Nursing Handover Written Guideline Implementation: A Way to Improve Safe Performance of Nurses in Intensive Care Units
Toktam
Etezadi
MSc in Nursing, Nursing and Midwifery School, Mashhad University of Medical Sciences, Mashhad, Iran
author
Javad
Malekzadeh
MSc in Nursing, Faculty Member of Nursing and Midwifery School, Mashhad University of Medical Sciences, Mashhad, Iran
author
Seyed Reza
Mazlom
Ph.D. in Nursing, Nursing and Midwifery School, Mashhad University of Medical Sciences, Mashhad, Iran
author
Alireza
Tasseeri
BSc in nursing and clinical supervisor in Javad-al –Aemeh Hospital, Mashhad, Iran
author
text
article
2012
eng
Background: In the health centers, clinical data is regularly transferred between health care personnel. The most widespread of these handoffs are the inter-shift nursing reports, which occur several times in a day and could facilitate patient care plan, patient safety and continuity of care. But previous studies and clinical experience have indicated that there is no program for this major purpose. Aim: This study was accomplished to investigate the effect of nursing handover written guideline implementation on the performance of respiratory and cardiac nursing care of hospitalized ICU patients. Method This was a quasi-experimental one group pretest/post study on 56 nurses working in Intensive Care Unit in Qhaem Hospital who were conveniently selected. The safety performance level of nursing care were evaluated before and after implementation of written guideline using self-structured checklist of performance evaluation of nursing care. Validity and reliability of this instrument was determined by Content Validity Index and Inter Rater Reliability (r=0.95). Data were analyzed using statistical tests including paired t test, Wilcoxon and one-way Anova with SPSS version 11.5. Results: The results showed that cardiac nursing care performance increased from 1.5±0.6 before intervention to 2.7±0.9 after intervention and in the domain of respiratory care from 9.3±1.9 to 14.5±1.7 which was accompanied with 80% and 55.9% increase, respectively. This difference was significant in cardiac domain based on Wilcoxon test and in respiratory domain using paired t-test (p<0/001). Conclusion: Development of a regulated, practical and comprehensive standard protocol to transmit crucial and relevant information related to the patient care will improve the nurses performance of respiratory-cardiac nursing care.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
2
v.
2
no.
2012
7
18
https://ebcj.mums.ac.ir/article_394_fc9f9b68fa2e8f11109d25592ed70164.pdf
dx.doi.org/10.22038/ebcj.2012.394
Comparing the Effect of Massage Aromatherapy and Massage on Anxiety Level Of the Patients in the Preoperative Period: A clinical trial
Monireh
Babashahi
MSc in Medical-surgical Nursing, Faculty member, Department of Nursing and Midwifery, Islamic Azad University, Najafabad branch, Isfahan, Iran
author
LilaSadat
kahangi
MSc in Medical-surgical Nursing,Graguated from Isfahan university of medical science, Isfahan, Iran
author
Fatemeh
Babashahi
MSc in Medical-surgical Nursing, Nurse, Department of Sayedo Shohada Hospital, Isfahan, Iran
author
Sadighe
Fayazi
Faculty member in Department of Nursing and Midwifery, Jundishapour University of Medical Sciences, Ahwaz, Iran
author
text
article
2012
eng
Background: Delay in healing- and increasing use of narcotics and anesthetics are some of the accompanying problems with anxiety before the surgery. Massage Aromatherapy and massage are two of the complementary medicine components to decrease anxiety. Aim: to compare the effects of massage aromatherapy and massage on anxiety level of the patients in the preoperative period. Methods: In this clinical trial, 72 candidates for heart and abdominal surgery who admitted in Ahvaz hospitals in 2008 were randomly allocated into two massage aromatherapy and massagegroups. The Spielberger scale was used to measure the anxiety level. Massage aromatherapy group received twenty minutes of stroking backrub with mix of lavandula and almond oils. Massage group received the backrub only with almond oil . The collected data were analyzed by independent t-testusing SPSS version 13 considering PResults: The average of anxiety level in massage aromatherapy group decreased from 52.89 +9.20to 35.78+9.26 and in the massage from 50.58+9.47 to 39.25+10.42 before to after the intervention. The results of paired t-test showed significant statistical difference between pre and post intervention in each group (p<0/001).The results of independent t-test showed no significant statistical difference between the two groups after the intervention. Conclusion: The findings showed that massage aromatherapy and massage were equal effecting on reduction of anxiety level and they are proposed for reduction of anxiety in preoperative period as a significant clinical intervention.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
2
v.
2
no.
