important points on nursing care of dying patients. Background.Death is part of the human life process. Statistics show that the most common causes of death in America are cardiovascular diseases and cancer. Definition of death, nursing care for dying patients and its importance have been the focus of many studies. Method.This paper reviews the subject death and dying patients, and introduces nursing care and ethical points to be considered for these patients. Findings.Dying patients experience different stages from denial to acceptance, and caring these patients in physical and psychological aspects is the responsibility of nurses. Conclusion.When caring dying patients, palliative care must be considered, because other interventions are no longer effective. This care begins from the time a life-threatening condition is diagnosed and continues to recovery or death and grieving.
Mohsen Adib-Hajbaghery, Mohamad Sajjad Lotfi,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract Aim. This study was aimed to evaluate the changes in the cardiopulmonary resuscitation (CPR) skills of nursing students during a two year interval. Background. CPR skills are of vital skills every healthcare worker should posses. Several studies are available on CPR skills of nursing students, however, changes in the students' skills have rarely been studied. Method. This time series study was conducted on all graduating nursing students who were passing their internship period during 2011-2012. Data collection instrument had two parts including demographics form and a checklist for assessment of CPR skills (including closed chest compression, tracheal intubation, using of defibrillator and CPR management). Descriptive statistics were used for reporting the findings. Findings. Seeking no help was the most frequent mistake made by the students in the domain of cardiac massage and artificial ventilation, both in the first and the third assessment. Only 41.67% and 32.61% of the students sought help in the first and the third assessment, respectively. Pressing the laryngoscope blade on the teeth was also the most common mistake in the domain of using the laryngoscope so that only 50% of the students performed this action correctly in all the three assessments. The most common error in the domain of defibrillation was ignoring repetition of the defibrillation in cases the patient’s cardiac rhythm did not returned to normal, so that only 52.08%, 28% and 21.74% of the students performed defibrillation correctly in all the three assessments, respectively. Conclusion: Most of the students were evaluated as weak, especially in the CPR management domain. Retraining the CPR skills are suggested, especially when the students are near graduation.
Nasim Mehranfard, Jaleh Mohammad Aliha, Mojdeh Navidhamidi, Anushirvan Kazemnejad, Kiarash Saatchi,
Volume 3, Issue 3 (12-2014)
Abstract
Aim. The purpose of this study was to examine the effect of acupressure on anxiety in patients under mechanical ventilation.
Background. Mechanical ventilation is a frequently used technological modality for patients in Intensive Care Unit (ICU), and this treatment has potential to produce a variety of unpleasant stress and physiological and psychological complications. Anxiety is one of the most common mental reactions in patients under mechanical ventilation. Acupressure as a non-pharmacological approach may improve anxiety in these patients without side effects.
Method. This was a randomized block experimental study in which 164 ventilated patients with stable hemodynamics and GCS≥9 who had study criteria were randomly allocated into experimental or control group. Patients in the experimental group received two sessions/day of acupressure along with routine care for two consecutive days, but patients in the control group received only routine care. The anxiety was measured with Faces Anxiety Scale (FAS), before, right after, and one hour following every acupressure session. The data were analyzed by SPSS software using descriptive and inferential statistics.
Findings. Baseline anxiety level was high in most of patients. Anxiety in the experimental group decreased significantly (p=0.032) when compared with control group, over time. Anxiety was significantly different between groups, right after intervention in every session of acupressure (p<0.0001). In the experimental group, time-dependent changes of anxiety was statistically significant (p<0.0001) and anxiety was significantly different before and right after intervention in every session of acupressure (p<0.0001). The amount of change in anxiety was not significantly different between sessions.
Conclusion. Acupressure therapy could reduce anxiety significantly in patients with mechanical ventilation. Critical care nurses can use this non-pharmacological approach to reduce anxiety in patients under mechanical ventilation.
Nikoo Niknafs, Jila Mirlashari, Parichehr Talori, Naser Bahrani,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. This study aimed at examining the effect of nursing care training program on outcomes of mechanically- ventilated infants.
Background. Mechanical ventilation in infants is considered as an invasive procedures with complications such as bronchopulmonary dysplasia, lung bleeding, obstruction or removal of the endotracheal tube, which are almost all preventable. Nurse have responsibility to avoid these complications.
