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The sleep is one of the important phenomen in biological rhythm. Sleep function are usually characterized as being physical and emotional protective and restorative. On the average people spend a third of their life in sleep, and people up to 30% of population suffer from sleep disorders. Sleep disorders are major psychiatric problems. This is a descriptive survey for studying sleep disorders (Insomnia, excessive somnolence, functional disorders) among nurses working at hospitals affiliated with Shahid Beheshti’s Medical Sciences University in this study 751 nurses aged between 20-45 years have participated by data collection using questionnaire and analysis by tests, the results indicated, the most of sleep disorders in insomnia (Initiating sleep 55.8%, maintaining sleep 72.4%, early awakefulness 52.7%, excessive somnolence 65.5% and parasomnia 26.9%). In additional, there has been significant correlation between the demographic factors such as age, sex, marriage, shiftwork, with sleep disorders. These results conclude that the presence of different kind of sleep disorders among the nurses is the indicator of relation between the nurse job with biological disorder of sleep ryteme.

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Background&Objective: Cardio pulmonary resuscitation (CPR) is referred to some activites performed by individuals to resuscitation heart and ventilation. Knowledge, skill, experience and positive attitude by resuscitating personals have an effective role on CPR. This study aimed to explore the effect of CPR training on knowledge of nurses working in the hospitals affiliated to Golestan University of Medical Sciences. Materials&Methods: In this quasi-experimental study, 26 nurses from the hospitals affiliated to Golestan University were selected randomly. Data collected using a questionnaire including 43 questions which completed by participants before and after training session. The teaching method was lecturing and practicing on the manikin during two eight hours session in two days. The content of training included both basic and advanced CPR. The data was analyzed using Wilcoxon test with significant level at α =0.01. Results: 57.7% of nurses were male and 42.3%were female with the average age of 35.54±5.99 years and the average age of work experience of 10.35 years. The data showed the knowledge of nurses staff regarding arrhythmias, therapeutic algorithms, and also drug therapy was low before training, however it improved significantly after training according Wilcoxon test. It was not found any significant improvement in amount of knowledge of our participants regarding cardiac arrest symptoms, airway management, cardiac massage, after training. Conclusion: The results indicated personals low knowledge about arrhythmias and related issues. Also the results showed the effect of training program on improvement on knowledge of nurses about CPR.

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Background & Objective: Hypertension is the most important Cardio-Vascular risk factor, and also the most common cause of heart failure, stroke and renal failure. This semi-experimental study aimed at determining the effect of education, by means of Health Belief Model (HBM), on nurse’s staff knowledge, attitude and their practice toward hypertension. Materials & Methods: This semi-experimental study was done on 136 nurse’s staff selected by stratified random sampling. Data collection instrument were a questionnaire and a check-list. At first, the subjects’ knowledge, attitude and their Practice were studied by a questionnaire and a check list, and then a HBM-based educational program was carried out. For three months, Afterwards, their knowledge, attitude and practice were measured and compared with pretest findings. In statistical analysis, Wilcox on test, independent t test, ANOVA and Pearson correlation. Results: Before education the mean score of knowledge, benefit perceived, barrier perceived, threat perceived, attitude and practice was 9.68, 23.76, 25.63, 22.82, 71.99 and 4.55 respectively. After education these scores reached 16.66, 26.06, 28.94, 24.98, and 80.08 and 4.83. Based on the results, nurse’s staff training via HBM led to high knowledge, positive attitude and practice improvement (p<0.05).The difference between this research variables such as age, gender, marital status, record of service and family background was not significant, But there was significant difference between variables (occupational levels, educational levels, and hospital ward) and knowledge and practice. Furthermore, the relation between hospital ward and attitude was positive (p<0.05). Conclusion: In terms of the results, it is a necessity for nurse’s staff to participate in a HBM based educational program.

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Background&Objective: Research utilization provides quality and cost- effective care, optimizing patient outcomes and enhancing the credibility of nursing. Despite of increase in the amount and quality of nursing research, the conduct of research and use of its results remains poor. In Iran one of the most important barriers of research is related to research utilization. The aim of this study is to identify the barriers and facilitators of research utilization in nursing practice. Materials&Methods: The study used a descriptive- analytic design. The questionnaire was divided into two sections: The former asked for information on the academic and professional profiles of respondents, the latter was based on the BARRIERS Scale. In addition there was one open –ended question to measure the facilitators of research utilization. Content and face validity was further enhanced by submitting it to nursing researchers. Results: In factor analysis procedure four factors were extracted. The factors were labeled as: organization barriers and limitations, Quality of research, Nurses' values, awareness and skills, Communication of research. Factor loading for barrier item ''the nurse is unaware of the research'' was not included under factor headings. The top three barriers were The nurses do not have time to read research, the facilities are inadequate for implementation and the nurses do not feel they have enough authority to change patient care procedures. All the participants suggested facilitators to increase research use The most frequently mentioned facilitators were related to human resources, individual and organizational factors. Conclusion: The most dominant findings were related to organizational support. The top three barriers mentioned by the participants reflect a traditional organizational culture which hinders professional autonomy. Organizations need to ensure that facilities are provided and give the authority to the nurses to change the practice based on research.

