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Showing 19 results for Mohammadi

Dr Leila Jouybari, Dr Akram Sanagoo, Mis Zahra Mohammadi,
Volume 7, Issue 2 (11-2010)
Abstract

  Background and Objective : Spouse abuse, which has physical and psychological consequences on victims, is one of the most important health problems in many countries. The purpose of the present study was to investigate wife abuse among the women referred to health care centers of Gorgan, 2008.

  Material and Methods : The subjects of this descriptive analytical study were 300 married women selected by easy sampling. Data collection was performed by using "Spouse Abuse" questionnaire, consisting of 27 items which are related to emotional, physical and sexual domains. The validity was confirmed by faculty members and reliability by alpha cronbach (=0.86).

  Results : The results show that wife Abuse is severe (6.5%), no report of Spouse Abuse (16.5%), sexual abuse (23%), physical punishment (54.5%), and psychological abuse (82.5%). The rate of Spouse Abuse is lower in younger couples. There is significant relationship between wife Abuse and the age of women, smoking and drug abuse of their husbands (P=0.000).

  Conclusion : All kind of wife abuse has devastating health effects on women
well-being. Regarding the high rate of psychological abuse in relationships, it is necessary to consider marital counseling as a priority for mental health of families.


Sharareh Zeighami Mohammadi , Md Mandana Shahparian,
Volume 8, Issue 2 (2-2012)
Abstract

 Background and Objective : Several study show that health related quality of life in heart failure patients is significantly impacted by disease. The aim of the present study was to determine quality of life and some related factors in males with heart failure.

  Material and Methods : This is a descriptive-­analytical study conducted on 100 males with systolic heart failure in Karaj and Shahriar social security hospitals of Alborz province in 2010. Data was collected through convenience sampling and interview.­The instruments were demographic data sheet and MLHFQ (Minnesota Living with Heart Failure) Questionnaire. Data was analyzed by descriptive statistics (frequency distribution, mean, standard deviation) and independent T- test, Anova and Pearson correlation coefficient(p<0.05).

  Results: The findings indicat that the mean score of quality of life is­ 41.61 ± 21.30 51% of males quality of life is poor, 26% moderate and 23% good. There is significant positive correlation between quality of life and age (p<0.001), and negative correlation between Qol and ejection fraction (p=0.006) and hemoglobin level (p<0.001). Statistical significant difference is found between quality of life and education level (p=0.001), economic status (p=0.010), cigarette smoking (p=0.031), asthma (p=0.022), use of digoxin (p=0.040), angiotensin receptor blocker (p=0.035) and Spironolactone (p=0.002).

  Conclusion: This study indicates that males with systolic heart failure have poor quality of life. The nurse can help to improve quality of life by performing appropriate intervention teaching patients about self-care intervention and monitoring side effects of treatment.


Phd Jalil Fathabadi, Phd Alireza Mohammadi Arya, Yazdan Kakaie, Mohammad Nozari,
Volume 8, Issue 2 (2-2012)
Abstract

  Background and Objective : Evaluation is considered as an integral component of academic planning system and the process of determining and providing necessary information about desirability of development program targets. The aim of present study was comprehensive evaluation of Islamic Azad University of Gorgan based on CIPP Model to provide useful information to help people to judge and improve the curriculum and develop the policy of programs .

  Materials and Methods: The type of this study is educational evaluation. First, for conducting the evaluation, four domains of CIPP model including context, input, process and product was divided into more detailed parts, then primary standards were developed based on viewpoints of deans, head of department and faculty members of the university. After that, based on primary standards, measurement tools were created and administrated.

  Results: The results showed that the average score of context, input, process and product from the perspective of faculty members, students, head of department, university administrators, professionals and graduates, is 2.55, 2.714, 3.208 and 2.91, respectively, which indicates the relative desirability of the university in these four factors. The total score of four factors is 2.845 indicating the relative desirability of the university in general.

  Conclusion:­ Given the youth of Gorgan Azad University and­ low proportion of faculty members with full professor and associate professor degree, this level of desirability is acceptable.