Method. This study was a randomized clinical trial (outcome-based). The study included all infants undergoing mechanical ventilation in the neonatal intensive care unit of Comprehensive Women's hospital in Tehran. Nurses were trained over one month at bedside by the clinical instructor. Data on ventilator complications were collected of 120 cases from patients' medical records, before and after intervention. The data were analyzed by SPSS version 21.
Findings: A statistical significant decrease was seen in most outcomes. The incidence of bronchopulmonary dysplasia declined from 35% to 18%, re-intubation decreased from 57% to 33%, pulmonary hemorrhage declined from 32% to 13%, and pneumothorax changed from 55% to 35%. Duration of mechanical ventilation and length of stay also decreased significantly after intervention. No statistically significant decrease was observed in retinopathy of prematurity and death.
Conclusion. Educational program, especially by the coach, is effective on most outcomes of the infants under mechanical ventilation. Taking into account the workload of nurses and problems with attending in educational classes outside of the ward, it is recommended to hold education at bedside for nurses to improve quality of education.
Alireza Ghavidel, Pouya Farokhnezhad-Afshar, Hooman Bakhshandeh, Fatemeh Ghorbanpour,
Volume 4, Issue 2 (9-2015)
Abstract
Aim. This study was conducted to examine the effect of family-centered education on the quality of life patients after coronary artery bypass graft surgery.
Background. Following coronary artery bypass graft surgery, the patients face many physical, mental and social problems, which reduce their quality of life. Teaching the patient's family provides an opportunity for family members to cooperate actively in taking care and supporting patient, thereby, improve patients' quality of life.
Method. This was an experimental study in which 96 patients with their active family members were recruited according to inclusion criteria and randomly allocated to experimental (n=48) and control group (n=48). Before intervention, SF-12 Quality of Life Questionnaire (QOL) was completed by participants in both groups. Then, experimental group received family-centered education in three sessions and control group received only hospital routine educational program. Quality of life was again measured one month later. The data were analyzed by SPSS version 22.
Findings. There were no statistically significant differences between the two groups regarding demographic characteristics. Based on Mann-Whitney test, a statistically significant increase was observed in scores of QOL dimensions after intervention in the experimental group as compared with control group (P<0.0001).
Conclusion: Family-centered education in patients under coronary artery bypass graft can improve quality of life in these patients.
Farhad Kamrani, Somayeh Nikkhah, Fariba Borhani, Mohammad Jalali, Sudeh Shahsavari, Kianoosh Nirumand-Zandi,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The aim of this study was to determine the effect of patient education and nurse-led telephone follow-up (telenursing) on adherence to treatment in patients with acute coronary syndrome admitted to cardiac care units hospitals affiliated to Alborz University of Medical Sciences.
Background. Increasing adherence to treatment is essential in patients with acute coronary syndrome to reduce readmissions and improve the recovery, but only patient education does not guarantee the adherence to treatment and it is necessary to follow-up patients after discharge.
Method. This randomized clinical trial study was conducted on patients with acute coronary syndrome admitted to the selected hospitals of Karaj, Iran, in 2014. In this study, 90 patients were selected purposively and randomly allocated in three groups of education (n=30), education/ telephone follow-up (n=30), and control (n=30). Data collection instrument was questionnaire. Data were gathered at baseline and 12 weeks after the intervention. Patients in educational groups (education, and education/ telephone follow-up groups) were trained before discharge using educational pamphlets. Telephone follow-up were implemented for education/ telephone follow-up group for 3 months; twice a week in the first six weeks and weekly in the second six weeks. The data was analyzed by descriptive and inferential statistics in SPSS version16.
Results. After intervention, there was a statistically significant difference between the groups in terms of adherence to treatment (P=0.001). Participants in the education/ telephone follow-up group and education group experienced more improvement in adherence to treatment than the control group.
Conclusion. Both patient education and education/ telephone follow-up have effect on improvement of adherence to treatment, but education/ telephone follow-up results in more improvement in adherence in comparison to education. It is recommended to implement education/ telephone follow-up for patients with acute coronary syndrome.