2012
19
28
https://ebcj.mums.ac.ir/article_395_f6e4f6b85c30bfc1e49f87ba7e8ea572.pdf
dx.doi.org/10.22038/ebcj.2012.395
The Effect of Combined Therapeutic Protocol (Therapeutic Exercises and Massage) on the Pain and Physical Performance in Men with Chronic Low Back Pain due to Lumbar Disc Herniation
Reza
Khanzadeh
MSc in Physical Education and Sport Sciences, Ferdowsi University, Mashhad, Iran
author
Ali akbar
Hashemi
Assistant Professor in Physical Education and Sport Sciences, Ferdowsi University, Mashhad, Iran
author
Farzad
Omidi kashani
Assistant Professor, Department of Orthopedic, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Majid
Zandi
MSc in Physical Education and Sport Sciences, Ferdowsi University, Mashhad, Iran
author
Mahmood
Khodabakhshi
MSc in Physical Education and Sport Sciences, Ferdowsi University, Mashhad, Iran
author
text
article
2012
eng
Background: Chronic low back pain due to disc herniation is one of the common diseases in the community. In addition to the pain caused by this problem, which is a major complication, decreased and defective physical performance in daily living are other major concerns. Aim: To investigate the effect of combined therapeutic protocol (therapeutic exercises and massage) on the pain and physical performance in the patients with chronic low back pain due to the lumbar disc herniation. Method: We conducted a quasi experimental study in two experimental and control groups, each composed of 15 male patients with chronic low back pain. Experimental group were undergone the combined protocol for eight weeks. Control group received no therapeutic protocol during the study period. Subjects’ physical performance was assessed through measuring the duration of five tests which have been modeled based on patients’ daily activities. Visual Analog Scale (VAS) was used to measure pain score. Wilcoxon and t student tests were used for data analysis. Results: The mean score of age, weight, height and Body Mass Index of the subjects were 41.61±4.99 years, 78.55±11.3 kg, 175.81±5.98 cm and 25.36±2.97 kg/m2, respectively. The experimental group showed a significant difference in terms of physical performance (31/41 ± 3/14, p=0/002) and pain score (2/85 ± 1/83, p=0/003). Conclusion: Based on the results, combined therapeutic protocol can be used to improve physical performance and to reduce pain in patients suffering from chronic low back pain due to disc herniation.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
2
v.
2
no.
2012
29
36
https://ebcj.mums.ac.ir/article_397_fa16b14ef435cc9b8a462ca950590ba0.pdf
dx.doi.org/10.22038/ebcj.2012.397
The Effect of Partnership Care Model on Depression and Anxiety in the Patients with Heart Failure
Hadi
Khoshab
MSc in Nursin, Nursing and Midwifery School, Kerman University of Medical Sciences, Kerman, Iran
author
Behnaz
Bagheryan
MSc in Nursin, Nursing and Midwifery School, Kerman University of Medical Sciences, Kerman, Iran
author
Abbas
Abbaszadeh
Faculty Member of Nursing and Midwifery School, Kerman University of Medical Sciences, Kerman, Iran
author
Eesa
Mohammadi
Associate Professor, Tarbiat Modares Univesity, Tehran, Iran
author
Simin
Kohan
MSc in Nursin, Nursing and Midwifery School, Kerman University of Medical Sciences, Kerman, Iran
author
Hamid
Samareh rad
BSc in Nursin, Nursing and Midwifery School, Kerman University of Medical Sciences, Kerman, Iran
author
text
article
2012
eng
Background: Depression and anxiety are highly prevalent in heart failure patients and has been associated with adverse prognosis, reduced functional ability and greater use of health care resources. Aim: To determine the effect of using partnership care model on anxiety and depression in heart failure patients. Method: This clinical trial was conducted as quasi-experimental design on 90 patients with heart failure in two educational hospitals in Kerman/Iran in 2010 – 2011. The patients were divided equally and randomly allocated to experimental and control groups. The partnership care model which consisted of 4 main steps of orientation, sensitization, performing and evaluation was performed for experimental group. The level of anxiety and depression of both groups were measured using Beck Depression Inventory and Beck Anxiety Inventory. Data were analyzed by SPSS software (Version 18) using paired t test, one way ANONA, and Chi-square test. Results: The mean score of anxiety in control and experimental groups was 32.73±10.23 and 33.45±11.83 before the intervention, respectively. The scores after the intervention were 35.32±10.10 (in control group) and 13.96±5.05 (in experimental group) (P=0.000). The mean score of depression before running the intervention was 24.73±8.21 in the control group and 26.97±10.40 in the experimental group, which reduced after the intervention to 29.14±8.62 in control group and 13.26±4.25 in experimental group (P=0.000). Conclusion: Applying partnership care model can reduce level of anxiety and depression in heart failure patients. Therefore, it is recommended to use this model to control and reduce anxiety and depression in heart failure patients.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
2
v.
