Advances in Nursing & Midwifery

Vol. 22 No. 79/s (2013)

Research Article-Nursing

Study of nurses 'collaboration in managing decision making

Leili Rostamniya, Vahid Ghanbari, Ezzat Paryad, Maryam Momeni, Tahereh sadat Khoshnazar, Nahid Khazaee

Advances in Nursing & Midwifery, Vol. 22 No. 79/s (2013), 7 January 2013,

Abstract:

Background and aim:

Nowadays collaboration of stuffs in decision making has accepted to improve the strength and efficacy of each organization. Nurses are the biggest care delivering group and their collaboration in decision making in managing domains, can improve the quality of care. The aim of this study was to determine the nurses’ decision making collaboration in managing domains.

Materials and Methods:

This cross sectional study was done in educational medical centers of Guilan University of medical sciences in Rasht from august to September of 2010.by stratified randomized sampling 193 questionnaire was given to nurses and only 99 of them were filled. The tool of study was demographic and PDA Questionnaire (Participation in Decision making Activities). Data analyzing was done by descriptive and inferential statistics such as Pearson, T test and ANOVA.

Findings:

The findings showed the score of nurse collaboration were higher than mean score and the relationship between shift and claryfing the problem domain (p<0.02) and generating and evaluating domain ( p<0.04) were significant. Pearson test showed the relationship between age and clarifying the problem was significant (p<0.04). Other demographic data didn't have significant relationship with mean score of collaboration.

Conclusion:

The score of nurses ' collaboration in this study was higher than mean score of tool, but this difference wasn't remarkable. Nurses have the highest participation in caring and it seems improving of their collaboration in managing domain, would have useful results.

Keywords

: Decision making ,Cooperative behavior, Nursing stuff

Correlation between components of tolerance caregivers in Jahrom hospitals using factor analysis

Fatemeh Golestan Jahromi, Akram Keramati, Mandana Sarokhani, Kourosh Sayehmiri, Narges Zamani, Hadi Peyman, Zohreh sheikhan

Advances in Nursing & Midwifery, Vol. 22 No. 79/s (2013), 7 January 2013,

Abstract

Background and aim:

 

Nurses have an important role in caring of clients. So, determine the component of burden, identifying structure of components and correlation between them can effective in determine the new component and identifying the effective factors of burden. The aim of current study is to determine the correlations between CBI components among nurses in Jahrom hospitols by using factor analysis.

Materials and methods:

 

In this research, 158 of nurses in Jahrom hospitals with stratified sampling enrolled to study. by using car-giver burden ills questionnaire, five burden’s

components that involve "Time dependence burden", " Developmental burden", "Physical burden", " Social burden" and "Emotional burden" were assessed. Data were analyzed by Pierson correlation coefficient, regression models and factor analysis.

Results:

 

Time dependence burden, Developmental burden, Physical burden, Social burden and Emotional burden of women were significantly higher than men (p<0.05). There was a significant difference between workplace and different burden components (p<0.05). Time dependence burden of CCU nurses and triage nurses were in a high and low level, respectively. There was a significant correlation between Emotional burden and Social burden (P=0.000). Factor analysis showed that nurse's burden contains two main factors, that these two factors predicting 64% of total data variance. According to factor analysis physical burdens and Developmental burden and Physical burden were an independent factor, social burden and emotional burdens were another independent factor.

Conclusion:

 

There was a significant difference between gender and workplace with components of Burden. Women’s Burden in caring of patients was more than men which can related to physical and emotional

characteristics of women.

Key words:

 

Time dependence burden, Developmental burden, Physical burden, Social burden, Emotional burden, Factor Analysis

The effect of health education on knowledge and attitudes about cesarean in Tehrani women

Abolghasem Asfia, Kamal Azam, Akbar Babaei Heydarabadi, Hamid Reza Gilasi, Zahra Ghanei, AliReza Dariyani, Zohreh Karbalaei, Hilda Normabodi

Advances in Nursing & Midwifery, Vol. 22 No. 79/s (2013), 7 January 2013,

Abstract:

Background:

More than 70 percent of pregnant women in Iran demand unnecessary cesarean. Although just 15% of cesarean sections required to intervention. Also, according to World Health Organization, acceptable cesarean rate can be up to 15%.

Materials and Methods:

This study is an intervention type before and after that on 64 pregnant women referred to health centers in areas 16 and 17 in Tehran in 2010. First, knowledge and attitude

was assessed by questionnaire and then the intervention was conducted. The intervention was included education lectures and an educational pamphlet. Knowledge and attitude was assessed after 2 weeks by the same questionnaire. After collecting the data were analyzed using statistical software SPSS-16.

Results:

Mean age was 26±5/45 years and 75 and 73.4 percent of them were women and their spouses in order to graduate with a degree of guidance. Jobs more than 95 percent of them were housewives and 50% of their husbands were worker. 31% of them were unwanted pregnancy. Average score of knowledge about training before 46/6±5/7 and after the educational intervention was 54±5/86. This increase is statistically significant. The attitude scores of women before and after the educational intervention was 47/6±7/4 and 49/5 ±5/8, respectively, but this increase was not statistically significant.

Conclusion:

Management of training courses beside interventional procedures based on theories and models of health education and health promotion will be effective step in reducing the cesarean rate as well as promoting the level of health mothers and their children.

Keywords:

Knowledge, attitude, educational intervention, cesarean

The Relationship between Prevention Methods and Unwanted Pregnancy

Hamid Reza Gilasi, Hossin Akbari, Fatemeh Darvishi, Zohreh Kazemi, Zabihollah Gharlipour, Mahbobeh Heidarian

Advances in Nursing & Midwifery, Vol. 22 No. 79/s (2013), 7 January 2013,

Abstract

Background and Aim:

Unwanted pregnancy occurs as a result of failure of prevention methods or lack of such methods. The essential aim of family planning is to prevent women from unwanted pregnancies. This study explores the relationship between unwanted pregnancy and contraceptive methods.

