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Showing 32 results for Nurse
Ali Zahedmehr, Zahra Daram, Mohamadziae Totonchi,
Volume 4, Issue 4 (3-2016)
Abstract
Abstract Aim. This study aimed to examine the effect of education by video self-assessment on nurses’ knowledge and performance about cardiopulmonary resuscitation (CPR). Background.Cardiopulmonary arrest is one of the main medical emergencies and one of the major causes of death around the world. Cardiopulmonary resuscitation is the critical components of basic life support in response tocardiopulmonary arrest. The success ofcardiopulmonary resuscitationrequiresproficiencyandperformance of resuscitation group. Method. This was a clinical trial study conducted on 80 nurses that were randomly divided into experimental and control group. Participants in control group received traditional training and experimental group experienced video self-assessment after traditional training. Knowledge on CPR was evaluated with a valid questionnaire including multiple choice questions. Psycho-motor skills were measured through a visual checklist observing CPR performance of the participants on a manikin. Outcome variables were measured three times (before, immediately after, and two months after training). Data were analyzed by the SPSS through repeated measures analysis. Findings. Comparing the mean score of knowledge between the groups at before, immediately after, and 2 months after training did not show any statistical significant difference. Immediately, and two months after intervention, the mean score of performance of the experimental group was significantly higher than that of control group. Conclusion.Education by Video self-assessment is an effective method to improve nurses’ performance in CPR.
Karim Darvishpoor, Hashem Heshmati,
Volume 5, Issue 1 (6-2016)
Abstract
Abstarct Aim.The aim of this study was to determine nurses’ knowledge, attitude, and performance in cardiopulmonary resuscitation (CPR) based on PRECEDE model. Background. Despite development of CPR team in Iran’s hospitals, performance in the field of CPR is not satisfactory. Method. In this cross-sectional descriptive analytical study, all staff nurses (n= 97) working at ateaching hospital (9 Day) in Torbat-e-Heiydariyeh, Iran, were studied.The data collection tools included a reliable and valid researcher-made questionnaire to collect demographic data and a questionnaire which developed based on PRECEDE model.Data were analyzed in SPSS version 20 using ANOVA, linear regression and Pearson correlation coefficient. Findings. The mean age of the nurses was 29.45±7.45 years.The average score for PRECEDE model constructs were 79.17±18.68 (knowledge), 95.48±6.64 (attitude), 62.6±19.52 (enabling factors), 67.61±20.12 (reinforcing factors), and 72.37± 9.71 (performance).Also enabling factors were the most important predictor of nurses’ performance (B=0.773, p<0/0001).A statistically significant relationship was observed of nurses’ performance with gender (p=0.007) and experience of CPR (p=0.027). There was a positive significant correlation of enabling factors with reinforcing factors (p=0.007, r=0.274) and behavior (p=0.000, r=0.773). Conclusions. Constructs of knowledge, attitude, and performance were in desirable level and constructs of reinforcing and enabling factors were in moderate level. It is recommended to implement interventions and programs while considering enabling and reinforcing factors for promoting the performance of nurses in CPR.
Saghi Ghafourian-Abadi, Farhad Kamrani,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim.
The present study aimed to examine Critical care
nurses’ participation in clinical decision making with physicians.
Background.
Regarding to the extent of the responsibilities and
scope of nursing science and the need for making accurate and sensitive decisions,
nurses should be able to judge on clinical solemn occasions and make decisions
to save the patient’s life in complex situations.
Method.
In this cross-sectional study, 110 critical care
nurses working in intensive care units of health care centers in Rasht, Iran,
were recruited using census sampling method. The data were collected using the
questionnaire “participation in clinical decision making” (PDAQ) and
demographic form. Data were analyzed in SPSS using descriptive and inferential
statistics.
Findings.
The results showed that the majority of critical
care nurses were being participated in clinical decisionmaking.
Conclusion.