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Background & Objective: Chest pain is one of the most important and prevalent symptom in coroner artery diseases , in which the nurse has the key role in its management. This study was done to achieve the objective of assessment of the nurse's role in pain management in patients involved in coronery artery diseases. Materials & Methods: This descriptive study was done by the use of convenience sampling method in Vassaii hospital in Sabzevar city. 95 instances of chest pain were assessed by the nursed participated. In the research project. The tools used was a researcher – made check list and the nurse's role in different aspects, including the assessment of pain, relieve measures and reevaluating of the pain was studied. All the observations was recheck by third person. The Khowledge and perception of the nurses involved this research was studied by another technique prepared. Results: The most of the nurses put priority assessement on the location of pain and the assessment of other features of the pain did not get much attention, for assessing the verbal pain, the use of verbal descriptive was the main method and no one used the visual analog scale in pain intensity. In 92.6% of the instances the nurses practiced to relieve the pain and in most instances (96.8%) medication was used. The findings showed that in 41.1% instances, no specific reassessment was practiced. Conclusion: This study showed that altough the most nurses are aware of their part in relieving the patients pain but they do not fulfill this role in pain mamagement specially in assessing and reevaluating the pain.

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Background and Objective: Nightshift working has negative physical, psychological and social effects on personal life of nurses and in the long run, with subsequent health and complication. This survey was done to study the effect of sleeplessness on general health of nightshift nurses in hospitals of Golestan University of Medical Sciences, Gorgan, Iran, during 2008. Materials and Methods: In this descriptive study, 124 subjects with suitable condition were selected through a census from among 615 nightshift working nurses in hospitals of Golestan university of medical sciences. Data were collected by delivering questionnaire and it included one questionnaire of personal information and two questionnaires about effects of sleeplessness and general health (GHQ-28). Results: Effect of sleeplessness, in the maximum percent of nurses (55.6%) were moderate and in the minimum percent (2.4%) were low. Mean±SD the sleepness rate was moderate (58±9). Also, the results of general health showed that most of them (60.6%) had favorable general health and 2.5% of subjects had unfavorable general health. There was a significant correlation between sleepness, effect and general health of nurses in addition. There was also a meningfull sleeplessness correlation between sleepness effect with age, employment history and nightschieft time table (P<0.05). Conclusion: This study showed that sleepness, negatively, effect on general health of nightschieft nurses, it is suggested, there should a properly organized sleep time table for the nightchieft nurses.

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Background and Objective: Triage is the most important and the first stage of patient’s management at the time of arrival to hospital emergency department. Emergency severity index (ESI) is a common triage system worldwide. This study was aimed to evaluate the accuracy of ESI in emergency department of Imam Hossein hospital in Tehran, Iran. Materials and Methods: In this descriptive study the result of patients’ triage based on ESI were gathered for all patients referred to emergency department of Imam Hossein Hospital from January to April 2011. A questioner was filled for each patient by the nurse and a emergency specialist independently. The l for the degree of agreement of triage between nurse and clinician was 81% (95% CI: 0.79-0.83). The sensivity of triage for step I, II, III, IV and V were 100%, 53.2%, 90.7%, 67.1% and 98% respectively. The specificity of triage for step I, II, III, IV and V were 99.8%, 97.5%, 93.7%, 98.3% and 94% respectively. There was a significant overlapping between the triage step and the patient clinical outcome. Conclusion: This study showed that five steps triage contain a high accuracy and estimation of patient outcomes.

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Background and Objective: Nursing is one of the most stressful occupations and one of the common stress-induced syndromes among nurses is low resilient. Raising resilience is one of the effective factors in dealing with tensions. This study was done to determine the relationship between optimism and humor with resilience in female nurses.
Methods: This descriptive-analytic study was carried out on 230 female nurses who worked in Isfahan, Iran during 2016. The number of nurses in different departments in these hospitals was 600; finally, 235 people were randomly selected using the Morgan table. In order to collecting data, sense of humor questionnaire by Lefcourt & Martin (SHQ), life orientation optimism questionnaire Carver & Scheier (LOT-R), and Conner and Davidson resilience questionnaires were used.
Results: There was a significant negative relationship between optimism and resilience (P<0.05). Also, there was a significant and positive correlation between humor and resilience (P<0.05). The fact that all the sub-scales of humor can predict resilience, laughter has the greatest effect on resilience.
Conclusion: This study showed that with increasing humor, resilience is rising in female nurses.

 

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Background and Objective: Nosocomial infection is a major challenge in health care system. In fact, it is regarded as one of the risk factors in hospitalized patients. The aim of this study was to determine the antibacterial effect of silver nanoparticles (AgNPs) nursing gowns on geram – positive bacterial.
Methods: This descriptive and analytical study was done on 200 nurses gowns were surveyed in two hospitals of Sirjan city in Kerman Province cenral area of Iran. At first, the antimicrobial activity of silver nano fabrics on Staphylococcus aureus bacteria was confirmed by examining the optical density OD (0.325) medium. Sampling was gathered into the two modes, before using nano gowns and after using nano gowns by using wet sterile swabs. The samples collected were cultured and the formations of colonies were examined and biochemical tests were used to identify isolated bacterial.
Results: The most commonly isolated gram- positive bacterial from normal gowns were Staphylococcus epidermidis (43%) and the lowest pathogen was Streptococcus (1%). In these hospitals, after using nano silver gowns, the amount of microbial load on the clothes were determind zero.
Conclusion: This study showed that gram- positive bacterials of nursing gowns after contact with silver nanoparticles were eliminated.