Research Article-Nursing


The Correlation of Head Nurses’ Time Management with Nurses’ Job Satisfaction in Medical & Surgical Wards of Hospitals in Arak Medical Sciences University

Shokofeh Nasri, Mehrnoosh Pazargadi, Mansoreh ZagheriTafreshi, Navideh Nassiri

Advances in Nursing & Midwifery, Vol. 22 No. 79 (2013), 11 October 2013, Page 1-7

Abstract

Introduction:

Control of time and prevention from wasting time can improve the ability of managing, retaining human resources, decreasing stress and increasing job satisfaction among personnel. Lack of time management in nursing profession may have effect on quality of care and declining efficiency and productivity which lead to feeling burnout and job dissatisfaction in nurses. The aim of this research is to determine the correlation of the head nurses’ time management behaviors with nurses’ job satisfaction.

Materials and methods:

This research is a descriptive – correlation study. In this research head nurses and nurses who have had inclusion criteria and were employed in medical & surgical wards of hospitals in Arak Medical Sciences University participated by census method. For data collection, two questionnaires about time management and job satisfaction have been designed according to research goals. Their validity were measured by face and content validity (time management: CVI= and job satisfaction: CVI= ) and their reliability by Kronbach - Alpha coefficient ( . and . ). Analyzing data has performed by SPSS software, version .

Results:

Analysis of data showed that there was not any correlation between time management behaviors of head nurses (from their view) with nurses’ job satisfaction(r = . , p > . ). But the correlation of time management behaviors of head nurses )from nurses’ view( with job satisfaction of nurses was significant (r= . , p< . ).

Conclusion:

The findings of this research reveal the importance of using time management skills by the nurse managers as a step to improve nursing effectiveness and nurse’ job satisfaction.

Keywords

: Time Management, Job Satisfaction, Nurse

The Effect of Lavender Aromatherapy on Sleep Quality in Hemodialysis Patients

Azam Dabirian, Maryam Sadeghim, Faraz Mojab, Atefeh Talebi

Advances in Nursing & Midwifery, Vol. 22 No. 79 (2013), 11 October 2013, Page 8-16

Abstract:

Background and Aim:

Sleep is one of the biological rhythms and necessary for physical and mental health. More than of hemodialysis patients suffer from major sleep disturbances. Aromatherapy is one of the ways to improve sleep quality. The aim of this study was to determine effect of lavender aromatherapy on sleep quality in hemodialysis patients.

Materials and Method:

This research was quasi-experimental study, pre-post-intervention with one group on hemodialysis patients that were selected based on sampling method. A -part questionnaire including demographics and items related to the condition, Pittsburgh Sleep Quality Index questionnaire and was used for data collection, validated and made reliable by content and test-retest methods respectively. Intervention was included inhalation of drops of lavender essential oil dropped on a piece of cotton placed in a small box near patients˙ pillow, within - cm distance from the patient. Aromatherapy was performed for weeks including a day during the week before night sleep. The data analyzed using SPSS (version ) and statistical tests.

Results:

Results showed a significant deference was found between mean score of sleep quality before and after intervention (P< ) and a significant decrease (P< ) in each of the dimensions of sleep quality than the before time of lavender essential oil inhalation (P< ).

Conclusion:

The study revealed inhalation of lavender essential oil has a favorable effect on sleep quality in hemodialysis patients. Inhalation of lavender essential oil improves the dimensions of sleep quality, including subjective sleep quality, sleep latency, habitual sleep efficiency, sleep duration, sleep disturbances and daytime dysfunction in hemodialysis patients.

Keywords:

Sleep, Hemodialysis, Aromatherapy, Essential oil, lavender

Quality Gap in Family Planning Service in Health Care Centers of Shahid Beheshti University of Medical sciences.

Shahla Ghanbari, Ali Ramezankhani, Gohar Mohammadi, Mohammad Reza Keyhan, Yadollah Mehrabi

Advances in Nursing & Midwifery, Vol. 22 No. 79 (2013), 11 October 2013, Page 17-28

Abstract

Background and aim:

Family planning services are frequently used and important services for women of reproductive age. These services are crucial in enabling women to meet their fertility goals.

Materials and methods

: In a cross-sectional study, the exception s and perceptions of women who seeking care from health care center under the supervision of the Shahid Beheshti University of Medical Sciences regarding family planning services were investigated using revised SERVQUAL questionnaire. Overall quality of service, satisfaction and willingness to come again also were measured as response variables.