Work experience, marital status, desire to continue
work in intensive care unit, and managerial role contributed to greater
participation of critical care nurses in clinical decision making with
physicians.
Tahereh Najafi Ghezeljeh, Hojatollah Sedghian, Fatemeh Mohades Ardabili,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of Benson relaxation technique on anxiety of critical care nurses.
Background. Anxiety is one of the important factors affecting nursing profession and the quality of care. Some complementary interventions such as Benson relaxation techniques may affects anxiety.
Method. This was an experimental study (pretest-posttest with control group design) in which 63 critical care nurses of Shahid Rajaie Cardiovascular, Medical and Research Center, Tehran in 2015. Stratified samples were selected based on ward and randomly allocated to to experimental and control group. Benson relaxation technique was implemented by experimental group for 20 minutes, twice a day, with at least six hours interval, and for a two weeks period. Data were collected through demographic questionnaire and Spielberger questionnaire. Data were analyzed in SPSS version 21 using Chi-square test, t-test, Fisher's exact test and repeated measures ANOVA.
Findings. In experimental group, the mean and standard deviation of anxiety, before the intervention and one and two weeks after intervention were 42.19±4.85, 43.67±7.55 and 42.12±6.12, respectively. A week after the intervention, the two groups had significant difference in terms of anxiety. The mean score of anxiety in the control group was more than nurses in the intervention group (P=0.011). Also, following application of Benson relaxation, anxiety intensity decreased in the intervention group as compared to baseline. In the control group, the mean score of anxiety increased overtime.
Conclusion. Implementation of Benson relaxation can reduce the anxiety of critical care nurses. This method is proposed as part of the nurses' anxiety reduction programs by managers and officials in medical centers.
Ali Hosseinsabet,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim. This review study was conducted to identify perspective of nurses’ role in echocardiography.
Background. Joining nurses to the echocardiography team in 1980s led to advancement and broadcasting of echocardiography. Taking care of the patient is of nurses duties, so preparing the patient before diagnostic modalities such as trans-esophageal echocardiography and stress echocardiography are among their duties. There is an increasing tendency by nurses to have more roles in echocardiography.
Method. This review was conducted by searching out databases PubMed and Scopus by the keywords “nurse”, “echocardiography” and “cardiac ultrasound” and related articles published up to July 2017 were considered.
Findings. Nowadays, nurses perform their roles in the field of echocardiography in critical care wards, outpatient ward and at the time of screening for cardiovascular diseases.
Conclusion. Short courses of echocardiography with focus of point are valid and possible. It provides the possibility of best patients’ care.
Shiva Khaleghparast, Mahnaz Mayel Afshar, Majid Maleki, Nasim Naderi, Behrooz Ghanbari, Hosseini Shirin ,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. The aim of this study was to determine the effect of the implementation of clinical surveillance model on the amount of education provided to cardiac patients.
Background. Clinical supervision is a relationship between nurse and observer that promotes the development of nursing professional skills.
Method. This is a quasi-experimental before-after study without control group. The stratified sampling method was used to recruit 300 patients based on inclusion and exclusion criteria. The researcher used the data-gathering form to record teachings provided to patients by nurses and also, the rate of their registration in the medical record. Clinical surveillance model included planning, monthly meetings with health education volunteers, classified teaching, daily clinical supervision, follow-up, identifying the weaknesses of nurses in providing training to cardiac patients and corrective actions in a regular and continuous basis for one year. After the intervention, teachings provided to patients by nurses and also, the rate of their registration in the medical record were re-evaluated. Data were analyzed using descriptive and inferential statistics in SPSS version 19.
Findings. After intervention, the amount of teaching provided by nurses at the time of admission, during hospitalization and at the time of discharge was significantly increased (P<0.001). The findings also showed that the patients were more satisfied with the received teaching after intervention (P<0.001).
Conclusion. Continuous and regular monitoring has a significant role in the amount of education provided to patients by nurses. It is recommended to plan management and supervisory programs to be implemented for nurses involved in patient education.