Narges Asgari, Parvin Taheri, Mehri Golchin, Dr Majid Mohammadizadeh,
Volume 10, Issue 0 (Supplementary 2013)
Abstract

  Background and Objective: Mechanical ventilation is used for some infants in neonatal intensive care unit (NICU) due to many physiological and clinical causes. The practice of endotracheal suctioning of ventilator- treated patients is necessary to remove secretions to prevent obstruction of the endotracheal tube and lower airways. This study aimed at determining the effect of open and closed suctioning methods on cardio-respiratory parameters of infants undergoing mechanical ventilation.

  

  Material and Methods: In this clinical trail, forty-four infants underwent mechanical ventilation in NICU were selected by simple continuous sampling. The samples were randomly divided into two groups. In the first group: first, open suctioning and then after three hours of cleaning, closed suctioning was performed. In the second group, first closed suctioning and after three hours of cleaning, open suctioning was implemented. Respiratory rate (RR), oxygen saturation, pulse rate and blood pressure were assessed before ( in three, two and one minutes ) , during and after ( in one , two and three minutes ) each type of suctioning. The Data was analyzed by Software SPSS-16 using ANOVA with repeated measures and independent t-test.

  

  Results: There was a significant difference between mean respiratory rate and oxygen saturation in infants during and after the closed and open suctioning (p<0.05). Oxygen saturation had a significant reduction in open method compared to closed method during and immediately after suctioning. Respiratory rate had a significant reduction in 3 minutes after open suctioning in both steps. The mean of diastolic pressure in second step of open method and in both steps of closed method was significant (p<0.05). There was a significant difference between the mean pulse rate in different times of open suctioning in the first step (p<0.05), Pulse rate drop significantly was lower in closed suction than open one (p<0.05).

  

  Conclusion: because of little changes caused by closed suctioning in hemodynamic condition, it is recommended using the closed suctioning to prevent from respiratory complications and pulse rate dropping in infants.

 


Hiva Mohammadi Bolbolanabad, Dr Ahmad Reza Yazdan Nik, Dr Mohsen Mirmohammad Sadeghi , Asghar Khalifeh Zadeh,
Volume 10, Issue 0 (Supplementary 2013)
Abstract

  Background and Objective: After coronary artery bypass surgery, pulmonary complications and oxygenation disorders are common, which have an important role in disablement and mortality. Different methods are used for improvement of pulmonary function and oxygenation. In this study we aimed at evaluating the effect of deep breathing exercise on arterial blood gases after CABG.

  

  Material and methods: This clinical trial was conducted on fifty patients who had CABG in Chamran hospital and Sina heart center of Isfahan, 2012. The patients were randomly located in groups of intervention and control. The intervention was the use of deep breathing exercises initiated after extubation while just the routine breathing exercises were used for control group. Arterial blood gases of all patients were measured before surgery, after extubation, second and the third postoperative days, and analyzed by independent t test.

  

  Results: the arterial blood gases measured in before surgery, after extubation, first and second days were the same in intervention and control groups. In the third postoperative day, there was a significant difference in the mean of arterial blood oxygen (81.3±4.6 vs. 72.7±7.1 respectively, p=0.01), arterial blood carbon dioxide (37 ±1.9 vs. 43.7±3.2 respectively, p >0.001) and oxygen saturation (96.8±1/4 vs. 90.5±2.1 respectively, p >0.001).

  

  Conclusion : in terms of the results, the deep breathing exercise is significantly more effective in improvement of blood arterial gases parameters.

 


Dr Gholam Reza Mahmoodi, Esmaeel Hosseinzadeh, Dr Mohammad Ali Vakili, Dr Kazem Kazemnejad, Dr Mohammad Reza Mohammadi, Dr Mohammad Hossein Taziki, Dr Rahim Kohansal, Zahra Hojbari,
Volume 10, Issue 1 (4-2013)
Abstract

  Background and Objective: Coma due to brain injury is an important complication resulting in unconsciousness and reducing the capacity of responding to the environment. This study aimed at examining the effect of organized voice auditory stimulation, which was performed by a nurse, on the length of coma in the patients suffering from head injury.

