The prevalence and associated factors of chronic pain in nurses Iran

Background: Chronic pain is a long-term, debilitatingcondition. Nurses experiences pain and functional restrictionsearlier than other groups of people. Therefore, thisstudy was conducted to evaluate the prevalence and associatedfactors of chronic pain in nurses. aMethod: A structured, self-administered questionnairewas used to collect information. Participants included 639registered nurses from a medical center in Bandar Abbas.Results: At the baseline of the study, 64.8% of nursesreported chronic pain. The low back (27.7%, [n=115]),leg (21%, [n=87]), neck (16.7%, [n=63]), head and knee(15.2%, [n=69]), had the highest frequency among thenurses. Age (p<0.001), gender (p<0.001) and type of employment(p=0.04) increased risk of chronic pain. Also,significant difference was found between people with theonset of pain over the past three months and those withonset of pain over more than one year according of employmenthistory and the type of unit (p<0.05), and significantdifference between people with the onset of painover the past three months and those with onset of painover more than one year according to their job. (P<0.05).Conclusion: Results indicate the high prevalence of chronicpain in different parts of the nurses’ body. Most of them,the onset of pain was more than one year. Therefore, itis possible to develop appropriate preventive and educationalprograms by knowing the factors affecting chronicpain and situations increasing the duration of pain

Structure of Resilience in Older Adults with Chronic Conditions

Introduction: Promoting resilience in older adults with chronic conditions is one of the goals of professional nursing. However, few studies have been conducted in world on this issue. In our country, Iran, no study, either qualitative or quantitative, has been done in this area .The aim of this study was to explore the structure of resilience in older adults with chronic conditions. Method: In this study with descriptive phenomenological approach, participants were selected using purposive sampling method. Overall, 24 interview sessions were held with 22 participants. The minimum duration of an interview was 25 and the maximum was 75 minutes. The data were collected through semi-structured interviews and analyzed using the Colaizzi`s proposed stages. Results: Four themes were emerged that could illustrate the perspective of older adults with chronic conditions from the external structure of resilience in particular socio-cultural context of Iranian society. The themes were supportive resources, welfare status, cut-of benefit, and attitude to the elderly patient. Conclusion: Results of this study revealed important concepts in the structure of resilience in older adult patients with chronic diseases. Our fidings can help health care providers to understand the effective resources on the resilience and comprehensive care planning to grow and increase the resilience among older adults. Keywords: Resilience, Older adults, Phenomenolog

The Effect of Family-Centered Empowerment Model on the Illness Perception in Heart Failure Patients: a Randomized Controlled Clinical Trial

Introduction: Heart failure is a chronic medical condition that, despite the existing therapies, involves different aspects of an individual’s life (such as self-care capability). Illness perception is one of the most important variables which seem to improve the self-efficacy skills in chronic diseases such as heart failure. Therefore, this study aimed to investigate the effect of family–centered empowerment model on the perception of the illness in heart failure patients. Methods: This interventional study was performed on 70 heart failure patients, assigned into control and experimental groups, admitted to the heart clinic of Hazrate Fatemeh hospital in Shiraz. After the convenience sampling, the patients were divided into two control and intervention groups by block randomization method. For experimental group, the family-centered empowerment modeling was done in 5 sessions. The research materials included demographic information and Brief illness perception questionnaires (B-IPQ). Data were analyzed using SPSS v.13 software. The statistical tests included Wilcoxon, Man-Whitney, and Independent t-test. P value less than 0.05 was considered as significant. Results: In this study, both control and experimental groups were homogeneous with demographic information. Before the intervention in different dimensions of illness perception, all of the values in both groups were the same; However, after the intervention, a significant difference was observed in all of the dimensions of illness perception, except for Time line; so that the most and the least changes were related to the concern (1.09 (0.61) vs 3 (0.93)), and identity dimensions (0.97 (0.61) vs 2.11 (0.67)), respectively. Conclusion: On the basis of the above, it can be concluded that this model modifies the illness perceptions in heart failure patients. Cardiac nurses should consider family- based empowerment model as a treatment for heart failure patient

The Effect of Collaborative Care Model-Based Intervention on Hope in Caregivers and Patients with Multiple Sclerosis: A Randomized Controlled Clinical Trial