Neda Azadehjo, Tahereh Nasrabadi, Sepideh Nasrollah,
Volume 6, Issue 4 (3-2018)
Abstract
Abstract
Aim. The purpose of this study was to determine the relationship between compassion fatigue and moral sensitivity in nurses of critical care units of hospitals affiliated to Qazvin University of Medical Sciences.
Background. Nurses encounter conditions during taking care for clients that can lead to a type of fatigue called compassion fatigue. Ethical sensitivity as the basis of ethics in nursing can be helpful in reducing nursing care problems.
Method. This study was a cross-sectional descriptive-correlational study in which 200 nurses working in critical care units of hospitals affiliated to Qazvin University of Medical Sciences were recruited in the study through census sampling method and inclusion criteria. Demographic characteristic form, and the compassion fatigue questionnaire and moral sensitivity questionnaire was used for data collection. Data were analyzed in SPSS version 19 using descriptive and inferential statistics.
Findings. The mean score of moral sensitivity was 53.21±13.69 and the mean score of compassion fatigue was 25.55±4.66. Spearman correlation coefficients revealed that there was a statistically significant and reverse correlation between moral sensitivity and compassion fatigue among critical care nurses (r=0.171, p=0.015).
Conclusion. The moral sensitivity of critical care nurses is related to their compassion fatigue. Therefore, provision of a framework for strengthening the moral sensitivity of nurses could be effective in reducing this phenomenon.
Marzieh Rezaei, Shahrzad Ghiasvandian, Masoumeh Zakeri Moghadam,
Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. This study aimed to compare physicians’ and nurses' perceptions of futile care.
Background. Futile medical care is the provision of medical care or treatment to a patient when there is no reasonable hope or chance of a benefit. Determination of perceptions of futility is crucial to reduction of situations leading to futility and end-of-life decision-makings.
Method. The present study is a descriptive-comparative cross-sectional study in which 114 nurses and 57 physicians working in intensive care units of selective teaching hospitals of Shiraz University of Medical Sciences were recruited by convenience sampling method based on the inclusion criteria. The data collection instrument was a researcher-made questionnaire of futile care perception whose validity and reliability was assessed by experts, test-retest and Cronbach's Alpha methods. The Data were analyzed using descriptive and analytical statistics in SPSS software version 16.
Findings. The mean score of physicians’ and nurses’ perceptions of futile care was 77.29±13.79. The mean score of nurses’ perception was 78.46±14.4, turned out to be higher than that of physicians (74.91±12.3). The highest level of consistency between the two groups was related to the item "ineffective communication" and “disregarding the members in the decision-making process by the ICU attending physician”. As for "stressfulness of futile medical care", nurses experienced higher stress levels and there was a statistically significant difference between the two groups in this regard.
Conclusion. The agreement on the most important factors affecting the perception of futility indicates consistency between physicians’ and nurses’ perceptions of futile care. The high perception scores in both groups, and the stressful nature of futile medical care require necessary training mechanisms needed to deal with such situations.
Shiva Khaleghparast, Mahnaz Mayelafshar, Zahra Hanifi, Leila Sari, Masoumeh Kalaei, Behrooz Ghanbari,
Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. This study aimed to determine barriers to patient education from the perspective of patients, nurses and doctors.
Background. Patient education is one of the indicators of quality of heath care services. Patient education could lead to a reduction in the cost of health care and increase the quality of care and ultimately, help the patient to become independent and self-sufficient.
Method. A cross-sectional descriptive study was carried out. The research population included physicians, nurses and patients admitted to different wards of the Rajaee cardiovascular medical and research center. The sampling method was stratified random sampling for each population of the participants (patients, nurses and doctors). Data collection tool was a researcher-made questionnaire that measured the obstacles to patient education. The collected data were analyzed by SPSS software.