2
no.
2012
37
46
https://ebcj.mums.ac.ir/article_398_70a9254362f694f6c75ca2960c2f99c8.pdf
dx.doi.org/10.22038/ebcj.2012.398
The Effect of Facilitated Tucking During Venipuncture on Pain and Physiological Parameters in Preterm Infants
Tayebeh
Reyhani
MSc, Instructor of pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical sciences, Mashhad, Iran
author
Tahereh
Mohebi
MSc student in Neonatal Intensive Nursing, School of Nursing and Midwifery, Mashhad University of Medical sciences, Mashhad, Iran
author
Hasan
Boskabadi
Associate Professor in Neonatology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Hasan
Gholami
MSc, Instructor of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical sciences, Mashhad, Iran
author
Vahid
Ghavami ghanbarabadi
MSc in Biostatistics, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2012
eng
Background: Infants who hospitalized in Neonatal Intensive Care Unit are routinely undergoing painful procedures which perhaps has negative impacts on their CNS. Facilitated Tucking is one of the methods of pain relief for these neonates. Aim: To examine the effect of Facilitated Tucking during Venipuncture on pain and physiological parameters in premature infants. Method: In this experimental study, 70 preterm infants born at average 32-36 weeks' gestational age (GA), who needed routine blood collection, were allocated to two intervention (35 neonates) and control (35 neonates) groups. during a. In experimental group a nurse held the infant in the side-lying, flexed fetal-type position during blood collection. The infant's pain, HR and Spo2 were measured two minutes before, during and three minutes after the blood collection and their maximum level was recorded. Facial behaviors of pain were recorded independently through video recording. The control group did not receive any intervention for pain relief. Results: The mean age of newborns were 34/45 ± 1/22 weeks. The results showed that the intervention group had less pain during blood collection than the control group (P = 0.017). But there was no significant difference between two groups in terms of pain score after blood collection. The mean changes in HR and SPo2 were significantly different between two groups (p = 0.001), i.e. were lower in the intervention group Conclusion: The Facilitated Tucking could cause significant differences in fetal heart rate and arterial blood saturation and intensity of pain copared with the control group, Then it could be used as a procedure to reduce pain during Venipuncture.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
2
v.
2
no.
2012
47
56
https://ebcj.mums.ac.ir/article_399_ed3d22081d16ed46df9a49bb0eeba840.pdf
dx.doi.org/10.22038/ebcj.2012.399
The Effect of Supportive Program of Complementary Feeding to Mothers on Infantile Anthropometric Indicators
Maryam
Rezaian
Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
author
Sima
Mohammadkhan Kermanshahi
Assistant Professor (PhD), Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
author
Ebrahim
Hajizadeh
Associate Professor (PhD), Biostatistics Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
author
text
article
2012
eng
Background: The index of weight for age, height for age and weight for height reduces in 6th -18th months of birth. Infancy is the most of period for primary prevention, supporting and teaching of mothers. Aim: To determine the effect of supporting complementary feeding program to mothers on 6-12 months infants' anthropometric indexes referring to Mashhad Daneshamooz Health Center fromApril to July2011. Method: This was a quasi- experimental study on 72 infants of 6-12months old who were randomly allocated to two groups of experimental (36) and control (36) groups. To collect data demographic questionnaires were completed for parents and infants. Also infants' anthropometric indexes were measured. Supportive Program of Complementary Feeding applied for 3.5 months for experimental group. Control group received routine plan of the health center. The infantile anthropometric indicatorsweremeasured based on Z score before and after the intervention in experimental and control groups. Data were analyzed using Chi square and t tests using SPSS 16. Results: The mean weight to age, weight to height based on and BMI to age score for experimental group (0.90, 0.57) compared to control group (0.41, 0.05) (P<0.03). Independent t-test showed significant difference between Z score in experimental and control groups (P=0.03). But there was no significant difference between height to age index in experimental and control group (P=0.45). Conclusion: Supportive Program of Complementary Feeding was an effective approach in increasing infantile anthropometric indicators and may improve physical health. It is therefore suggested to be applied in the hospitals, healthcare centers and nurseries.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
2
v.
2
no.