  Material and Methods: This clinical-trial study was applied on 40 patients in the critical care unit of Panje Azar Hospital. The patients were randomly recruited to one of the two groups (each group 20 patients). The intervention group was stimulated by the voice of a male nurse. Hearing stimulation was conducted in the morning and night shift about 15 minutes each time for 10 days. The patient consciousness was measured by GCS scale and analyzed by ANOVA and t-test (P<0.05), using SPSS Soft ware.

  Results: ­ The average age of intervention and control group was 28.20 ± 11.49 and 27.8 ± 13.22, respectively. Before stimulation in the first day, there is no significant difference between the GCS of intervention group (5.95 ±0.68) and that of control (5.95 ± 0.64). The results indicate that the intervention group has become consciousness from the 5th day (GCS of 8.25 ± 1.19) and control group (GCS of 7.80 ± 1.96) from the 10th day.

  Conclusion: The study show that the auditory stimulation in the intervention group compared to control group gives rise to the improvement of ­the level of consciousness in comatose patients .


Morteza Badeleh, Dr Mahdi Fathi, Dr Hamid Reza Aghamohammadian, Mohammad Taghi Badeleh,
Volume 10, Issue 1 (4-2013)
Abstract

 Background and objective : ­ Adolescence is a significant stage of social and psychosocial development. This particular period of crisis involves some problems, one of the most important ones is the loss of self-esteem . Hence, this study aimed at investigating the effect of group cognitive behavioral hypnotherapy on increasing adolescents' self-esteem .

 Material and Methods: The research population ( n= 250) of the current study is the ­adolescents living in a boarding school of Taibad city, Iran, in 2012 academic year. Using convenience sampling, the subjects were selected and asked to fill out Copper Smite self-esteem Inventory, and considering the cut-off point of 23, 30 adolescences with the lowest self-esteem were randomly placed in two groups of control and experimental .The subjects of experimental group were taken part in 8 two- hour- long sessions of cognitive behavioral hypnotherapy while the ones of control group did not receive any training . At the end of this period, the subjects’ self-esteem was measured again and compared with pre-test by Ancova test, using SPSS soft ware (version 19).

 Results: Ancova test analysis indicates that the self-esteem score in group cognitive behavioral hypnotherapy compared with the control group is significantly increased (p<0.01).

  Conclusion :­­ Group cognitive behavioral hypnotherapy can lead to increased self-esteem in teenagers. Further researches accompanying by periods of follow-up are recommended.

 


Dr Alireza Mohammadi Arya , Mahdiyeh Pakdaman, Dr Shahnam Abolghasemi, Dr Mansour Rezaee, Dr Tahereh Pashaee, Amaneh Ghareh Tapeh ,
Volume 11, Issue 1 (5-2014)
Abstract

Background and Objective: Breast cancer is the most common cancer among women worldwide. Thus, we aimed to determine the effect of stress inoculation group training on the hope and quality of life in women with breast cancer. 
Material and Methods: This experimental study was conducted on 60 randomly selected women in chemotherapy ward of Razi hospital in Rasht, 2011. The instruments were Schneider hope and quality of life (SF-36) questionnaires. Of 60, 30 eligible patients were randomly divided into control group with no training and experimental group with stress inoculation training. 
Results: Before intervention, the two groups were matched with demographic variables, hope and quality of life score. The results showed that the stress inoculation group training is effective both on hope and quality of life. Furthermore, the effect of this approach on quality of life was more than hope score (P=0.001). 
Conclusion: Stress inoculation group training is highly effective in improving the hope and quality of life in women with breast cancer. To be sure about its permanent effect, further research with follow-up period is needed.