Findings. According to physicians, the most important barriers to education for patients was related to patients, and then related to physicians. From the viewpoint of nurses, the most important barriers to patient education were related to nurses. Patients evaluated themselves as the most important barrier to patient education, and then, the most important barriers were related to nurses from patients’ perspectives.
Conclusion. Regarding the importance of teaching to the patient, it is suggested that the managers take actions to increase the number of nursing staff, provide patients with educational brochures, allocate sufficient funds for patient education, supervise and encourage nurses and doctors, and prioritize training in daily tasks.
Mohammad Davarpanah, Tahereh Nasr-Abadi, Sepideh Nasrollah, Ebrahim Ebrahimi-Abyaneh,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This study aimed to assess knowledge and practice of nurses about nursing care before and after cardiac catheterization
Background. The most common cause of death in most countries around the world is cardiovascular disease. Coronary angiography is an invasive procedure that is used to diagnose and/or treatment of coronary artery disease. Considering complications of cardiac catheterization, nursing care is of great importance in preventing and identifying complications. Standards are the least acceptable, expected and achievable levels of performance based on which it is possible to evaluate performance. Nurses and health care providers should work according to standard protocols.
Method. This descriptive analytical study was conducted on 65 nurses who were selected by census sampling method and based on inclusion criteria from cardiac catheterization wards of selected hospitals in Tehran, Iran. Data were collected by a questionnaire and a checklist prepared in accordance with the standards provided by the Ministry of Health and the Iranian Nursing Organization. The data were analyzed in SPSS version 21 using descriptive and inferential statistics.
Findings. Most of participants were female (63 percent). The mean score of knowledge about nursing care before and after angiography were 10.95±1.30 and 15.23±1.88, respectively. The mean score of performance about nursing care before and after angiography were 26.16±2.92 and 25.77±4.78, respectively; according to these findings the knowledge and practice of nurses about nursing care before and after angiography were evaluated as good. There was no statistically significant difference between female and male nurses in terms of knowledge and practice. Also, no statistically significant relationship was found between the knowledge and practice, before and after angiography.
Conclusion. Although most nurses had good scores of knowledge and practice about nursing care before and after angiography, but due to lack of some principles of care in their performance, further studies is recommended. Also, it is necessary for managers to provide nurses with care protocols.
Mis Shirin Sheikhi, Mis Narges Sadeghi,
Volume 7, Issue 3 (12-2018)
Abstract
Absrtact
Aim. The aim of this study was to determine the relationship between critical care nurses’ occupational stress and their child anxiety in Shahid Rahimi Hospital in Khoramabad City, Iran, in 2017.
Background. Work-family conflict is the source of stress that most people, especially nurses experience and its consequences can also affect family members.
Method. This study is a cross-sectional analytical study in which all critical care nurses (n=150) in Shahid Rahimi Hospital in Khoramabad City, Iran, were recruited using census sampling method and based on inclusion criteria. To collect data, a demographic form, Spence Children’s Anxiety Scale (SCAS)-Parent Version, and Nurses Stress Scale were used. Data analysis was conducted SPSS 19 using descriptive and inferential statistics.
Findings. The average scores of nurses’ stress and child anxiety were 75.61±14.98 and 77.04±11.14, respectively. Pearson Correlation Coefficient showed the relationship between critical care nurses job stress and child anxiety (p=0.008, r=0.214).
Conclusion. Critical care nurses' job stress increases the anxiety of their children. Therefore, providing some programs for reducing nurses’ job stress is recommended.
Zahra Eskandari, Forouzan Akrami,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. This study aimed to review educational techniques in neonatal resuscitation training for nurses with focus on improving knowledge and skill.
Background. Successful management of neonatal resuscitation is associated with knowledge and skill applied in golden time. Neonatal resuscitation training can help nurses for choosing right steps and practice skillfully. In neonatal nursing, neonatal resuscitation teaching methods is very important for knowledge improvement and sustainable enhancement in skill with the final goal of neonatal surveillance.