Findings:

The mean age of sample was . years (SD= . ). . had at least years of education and . were employed. . of participants visited the health centers at least times. There was an overall negative gap score of - . between clients’ expectations and

perceptions in all dimensions of service quality (p<

. ), showing that customer expectations of family planning services were not met. The mean score of quality of service, satisfaction and willingness to come again were . , . , and . of respectively.

Conclusion:

This study showed that patients were relatively satisfied by the quality of the family planning services provided by health care centers, although the system’s performance fell short of their expectations. Planning and implementation of proper intervention in diverse dimension of service quality can lead to clients’ satisfaction and service quality improvement.

Keywords:

Gap, Service Quality, Family Planning, Satisfaction, Health care center

Study of the relationship between job stress and intention to leave the nursing profession

Hassan Darvish, Fatemeh Shabani

Advances in Nursing & Midwifery, Vol. 22 No. 79 (2013), 11 October 2013, Page 29-35

Abstract:

Background:

 

Nowadays, Neglect of nursing problems in the world, including stress has created many problems and these problems have caused that nurses tend to leave jobs or even leave their job. This study is designed to find the relationship between job stress and intention to leave the profession in nurses in public and private hospitals in Shiraz in 1390 .

Materials and Methods:

 

This study is a descriptive-correlational research. Using stratified sampling and Morgan’s

formula, nurses from government hospitals, nurses from private hospitals were selected. Tools of collecting data included demographic questionnaire and scales of occupational stress and questionnaire for tending leaving job. Data were analyzed using simultaneous multiple regression analysis, Pearson, Friedman and T test.

Results:

 

Results showed that there is a statistically significant relationship between job stress and intention to leave the job of public and private hospitals with a correlation coefficient of , and tending to leaving job is expected by job stress and its components. Stress job and tending to leaving job in female nurses than male nurses is much higher (p= ), while there is no statistically significant difference between job stress and intention to leave job in private hospitals and public hospitals.

Conclusion:

 

Organizations so that they can understand the reasons and factors contributing to employee turnover, using the right information and Timely forecasts, can be used to effectively manage the process of maintaining an efficient workforce. Also, managers can to increase efficiency and productivity in the organization with the best possible way using identification of stressors and put under the control of them.

Keywords:

 

Tension, stress, leaving job, nurses, public and private hospitals, Shiraz

Assessment of Quality of life in Caregivers of Patients with Mental Disorder in Fatemie hospitals of Semnan city

Sifollah Keighobadi, Masomeh Neishabouri, Neda Haghighi, Tahereh Sadeghi

Advances in Nursing & Midwifery, Vol. 22 No. 79 (2013), 11 October 2013, Page 36-44

Abstract

Background

: Families of patients with mental disorder endure remarkable hardship for coping with psychiatry symptom and they confront physical and emotional stresses. Maintaining and improving the quality of life is an important task for nurses. This study was designed to Determination of Quality of life in Caregivers of Patients with mental disorder in Fatemie hospitals of Semnan university of Medical Sciences.

Method

: A descriptive design was used. Samples consisted of Caregivers of Patients with mental disorder (Schizophrenia, Mania, Major Depressuon( took part in this study. Data were gathered by questionnaire (Quality of life family version) in domains: physical, psychological, social and spiritual. Validity through content validity and reliability with a Cronbach's Alpha / was approved. Data were analyzed using SPSS software.

Results

: Most Caregivers of Patients with mental disorder are Female ( ) with a mean age of years and patient's wife ( ). The results of study showed that, majority of caregivers record at in physical ( . ), psychological ( ), social ( ) and in spiritual ( . ) as partly desirable level and the QOL scores of caregivers was . from .

There was a significant association between quality of life and duration of caregiving (p = / ).

Conclusion

: copping with disease crisis and explore reasonable about further is more important. Nurses necessary to understand the necessity of family to support and give information. This issue improves Health and Well-being in families.

Key words

: Quality of life, caregivers, mental illness, Schizophrenia, Mania, Major Depressuon.

A comparative study on Maternal Fetal Attachment behaviors of women with and without history of perinatal loss

Pegah Mehran, Masumeh Simbar, Jamal Shams, Navideh Nasiri

Advances in Nursing & Midwifery, Vol. 22 No. 79 (2013), 11 October 2013, Page 53-61

Abstract

Background:

Maternal mental health and motherhood adaption behaviors during pregnancy have been paid much attention during recent years. This study aims to compare maternal fetal attachment behaviors of women with and without history of perinatal loss

Material and Methods:

This was a comparative study on women in two groups of women with and without history of perinatal loss. The participants were recruited using a convenience method of sampling, from prenatal care services affiliated to Shahid Behesti University of Medical Sciences. Tools for data collection included a questionnaire with demographic- and fertility- related questions as well as the Persian version of Cranly’s MFA questionnaire The MFAS scale included questions in groups including role-taking, differentiation of self from fetus, interaction with fetus, attribution of characteristics to fetus, and giving of self. Data was analyzed by SPSS and using t, ANOVA, regression, Chi square, Pearson correlation and Mann Whitney tests.