Masood Moghimi, Sima Mohammad Hossini , Zohreh Karimi, Mohammadali Moghimi, Ebrahim Naimi, Somaya Mohammadi, Maryam Behroozi,
Volume 11, Issue 2 (11-2014)
Abstract

Background and Objective: The ideal value of clinical training in personal and professional development, as well as the clinical nursing skills is undeniable. Hence, we aimed at investigating the obstacles of clinical education and strategies for improving the quality of education in Yasuj University of Medical Sciences. 
Material and Methods: This cross-sectional study was conducted on 108 nursing students who had attended at least one term of practical work in Hospital, 2010. The instrument was a questionnaire, including questions related to demographic characteristics and barriers of clinical skills, whose validity and reliability were approved (R = 0.81). The data was analyzed by SPSS 17. 
Results: The main obstacles were absence of learning objectives (85.9%), students' failure to maintain discipline (77.8%), lack of adequate training period (66.6%), lack of appropriate communication between students and personnel (62.1%). There was significant difference between male and female students about the importance of training records of instructors. (P <.001). But students' view was not significantly correlated with their demographic characteristics (P >0.05). 
Conclusion: There are major obstacles in four areas of clinical education that can be effective in students' practical skills. Thus, it is important for education officials to perform some appropriate interventions to provide a suitable clinical setting having education facilities, clinical environments and modified evaluation instruments.

Naser Heidari, Sara Haghighat, Meysam Haji Mohammadi Arani , Fateme Ghorbani, Jamal Ashoori,
Volume 13, Issue 1 (6-2016)
Abstract

Background: Cognitive and metacognitive learning strategies are identified as important solutions for improving academic achievement. This study aimed toevaluate the effect of teaching cognitive and metacognitive learning strategies on academic achievement among nursing students.

Methods: This Study was an experimental with pretest and posttest and follow-updesign.  The study population included all nursing students atIslamic Azad University of Pishva during 2013-14. Overall, 40 students were chosen byconvenience sampling technique and randomly divided into two groups (20 subjects in each group) of experimental and control. Students in the experimental group received 10 sessions of 70 minutes long (twice a week) training for cognitive and metacognitive strategies, while the control group received no training. All students completed a teacher-made academic achievement testat the pretest, posttest, and follow-up phases. Data were analyzed usingrepeated measures ANOVA technique.

Results: The mean value of the experimental group (16.67 ± 3.58) was higher than the control group (13.47 ± 2.37) at the posttest phase. Themean value of the experimental group (16.29 ± 3.74) was higher than the control group (12.93 ± 2.84) at the follow-up phase. In addition, there were significant differencesbetween mean valuesat the posttest and follow up phases and mean valueatthe pretest phase. However, there was no significant difference between the mean values of the posttest phase and the follow-up phase.

Conclusion: The results of this study indicate that teaching cognitive and metacognitive learning strategies improves academic achievement in students at posttest and follow-up phases. Thus, academic teachers may teach these useful strategies to the students to improve their academic achievement.


Soheila Zabolypour, Kourosh Dastan, Saeed Ghorbani, Amir Anbari, Sepideh Mohammadi,
Volume 13, Issue 1 (6-2016)
Abstract

Background: Caring is the core of Nursing and holistic high-quality care is considered as one of the main concerns of nursing managers. Evaluation by main care recipients and assessment of their satisfaction with different levels of care is a way to determine and improve the quality of nursing care. The aim of this study was to determine the relationship between the quality of nurses’ caring behaviors with patient satisfaction in four areas of nursing knowledge and skills, patient education, communication and nursing ethics.

Methods: This descriptive study was performed on 150 patients hospitalized in the Shahid Beheshti Hospital of Yasuj, in 2013. Subjects were selected by convenience sampling and from the departments of general surgery, neurosurgery, infectious diseases, neurology and burn center. Data were collected and analyzed using quality of caring behaviors and patient satisfaction questionnaires.

Results: The quality of caring behaviors was reported as moderate by the patients. Subscale of quality of caring behaviors was reported as good in area of nursing knowledge and skills, and as moderate in areas of patient communication and nursing ethics. The mean score of satisfaction was relatively favorable. Satisfaction regarding the subscale of nursing knowledge and skills was at a favorable level and patient education, communication and nursing ethics were reported as relatively favorable.

Conclusion: Considering the moderate quality of nursing care, patient satisfaction level and level of the subscales, nursing managers and officials at faculty of nursing are expected to pay more attention to the aspects of patient education, communication and nursing ethics in addition to nursing knowledge and skills.