2012
57
66
https://ebcj.mums.ac.ir/article_401_631999ad1d6a577ecb50c7c23a8e1236.pdf
dx.doi.org/10.22038/ebcj.2012.401
The Concept of Nursing in Holistic Theories: An Integrative Review
Nahid
Aghebati
PhD candidate of nursing, Tarbiat Modares University, Tehran, Iran
author
Eesa
Mohammadi
Associated professor, Tarbiat Modares University, Tehran, Iran
author
Fazlollah
Ahmadi
Professor, Tarbiat Modares University, Tehran, Iran
author
text
article
2012
eng
Background: The initial review of the holistic nursing theories showed that while most definitions of holism share the same attributes, its application to nursing practice has led to much discourse. Aim: This review therefore was carried out to analyze the concept of nursing in three known holistic theories including Rogers, Watson, and Margaret Newman. Method: This concept analysis of nursing in the holistic theories was conducted based on Broom methodology of integrative review. Different stages of review included problem identification, literature search, data evaluation, data analysis, conclusion drawing and verification. The literature was consisted of four books from three known theorists, and eight relevant articles. They retrieved from English data bases including SCOPUS and MEDLINE. Results: The results of nursing concept analysis in holistic theories showed that holistic nursing is a process of mutual relationship of human to human in which the nurse participates in a heart-centered, purposeful and conscious presence, caring of the client as an irreducible, respectful whole, in mutual relation with environment. This requires individual empowerment and intentionality of the nurse as well as client’s trust. to the consequence of this relationship is a feeling of well being for both partners and protection, enhancement, and preservation of human dignity. Conclusion: Through the process of concept analysis in this study we conclude that holistic nursing is a mutual evolving participative process. Although the basis of these holistic theorists’ thoughts of holism is similar, but each theorist has viewed a special aspect of its application. The analysis of nursing concept gives us a theoretical integrative definition consists of the attributes and the requirements of its application and the exact role of each partners in the caring relationship process that can help to clarify, measure and use this concept in clinical practice.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
2
v.
2
no.
2012
67
84
https://ebcj.mums.ac.ir/article_402_826be2c156f59a10582840b6f6931e7e.pdf
dx.doi.org/10.22038/ebcj.2012.402
The Relationship between Happiness during Pregnancy,And Labor Pain Coping Behaviors
Nahid
Golmakani
MSc, Instructor, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Bibi Marzie
Hashemi Asl
MSc student, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Seyed Alireza
Sajadi
Assistant Professor of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Ibn-e-Sina Hospital, Faculty of Medicine , Mashhad University of Medical Sciences, Mashhad, Iran
author
Saeed
Ebrahimzadeh
MSc, Instructor of Biostatistics, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2012
eng
Background: Happiness is accounted for one of the psychological health criteria, and is considered as one of the six fundamental emotions- in human beings. Labor pain is also considered as one of the exclusive experiences, which demands pregnant women’s ability to cope with it. Happiness may give this potential ability to the pregnant women to apply skillful coping methods to tolerate the labor pain, but there is no registered evidence about this relationship. Aim: To determine the relationship between happiness during pregnancy and labor pain coping behaviors. Method: In this correlational study 80 low risk pregnant women, in the 36 – 40 weeks of pregnancy, who have referred to Omolbanin Hospital for prenatal care were selected using convenience sampling. Demographic information and the level of happiness were measured during pregnancy using Oxford Happiness Questionnaire. Labor pain coping behaviors were measured during contractions, and each half an hour from the dilatation of 3–5 cm till delivery using Labor Pain Coping Behaviors Observation Form. Data were analyzed with SPSS version 16 using Kruskal-Wallis, One- way ANOVA, Mann-Whitney tests and Spearman and Pearson correlation coefficients. Results: The frequency of low, medium and high level of happiness was 11.3%, 72.5%, and 16.2% respectively. Also, 16.3% of the pregnant women showed unfavorable, 50% acceptable, and 33.7% favorable labor pain coping behaviors. The results of Spearman’s correlation test revealed that there was a significant relationship between pregnancy happiness and the mean score of labor pain coping behaviors, (p = 0.000, and r = 0.444), i.e. higher levels of happiness during pregnancyis associated with more favorable labor pain coping behaviors. Conclusion: The parturient's behavior during labor indicates her level of emotion. So in parturient’s clinical management, in addition to physiological signs and clinical examinations these two issues should be considered as well.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
2
v.
2
no.
2012
85
93
https://ebcj.mums.ac.ir/article_403_301893e0f66e468a64a749fd4fff13fb.pdf
dx.doi.org/10.22038/ebcj.2012.403