Alireza Nikbakht-Nasrabadi, Parisa Bozorgzad, Mirsaid Yekani-Nejad, Adeleh Jafarloo, Maryam Rahmati,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. This study was conducted to examine the effect of nursing ethics workshop on patients rights practiced by nurses in the emergency department.
Background. According to the goals of 20 years vision and development plans of Iran, moving toward improving the quality and safety of patients and their rights are of the main priorities of health care system approved by national and international experts and authorities.
Method. This study is quasi-experimental study with control group. To measure dependent variable (patient’s right practice by nurses), before and after intervention, perspectives of 180 patients admitted to emergency department were selected by convenience sampling. Intervention was implemented for emergency department nurses. All emergency department staff nurses working in a governmental hospital in the City Shahriar, Iran, were selected. The data were collected through a questionnaire composed of 2 parts, demographic information and 15 questions designed based on patients rights protocol in 5 domains with Likert scale. In order to ensure reliability, Cronbach’s Alpha was calculated for internal consistency coefficient through interviews with 20 patients (α=0.84). Validity of the questionnaire was evaluated by 10 experts. The questionnaire were completed before and one month after intervention through interviewing with patients admitted to the emergency department during the data collection time period. Data were analyzed by SPSS version 22.
Findings. Before intervention, the mean score of patient’s right practice was 58.83±16.81 and after intervention, the mean score of patient’s right practice increased to 84±8.12. There was a statistically significant difference between the mean total score of patient’s rights practice based on patients perspectives, before and after intervention (p˂0.0001). The lowest score for patient’s rights practice was reported for the domain information giving (15%) and the highest score was reported for the domain respect for privacy (82.7%).
Conclusions. The intervention (nursing ethics workshop) has a positive effect on patient’s rights practice by nurses in the emergency department.
Mohammadreza Heidari, Miss Somaye Valipoor-Dehkordi,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. This article reviews the effects of Hirudo Medicinalis in coagulopathies and cardiovascular diseases. Background. Hirudo Medicinalis is one of the conventional treatment methods in folk medicine in many countries of the world and is today paid more attention to. The use of this therapy is increasing considerably but no much effort has been done to explain about the effectiveness and mechanisms of action. Method. In this review, databases and search engines such as PubMed, Google Scholar and SID were searched out for literature published between 1989 and 2016, using the English keywords "Hirudo medicinalis/Leech therapy, mechanism of action, cardiovascular disease, homeostasis, and anticoagulant, and their Persian equivalents, individually or in combination. In addition, Persian available books available were used. Findings. Hirudo Medicinalis is used in the treatment of arterial hypertension, angina and myocardial infarction and has anticoagulant effects. The literature emphasizes on the role of nurses in the care of patients under this treatment. Conclusion. According to studies,
it seems that Hirudo Medicinalis can be used as a complementary medicine
technique in the treatment and research of cardiovascular and coagulation
disorders
Normal
0
false
false
false
EN-US
X-NONE
AR-SA
Somayeh Akhavan, Payam Abbasi,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. The aim of this study was to review studies about advantages and disadvantages of transradial and transfemoral coronary angiography. Transradial coronary angiography procedure is newer than transfemoral approach and inadequate knowledge and experience in this area needs to be considered for minimizing possible complications. Background. An increasing trend of cardiovascular diseases is of great importance. Although any different methods have been suggested for diagnosing coronary artery diseases, but coronary angiography remains as the best diagnostic and therapeutic method. Transradial and transfemoral coronary angiography as two approaches for diagnosing coronary artery diaseses have their own advantages and disadvantages. Method. In this review study, various databases such as Google Scholar, PubMed, AHA journal and Elsevier were searched out by Persian and English forms of the keywords “Transradial coronary angiography”, “Transfemoral coronary angiography”, “Nursing care in coronary angiography” and “complications of coronary angiography”. Findings. The findings are presented as follows: Comparison of the advantages and disadvantages of both radial and femoral approach, nursing care in radial angiography procedures and comparing patients’ satisfaction of experiencing radial or femoral angiography. Conclusion. If the preparation and care before, during and after coronary angiography is properly settled and there is trained staff and physicians, it is suggested to use transradial approach for coronary angiography because of its fewer side effects and greater convenience the patients have with.