Mahdi Heidarzadeh , Masoumeh Agh Amohammadi ,
Volume 14, Issue 2 (9-2017)
Abstract

Background: The investigation of spiritual growth and its dimensions in the diabetic patients can help these individuals adjust to the stressful event of this disease. Regarding this, the present study aimed to explore the spiritual growth and its dimensions in the patients with type II diabetes mellitus.
Methods: This qualitative study was conducted on the adult patients with a history of at least one year of type II diabetes mellitus, who referred to the Diabetes Clinic of the Imam Khomeini Hospital in Ardabil, Iran, using an interpretive phenomenological approach. The sampling was performed using the purposive sampling and the data was collected through semi-structured interview. Each interview was transcribed verbatim and analyzed based on the Van Manen’s method.
Results: The data analysis led to the emergence of 237 codes, 3 main themes, and 7 subthemes. The basic themes included tendency to spirituality, God-centeredness, and moral growth.
Conclusion: As the findings of this study indicated, the diabetic patients had turned to spirituality more than ever and used it as a powerful tool to cope with their disease. The emerging new categories highlighted the new aspects of diabetes consequences that can help develop the concept of spirituality in the nursing science, and also have clinical applications in this discipline. The care providers can take advantage of these findings to enhance the patients’ spiritual growth and improve their compliance with the stressful events of diabetes.
 
Sharareh Zeighami Mohammadi Zeighami Mohammadi, Parvin Farmani, Esmat Danesh,
Volume 14, Issue 2 (9-2017)
Abstract

Background: Identify factors affecting medication adherence is effective in the planning of patient care, education and follow-up of heart failure patients. This study aimed to investigate the correlation between type D personality and medication adherence in patients with systolic heart failure was performed.
Methods: This was a descriptive -correlational study . 100 patients with systolic heart failure at least one year experience of developing heart failure and ejection fraction below 40%  admitted to hospital Alborz Social Security of Karaj and the Social Security Hospital of Shahriar in 2013  using convenience sampling were entered into the study. Demographic data and type-D personality questionnaire, medication adherence scale in patients with heart failure, was completed by interview. Data was analyzed by SPSS software version 18 and using descriptive statistics and coefficient Pearson correlation.
Results: 75% of total systolic heart failure patients had type D personality. The %65 of total patients was poor medical adherence. There was a significant negative moderate correlation between Type D personality and medical adherence (p<0.001).
Conclusion: Patients with systolic heart failure with type D personality had lower drug adherence. Screening of type D personality in patients with heart failure and referral for counseling and appropriate treatment can help to enhance medication adherence of heart failure patients.
Fateme Naghinasab Ardehaee , Mahmoud Jajarmi , Mohammad Mohammadipour ,
Volume 15, Issue 1 (2-2018)
Abstract

Background: Improving the level of psychological well-being is one of the psychological concerns of the recent century. This study was conducted to compare the Olson's Circumplex Model with Emotional Focused Couple Therapy (EFCT) on psychological well-being in women with marital dissatisfaction.
Methods: the participants were sixty dissatisfied married women living in Gorgan, Iran, 2017. Having including criteria, they were randomly divided into two intervention groups. The interventions were performed for both groups through 15 sessions. The Ryff’s psychological well-being scale (with six dimensions) was completed before and one week after intervention by the participants.
Results: Analysis of covariance showed that both circumplex model and EFCT cause an improvement in psychological well-being. However, EFCT was more effective in the dimensions of purpose in life and personal growth. There were no significant statistical differences between two intervention methods regarding other dimensions of Psychological Well-Being.
Conclusion: It is recommended to use these therapeutic approaches for couple and family therapy, preferably EFCT, to improve psychological well-being.
 
