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Showing 10 results for Modanloo

Zahra Sabzi, Hamideh Mancheri, Zahra Royani, Seyedyaghoob Jafari, Dr Mahnaz Modanloo,
Volume 12, Issue 2 (12-2015)
Abstract

Background and Objective: Nursing students are experiencing stress in related to academic and clinical training programs.  Given the importance of promoting mental health and emotional intelligence in academic performance,  the study of emotional intelligence and related factors could be the basis for strengthening this important variable by designing and implementing of effective training programs.

Material and Methods: This cross-sectional study was conducted on 125 nursing & midwifery students selected randomly in 2013. The instruments were a demographic checklist and Shyryng Sybrya Emotional Intelligence Questionnaire. The data was analyzed in SPSS16 using descriptive statistics (mean and standard deviation) and ANOVA, T- TEST (p&le 0.05).

Results: The mean of emotional intelligence was 109.12±12.27 in nursing and 113.32±13.26 in midwifery students.  The  total score and  the score of all dimensions of  Emotional Intelligence Questionnaire were not related significantly with some demographic factors such as age, residential place, interest to major and economic status (P>0.05), in both nursing and midwifery students. In nursing students, the meaningful relation was found just between Self-awareness dimension and gender (P=0.034) and grade point average (GPA)   (P=0.049). The score of Self-awareness was higher in female students and  in the students with higher GPA.

Conclusion: Regarding the relationship between some demographics and emotional intelligence, we can design and implement effective educational programs to boost this important component.


Abouzar Mehboudi, Dr Mahnaz Modanloo, Alireza Shariati, Dr Naser Behnampour, Dr Gholamreza Bardestani, Dr Hamid Basiri, Sepide Mehboudi,
Volume 12, Issue 3 (Supplementary 2016)
Abstract

Background and Objective: Patients under hemodialysis are faced with many stressors and psychological problems such as sleep disorder and anxiety. These problems could be a threat to their health and be significant clinically.  Thus, we aimed to determine the relationship between anxiety and sleep quality in hemodialysis patients.

Material and Methods: This descriptive-analytic study was conducted on 74 hemodialysis patients in Hefdahe Shahrivar hospital of Borazjan city, 2014. The data was collected by Pittsburgh Sleep Quality Index (PSQI) and State-Trait Anxiety Inventory (STAI), and analyzed by t-test, ANOVA and correlation Coefficient using SPSS.

Results: Most of the patients (89.2%) had the average anxiety and 63.3% of them had low sleeping quality. The average of patients’ anxiety and sleeping quality were 49±6.5 and 11.7±2/4, respectively. The correlation coefficient between anxiety and sleeping quality was 0.515 (p=0.001), pointing out an acceptable correlation. Along with the increase of anxiety, the dimension of the subjective sleep quality, delay in falling asleep, the sleep disturbances were affected and ended up low sleeping quality. There was no significant correlation between the anxiety and sleeping quality and daily dysfunction.

Conclusion: Given the acceptable correlation between anxiety and sleep quality, there is a direct relation between anxiety and sleep quality of the patients.


Atharalsadat Mirkarimi, Homeira Khoddam, Mohammad Ali Vakili, Mohammad Bagher Sadeghi , Mahnaz Modanloo,
Volume 13, Issue 1 (6-2016)
Abstract

Background: Hypertension is a risk factor for many diseases. Nutritional methods are considered as major tools in lifestyle modification for lowering blood pressure. The present study was conducted to determine the level of dietary adherence in hypertensive patients.

Methods: This descriptive-analytical study was performed in 2015, on hypertensive patients who were referred to Heart Clinic of Sayyad Shirazi Hospital in Gorgan. Overall, 200 patients (62% female) were selected by purposive sampling. The dietary adherence was evaluated in five following groups of salt-, fat-, fruit-, vegetables- -and dairies-intake through daily completion of data collection form within two weeks. This form was designed by the researchers and its validity and reliability were tested in a pilot study. Data were analyzed using Mann-Whitney, Chi-square, and logistic regression analysis tests.

