Quality of nursing documents in medical-surgical wards of teaching hospitals related to Tabriz University of Medical Sciences

Iranian Journal of Nursing and Midwifery Research1735-906614220090725Quality of nursing documents in medical-surgical wards of teaching hospitals related to Tabriz University of Medical Sciences8383MSc in Nursing Education, Instructor, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.MSc Candidate in Nursing Education, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.MSc in Nursing Education, Instructor, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.PhD Candidate in Nursing Education, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.PhD in Nursing Education, Associate Professor, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.20101113BACKGROUND: The aim of present study was to determine the quality of nursing documents in medical-surgical wards and factors affected this quality. METHODS: In this descriptive study the quality of nurses' documents in medical-surgical wards of teaching hospitals related to Tabriz University of Medical Sciences was assessed. For data gathering, four checklists assessed four parts of nursing documents including: recording nursing report, recording medication treatment, recording vital sign assessment, and recording intake and output (I & O) of fluids were used. The validity of checklists assessed by content validity and the reliability of them calculated with inter-rater reliability. The study sample was including 170 nurses selected with simple random sampling. For each nurse, in four selected parts of documents, three documents were assessed in different times. Finally, in each part of documents 510 documents was assessed. For data analyze descriptive and inferential statistics was used. RESULTS: The average age of nurses were 32.40 ± 5.58 years, 87.65% of them were female and 51.23% of them worked in surgical wards. 70.6% of nursing documents have a moderate quality and 29.4% of them have a good quality. Furthermore, the quality of females' documents were better than males' documents and the quality of surgical nurses' documents were better than medical nurses' documents. CONCLUSION: The quality of nurses' documents in medical-surgical wards of teaching hospitals related to Tabriz University of Medical Sciences was acceptable. However, related to correlation of demographic factors with the quality of nurses' documents further investigation is needed.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/83http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/83/204

Iranian Journal of Nursing and Midwifery Research1735-906614220090725The relation between social support and stress in treatment of infertility in infertile couples referred to infertility centers of Isfahan in 20078484MSc, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.PhD, Student of Reproductive Health, Tehran University of Medical Sciences, Tehran, Iran.MSc, Department of Psychiatric Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.20101113BACKGROUND: Experiencing infertility is a crisis in couples' life, affecting all aspects of their life. In addition to stresses of infertility problems, going through treatment is also associated with physical, psychological, social and economic stress. Therefore, identifying social factors especially social support related to stress of infertility treatments seems necessary. This study investigates the relationship between social support and stress of infertility treatment. METHODS: It is a descriptive correlative study on 75 couples (150 subjects) who referred to clinics of Isfahan for professional treatment of infertility. The sampling method was simple and the subjects were selected based on entry criteria. Data were collected by a questionnaire completed by interview and included personal and social characteristics, infertility treatment stress and social support. RESULTS: The mean score of infertility treatment related stress was 58.68 and 86.7% of couples experienced average to severe stress in professional treatments for infertility. The highest and lowest score of social support were 23.28 and 84.45 for spouse support and 2nd and 3rd level relatives, respectively. There was an inverse correlation between social support and infertility treatment related stress (p = 0.0001). Also, there was a significant relation between age, sex, and career with infertility treatment stress. CONCLUSION: Considering the findings of the study, it seems necessary to provide educational courses for couples on different techniques of reducing stress, counseling and information and emotional support by health personnel as well as general education of families on how to provide support for couples.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/84http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/84/205

Iranian Journal of Nursing and Midwifery Research1735-906614220090725Evaluation of the curriculum for undergraduate course of operating room in international level and suggesting an appropriate curriculum for Iran8585MSc, Department of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc, Department of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc, Department of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.BSc, Department of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc, Department of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc, Department of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc, Department of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc, Department of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.20101113BACKGROUND: The objectives of an educational system in a society are based on society's requirements. Since personnel knowledge and skill are not qualified with the advantages of science and invention of new tools, new needs are arisen. Comparing the curriculum of undergraduate course of operating room of our country with international societies, it seems that this curriculum is not a good one to educate experts for taking care of the patients before, while and after operation. This research is done in an international level to determine a curriculum for operating room course and suggest a suitable educational program. METHODS: Executive method contained 3 stages. In first stage after searching the web and finding the curriculum of operating room course in the world, the current curriculum was compared to the findings in second stage and in third stage a questionnaire has sent to 17 experienced members of faculty scientific board and after performing their opinions and modifications, the curriculum for undergraduate course of operating room was suggested. RESULTS: This research's findings contain two sets of data obtained from searching the internet and polling research samples which result to the suggestion of curriculum for undergraduate course of operating room. CONCLUSION: Surveying the suggestion of research units showed that more than 50 percent of courses have utility more than 90 percent and the minimum utility is belonged to hygiene and internal medicine and digestion and tumors operation courses (about 76%). By modifying these courses ambiguities are cleared and finally the suitable curriculum suggested.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/85http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/85/206