Method. This literature review was conducted with searching out data bases and search engines (Google Scholar, SID, Scopus, Cochrane, PubMed, Magiran, CINAHL, and Web of Science) with the keywords neonatal resuscitation training, nurse, knowledge, skill and their Persian equivalent. Overall, 48 articles published within the last 10 years were identified, out of which, 13 articles were omitted because of not having access to their full text and 35 articles were reviewed.
Findings. The method of neonatal resuscitation training has shifted from traditional self-learning by reading the book and watching slides to learning by training on manikins. It has been changed to simulating such real situations for decision making and right techniques even by soft wares on smartphones too.
Conclusion. In choosing the methods of teaching neonatal cardiopulmonary resuscitation to nurses, those methods would be more effective that can increase how to apply knowledge as well as transferring knowledge. New educational methods allow nurses to increase neonatal cardiopulmonary resuscitation skills to maintain survival of this vulnerable group.
Payam Abbasi, Hamid Peyrovi, Seyed Habibollah Kavari, Hamid Haghani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. This study was conducted to evaluate the readiness of intensive care units of hospitals affiliated to Iran University of Medical Sciences for the implementation of family-centered care in 2017.
Background. Patients in the intensive care unit often are not able to participate in therapeutic decisions, therefore, involving families in decision-making process, implementation and treatment processes, and meeting the their needs improves treatment outcomes and increases patient and family satisfaction. Family-centered care is one of the means of providing care that recognizes and respects the vital role of the family.
Method. This was a descriptive cross-sectional study in which all of the intensive care units in the hospitals of Iran University of Medical Sciences were studied in terms of their preparedness for family-centered care. Proportionate stratified sampling method was used to recruit nurses, and the physicians were recruited based on convenience sampling. In order to investigate the structure and facilities, through a census of all specialized departments of hospitals affiliated to Iran University of Medical Sciences, a checklist was filled out. Data were analyzed in SPSS software version 22 using descriptive and inferential statistics.
Findings. According to the results, 60.9% of nurses were opposed to implementing family-centered care and have a negative attitude, and 57.3% of physicians agreed to implement family-centered care. There was a statistically significant difference between the attitudes of nurses and doctors (p≤0.0001). Also, the overall scores obtained from hospitals affiliated to Iran University of Medical Sciences showed that the facilities and hospital structure were poor for implementing family-centered care.
Conclusion. Differences in the attitudes of nurses and physicians about family-based care showed the need for clarifying the concept of family-centered care. The implementation of family-centered care requires structural changes and extensive equipment in accordance with the standards.
Sahar Avazpour, Amin Amini,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of two high intensity interval training (HIIT) protocol on plasma levels of adiponectin, leptin and hypertension in overweight nurses.
Background. Cardiovascular disease, as a chronic and debilitating physical condition, is one of the most common causes of death worldwide and can affect the health of individuals, especially nurses who are exposed to a variety of diseases and it is necessary to identify variables related to health in these group.
Method. This was a clinical trial in which 27 nurses (mean age 25.81±0.6 years, mean height 158.01±7.6 cm and mean weight 69.41±0.25 kg) were selected and randomly divided into three groups of high intensity interval training type 1 (8 seconds of fast running and 12 seconds of active recycling), high intensity interval training type 2 (40-meter sweep test with maximum speed), and control group. High intensity interval training type 1 was performed for four weeks, three sessions per week, each session lasted 6-9 minutes with more than 90% of maximum heart rate. High intensity interval training type 2 was performed for four weeks, three sessions per week, with more than 90% of the maximum heart rate. The control group did not participate in any training program.
Findings. The study showed that HIIT type 1 and type 2 had a statistically significant effect on reducing plasma leptin levels, systolic and diastolic blood pressure and increasing plasma adiponectin concentration in nurses. Both training methods improved health indicators (adiponectin, leptin and systolic and diastolic blood pressure), but HIIT type 1 training caused more control and regulation of these indicators compared with compared to HIIT type 2.
