Quality of Life and its Related Factors among Elderlies Living In Nursing Homes

Background & Aim: Elderly residents of nursing homes are one of the most vulnerable elderly populations and addressing the quality of these people’s life is one of the most challenging health issues in this century .The aim of our study was to determine the quality of life (QOL) and its related factors among elderlies living in Charmahal va Bakhtiyari nursing homes. Material & Methods: In this descriptive, cross-sectional study, 87 elderlies living in Charmahal va Bakhtiyari nursing homes were recruited by census. Data was collected by Short Form Quality of Life (SF-36) and then analyzed by independent t-test, ANOVA, Kruskal-Wallis and regression analysis using SPSS-PC (v.15). Results: The mean score of total QOl was 41.56±18.59 and most participants scored lower than 50 for overall quality of life and each of its subscales. The highest and lowest quality of life standard deviation and mean score was associated with “physical performance” (47.70±20.55) and “Emotional role playing” (36.78±27.71) subscales. Also quality of life was associated with age, gender, educational level and satisfying with nursing homes (P<0.05). Moreover, QOL was mostly related with age (β=-0.537, p=0.000). Conclusion: The Quality of life of elderly residents of nursing homes was low, especially in emotional role playing subscale. Moreover, the quality of life of older ones and illiterate participants, women and those with lower satisfaction with nursing homes was lower. Accordingly, designing and performing appropriate training and supportive interventions to promote these elderly people’s QOL are recommende

Informational and structural needs of nursing data classification in computerized systems

Background & Aim: Healthcare classification systems help to gather information and process health data. Nursing management focus on developing computerized records to answer legal, managerial and clinical needs. The Classification systems help organizations to use nursing data. This study investigated informational and structural needs of nursing data classification. Methods & Materials: This descriptive-comparative study was carried out in 2009. Current classification systems for nursing were investigated and their specifications were gathered in a questionnaire. The items were prioritized by experts in four degrees. Using statistical analysis items with a priority over 80 percent (average 2.4) were selected. Results: Findings about nursing diagnosis, intervention and outcomes showed that diagnosis item (average 2.93 out of 3), intervention item (average 2.52 out of 3), and outcome item (average 2.84 out of 3) should be presented in the system. Structure of nursing data classification was identified as a hierarchical and combinational classification. The computerized terminology (average 1.86 out of 3) had no priority. Conclusion: It is suggested to make decisions for standardizing nursing data to use in computerized systems. Since, nursing system in Iran is moving toward defining tariff for nursing services, coding nursing care components will help this plan to be developed

A comparison of organizational climate and nurses� intention to leave among excellence awarded hospitals and other hospitals in 2013

Background: Human resource is the most important factor of performance, success and better revelation of excellence goals of each organization. By performing excellence plan, healthcare organizations improve their organizational climate and play a valuable role in retaining nurses and improving the quality of their services to patients. Objectives: The aim of this study was to compare hospital organizational climate and intention to leave among working nurses in hospitals performing the excellence plan and other hospitals of Tehran University of Medical Sciences. Patients and Methods: This was a cross-sectional descriptive comparison study. Its population included 248 nurses of the hospitals performing the excellence plan and other hospitals of Tehran University of Medical Sciences in Iran selected by random sampling. The used instrument had three parts: the first part was related to personal characteristics, the second part was the Munn�s organizational climate questionnaire and the third part was Hinshaw�s questionnaire of �anticipated turnover scale�. Data was analyzed using SPSS software, version 17 and indices of descriptive statistics and inferential statistics. Results: The results of the mean and standard deviation for organizational climate and intention to leave in both performing and non-performing hospitals of the organizational excellence plan were respectively (65.28 ± 19.31 and 56.42 ± 21.36) and (33.64 ± 5.58 and 35.59 ± 4.94). Independent T test revealed a significant difference between the mean scores for organizational climate in both performing and non-performing hospitals, and also a significant difference between the mean scores for intention to leave in both performing and non-performing hospitals (P = 0.004). Moreover, Pearson Correlation test showed a reverse significant correlation between organizational climate and intention to leave in performing hospitals of the organizational excellence plan (r = -0.337) and non-performing hospitals (r = -0.282) (P = 0.001). Conclusions: Performing quality improvement pattern such as organization�s excellence plan improves organizational climate of healthcare sectors, it can reduce nurses� intentions to leave and retain human resources. © 2015, Iranian Red Crescent Medical Journal