Nasrin Bahramnejad, Mr Meysam Nematikhah,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. This study aimed to examine the effect of participation-based education program on nurses' knowledge and practice of critical care nurses about central venous catheter care in intensive care units in teaching hospitals of Zanjan University of Medical Sciences, Iran.
Background. Improving the quality care of central venous catheters requires the promotion of nurses’ knowledge of standard guidelines and manuals of catheter care and also the knowledge of latest findings in this field.
Method. In this quasi-experimental study with pretest-posttest design, 46 nurses working in intense care unit of two teaching hospitals (Ayatollah Mousavi and Vali-e-Asr hospital) were recruited into experimental group (n=28) and control group (n=18). Before intervention, nurses' knowledge and performance regarding central venous catheter care were measured by the questionnaire developed by Labio et al. in 2008 and a researcher-made observational checklist. Then, educational intervention based on participation was implemented for the experimental group for 1 month, and routine intervention (taking part in one session lecture) was also carried out for the control group. Three months after intervention, nurses' knowledge and performance were measured again through questionnaire and checklist by the co-researcher. Data were analyzed by SPSS (version 16) utilizing Chi-square, Fisher, ANOVA, and independent t-test and paired-sample t- test.
Findings. After intervention, there was a statistically significant difference between experimental and control group in mean change of knowledge score (experimental group, 2.82 against control group, 1.67)(p=0.004) and performance score (experimental group, 11.69 against control group, 10.85) (p≤0.0001) about central venous catheter care.
Conclusion. Educational intervention based on participation is more effective than the other conventional retraining programs in improving the nurses' knowledge and performance about central venous catheter care. It is suggested to apply participation-based education program for in-service training.
Pouya Farokhnezhad Afshar, Parvin Ashkanirad, Sara Hosseini,
Volume 6, Issue 4 (3-2018)
Abstract
Abstract
Aim. This study aimed to evaluate the perceptions of nurses working in intensive care units about obstacles and supportive behaviors of end of life care.
Background. End of life care is an important part of nursing duties in intensive care units. Exploring supportive behaviors of end of life care from the perspective of nurses may lead to better understanding of supportive behaviors and obstacles of end of life care.
Method. This study was a descriptive cross-sectional study in which 160 staff nurses, working in intensive care units in Rajaei Cardiovascular Medical and Research Center, were recruited by random sampling in 2016. Data were collected using demographic form and the questionnaire “National Survey of Critical-Care Nurses Regarding End-of-Life Care” (NSCCNR-EOL) and analyzed in SPSS version 22 software using descriptive statistics.
Findings. The most important obstacle in end-of-life care was "family and friends who continually call the nurse wanting an update on the patient's". In the field of supportive care, "After the patient's death, having support staff compile all the necessary paper work for you" received the highest score.
Conclusion. Based on the findings, in critical care nurses views, appropriate training on end-of-life care and palliative care for staff, educating families about issues of death and dying, and the holistic care of patients and their families improve end-of-life care of dying patients.
Banafsheh Ghorbani, Parvaneh Asgari, Fatemeh Bahramnezhad,
Volume 6, Issue 4 (3-2018)
Abstract
Abstract
Aim. The purpose of this study was to review the nursing care and education of patients with Ventricular Assist Device (VAD).
Background. Heart failure is one of the most important noncommunicable diseases. There are many pharmacological and non-pharmacological approaches for treatment of heart failure. These treatments have contributed to the survival of people with this disease. Nursing care of patients with VADs can prolongs patient’s quality of life and survival.
Method. This review study was conducted in 2018 using the keywords heart failure, intraventricular assist devise, cardiovascular disease, survival rate, complications of heart failure and nursing care, by searching in the search engines/ databases Google Scholar, OVID, Up-to-date, Springer, PubMed, SID, MagIran, Web of Sciences, Cochrane Library, CINHAL, and Scopus without time limit. A total of 63 articles were found related to the subject under study, out of which, 10 duplicate articles were omitted from the list and 4 articles were excluded because they were not available; this way, 49 papers were included in the study.
Findings. The role of the nurse in teaching patients with VADs is very important. Patient education can be a help for improving quality of life and increasing patient’s survival.