Conclusion. There is a significant difference between type 1 HIIT exercise, type 2 HIIT exercise and control in research variables (adiponectin, leptin and blood pressure) in nurses.
Mohammad Javadinejad, Fatemeh Bahramnezhad, Hossein Navid, Seyede Fatemeh Gheiasi, Elham Navab,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The present review study was conducted with the aim of exploring what nurses should know about interactions of diet containing vitamin K with warfarin.
Background. Warfarin is one of the most widely used oral anticoagulants. Dietary interactions, mainly due to vitamin K, are a common concern when consuming warfarin. In the meantime, the nurse, as the first person in the care chain and the main person in charge of patient education, can play an important role in reducing these interactions, which is a challenge for patients.
Method. The present review study was conducted through searching out library as well as databases such as PubMed, Cochrane Library, Web of Science, Scopus, Up-to-date, OVID, CINAHL, Magiran and SID using Persian keywords of warfarin, dietary interactions, vitamin k diet, patient and nurse education and their English equivalents in the period 1999 to 2021. Out of a total of 30 articles found, 8 articles were reviewed after screening the articles.
Finding. The findings of this study showed that the amount of vitamin K intake in the diet should be kept constant. This is 90 to 120 micrograms per day. Patients should be properly and continuously educated about vitamin K in various foods and supplements. In the meantime, the role of the nurse as one of the pillars of patient education is very important and fundamental.
Conclusion. Due to the role of the nurse in educating these patients, it is recommended that education about dietary interactions be used using authoritative sources. It is possible with methods such as preparing a clinical guide, making a video and designing an application, and including tables of vitamin K levels in foods.
Soheila Salmanian, Sheida Jabalameli, Maryam Moghimian, Fariba Arjmandi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study was conducted to examine the effect of mentalization-based therapy and emotion-regulated therapy based on the Gross process model on psychological well-being and quality of work-life of nurses in intensive care units.
Background. Improving nurses' well-being and satisfaction with their quality of work-life improves the nurse-patient relationship and hospitals' performance from an organizational point of view. It is necessary to provide psychological therapeutic interventions to this crucial group of health care providers.
Method. This study was an experimental study (pre-test post-test with control group) in which 45 nurses working in intensive care units of selected Tehran hospitals, Iran, were selected by the convenience sampling method, and assigned to two intervention groups and one control group (15 nurses in each group). Reef's short-term psychological well-being and Walton's 32-item quality of work-life were used to measure dependent variables of the study. Then, mentalization-based therapy group received intervention in 8 sessions of 90 minutes as one session per week; and the treatment group based on emotion regulated therapy based on the Gross process model received the intervention in 8 sessions of 90 minutes, one session per week based on the protocol. No intervention was implemented for the control group. Data were analyzed using descriptive and inferential statistics in SPSS software.
Findings. Before the intervention, there were the highest scores for quality of work-life in the control group. At the end of the study and after the intervention, the scores of quality of work-life increased in all three groups, and no statistical significant difference was found between the groups. Before the intervention, the highest scores for psychological well-being was observed in the mentalization-based therapy group. (85.86±6.56), and after the intervention, although the psychological well-being scores of both interventions groups were higher than that of control group, but this diferrence was not statistically significant.
Conclusion. Based on the findings of this study, it seems that training sessions of mentalization-based therapy and emotion-regulated therapy based on the Gross process model improve the quality of work-life in nurses working in intensive care units, but the improvement was not statistically significant.
Sara Lotfian, Fatemeh Kermani, Dr Pardis Moradnejad, Haleh Dadgostar, Maryam Talebi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study was conducted to compare the prevalence of neck pain and disability among nurses in intensive care and general wards.
Background. Nursing is known as one of the ten occupations that are associated with musculoskeletal complications. In has been reported that neck and shoulder disorder are more common among nurses with high physical workload than those with low physical workload. So far, few studies have been performed on neck problems in nurses working at intensive care unit.