Seyed Ali Majidi, Shiva Alizadeh, Sobhaneh Kouchakzadeh Talami, Hamideh Safarmohammadi, Ehsan Kazemnezhad Leily, Monika Motagi, Mehdi Barzegar,
Volume 16, Issue 2 (11-2019)
Abstract

Background: Patient safety is one of the main components of the health care services quality that implies avoidance of any harm or damage to the patient during the delivery of health care. The purpose of this study was to determine the patient safety culture from the view point of nurses in the hospitals of Guilan province in 2016.
Methods: This cross-sectional study was done on 400 nurses from the nurse community in Guilan province, Iran in 2016. The sampling was performed as the two-stage cluster sampling method. Data were collected using a modified questionnaire based on the Hospital Survey on Patient Safety Culture (HSOPSC). Data were presented with descriptive statistics analysis using in SPSS-14. The significant level was considered less than 0.05.
Results: Most of the nurses were female (89%), with a mean age of 34.28±6.86 years. The most response to the items was related to “Please give your work area/unit in this hospital an overall grade on patient safety” that was the acceptable option (47.5%). The mean score of the patient safety was 3.28 ±0.86.
Conclusions: The results showed two dimensions including staffing and teamwork within units. Feedback and communication about errors were the most important dimensions of the patient safety culture. Accordingly, it should be noted that paying more attention to the patient safety culture can lead to improve hospital condition levels.
Aniseh Pourrasmi Mamaghani, Mohammadhiwa Abdekhoda, Parvin Bastani Alamdari, Masoud Mohammadi,
Volume 17, Issue 0 (Supplementary 2020)
Abstract

Background: The rate of cesarean delivery in Iran is four times higher than the standard defined by the World Health Organization. Information counseling is a method for providing accurate information and helping primiparous women to make evidence-based decisions. This research was conducted to determine the effect of information counseling on decision making process of delivery.
Methods: This was a before and after clinical trial in which 120 pregnant women in the 28thweek of the pregnancy with no indication of cesarean sections (CS) and a health record were included. Sample size was calculated using cluster sampling and the formula n= (〖(Z_(α⁄(2- Z_(β  ) )) )^2 δ〗^2  )/d^2  . The sample size was approximately 63 individuals. To correct the effect of cluster sampling, the calculated sample volume was multiplied by a factor of 1.4. To further validate the data, the number reached 120. Data gathering tool was a questionnaire designed based on reviewing previous studies and considering the purpose of the study whose validity and reliability were measured. The questionnaires were given to the women in two stages at week 28 and week 36. The interventions were in the form of packages containing brochures and information booklet on the benefits and disadvantages of natural childbirth and cesarean section in addition to training sessions taught by a midwifery specialist. Pros and cons of vaginal and cesarean modes of delivery were presented by training sessions. Women's preferential delivery mode were measured by a pre- and post- questionnaires and follow-up. After data collection, the analysis was performed at two levels of descriptive and inferential statistics. Finally, data were analyzed by SPSS16using t-test.
Results: The findings showed that the main indicators for determining the type of delivery, including awareness about delivery, making decision for delivery mode, understanding the risks of delivery mode, and self-efficacy were significantly associated with educational intervention and counseling (P<0.01). In the pre-intervention phase, 66.7% of women had normal delivery and 33.3% had cesarean section. After intervention, with a significant increase in choosing normal delivery, 78.4% chose natural childbirth and 15.3% chose cesarean section as the best option for delivery. Follow-up results after educational intervention showed that 44.2% of participants in this study performed normal delivery and 50% cesarean section. 8.5% were excluded from the study for certain reasons. After reviewing the results, it was found that encouraging physicians’ team to cesarean section was the main and primary cause of cesarean.
Conclusions: The implementation of information counseling has a great effect on encouraging women to change their decision patterns and self-making decision for VD maternity and reducing CD. However, in practice, certain factors, especially the constant recommendation of physicians’ team to CD as a programmable and convenient delivery, undermine the role of these interventions.

Masoud Mohammadi, Masoumeh Mirkarimi, Zohereh Paranam, Maryam Banisafar, Mohammad Yadegari, Rezanezhad marzieh Rezanezhad, Mahin Tatari, Mohammad Mahboubi,
Volume 17, Issue 1 (4-2020)
Abstract