Results:

One hundred women aged years (Mean±SD), with weaks gestational age participated in the study. Finding showed that total mean score for MFA of women with history perinatal loss ( Percent) is not significantly different from the mean score of primigravid women without such a history ( Percent) (p< ). Primigravid women without history of perinatal loss had a significantly higher score for the behaviors related to “differentiation of self from fetus” comparing to women with history of perinatal loss But, two groups were not different regarding to other groups of MFA behaviors (p< ).

Conclusion:

Maternal-fetal attachment behaviors of women with and without history of perinatal loss were not different. However women with the history of perinatal loss shows lower scores for behaviors related to differentiation of self from fetus.

Key word:

Pregnancy, perinatal loss, Maternal Fetal Attachment

Survey of Comparative Frequency, Severity and Level of Conflict in ICU nurses in Academic and Non- Academic hospitals in Yazd,1390

Forozan Atashzashzadeh shoorideh, Somayeh Esmaeelzadeh, Mansoreh Zagheri Tafreshi, Hamid Alavi Majd, Zhila Abed Saeedi

Advances in Nursing & Midwifery, Vol. 22 No. 79 (2013), 11 October 2013, Page 62-69

Abstract

Introduction and Aim:

Conflict is inevitable phenomena in man’s life and daily communication. This study intended to assessment of frequency, intensity and level of conflict in nursing in academic and non- academic hospitals in Yazd.

Materials:

In this comparative descriptive study, ICU nurses in academic and non-academic hospitals in Yazd were selected. Instrument of data collection was questionnaire. Data were analysis by SPSS and descriptive and analytical statistic.

Findings:

Non- nursing task in intra-group conflict in academic and non-academic hospitals has more frequency, intensity and level. In intra-group conflict, mean level of a sense of competition in order to maintain position, was high. In inter-group conflict, lack of cooperation wards with ICU showed more frequency, intensity and level in academic hospitals. However, in non-academic hospitals, personnel turnover has more intensity. In conflict of group and patient family, insist of family on staying in the bedside in academic and non-academic hospitals have more frequency, intensity and level.

Comparing three domain of conflict showed intra-group conflict in academic and non-academic hospitals has more frequency and intensity of the conflict. But, level of conflict between group and

patient’s family has more. Frequency, intensity, and level of ICU nurses were average.

Conclusion:

Findings showed that recognizing and understanding the cause of conflict can be prevented from incidence and by property managing, can be used from positive effects of conflict.

Keyword:

Conflict, Conflict risk factors, Nurses, ICU

Prevalence and trends of low birth weight in Iran: A systematic review and

Fatemeh Nazari, Zahra Vaisi, Kourosh Sayehmiri, Yousef Vaisani, Taraneh Esteki

Advances in Nursing & Midwifery, Vol. 22 No. 79 (2013), 11 October 2013, Page 45-52

ABSTRACT

Introduction:

Low birth weight (LBW) is defined as a weight of 2499 g or less and in world it is

considered an important determinant of infant health status. This paper aims to determine of trends

and prevalence of LBW in Iran with Meta analysis method.

Materials and Methods:

on the computerized literature valid on valid keyword with search in valid

database (SID.MEDLIB, IRANMEDEX, GOOGLE, MAGIRAN, and PUBMED) recruited in

different geographic areas. To explore heterogeneity in studies I

2 index was used. Meta-analysis

used to data analysis with random effects model.

Results:

Hospital data 195075 children enrolled in study. The Thirty eight studies met our inclusion

criteria. The pooled prevalence rate of LBW was 7%. Prevalence of LBW in Iran showed an

increasing trend during 1991-2010.

Conclusions:

The LBW rate in Iran is high. There is a need to change obstetric policy on weight

gain during pregnancy to reverse the LBW rate trend.

Keywords:

Low birth weight, Iran, Meta-analysis, Systematic Review

1. Student Research Committee, Ilam University of Medical Sciences, Ilam,Iran

2. Department of Social Medicine, faculty of Medicine, Ilam University of Medical Sciences, Ilam-Iran

3. Psychosocial Injuries Research Center, Ilam University of Medical Sciences

4. PhD candidate ,Faculty member Department of Basic sciences Faculty of Nursing and Midwifery Shahid Beheshti university of Medical

sciences Tehran-Iran

*Corresponding author:Sayehmiri@razi.tums.ac.ir