|
|
|
|
|
 |
Search published articles |
 |
|
Showing 2 results for Mohammad-Taghi
Tahereh Tamimi, Mohammad Mehidi Peighambari, Jaleh Mohamad Alaeiha, Mohammad-Taghi Safdari, Tahereh Ganji, Shiva Khaleghparast,
Volume 2, Issue 3 (12-2013)
Abstract
Abstract Aim. This study aimed to explore the effectiveness of storytelling technique on professional communication skills of nurses in critical care units of ShahidRajaee Heart Center. Background. Patient Communication skill is one of the most important aspects of nursing profession that can improve the overall abilities of nurses and health care team. Sharing the tacit knowledge on patient communication skills is one of the issues with which nursing system encountered. Retirement of experienced nurses causes a considerable loss of tacit knowledge. One of the best ways to transfer tacit knowledge is to apply the storytelling technique in transferring these experiences. Method.This was a quasi-experimental study with control group. It was conducted on 130 nurses, working in the ICU, who were randomly divided into groups of intervention and control. The intervention group was instructed via storytelling on clinical experiences within 6 hours. The effect of the intervention was tested through a self-reflective questionnaire completed by both groups before the intervention and one month later. To analyze the data, paired and independent T-test, Chi-square, Fisher exact test, Mann-Whitney U test and the analysis of covariance via SPSS version 21 were applied. Finding. Results showed that the intervention and control groups` pre-test scores were 104.60 with standard deviation of 7.60 and 103.13 with a standard deviation of 9.60, respectively. Furthermore, their post-test scores were estimated as 117.92 with a standard deviation of 4.37 and 102.25 with standard deviation of 8.66 accordingly. There was a statistically significant difference between the post-test scores of intervention and control groups regarding their professional communication skills (p< 0.001). According to the sample based effect sizes, 71.4% of the variability in the post-test is caused by the intervention. Conclusion. Based on the findings, it can be concluded that storytelling technique enhances the clinical competency of nurses in terms of professional effective communication with both patients and colleagues. Therefore, this technique can be introduced as an effective way to promote professional communication.
Mohsen Ziyaeifard, Roghaye Mohammad-Taghi, Rasoul Azarfarin, Reza Abbaszadeh, Mehdi Heidari,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This study aimed to compare the effect of Adaptive Support Ventilation (ASV) and Synchronized Intermittent Mandatory Ventilation-Pressure Support (SIMV-PS) modes on consequence of weaning off patients from mechanical ventilator after coronary artery bypass surgery
Background. The ventilation mode used for respiratory support in patients after coronary artery bypass graft surgery is very important. In addition to avoiding pressure on patient's sternotomy incision, the ventilation mode should also provide the possibility of rapid weaning of patient to avoid complications caused by long-term ventilation.
Method. In a semi-experimental study, 26 patients were ventilated with ASV as the experimental group and 26 patients were ventilated with SIMV-PS mode as the control group after coronary artery bypass graft surgery in Rajaie Cardiovascular Medical and Research Center, Tehran, Iran. Mechanical ventilation time and endotracheal tube removal time, hemodynamic variables, and arterial blood gas analysis were compared between the two groups. Data were analyzed using an independent t-test, repeated measures ANOVA and chi-square.
Findings. Out of 52 patients, 36 (69.2 percent) were male and 16 (30.8 percent) were female. The mean time for the endotracheal tube removal was 89.42±33.83 minutes in the experimental group and 101.53±44.91 minutes in control group, which did not have a statistically significant difference (p=0.843). The mean duration of mechanical ventilation of patients in the experimental group was 483.84±158.153 minutes and in the control group, it was 541.92±257.81 minutes, which were not statistically different (p=0.332).
Conclusion. The use of ASV mode for mechanical ventilation after coronary artery bypass graft did not affect reducing the duration of mechanical ventilation and the time of endotracheal tube removal compared to SIMV-PS mode. Therefore, the use of ASV mode for respiratory support of patients undergoing coronary artery bypass surgery should be considered according to the patient's condition and the nurses' expertise.
|
|
|
|
|
|
|
|
|