Suffering Sources among the Newly-Graduated Nurses at the Beginning of Their Clinical Work: A Qualitative Study

Suffering is an inevitable reality at the beginning of work that may cause several damages to the amateur nurses and health care organizations. Although suffering has been investigated in some studies, its sources among the newly-graduated nurses have not been investigated so far. The goal of this study is to investigate suffering sources of the newly-graduated nurses at the beginning of work. The present research is a qualitative content analysis study. The participants included 17 amateur nurses of Tehran educational hospitals. The data was collected through a semi-systematic interview. Sampling was made by using a targeted method and was continued until data saturation. All interviews were recorded and were then written down and were analyzed by using the qualitative content analysis method. Findings of this study showed that suffering is a joint experience among the newly-graduated nurses at the first months of their beginning to work. The findings showed the suffering sources among the nurses. Four main themes emerged in this study, namely non-preparedness for working, workplace, patients, and colleagues as the suffering sources. Experiences of the participants showed that suffering of the newly-employed nurses has extensive sources that affect their personal and professional lives. Understanding suffering sources of the newly-employed nurses can be an important factor in helping this group of nurses. Sensitivity of nursing managers to the reduction of these suffering sources and supporting the newly-graduated nurses are very important. Rafii F, Sajadi hezaveh M, Seyedfatemi N, Esmaeili Vardanjani SA. Suffering Sources among the Newly-Graduated Nurses at the Beginning of Their Clinical Work: A Qualitative Study. Life Sci J 2012;9(4):5517-5524] (ISSN:1097-8135). http://www.lifesciencesite.com. 81

Caring behaviors of burn nurses and the related factors

This study aims to explore and describe nurses' perceptions of their caring behaviors and related factors in several Tehran burn units. Grounded theory was used as the method of analysis. Thirty-eight participants were recruited. Data was generated by unstructured interviews and participant observations, and analyzed by constant comparison. Results revealed that responses to burnout and the type of caring behavior exhibited were affected most markedly by the personal characteristics of nurses and patients and the interaction between these two factors. Long-standing and intense organizational pressures in the burn units of Tehran, in addition to the sensitivity of nurses' characteristics to these pressures, suggest that attributing more importance to the social, political and ethical aspects of caring may aid in executing stress reduction programs and improving nurses' morale. © 2006 Elsevier Ltd and ISBI

Evolutionary concept analysis of health seeking behavior in nursing: A systematic review

Background: Although the research in health seeking behavior has been evolving, its concept remains ambiguous. Concept clarification, as a central basis of developing knowledge, plays an undeniable role in the formation of nursing sciences. As the initial step toward the development of theories and theoretical models, concept analysis is broadly used through which the goals can be used and tested. The aim of this study was to report an analysis of the concept of "health seeking behavior". Method: Employing a rigorous evolutionary concept analysis approach, the concept of health seeking behavior was examined for its implications, use, and significance in the discipline of nursing between 2000 and 2012. After applying inclusion and exclusion criteria, a total of 40 articles and 3 books were selected for the final analysis. Results: The definition of attributes, antecedents, and consequences of health seeking behavior was performed through concept analysis. Core attributes (interactional, processing, intellectual, active, decision making based and measurable) were studied. The antecedents of concept were categorized as social, cultural, economic, disease pattern and issues related to health services. Health-seeking behavior resulted in health promotion and disease risk reduction. In addition, it led to predicting the future probable burden of the diseases, facilitation of the health status, early diagnosis, complete and effective treatment, and complication control. Conclusion: Health-seeking behavior, as a multi-dimensional concept, relies on time and context. An awareness of health-seeking behavior attributes antecedents and consequences results in promoting the status, importance and application of this concept in the nursing profession. �© 2015 Poortaghi et al

The effect of aromatherapy massage with lavender and chamomile oil on anxiety and sleep quality of patients with burns

