Comparing actual and preferential viewpoints of nursing students about clinical learning environment in Ahvaz University of Medical Sciences, 2015

Background and aims: Due to the importance of clinical learning environment in nursing education and improving their clinical performance, the study of students' attitudes towards clinical learning environment is essential. This study aimed to compare actual and preferential viewpoints of nursing students about clinical learning environment in Ahvaz University of Medical Sciences, 2015. Methods: This research is a descriptive cross-sectional study. 203 nursing students from the School of Nursing and Midwifery in Ahwaz University of Medical Sciences completed the actual and preferential versions of clinical learning environment standard questionnaire after completion of internship. Data were analyzed using SPSS software and descriptive tests (mean and standard deviation) and analytical test (paired t-test). Results: The total score of preferential viewpoint was higher than actual viewpoint, and difference was statistically significant (P<0.001). The highest and the lowest average scores of actual viewpoint for scopes of task orientation and individualization were 25.41 and 21.18, respectively. The highest and the lowest average scores of preferential viewpoint for scopes of task orientation and cooperation were 29 and 24.45, respectively. Conclusion: The results of the current study showed that students 'in preferential viewpoint expect that clinical instructors specify their job description, provide the necessary conditions to engage students with mentors and personnel, design his/ her experiences, teaching methods and learning activities in a new, attractive and productive form, Students take part in activities and clinical decision making and make learning conditions more satisfaction for their participation

Damaged professional identity as a barrier to Iranian nursing students’ clinical learning: a qualitative study

زمینه و هدف: هویت حرفه ای خدشه دار باعث نارضایتی دانشجویان پرستاری از محیط یادگیری می شود و پیامدهای رفتاری آن عملکرد مراقبتی ضعیف در بالین، کاهش انگیزه، تلاش کمتر برای یادگیری مراقبت پرستاری و شادمانی کم در محیط یادگیری را در پی دارد و بر کیفیت مراقبت از بیمار و اثربخشی نظام آموزشی تأثیرگذار است. این مطالعه با هدف تبیین اثرات هویت حرفه ای بر یادگیری مراقبت های پرستاری در دانشجویان انجام شده است. روش بررسی: در این مطالعه توصیفی- تحلیلی از نوع کیفی، 25 دانشجوی پرستاری در مقطع لیسانس به صورت نمونه گیری مبتنی بر هدف از دانشکده های پرستاری مامایی تهران و شهید بهشتی انتخاب شدند. از مصاحبه های نیمه ساختار یافته برای جمع آوری اطلاعات استفاده شد. روش آنالیز محتوی قراردادی، برای تجزیه و تحلیل داده ها و تعیین الگوهای مرتبط مورد استفاده قرار گرفت. یافته ها: از تحلیل مصاحبه ها یک الگو با عنوان هویت حرفه ای خدشه دار به دست آمد. این الگو شامل دو طبقه پایمال شدن شأن و منزلت فردی- اجتماعی و بی صدایی پرستاران بود. نتیجه گیری: استفاده از الگوی هویت حرفه ای خدشه دار طراحی شده در این مطالعه در فرآیند یادگیری می تواند به مربیان و مدیران آموزشی کمک کند تا استراتژی هایی را برای تقویت هویت حرفه ای مثبت در دانشجویان پرستاری و به دنبال آن ارتقاء یادگیری آن ها به کار گیرند

Clinical Education Status According to the Nursing and Midwifery Students’ Point of View, Tehran University of Medical Sciences

Background & Objective : Promoting quality of clinical education necessitates continuous evaluation of the current situations, identifying strengths, and improving weaknesses. This study was designed to assess clinical education status according to the nursing and midwifery students’ point of view in Tehran University of Medical Sciences. Methods : In this descriptive study which was conducted in 2004-5, all senior nursing students who were doing a Bachelor of Science and senior midwifery students who were doing technician’s Course (250 students) were asked to complete a 36 item questionnaire in a self-administered way. Results : The most important strengths of clinical education (according to mean scores) were “on time presence of the student in the ward” (89.06), then “on time presence of the instructor in the ward”, (85.05), “considering the pre-requisite clerkship courses”, (82.5), “proper instructors’ behavior with students”, (74.1), “clinical instructor’s interest in working”, (73.92), and “instructor’s clinical track record” (73.1). The most significant weaknesses of clinical education were related to “use of audiovisual aids in clinical atmosphere”, (9.84), “enough number of students in the ward”, (14.91), and “having facilities”, (19.68). Conclusion : Although some aspects of clinical education were good and excellent, improving positive aspects and modifying the weaknesses may be an effective step in promoting quality of clinical education. Repetitive assessments of clinical fields and comparing the current situation with the previous or next ones can reveal the strengths and weaknesses of clinical education. Keywords: Clinical education, Student, Nursing, Midwifery