Materials and Methods:

In this case-control study, 90 women with unwanted pregnancies (cases) and 90 women with wanted pregnancies (control) that referred to health centers in Kashan, central Iran were randomly selected in 2000-2010 and a pregnancy questionnaire was administered. Also, telephone interview were completed. Then, the collected data was analyzed using tests such as chi-square, t-test and fisher exact tests through SPSS software.

Results:

The mean age of case group women was 30.4±5.9 and in the control group it was 27.4±4.9. Statistically significant relationships were found between education, spouse occupation, age, previous unwanted pregnancy, and unwanted pregnancy (p<0.05). No statistically significant relationship was found between type of pregnancy and the number of abortions and previous unwanted pregnancy, age at marriage, employment, and income. Methods used for contraception in the order of significance included withdrawal (50%), condoms (33.3%), and pills (14.4%), respectively. Statistically significant relationship between the types of a method was not observed. Using the Mantel Haenszel method, statistically significant relationship was found between frequency of using the methods and the total number of children, pregnancies and other similar factors.

Conclusion:

Since the withdrawal method used by women was the most significant factor in the study, women must be encouraged to use reliable contraceptive methods for preventing unwanted pregnancy.

Keywords:

unwanted pregnancy, Prevention methods, Family

Comparison of adolescents’ Satisfaction with professional Care in Pediatric versus adult wards in Isfahan

Narges sadeghi, Zahra Abdeyazdan, Azam Rahmany, Gholamhosein Abdeyazdan, Shahnaz Behshti

Advances in Nursing & Midwifery, Vol. 22 No. 79/s (2013), 7 January 2013,

Abstract

Background and aim:

Adolescence is a unique physical, cognitive, and psychosocial development period. Adolescent hospitalization could lead to many adverse effects on adolescent and causes problems in all areas. Lack of understanding of adolescents needs could impact on providing care. The aim of this study is to assess adolescents’ satisfaction with professional Care and compare it in two groups of adolescents hospitalized in children and adult wards.

Material and Methods:

In a cross sectional comparative and descriptive study the satisfaction questionnaires were filled out by 200 adolescents 10- 19 year-old hospitalized in Amin and Alzahra hospitals in Isfahan city. They were selected by convenient sampling method. Data were analyzed by SPSS version 11.5 and via t student ,Mann witney tests and person coefficient.

Results:

Average satisfaction score with nursing services in teens who hospitalized in pediatric wards was significantly higher than those admitted in the adult’s ward, but there was no statistically significant difference between the two groups in terms of medical and other personnel services. 87 percent of adolescents who were hospitalized in adult’s wards and 35.3 percent of teens who were hospitalized in the children wards preferred to be admitted in the adolescent’s ward.

Conclusion:

In the present study, satisfaction level of adolescents with nursing services in pediatric ward was higher than those in adult’s ward. Most of adolescent want to hospitalize in adolescents’ ward. So it is suggested if it is not possible to prepare adolescent‘s ward for their care, it is better they hospitalized in children ward .

Key Words

: patient satisfaction, adolescent, hospitalization, nursing care, hospital, medical care

The role of domestic violence in pregnancy on maternal and fetal outcomes, a narrative review in past decade of studies in Iran.

Mahrokh Dolatian, Arash Mirabzadeh, Ameneh Setareh Forouzan, Homeira Sajjadi, Hamid Alavi Majd, Farnoosh Moafi

Advances in Nursing & Midwifery, Vol. 22 No. 79/s (2013), 7 January 2013,

 

Abstract:

 

Introduction:

One of the society’s health problems is prenatal domestic violence. Violence may directly and indirectly affect the pregnancy outcome. In recent years, many different studies have been conducted in Iran on the prevalence and consequences of prenatal domestic violence. However, no organized conclusions have yet been drawn from the results of these studies so far. This study aimed to examine the findings of the past decade of studies in Iran on the effects of prenatal domestic violence on maternal and fetal outcomes.

Method:

This study reviewed studies of the past decade in Iran that investigated the prevalence and consequences of prenatal domestic violence on maternal and fetal outcomes. These articles were searched by using available information in databases; Pubmed, Magiran SID, Iranmedex, and Irandoc from 2001 to 2011 using keywords [domestic violence, violence, spouse abuse, family violence, physical violence, sexual violence, and emotional violence] separately, and keywords [abusive behavior, pregnancy, pregnancy consequences, pregnancy outcome , pregnancy results, preterm labor, and low birth weight] collectively.

Results:

A total of 22 articles were reviewed, 16 of which were descriptive (sectional, longitudinal), and 6 were analytical (cohort and case/control). Out of the 22 studies, 14 had reported the prevalence of prenatal domestic violence and its types in different regions in Iran, 11 investigated the effects of domestic violence on fetal outcomes, and 11 investigated the effects of domestic violence and its types on maternal outcomes.

Discussion and conclusion:

Investigations revealed that, regardless of location and ethnicity, prenatal domestic violence is a common problem with important maternal and fetal consequences. These are common issues in obstetric medicine. Some of these outcomes are preventable both for the mother and for the fetus. It appears such incidences can be prevented by appropriate actions such as; life skill education and self-care, prenatal screening, increased prenatal care, presence of spouse in prenatal care sessions and important role of spouse during pregnancy. Thus, further studies focusing on identification of appropriate interventions to reduce and control these problems are recommended.

Keywords:

domestic violence, prevalence, abusive behavior, pregnancy, maternal outcome, pregnancy outcome

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