Iranian Journal of Nursing and Midwifery Research1735-906614220090725Examining the methods of measuring the womb height and mother's abdomen circumference to estimate baby's weight at the birth time in term mothers referred to maternities in Isfahan during 2007-088686MSc, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc, Department of Fundamental Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.20101113BACKGROUND: This research aimed to examine the methods of measuring the womb height and mother's abdomen circumference to estimate infant's weight at birth time. METHODS: In this cross-sectional descriptive-correlative research, 1070 mothers with term pregnancy (and their infants) who referred to Isfahan maternities were assessed. Questionnaire, demographic data form, patient's medical files and standard meter and scales for adults and infants were the data collection tools. Data were analyzed using SPSS software. RESULTS: There was a significant relation between womb height and infant's weight at birth time, also between mother's abdomen circumference and baby's weight at birth time categorized by the number of childbirths, age of gestation, condition of infant's head engagement, body mass index, and mother's bulk (p < 0.05). The correlation coefficient of womb height and mother's abdomen circumference in estimating baby's weight at birth time were not statistically different. Besides, the positive and negative prediction value of these two methods for determining the weight of infants with less than 2.5 kilos or more than 4 kilos are the same. Finally a formula was achieved to estimate baby's weight: Birth weight = - 2.203 + 0.035 (womb height) + 0.012 (abdomen circumference) + 0.012 (duration of gestation) - 0.114 (infant's head engagement) + 0.043 (size of bulk) CONCLUSION: It is suggested that the personnel of maternities especially in disadvantaged parts of the society learn the correct method of measuring mother's abdomen circumference and womb height and estimate baby's weight using achieved model to improve mother's and baby's health.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/86http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/86/207

Iranian Journal of Nursing and Midwifery Research1735-906614220090725Proposing clinical nursing education standards in Iran8787MSc in Medical Surgical Education, School of Nursing and Midwifery, Najaf Abad Azad University of Medical Sciences, Najaf Abad, Iran.PhD in Educational Management, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc in Medical Surgical Education, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.20101113BACKGROUND: In recent years, the accreditation of nursing education in Iran, especially in clinical field has been felt acutely. Yet there are not compiled standards at the same time. Accordingly, the researchers in this study tried to develop the national accreditation standards for clinical nursing education derived from international standards. METHODS: This research is a triangulation study, using international standards of nursing education and the views of expert faculty members (Delphi technique), to set proper standards for the context of Iran. Then, the proposed standards were investigated through a descriptive survey method, using designed questionnaire and were approved by an 80 percent desirability rate. Finally, standards of clinical nursing education for Iran were proposed. RESULTS: Fifty five standards in 5 domains (faculty and preceptors, students, curriculum, clinical facilities and teaching and learning processes) were drafted for accreditation of clinical nursing education in Iran. CONCLUSION: The most of the standards had either appropriate or fairly appropriate level except in some cases that are mostly related to the prevailing situation of the national nursing education system in Iran. So, necessary changes in final standards have been made based on subjects' viewpoints. The findings of this research are hoped to contribute to the enhancement of the quality of nursing education in Iran.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/87http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/87/208

Iranian Journal of Nursing and Midwifery Research1735-906614220090725Obstacles in nurse-elderly patient relationship from the patients' point of view8888MSc, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran Azad University of Medical Sciences, Tehran, Iran.MSc, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.20101113BACKGROUND: Elderly population is increasing worldwide. The elderly are hospitalized more and have a longer stay compared to patients of all ages. Nurse-elderly patient relationship has a key role in improving nursing care and increasing patient’s satisfaction of health care system. METHODS: This was a cross-sectional study conducted from June to August 2005. The sample consisted of 110 elderly patients hospitalized in the internal surgical wards of Isfahan University of Medical Sciences, selected by convenience sampling method. Data were collected by interviewing patients based on a structured questionnaire including questions about obstacles related to nurses, the elderly patients, and environment and working conditions. RESULTS: There were 63 (57.3%) males and 47 (42.7%) females with the mean age of 69 years. From the elderly patients' point of view, the main obstacle related to nurses was that of their disrespect towards the elderly patients (98.2%), the main obstacle related to the elderly patients was that of their diseases and medicine side-effects affecting their talking (76.4%), and the main obstacle related to environment and working conditions was that of crowded wards and rooms (70%). CONCLUSION: There are important obstacles in nurse-elderly patient relationship. It is necessary to include aging process and its related changes as well as relationship with elderly patient in nursing curricula. Also, nursing staffs should receive in-service education regarding relationship with the elderly patients.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/88http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/88/209