Conclusion. Familiarity with the new approaches to manage heart failure is very important for nurses. VADs have complications such as infection, bleeding, and arrhythmias; recognition, prevention and management of these complications can improve patient’s quality of life and survival.
Mohsen Ziyaeifard , Ali Sadeghi, Rasool Ferasatkish , Mostafa Fatahi , Majid Basirat, Khadijeh Hashemi,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This study was conducted to evaluate effect of bedside teaching on critical care nurses' performance in airway suctioning
Background. One of the most effective measures in patients undergoing mechanical ventilation is suctioning the trachea to prevent the accumulation of potentially infectious pulmonary secretions and to clear the airway which is carried out by critical care nurses. If suctioning cannot be correctly performed, some complications may occur.
Method. This was a quasi-experimental study in which the study sample consisted of 54 critical care nurses working in Rajaie Cardiovascular Medical and Research Center, Tehran, Iran. The nurses were recruited through convenience sampling based on inclusion criteria. Critical care nurses’ performance in airway suctioning were evaluated before and two weeks after intervention using a checklist. The intervention included bedside teaching of suction procedure.
Findings. Two weeks after intervention, the mean score of performance in airway suctioning increased significantly (P≤0.0001). Hand washing or using hand was recorded only for 16 nurses before intervention and for 35 nurses after intervention. Maintaining catheter sterility during suctioning was considered by 28 nurses before intervention, and by 40 nurses after intervention. Correct procedure documentation and recording secretion characteristics before and after intervention were carried out by 13 and 34 nurses, respectively. While activating suction during bringing the catheter out of endotracheal tube was done by 31 nurses before intervention, after intervention 41 nurses did so.
Conclusion. Bedside teaching of correct airway suctioning for critical care nurses enhance their performance in this procedure.
Faezeh Parchami, Khatereh Seylani, Masoumeh Zakerimoghadam,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this review was to investigate the role of Catecholamines in the pathogenesis of Takotsubo cardiomyopathy and related nursing care.
Background. Takotsubo cardiomyopathy is an acute syndrome characterized by acute reversible systolic dysfunction of the apical and middle segments of the left ventricle in the absence of significant coronary artery occlusion. It is believed that emotional and physical stressors are the main drivers for the disease. Despite many years of efforts to better understand this disorder, current knowledge is limited, but several authors have agreed on the relationship between Catecholamines and the development of this syndrome.
Method. This study was carried out by searching the databases and search engines (PubMed, Google Scholar, and Web of Science) to find full text articles published between 2014-2018 using the keywords "Broken heart syndrome", "Apical ballooning syndrome", "Takotsubo cardiomyopathy", "Stress-induced cardiomyopathy", “Catecholamines”, “Nursing” and “Nursing care”. Of 392 articles, 21 were included in the study.
Findings. Among the various hypotheses, Catecholamine-induced microvascular dysfunction is currently the most accepted hypothesis. Stressful stimuli can increase the activity of the Hypothalamus-Pituitary- Adrenal axis and release Catecholamine. If Catecholamines are the leading cause of Takotsubo cardiomyopathy, it is quite possible that prescribing exogenous Catecholamines cause this condition.
Conclusion. Although many studies have attributed some of the Catecholamine toxicity to the pathophysiology of Takotsubo cardiomyopathy, due to the potential impact on current treatment strategies, further study is required. Due to cardiovascular side effects, the use of Catecholamines for therapeutic purposes requires more evidence. Regarding the similarity of the symptoms of this syndrome with myocardial ischemia, nursing care in this type of cardiomyopathy is very important.
Banafsheh Ghorbani, Masoumeh Zakeri Moghadam, Khatereh Seylani, Nima Pourgholamamiji, Maryam Mousavi, Parisa Gholamreza Mehni,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to review nursing care of invasive and non-invasive hemodynamic monitoring innovations focusing on cardiovascular monitoring.
Background. In the management of critically ill patients, the priority is to optimize and monitor hemodynamics, especially the cardiovascular system. Comprehensive hemodynamic assessment of patients, along with other clinical information, enables physicians and nurses to make informed decisions about treatment and care of patients. Due to the importance of hemodynamic monitoring in intensive care units and the cause of hemodynamic instability and response to treatment, as well as the increasing advances in science and technology in the development of new devices, familiarity with hemodynamic monitoring equipment and knowledge of how new methods work can be helpful in this regard.