Effectiveness of Blended Instruction on Pain and Requirement for Analgesic after Knee Arthroplasty Surgery

Background and aims: Most patients undergoing knee replacement surgery have pain and limited range of motion during recovery and rehabilitation and due to pain and lack of experience and knowledge are not able to run an effective rehabilitation program. So, this study was aimed to determine the effect of blended instruction on the intensity and the admission palliative of patients undergoing knee surgery. Methods: 64 patients scheduled for knee replacement surgery randomized block Foursome assigned to two experimental and control groups. The training program including film screenings and providing face to face training, manual and training video in the individual manner was implemented days before the surgery for the experimental group. The control group received routine care. Data by demographic and clinical form and pain assessment checklist were collected using a visual analogue scale. Numerical data about the pain from the second to fifth days and one month after surgery were collected and analyzed useing the SPSS software and Independent t-test, Chi-square and Repeated measure tests. Results: The results of this study showed that the experimental group reported significantly less pain than the control group at most times (P=0.012). According to independent t-test statistically significant difference between the 2 groups in terms of the amount of admission palliative at the time was found (P>0.054). However, based on analysis of variance with repeated measures between the admission palliative on study, there was a significant difference in both groups (P<0.001). Conclusion: According to our results, the combined intervention before surgery can reduce the level of pain experienced after surgery and as a training method used to teach these patients after surgery

Assessment of nurses, patient satisfaction, patient attendants in educational hospitals in Ahvaz city health development plan in 2015

زمینه و هدف: طرح تحول نظام سلامت یکی از خدمات ارزنده دولت یازدهم در حوزه سلامت به شمار می&zwnj;رود. هدف این مطالعه، بررسی میزان رضایتمندی پرستاران، بیماران و همراهان از اجرای طرح تحول نظام سلامت در بیمارستان&zwnj;های آموزشی شهر اهواز در سال 1394 بود. روش &zwnj;بررسی: مطالعه حاضر از نوع توصیفی تحلیلی است. جامعه پژوهش شامل 300 نفر از پرستاران، 300 بیمار و 300 همراه بیمار از بیمارستان&zwnj;های آموزشی شهر اهواز بود. نمونه&zwnj;گیری به صورت تصادفی ساده انجام شد. ابزار پژوهش پرسشنامه محقق&zwnj;ساخته بود. نحوه نمره&zwnj;دهی به&zwnj;صورت لیکرت سه گزینه&zwnj;ای (رضایت کامل، رضایت متوسط و ناراضی از اجرای طرح تحول) بود. آنالیز داده&zwnj;ها با استفاده از نرم&zwnj;افزار SPSS و آزمون&zwnj;های آماری توصیفی( میانگین، انحراف معیار)، آزمون&zwnj;های آماری تی&zwnj;مستقل و آنالیز واریانس یکطرفه انجام شد. یافته&zwnj;&zwnj;ها: میانگین نمرات رضایت از طرح تحول سلامت بترتیب در پرستاران، همراهان و بیماران 42/6&plusmn;64/30، 52/7&plusmn;45/29 و 75/5&plusmn;65/26 بود. نتایج نشان داد که 1/83 ناراضی، 4/16 رضایت متوسط و 5/0 کاملاً راضی بودند. میزان رضایت همراهان بیمار 5/35 ناراضی، 4/55 رضایت متوسط و 1/9 کاملاً راضی بودند. میزان رضایت بیماران از طرح، 5/33 ناراضی، 5/57 رضایت متوسط و 9 کاملاً راضی بودند. نتیجه&zwnj;&zwnj;گیری: اکثریت نمونه&zwnj;های پژوهش (بیمار و همراه) از اجرای طرح تحول نظام سلامت راضی بودند، اما غالب پرستاران از اجرای طرح تحول نظام سلامت ناراضی بودند؛ لذا پیشنهاد می&zwnj;شود این پژوهش در سایر بیمارستان&zwnj;ها نیز انجام شود تا نتایج آن&zwnj;ها با هم دیگر مقایسه گردد

Patients Perception and Satisfaction of the Ambulance Service (115) at Shahrekord, Iran