Background: Multiple Sclerosis can affect the patients’ and their families’ life. In this regard, the collaborative care model could be useful. This study aimed to investigate the effect of the collaborative care model on hope in patients with Multiple Sclerosis (MS) and their family caregivers. Methods: This randomized controlled clinical trial was conducted in May to September 2015 on 60 patients with MS referring to the MS Society of Khuzestan province and 60 family caregivers. After block randomization, the intervention groups (patients and caregivers) received 8 intervention sessions based on collaborative care model over 12 weeks. The data were collected using Snyder’s adult hope scale and a demographic questionnaire at baseline and 12 weeks after the beginning of the intervention. Data analysis was conducted through SPSS, version 19, using frequency, mean, Chi-square, independent, paired t-tests and Fisher’s exact test (P˂0.05). Results: The results of independent t-test before the intervention showed no significant differences between the patients in the intervention (42.76±8.75) and control groups (43.13±7.20) (P=0.86) and caregivers in the intervention (50.26±5.79) and control groups (49.23±6.71) (P=0.52), regarding the score of hope. However, a significant difference was found in this regard 12 weeks after the beginning of the intervention, between the patients in the control (43.63±6.97) and intervention groups (47.96±8.72) (P=0.03), and caregivers in the control (50.66±5.79) and intervention groups (53.80±4.71) (P=0.02) Conclusion: The collaborative care model promoted hope in patients with MS and their family caregivers. Hence, this model can be used by healthcare personnel for promoting hope among patients and caregivers. Trial Registration Number: IRCT2015051121474N

The effect of time management education on critical care nurses’ prioritization: a randomized clinical trial

Background Nurses are at the forefront of patient care, and time management skills can increase their ability to make decisions faster. This study aimed to assess the effect of a time management workshop on prioritization and time management skills among nurses of emergency and intensive care units. Methods This randomized clinical trial was performed with 215 nurses. The educational intervention about time management was held in the form of a workshop for the intervention group. The time management questionnaire was completed by both groups before, immediately after, and 3 months after the intervention. Results Most participants were female (n=191, 88%), with a mean age of 31.82 years (range, 22–63 years). Additionally, the participants’ work experience ranged from 1 to 30 years (mean±standard deviation, 8.00±7.15 years). After the intervention, the mean score of time management increased significantly in the intervention group, but no significant difference was observed in this regard in the control group. The results also revealed a significant difference between the intervention and control groups regarding the mean score of time management 3 months after the intervention (P<0.001). Conclusions Time management training helped nurses adjust the time required to perform and prioritize various tasks

Patients’ Experience of Living with Irritable Bowel Syndrome (IBS): A Hermeneutic Phenomenology

Introduction: Irritable bowel syndrome (IBS) is a chronic gastrointestinal disorder with a wide range of effects on the individual’s quality of life, emotional state, and identity. Given the lack of knowledge about patients’ perceptions of life with irritable bowel syndrome, this study aimed to describe and interpret patients' experience of living with irritable bowel syndrome Methods: The present qualitative study was conducted using a hermeneutic phenomenological approach on 15 patients with irritable bowel syndrome who referred to three central clinics. The data were collected through in-depth semistructured interviews with the participants who were selected through purposive sampling. Thematic analysis was carried out using Van Manen’s six-step methodological framework as a guide. Besides, MAXQDA software was used for data management. Results: The analysis of the data yielded four themes and eight subthemes. The patients’ experiences of living with IBS were manifested through the themes of “crisis and transient release” (with “storm in the corporeality” and “relief” subthemes); “surrender and harassment” (with “mandatory submitting” and “feeling of helplessness” subthemes); “looking for adaptation” (with “struggle in obtaining insight” and “seeking help from coping strategies” subthemes); and “different selfperceptions” (with “threatened self” and “deep self-knowledge” subthemes). Conclusion: Understanding the life experience of IBS patients can be effective in improving the interdisciplinary medical-care programs and reducing their psychological, social, and physical problems. Therefore, carrying out more studies to promote the quality of life of IBS patients is suggested

Lived Experiences of Cardiac Pacemaker Patients

Introduction: Permanent cardiac pacemaker implantation, and introducing a foreign body into the heart, a part of the human anatomy that symbolically represents emotions, may be considered a major life event. Therefore, it is recommended that the healthcare team gain understanding of the experience of pacemaker patients and present information based on patients’ experiences in order to actively involve the patients in the administration and management of their illness process. The aim of this qualitative study is to explore the patients' experiences of living with a permanent cardiac pacemaker. Method: In this study, descriptive phenomenological method and the Colaizzi`s proposed stages were used. Purposeful sampling of patients with single and dual chamber cardiac pacemakers was performed. Overall, 13 interview sessions were held with 10 participants. The minimum duration of an interview was 35 minutes and the maximum 54 minutes. The data were collected through semi-structured interviews. Results: The emerging themes according to the qualitative data are embedded in the Iranian socio-cultural context. They consist of five themes: living with pacemaker, pacemaker identity, balance in control, consequences and relief. Conclusion: The findings of this study, as a small image of the large and complex world, can be used in order to design and implement effective care for pacemaker patients. Having a clearer understanding of these patients’ experiences will help healthcare workers to design supportive and caring programs that will meet these patients’ needs more holistically. Keywords: Cardiac pacemaker, Patient experience, Phenomenology, Colaizzi metho