Method. This review study was carried out in 2018 by searching the databases and search engines (Google Scholar, OVID, Up-to-date, Springer, Scopus, CINAHL, Cochran, Web of Science, Magiran, SID, PubMed) using the keyword “Pulse counter”, “invasive and non-invasive hemodynamic monitoring”, “cardiac output” and their Persian equivalent. A total of 65 unrestricted articles were found, out of which 15 duplicate and 10 full-text articles were excluded, and eventually 40 articles were included in the study.
Findings. In recent years, hemodynamic monitoring has evolved from invasive to less invasive and non-invasive systems and from intermittent to continuous. Nurses' role in hemodynamic monitoring of patients is very important.
Conclusion. Nurse's knowledge of these innovations, nursing care training in hemodynamic monitoring of patients, as well as prevention and management of complications, can have a significant impact on nurses' knowledge as well as enhancing the quality care and patients’ quality of life.
Bahareh Seraj, Fatemeh Alaee Alaee-Karahroudi, Tahereh Ashktorab, Maryam Moradian,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study aimed to investigate the effect of telenursing on adherence to treatment in adolescents undergoing cardiac surgery.
Background. Congenital Heart Disease (CHD) has a significant global prevalence and a large number of patients undergo cardiac surgery every year. Adherence to treatment is essential to achieve the expected outcomes of surgery.
Method. This study was a quasi-experimental before-after study with control groups that was conducted in the year 2020. A total of 70 adolescents referred to a university cardiovascular medical and research center in Tehran, Iran, were recruited based on the inclusion criteria and then, randomly assigned to experimental (n=35) and control (n=35) group. The experimental group received a telenursing services via WhatsApp messenger for one month. Modanloo's questionnaire of adherence to treatment was used to collect the data. Data were analyzed in SPSS V-20 using descriptive and inferential statistics.
Findings. There was no statistically significant difference between the experimental and control groups in terms of demographic variables. Before intervention, the mean score of adherence to treatment in the experimental and control groups was 71.67±6.97 and 71.77±7.89, respectively, which were not statistically different. After intervention, the mean score of adherence to treatment in the experimental and control group changed by 15.17 and -2.49, respectively, and the difference between the groups was found to be highly significant (P≤0.0001).
Conclusion. According to the findings, telenursing improved adherence to the treatment. Therefore, it is recommended to provide the ground to take the benefits of this approach through increasing public information and awareness and empowering the nursing staff.
Mahnaz Mayel Afshar, Mohammadziae Totonchi, Feridoun Noohi, Dr Majid Maleki, Neda Shirkhanloo, Hamidreza Pasha, Fatemeh Ahangari, Shahpour Geravandpoor, Ali Fathollahifard,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This study aimed at investigating the obstacles to the implementation of evidence-based care from the perspective of the staff nurses in Rajaie Cardiovascular Medical and Research Center, Tehran, Iran
Background. Evidence-based care plays a crucial role in enhancing the nursing care quality due to the up-to-date care measures and procedures, and the cost-effectiveness for patients. However, there are some obstacle to implement it that should be addressed.
Method. This is a descriptive cross-sectional study conducted on 215 nurses from different departments of Rajaie Cardiovascular Medical and Research Center, Tehran, Iran. They were selected using simple random sampling method. The data collection tool was a questionnaire measuring the obstacles to the implementation of evidence-based care. The collected data were analyzed using descriptive and inferential statistics in SPSS version 20.
Findings. According to the nursing staff, the obstacles to the implementation of evidence-based care in the management dimension were the insufficient number of staff (80 percent), the large number of patients (71 percent), and the lack of motivation in the staff (68 percent) and in the individual-care dimension the obstacles were the lack of enough time for nurses to study the conducted research (72 percent).
Conclusion. The obstacles to the implementation of evidence-based care are in both individual and managerial areas, so it is suggested to correct arrangement of human resources, holding training workshops and meetings, creating interaction with the centers implementing evidence-based care, and using their life experiences considering the available facilities.
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