Results: The mean and standard deviation (SD) of age of patients was 48.6±7.51 years. Mean and SD of systolic and diastolic blood pressure in patients were 152.31±9.1 and 93.53±2.87 mmHg, respectively. The results showed that 7% of patients had complete dietary adherence, 66.5% had poor adherence, and rest of the subjects had average dietary adherence. The highest level of dietary adherence was observed in the case of diaries intake (43.5%) and the lowest was related to fruit intake (3.5%).

Conclusion: Given the importance of dietary adherence in controlling hypertension and lack of dietary adherence in hypertensive patients, it is recommended to conduct further studies to identify factors affecting dietary adherence and implement necessary interventions to improve this issue in patients.


Hamideh Mancheri , Shohreh Kolagari , Mahnaz Modanloo, Habib Abdollahi, Mohammad Aryaie ,
Volume 15, Issue 1 (2-2018)
Abstract

Background: The effect of new teaching method on study skill of students results in a significant improvement in learning performances. The aim of study was to determine the effect of Team-Based Learning on study habits of nursing students.
Methods: The quasi-experimental study with a before-and-after design was conducted on nursing students of Golestan University of Medical Sciences in 2015. 101 students participated in this study through census sampling considering the inclusion criteria. The data was collected using Palsane and Sharma Study Habits Inventory (PSSHI) before and after intervention. The intervention was 16 sessions (a two-hour session per week) Team-based learning. The data was analyzed in SPSS-20 software using paired t-test.
Results: Finding showed that most of the students were female (60.3%), and single (95%) with mean age of 21.47±1.5 years. When students were stratified into four groups based on the quartiles of the distribution of study habit, the number of students who had poor study habit decrease after intervention (%5.6) and the number of students with excellent study habit increase after intervention (%3.8). In addition, the mean and standard deviation scores of students' study habits of before and after the intervention were 42.53±7.46 and 48.75±8.94, respectively, which was significantly different (P<.005).
Conclusion: The results showed that Team-Based learning improved their study habits, but the majority of students had poor study habits. In order to improve the study habits of students, student-centered learning is recommended
Zehra Haidari, Mahnaz Modanloo , Sakine Beygom Kazemi, Mahdi Farzadmehr,
Volume 18, Issue 1 (5-2021)
Abstract

Background: Coronary angiography causes anxiety in patients and family that is a major cause of anxiety and lack of awareness. Choosing the right educational method is effective in increasing family awareness and support of patients. The present study aimed to compare the effects of Face-to-Face    and group education on awareness and anxiety of family members of candidates of coronary angiography
Methods: This randomized clinical trial study was conducted on 90 family members of candidates of coronary angiography at Amiralmomenin Hospital of Kordkuy as a referral center in Northeast of Iran in 2017. Eligible family member of patients was recruited through convenience sampling method and then allocated three; face-to-face education (A), group education (B), and control groups randomly. Family members in both intervention groups received same educational content about the method of performing coronary angiography, and the necessary care. The control group only received routine information. Data were collected using the Spielberger State-Trait Anxiety Inventory (STAI) and awareness questionnaire. SPSS Statistics for Windows, version x.0 (SPSS Inc., Chicago, Ill., USA). Software using descriptive statistics, paired t-test, Chi-square, Wilcoxon, and Kruskal-Wallis tests. The significance level was considered less than 0.5
Results: The score of anxiety and awareness in patients’ family members were not significantly different in the three groups before the intervention. After intervention, the mean scores of anxiety were 42.12±4.71 and 42.37±5.53 in the participants of group A and B respectively, and it was significantly different from the pre-intervention score (P<0.001). The mean awareness score was significantly higher in group B than in the other two groups (P<0.001)
Conclusion: According to the results, group education was more effective than face-to-face education in increasing awareness and reducing anxiety in families. We suggest developing programs in this regard


Razieh Talebi, Mahnaz Modanloo, Fatemeh Heydari , Neda Mehrdad, Abbasali Keshtkar, Homeira Khoddam,
Volume 19, Issue 1 (1-2022)
Abstract