The services provided to the patients of pre-hospital emergency center and their satisfactions indicate the quality of pre-hospital emergency services. The goal of this study is to investigate the satisfaction of patients with Ambulance Service services (115) in Shahrekord in the first half of (2012). In this descriptive and analytic study, 450 patients transferred to the hospital by pre-hospital emergency center were chosen using simple random sampling method and data was collected by using satisfaction evaluation questionnaire. The information obtained under SPSS software version 16 was analyzed by statistical descriptive test, independent t test, variance analysis test and Pierson Correlation test. The findings showed that satisfaction level with pre-hospital emergency services in men, low-educated people, married people, those with the record of using emergency services and those with emergency problems was significantly higher than others. Satisfaction level in all fields was above 50% and was totally 71.12. The highest level of satisfaction was for the efficiency of emergency center (58, 78) and the lowest level of satisfaction in the questions was for the performance of technicians (58, 73). Patients' satisfaction with emergency services and their quality is considered as one of the main concepts in pre-hospital emergency procedures, in the manner that the results of this study showed that patients' satisfaction in different fields were high and satisfactory and the technicians should allocate much more time for interaction with patients in order to improve their satisfaction. sharifi M, Baraz S, Mohammadi F, ramezani R, Esmaeili Vardanjani SA. Patients Perception and Satisfaction of the Ambulance Service (115) at Shahrekord, Iran. Life Sci J 2012; 9(4):2196-2201] (ISSN: 1097-8135). http://www.lifesciencesite.com. 32

Effectiveness of Semmes-Weinstein monofilament examination for diabetic peripheral neuropathy screening in Ahvaz, Iran

Foot care prevention programs can reduce the occurrence of foot ulcerations and amputations. This investigation evaluated Effectiveness of Semmes-Weinstein monofilament examination for diabetic peripheral neuropathy screening in Ahvaz, Iran. In this quasi-experimental design 150 patients with diabetes mellitus were recruited by purposive sampling. All patients were tested for sensory neuropathy using Semmes-Weinstein Monofilament Examination. In the next phase nerve conduction velocity was examined. The sensitivity of Semmes-Weinstein Monofilament 10 g was 38.5-61.5 at sites 1-8, whereas the specificity was 77.5-95.5. Monofilament was found to be simple, cheap and useful method and suitable for detection of sensory neuropathy in clinical examinations. Hence, we recommend screening of patients for neuropathy as soon as they are diagnosed with diabetes

Effect of the Walking Exercise Program on Cancer-Related Fatigue in Patients with Acute Myeloid Leukemia Undergoing Chemotherapy

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Investigating of Moral Distress and Attitude to Euthanasia in the Intensive Care Unit Nurses

Background: Considering the religious and legal structures in Iran, the occurrence of euthanasia seems to be impossible; however, the attitude of nurses towards euthanasia and its related factors may also affect creating moral distress conditions for nurses. Therefore, this study aimed to investigate of the moral distress and attitude of Adult and Neonatal Intensive Care Units (AICU/ NICU) nurses toward euthanasia. Materials and Methods: In this descriptive-analytical study, all the nurses working in intensive care units of Educational Hospitals affiliated with Ahvaz Jundishapur University of Medical Sciences (Ahvaz city, Iran) were selected by census. Data were collected using Corley's Moral Distress Scale and Holloway’s Euthanasia Attitude Scale. Single-variable and multivariate linear regression tests were used to analyze the data and to determine the relationships between independent and dependent variables. Analyses were done using SPSS software (version 22).Results: The attitude of all nurses towards euthanasia was negative (min score=20, max score=73, mean score= 43.78±7.99). The mean Moral distress frequency and Moral distress intensify were 47.01±12.90 and 48.42±11.62, respectively (indicates moderate ethical distress). In AICU nurses, there was a significant relationship between the frequency of moral distress and the nurses’ attitudes. However, there was no significant relationship between the intensity of moral distress and the nurses’ attitudes. In NICU nurses, there was no significant relationship between the frequency of moral distress and intensity of moral distress with nurses’ attitude toward euthanasia. Conclusion: The religious and cultural conditions of the country have caused all nurses did not consider euthanasia to be acceptable under any circumstances. Further studies are needed to better understand the attitude of nurses towards euthanasia, especially with regard to the culture of Iranian society

Controlling Acute Post-operative Pain in Iranian Children with using of Music Therapy

Background: Despite the development of pediatric post-operative pain management and use of analgesic/narcotic drugs, post-operative pain remains as a common problem. Some studies suggested, the most effective approach to controlling immediate post-operative pain may include a combination of drug agents and non-drug methods. The aim of this study was to investigate the effect of music therapy on the acute post-operative pain in Iranian children.  Materials and Methods: A quasi-experimental, repeated measure design was used. In this study, 63 children were placed in the music and control groups. In the music group, pain intensity was measured before start intervention (baseline). Then, this group listened to two non-speech music for 20 minutes. Then, pain intensity was measured with numeric rating scale, immediately after intervention, 1 hour, 3 hours and 6 hours after intervention, respectively. Also, in the control group, pain intensity was measured in times similar to music group. Results: The mean of pain intensity did not significantly different between the 2 groups at baseline (P>0.05). The results of repeated measure ANOVA showed that, trend of pain intensity between 2 groups was significant (