Background: Journals are regarded as the most important media for transferring knowledge and research results, accordingly their promotion is conditioned by continuous evaluation and improvement of performance. The present study aimed to determine the status, citation analysis, and altmetric indices of journals published by Golestan University of Medical Sciences.
Methods: This cross-sectional study was conducted by a descriptive approach with scientometric and citation analysis methods in 2019. The statistical population consisted of 5 journals of Golestan University of Medical Sciences. Data collection tool was a researcher-made checklist consisting of 28. Altmetric indices of journals were also evaluated. Data was analyzed by descriptive statistics; and the results were presented in diagrams and tables.
Results: All the studied journals had all "publication requirements. Only one journal had the requirement, "at least half of editorial board should be outside of the publication". Moreover, 37 percent of 105 editorial board members in the under examined journals had extra-organizational affiliation and only 8 percent were from abroad. The articles of "Journal of Gorgan University of Medical Sciences " was the most-cited article regarding citation bases.
Conclusions: Journals of Golestan University of Medical Sciences need to revise their structures, especially for editorial board members namely being international, having an organizational affiliation outside the university, as well as the presence of editorial board members with further research activity and background.
Parisa Mohammadi, Seyede Fatemeh Gheiasi, Kourosh Amini,
Volume 20, Issue 1 (4-2023)
Abstract

Background: Retaining skilled nurses is paramount in providing quality nursing care for patients and thus improving their satisfaction. This study aimed to determine the intention to stay (ITS) in the profession of nurses and its related factors.
Methods: This multicenter cross-sectional study was conducted on 263 nurses working in teaching hospitals affiliated with Zanjan University of Medical Sciences, Iran, from September 2020 to February 2021. Participants were selected by simple randomization. A researcher-made ITS questionnaire was used to collect data, which were then analyzed using descriptive statistics, independent t test, analysis of variance (ANOVA), and Pearson correlation via SPSS version 16.
Results: The findings revealed that 109 participants (41.45%) of the nurses intended to stay in their profession. The total mean ± SD score of ITS for the nursing profession was 60.44±12.39 out of 100. From the participants' perspective, 5 factors of high responsibility and commitment (86.01±13.71), professional competence (77.95±13.66), feeling useful in nursing (77.79±18.23), the importance of being employed for me (74.83±20.01), and the possibility of learning skills and acquiring new information by continuing nursing (74.30±18.22) had the highest average score. There was a statistically significant relationship between ITS and the demographic variables of education level, job position, marital status, working shift, age, and the number of children of participants (P < 0.05).
Conclusion: The frequency of nurses with ITS in the profession is a cause of concern, sounding the alarm for the Iranian nursing system. The findings of this study could be useful for health care policymakers to increase nurses' intention to stay in the profession and, as a result, improve retention rates.

Azam Mohammadi Sangsari , Ghanbar Roohi, Zahra Sabzi, Ali Akbar Abdollahi , Naser Behnampour ,
Volume 20, Issue 2 (10-2023)
Abstract

Background: Swift diagnosis and treatment of cardiac patients can avert unnecessary hospitalizations. Emergency departments routinely assess patients using the Emergency Severity Index (ESI) method. This study compares the effects of two triage methods, cardiac triage, and ESI, on the admission time of acute coronary syndrome patients.
Methods: This intervention study aimed to enhance the quality of therapeutic interventions through an intervention design featuring a control group. The research sample comprised all patients referred to the Sayad Shirazi Educational and Medical Center triage unit in Gorgan, Iran. All patients were randomly allocated into two groups: the control group (23 patients) and the intervention group (46 patients), utilizing a simple random allocation method. The control group underwent triage using the Emergency Severity Index, whereas the intervention group received cardiac triage. Triage forms and time-related indices were completed for both groups. Statistical analysis was conducted using descriptive statistics, the Shapiro-Wilk, and the Mann-Whitney tests to compare these characteristics between the two groups, utilizing SPSS version 18.
Results: Significant statistical differences were observed between the two groups in several aspects: the average time from the emergency department to the cardiac intensive care unit (p < 0.001), the average duration of presence of a cardiac specialist physician (p < 0.001), the average time from arrival to triage room exit (p < 0.001), and the average hospitalization time (p < 0.001). These time intervals were shorter in the cardiac triage group.
Conclusion: Implementing specialized cardiac triage for cardiac patients plays a pivotal role in reducing response times. Cardiac triage can furnish the medical team with more comprehensive information, thereby improving the management of these patients in the emergency department.


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