Background: Despite the expansion of knowledge of neonatal pain assessment and management, there is still a considerable gap between nurses' clinical practices in Iran and available evidence. The aim of this study was to develop an evidence-based protocol for neonatal pain management and to evaluate its effectiveness on nurses' clinical practice.
Methods: The present study will be based on the Johns Hopkins nursing evidence-based practice (JHNEBP) model and the three stages of practice question and project planning, evidence, and translation (PET). In this way, after forming an interprofessional team, clinical practice questions will be defined, and the main stakeholders will be identified. Then, the types, levels, and quality of evidence will be assessed to summarize their final strength using the proposed tools of the model, and finally, recommendations will be developed. In the translation phase, the recommendations will be implemented during a stepped wedge cluster randomized trial, and its implications for nursing practices in the management of pain in hospitalized neonates will be evaluated.
Results: The results of this study will lead to the production of an operational and applicable protocol in the management of pain in hospitalized neonates. It can provide the basis for improving the clinical practice of nurses and subsequently improving the quality of neonatal care.
Conclusion: One of the strengths of this study is the use of an interprofessional team approach, considering the clients' priorities, and the improvement of organizational culture in order to endeavor for knowledge translation and change in clinical practice.
 

Farzaneh Hosseyni, Hosseyn Rahmani, Mahin Tatari, Elham Kashani, Mahnaz Modanloo,
Volume 19, Issue 2 (9-2022)
Abstract

Background:Professional commitment is one of the factors that can improve performance and job satisfaction in nurses. It can also play an important role in nurses’ willingness to stay in the profession. This study was conducted to determine relationship between professional commitment and the intention to leave the job in nurses working in intensive care units (ICUs).
Methods:This cross-sectional study was conducted in 2019, on 202 nurses working in the ICUs of hospitals affiliated to the Golestan University of Medical Sciences, northeastern Iran. Eligible nurses were enrolled via census. Data were collected by using the Nurses' Professional Commitment Scale (NPCS) and the Hanshow's Anticipated Turnover Scale (ATS). Data were analyzed in SPSS (version 16) using the Spearman's rank correlation coefficient, Mann–Whitney U test, and Kruskal-Wallis test. P-values less than 0.05 were considered statistically significant.
Results:The mean score of professional commitment (90.40±16.69) and its dimensions had a significant inverse association with intention to leave the job (36.87±4.87) (P<0.05). There was also a significant relationship between professional commitment and age, clinical experience, and work experience in ICUs (P<0.05). However, the intention to leave the job had a significant inverse relationship only with clinical work experience (P<0.05).
Conclusion:According to the results, necessary measures should be taken by healthcare policy makers and hospital managers to reduce the turnover intention rate among nurses. Officials can increase the nurses’ job satisfaction by considering the factors that promote professional commitment and by incorporating incentive systems to encourage nurses to remain in the profession.
 
Mahnaz Modanloo, Solmaz Halakou, Homeira Khoddam, Nasrin Nikpeyma,
Volume 20, Issue 1 (4-2023)
Abstract

Background: Anxiety is a common experience in patients undergoing surgery. It is one of the major challenges for preoperative health care providers. The aim of this study was to explore the experience of health care providers in taking care of anxious patients under surgery with spinal anesthesia.
Methods: This qualitative content analysis study was conducted at a referral hospital in Gonbad-e-Kavous city, northeastern Iran, between 2020 and 2021. Data were collected through semi-structured individual interviews. The primary focus of this research was to explore the perspective of health care professionals when providing care to nervous patients who are being considered for surgery with spinal anesthesia. The study included 16 health care providers who had experience in caring for anxious patients undergoing surgery with spinal anesthesia. Participants were selected using purposive sampling. Interviews were implemented in MAXQDA 10 software and then analyzed by the conventional content analysis method.
Results: Five main categories and 19 subcategories were extracted from data analysis. The categories included “emergence of anxiety,” “basis of anxiety formation,” “patient advocacy,” “abilities of health care providers,” and “anxiety management factors.”
Conclusion: Health care providers consider patient anxiety as a problem that can be affected by various factors. Different methods are used to manage patients' anxiety, but it is necessary to apply appropriate context-based interventions.

