Teachers and student nurses’ attitudes towards caring for older adults in Arak, 2012

Background and aim: Nurses are an important part of the care team that in the care of the elderly plays a major role that their attitudes towards working with older people have an impact on the quality of care. This study was aimed to determine the attitude of teachers and nursing students towards the nursing care of the elderly. Methods: In this descriptive analytical study, all of 116 nursing students of third and fourth year and 22 clinical instructors in Arak University of Medical Sciences participated in this study in 2012. Samples were selected with census method. Data collection instrument was an investigator- made questionnaire that its validity and reliability was established. Scores of attitudes were arranged to three levels of weak, average and good after recoded in terms of accepted scores. Results: In terms of attitudes toward care of older people, findings showed that teachers (3.69±0.42) have more positive attitude toward caring for the elderly compared to students with an average of 3.45±0.32. This difference was significant (P=0.01). The majority of nursing students (83.6%) and teachers (72.7%) had moderate attitude towards the care of elderly patients. Conclusion: Although obvious weakness of this approach was less visible teachers can be a suitable model by knowledge and a change in their attitude for their students and try for induction understanding of health value for all members of society, and create better living conditions for them

Effect of Benson’s Relaxation Technique on the Anxiety of Patients With COVID-19

Objective: The disease of Covid-19 has many physical and psychological effects. One of the psychological effects of this disease is anxiety, which can reduce the quality of life of patients. The aim of this study was to effect of Benson relaxation on the anxiety of patients with covid-19. Methods: This research was a semi-experimental study with a pre-test-post-test design with a control group, which was conducted on 64 patients with covid-19 admitted to Amiralmomenin Hospital in Arak in 1400. After obtaining written consent, the subjects were selected by convenience sampling and randomly assigned to the divided into two experimental groups (32 people) and control (32 people. After teaching the Benson relaxation technique, the patients in the experimental group performed relaxation exercises for 15 minutes twice a day for 2 consecutive days. In the control group, there was routine treatment without any intervention. The data gathering tool were demographic questionnaire and the Spielberger ‘s state anxiety questionnaire. The questionnaires were completed before and after the intervention. Data were analyzed by SPSS 21 with using the descriptive and analytic statistics (chi square test, t-test and independent t) was performed. Results: The results showed that before the intervention, there was no statistically significant difference between the average anxiety scores of the patients in the two experimental groups (55.21 ± 8.85) and control (54.75 ± 6.62) (P>0.05), but between the average the scores of the experimental group (40.43 ± 9.97) and the control group (52.03 ± 6.35) after the implementation of Benson's relaxation showed a significant difference (P<0.001). Conclusion: Benson relaxation technique has an effect on the anxiety of corona patients, the use of this method is recommended as a complementary method in reducing the anxiety of these patients

The Effect of Using Feedback Strategies with an Emphasis on Pharmaceutical Care standards on Nursing Students’ Knowledge and their Medication Errors

Introduction: Medication administration process is a critical aspect of professional nursing care. Prevention from medical errors needs awareness and appropriate decision-making and performance. The aim of this study is to evaluate the effect of using feedback strategies with an emphasis on medication care standards on knowledge of nursing students and their medication errors. Methods: During two semesters of 2011-2012 academic year, a quasi-experimental study was conducted on 59 nursing students of Arak nursing school, who were passing training course in cardiopulmonary ward. Students were divided into 2 groups of intervention and control. Data-gathering tool was a researcher-made observation checklist about the types and frequency of medication errors which was completed by an observer. In order to evaluate pharmaceutical knowledge, a questionnaire of 26 items was developed by the researcher. The data was analyzed using descriptive statistics (mean and standard deviation) and Wilcoxon and Mann Whitney statistical tests. Results: There was a significant difference between mean scores of medication errors in both groups before and after intervention. After intervention, the mean score of knowledge was higher in intervention group (19.86±2.43) compared to that of control group (13.70±2.92). In addition, a statistically significant difference was observed in mean of medication errors between experiment (0.48±0.63) and control group (1.23±1.04) after intervention (P=0.001 and Z=3.20). Conclusion: There was an enhancement in the students’ awareness of medication care and a reduction in their medication errors. This reveals the positive outcome of giving feedback along with an emphasis on medication care standards and its helpful effects on students’ knowledge and their failures. Therefore, in order to enhance the efficacy of education and to reduce medication errors as well, clinical instructors can enrich the clinical training practices by choosing proper programs designed in accordance with objectives and educational contents

The impact of Multimedia Software Support on the Knowledge and Self-Care Behaviors of Patients with Type 2 Diabetes: a Randomized Clinical Trial

Introduction: Education is the most effective and economical part of diabetes treatment. The purpose of this study was to investigate the effect of a training program with multimedia software on the knowledge and self-care behaviors of patients with type 2 diabetes. Methods: This study was a randomized controlled clinical trial in which 60 patients referred to diabetes clinic at Arak city were divided randomly into experimental (n=30) and control (n=30) groups. The instruments for collecting data were "Summary of Diabetes self-care activities questionnaire" and "knowledge of self-care in patients with diabetes". Data were collected before and 2 months after the intervention in the both groups. Educational program with equal content was applied for both experimental group (self-care program with multimedia software support) & control group (lecture and presentation with PowerPoint). Data analysis was done using SPSS Ver.13. Results: Implementation of the self-care program with multimedia software support resulted in improvements in patients’ self-care behaviors in the experimental group, whereas these behaviors had not significant changes in the control group after eight weeks. There was a significant difference in the mean score of knowledge in both the experiment and control groups before and after the intervention. Conclusion: Considering beneficial effects of training program with multimedia software support on the knowledge and self-care behaviors and the importance of this issue, suggested that the patients preferably provide terms of use of educational software for themselves

Excruciating Care: Experiences of Care Transition from Hospital to Home among the Family Caregivers of Patients with Spinal Cord Injury

Background: Transition of patients with spinal cord injury (SCI) from hospital to home often involves a shift in caregiving responsibility from health-care providers to family caregivers. Poor care transition may lead to poor care-related outcomes. Objectives: The aim of this study was to explore experiences of care transition from hospital to home among the family caregivers of patients with SCI. Methods: This qualitative study was conducted in 2018-2019. Participants were 17 family caregivers of patients with SCI who were purposively recruited from two specialty SCI care centers in Iran. In-depth semi-structured interviews were held for data collection. Interviews were audio-recorded, transcribed, and analyzed using conventional content analysis. Results: The following four main categories were developed during data analysis: lack of knowledge (with two subcategories), excruciating care (with two subcategories), emotional burden of caregiving (with three subcategories), and need for support (with two subcategories). The nine subcategories of these main categories were lack of medical and care-related information, seeking for information, heavy burden of daily caregiving, need for providing professional care at home, feelings of sadness and sorrow, feeling of insufficiency, restriction of life, limited support by family members and relatives, and limited financial support by the government. Conclusion: Family caregivers of patients with SCI experience many challenges and problems during care transition from hospital to home, which can affect the quality of their care services for their patients. Therefore, they need ongoing support throughout the process of care