Method. In this cross-sectional descriptive-comparative study, 40 nurses from intensive care units and 40 nurses from general wards of Rasool Akram hospital, Tehran, Iran, were selected by convenience sampling method. Data collection in both groups was done through completing a checklist of demographic characteristics, Neck Disability Index (NDI) and Neck Pain and Disability Scale (NDPS) questionnaires by participants. The data was analyzed in SPSS version 22 using descriptive and inferential statistics.
Findings. The prevalence of neck pain and disability (measured by NDI and NPDS) in all nurses was 77.5 percent and 60 percent, respectively; 90 percent and 70 percent in nurses working at the intensive care units, and 65 percent and 50 percent in nurses working at general wards. The difference in scores measured by NDI was statistically significant between nurses working at the intensive care units and those working at general wards (P=0.014).
Conclusion. The prevalence of neck pain was significantly high in nurses, which could be due to their high workload that requires appropriate preventive measures and reduction of their physical workload.
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.
Hanieh Aghakhani, Zahra Behpour, Zahra Amirsardari, Mohammad Esmaeil Zanganehfar, Melody Farrashi, Hooman Bakhshandeh, Parham Sadeghipour, Hojjat Mortezaeian, Abolfath Alizadeh, Bahador Baharestani,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. This study aimed at examining the convergence of calculated HEART pathway by physician and nurse along its utility to predict the 3-month occurrence of major adverse cardiac even (MACE) in patients with chest pain admitted to emergency department (ED).
Background. The HEART pathway is a tool to predict MACE in patients with chest pain admitted to ED, to help risk stratification for early discharge and reduce unnecessary cardiac tests.
Method. In the present study, a diagnostic tool was evaluated. Ninety-seven ED patients with acute chest pain, hospitalized in Rajaie Cardiovascular Medical and Research Center, were recruited prospectively. Risk stratification was performed by an ED nurse, a cardiology resident, and a cardiology attending physician. The correlation and the 3-month MACE outcomes were analyzed.
Findings. Pairwise agreements were excellent between the raters. The Intraclass Correlation Coefficient (ICC) among raters were 0.84 (95% CI: 0.73–0.97) and thus, overall agreement was excellent. The HEART pathway score showed a high predictive power (AUC: 0.85 for 3-month MACE). For a cut-off score of 4, sensitivity, specificity, and negative predictive values were 87.5, 58.9, and 95.8 percent, respectively.
Conclusion. The HEART pathway score predicted effectively 3-month MACE in patients with acute non-traumatic chest pain. The high agreement among the three different raters suggests that nurses might use efficiently the score.
Somaye Tajaldini, Fatihe Kermansaravi,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. The present study was conducted with the aim of reviewing the effect of telenursing in the care of patients with heart failure.
Background. Heart failure is one of the most common cardiovascular diseases, which is presented as a progressive and debilitating disorder. The prevalence of this disease is increasing due to the increasing age of the population, recent advances in the treatment of myocardial infarction, congenital diseases and the decline in mortality. In Iran, approximately one percent of all people over 40 years old have heart failure. The prevalence of this disease doubles with every decade of life and reaches about 10 percent in people over 70 years old. Studies have shown that specialized disease management programs for chronic heart failure (CHF) improve survival and quality of life and reduce health care utilization. Telenursing is one of the existing models.
Method. The present study is a narrative review. The researchers searched out the databases and search engines PubMed, Scopus, Web of Science, SID, Magiran, and Google Scholar using the keywords, care, chronic heart failure, nurse, telenursing and their Persian equivalent. After checking out the title and abstract of the articles found using the Joanna Briggs Institute (JBI) tool, the researchers reviewed 10 articles in this study.
Findings. Telenursing reduces hospitalization due to heart failure, reduces mortality and improves quality of life in patients with heart failure and improves education and follow-up after discharge. It also improves disease outcomes and reduces health costs.
Conclusion. The importance of paying attention to telenursing is recommended to policy makers and decision makers in the health system.
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