Sepideh Yahyaei, Dr Homeira Khoddam, Dr Seyedmahrokh Alinaghimaddah, Dr Mahnaz Modanloo,
Volume 20, Issue 1 (4-2023)
Abstract

Background: Fatigue and indifference among critical care nurses due to intermittent and sometimes false alarms are common problems associated with working with alarming equipment. This study aimed to determine the prevalence of alarm fatigue and its relevant factors among critical care nurses in Golestan province, Iran.
Methods: This descriptive-analytical study examined critical care nurses in Golestan province in 2019. A total of 308 critical care nurses (working in ICUs and CCUs) from 11 hospitals were included in the study using the census method based on the inclusion criteria. Data were collected through a 13-item questionnaire assessing nurses’ alarm fatigue. The researcher randomly recorded the number and type of alarms per hour during morning, afternoon, and evening shifts. Simple and multiple linear regression tests analyzed the association between alarm fatigue and nurses’ demographic and professional characteristics as underlying factors. Data analysis was conducted at a significance level of 0.05 and a confidence interval of 95% using SPSS16.
Results: Most nurses, who were predominantly female (79.2%) and had a clinical work experience of 5 years or less in critical care units (69.5%), reported a mean alarm fatigue score of 24.1±6.52. Additionally, 63.3% of the nurses experienced moderate alarm fatigue. It was found that female nurses (87.5%), those working as compulsory medical service workers (35.9%), those assigned to variable shifts (87.2%), and those required to work mandatory overtime (81.5%) reported higher levels of moderate alarm fatigue compared to others. When multiple linear regression analysis was conducted, controlling for the effects of confounding variables, it was observed that among all independent demographic and occupational variables, only gender (b=-0.18, p=0.01), education level (b =0.14, p=0.02), and type of overtime (b=0.15, p=0.01) had statistically significant effects on the response variable, namely the alarm fatigue score (b=-0.18, p=0.01)
Conclusion: Given that most nurses experience moderate alarm fatigue, it is recommended to implement strategies to enhance the quality of care and patient safety, such as providing critical care nurses with appropriate training on the practical and safe management of alarm systems.

Shohreh Kolagari, Mohammad Najafi, Mahboobeh Brojerdi, Mahnaz Modanloo,
Volume 20, Issue 2 (10-2023)
Abstract

Background: Clinical competency is one of the performance indicators of nurses requiring the use of technical and communication skills, knowledge, clinical reasoning, emotions, and professional values at the bedside. The present study’s aim was to assess the clinical competency of nurses working at intensive care units (ICUs) and explore some of its associated factors in hospitals affiliated with the Golestan University of Medical Sciences.
Methods: This descriptive-analytical study was conducted on ICU nurses working at the hospitals affiliated with the Golestan University of Medical Sciences in the northeast of Iran. A total of 160 eligible nurses were recruited using the simple random sampling method. The data were collected through the Intensive and Critical Care Nursing Competence Scale (ICCN-CS), which evaluates the 4 areas of knowledge, skill, attitudes and values, and work experience via 80 statements. The data were analyzed by SPSS 16 software using the Kruskal-Wallis and Mann-Whitney tests at a significance level of 5%.
Results: Most of the participants (69.2%) attained an excellent clinical competency score, and the overall level of clinical competency was excellent. Also, the highest level of competency belonged to the knowledge area (85.11 ± 82.63), and the lowest level was related to the field of skills (80.40± 17.19). Clinical competency showed a significant association with demographic features, including age (P<0.001), type of contract (P<0.001), work experience (P<0.001), marital status (P<0.001), and average overtime hours (P<0.003).
Conclusion: Evaluation of nurses’ clinical competency can help improve the quality of care. It is suggested that health policymakers focus on upgrading the clinical competency of ICU nurses by improving their clinical skills.


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