Introduction: Regarding the importance of anxiety management and improvement of the quality of sleep in patients with burn injuries, this study aimed to determine the effect of aromatherapy massage (using aromatic oils of lavender and chamomile) on the anxiety and sleep quality of the patients with burn injuries. Method: In a quasi-experimental study, 105 patients with burns were recruited by convenience sampling method and then assigned into three groups (control, placebo massage, and combined aromatic oil massage). The study intervention was performed 20 min before bedtime in three sessions, within a week. The control group was only under daily routine care. The study data were collected using the Persian version of Spielberg's anxiety scale and the Pittsburgh Sleep Quality Inventory. Descriptive and inferential statistical tests were used to analyze the data in SPSS version 20. Results: The results showed a significant difference among the three groups in terms of anxiety score (P < 0.001) and in terms of sleep quality after the intervention (P = 0.027). Conclusion: Since the aromatherapy massage as a non-pharmacological and simple method can improve the anxiety and quality of sleep in patients with burns, it is suggested that nurses and burn medical care team apply it to reduce burn patients� anxiety and promote their sleep quality. Applying massage alone also reduces anxiety in burn survivors. © 2019 Elsevier Ltd and ISB

Comprehensive Characterization of Mesenchymal Stem Cells from Human Placenta and Fetal Membrane and Their Response to Osteoactivin Stimulation

Mesenchymal stem cells (MSCs) are the most promising seed cells for cell therapy and can be isolated from various sources of human adult tissues such as bone marrow (BM-MSC) and adipose tissue. However, cells from these tissues must be obtained through invasive procedures. We, therefore, characterized MSCs isolated from fresh placenta (Pl-MSC) and fetal membrane (Mb-MSC) through morphological and fluorescent-activated cell sorting (FACS). MSC frequency is higher in membrane than placenta (2.14%  ± 0.65 versus 15.67%  ± 0.29%). Pl/Mb-MSCs in vitro expansion potential was significantly higher than BM-MSCs. We demonstrated that one of the MSC-specific marker is sufficient for MSC isolation and that culture in specific media is the optimal way for selecting very homogenous MSC population. These MSCs could be differentiated into mesodermal cells expressing cell markers and cytologic staining consistent with mature osteoblasts and adipocytes. Transcriptomic analysis and cytokine arrays demonstrated broad similarity between placenta- and membrane-derived MSCs and only discrete differences with BM-MSCs with enrichment of networks involved in bone differentiation. Pl/Mb-MSCs displayed higher osteogenic differentiation potential than BM-MSC when their response to osteoactivin was evaluated. Fetal-tissue-derived mesenchymal cells may, therefore, be considered as a major source of MSCs to reach clinical scale banking in particular for bone regeneration

Coping strategies of newly graduated nurses (NGNs) in the first year of clinical practice: A grounded theory study

Background: The first year of clinical work is one of the most important steps in the career life of nurses. Although some studies have been done regarding NGNs, a few studies have been conducted about coping strategies of newly graduated nurses in the first year of clinical work. The aim of this study was to explore and describe the coping strategies of NGNs in the first year of clinical work in Tehran, the capital of Iran. Methods: This study was conducted using the grounded theory methodology. In this study, 20 participants were selected using a purposive and theoretical sampling method. The data were collected by semi-structured in-depth interviews. For data analysis, the constant comparison method based on Strauss - Corbin approach was used. Results: Data analysis revealed that two strategies were used by NGNs, which included �positioning� at the beginning of work and then later, stabilizing the obtained �position (place)�. The core category of this study was �struggles to settle in the workplace.� Conclusions: This study showed that NGNs tried to create a perfect position in the ward and then consolidate the created position. The results of this study can serve as a good guide to develop training and supporting programs for NGNs and be used in helping them adapt better to the new position. However, it is recommended to do further studies in this regard. © 2018, Shiraz E-Medical Journal

Coping strategies of newly graduated nurses (NGNs) in the first year of clinical practice: A grounded theory study

Background: The first year of clinical work is one of the most important steps in the career life of nurses. Although some studies have been done regarding NGNs, a few studies have been conducted about coping strategies of newly graduated nurses in the first year of clinical work. The aim of this study was to explore and describe the coping strategies of NGNs in the first year of clinical work in Tehran, the capital of Iran. Methods: This study was conducted using the grounded theory methodology. In this study, 20 participants were selected using a purposive and theoretical sampling method. The data were collected by semi-structured in-depth interviews. For data analysis, the constant comparison method based on Strauss - Corbin approach was used. Results: Data analysis revealed that two strategies were used by NGNs, which included �positioning� at the beginning of work and then later, stabilizing the obtained �position (place)�. The core category of this study was �struggles to settle in the workplace.� Conclusions: This study showed that NGNs tried to create a perfect position in the ward and then consolidate the created position. The results of this study can serve as a good guide to develop training and supporting programs for NGNs and be used in helping them adapt better to the new position. However, it is recommended to do further studies in this regard. © 2018, Shiraz E-Medical Journal