Iranian Journal of Nursing and Midwifery Research1735-906614220090725Patient's experiences of mechanical ventilation8989MSc, Department of Operating Room Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc, Department of Operating Room Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.20101113BACKGROUND: Endotracheal or tracheostomy tube in mechanically ventilated patients disturb verbal communication with others. Therefore, patients are frustrated of requesting for their needs or problems related to artificial breathing. Therefore investigating self-experiences of these patients can be applied in providing them with a better care by clinical personnel. METHODS: This is a qualitative phenomenological survey. The study population was patients who were mechanically ventilated at least for one time and were more than 12 years old. Data were collected during five months by deep interview and then were analyzed by Collizi's seven–stage method. RESULTS: The findings of this research were classified in 139 codes and 3 categories as: 1) Interpersonal experiences, 2) Extra personal experiences and 3) Intrapersonal experiences. CONCLUSION: Mechanically ventilated patients tolerate many stressors, which many of them are externally sustained. Better care will reduce these stressors, and make it easier for the patients to get along with the artificial breathing. Meanwhile some pleasure experiences had been mentioned by patients in this study.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/89http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/89/210

Iranian Journal of Nursing and Midwifery Research1735-906614220090725Does cesarean section compromise mother's mental health?9090MD, Associate Professor of Community Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.MD, Specialist in Community Medicine, Kerman University of Medical Sciences, Kerman, Iran.MD, Specialist in Community Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.MD, Resident of Community Medicine, Isfahan University of Medical University, Isfahan, Iran.MSc, Isfahan Health Center, Isfahan University of Medical Sciences, Isfahan, Iran.MD, Resident of Psychiatry, Isfahan University of Medical Sciences, Isfahan, Iran.20101113BACKGROUND: To assess the effect of method of delivery on women's mental health to improve of health status. METHODS: Eleven hundred healthy women who had recently either normal vaginal delivery (NVD) or cesarean section (CS) were studied 6 week after delivery in 2005. The data were collected with using the 36-items short-form (SF-36) questionnaire by interviewing method. SPSS software version 15 was used for statistical analysis. RESULTS: Of 1100 participants, 7 women were missed due to incomplete data. From the rest, 504 (46%) women had normal vaginal delivery and 589 (54%) of them had cesarean section. The mean of age in mothers were 25.5 and 25.9 years old respectively. Mean and standard deviation of mother's mental health score were 62.8 ± 18.6 and 60.4 ± 19.4 in normal delivery and cesarean section group respectively (t = 2.1; p < 0.05). CONCLUSION: In comparison to mothers with normal vaginal delivery, mothers who had cesarean section had lower mental health status.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/90http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/90/211

Iranian Journal of Nursing and Midwifery Research1735-906614220090729Evaluation of weight gain status and its relationship to personal information of pregnant mothers9191BS in Midwifery, School of Para Clinic Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.20101113   Background: Appropriate weight gain during pregnancy could have a positive impact on the outcome of pregnancy. The aim of this study is to determine the frequency of weight gain disorders based on the individual characteristics. Methods: This is a cross-sectional study. A checklist was used to collect data from 244 records of pregnant women who attended health centers during the first 12 weeks of their pregnancy and received care at least 3 times during this period. Statistical tests like chi-square and variance analysis was used to analyze the data. Results: The results of this study showed that weight gain in 41 percent of women was normal, but in 59% of them was higher (34/8%) or lower than (24/2%) the expected limit. The findings indicate a significant relationship between the type of weight gain and variables such as body mass index (BMI), place of living and infant's birth weight. Conclusion: Based on the results of this study it seems that more and stronger counseling programs during pregnancy and skilled health workers competency should be employed to diagnose weight gain disorders in time.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/91http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/91/212