Advances in Nursing & Midwifery

Background: futile care is provided in intensive care units for multiple reseans.for decline such care
awareness of effective factors associated to providing futile care is nessecarry. This research reports,
experience of intensive care nurses of resaens for providing of futile care .
Methods: In this qualitative study, a phenomenological approach was used. We used semi structured and indepth
interviews of purposive sample of25 intensive care unit nurses' in all hospitals in Qazvin to identify
codes and categorize themes in the data.
Results: three themes emerged from the data were as follows: 1-personal beilief and value, 2-policy of
institute, 3-socio-cultural factors.
Conclusion: The results demonstrate that reseans for providing of futile care in intensive care unit is different
and personal beilief, environment and organizational restrictions influences the development of the futile care
and presents barriers to achieving an ideal care. Therefore nursing leaders must reduce futile care among
nursing in intensive care. Experiences of futile care in intensive care units reflect on nurses’ patient care
negatively, increases their burnout, and reduces their job satisfaction. Therefore nursing leaders must reduce
futile care among nursing in intensive care.
Keywords: futile care- effective factors- Intensive care nurses- experience - phenomenology

Background and aim: osteoporosis as a disease, is characterized by low bone mass and loss of bone
microstructure known. According to the importance of identifying the preventive behaviors in premenopausal
women by nurses and other health personnel, This study aimed to determine the predicting
factors of nutritional behaviors for preventing of osteoporosis according to the Health Belief Model was
performed.
Materials and Methods: This cross-sectional study was conducted on 147 women aged 35-49 were referred
to Health Centers in Bandar Abbas, Iran. A systematic cluster sampling method was applied. Data collection
tool was included demographic information, knowledge, health belief model constructs and calcium and
vitamin D rich foods frequency questionnaires. The data were analyzed using descriptive statistical, Pearson
Correlation and Linear Regression.
Findings: The result showed that self-efficacy, perceived benefits, perceived barriers had a significant
relationship with nutritional behaviors . Structure barriers predict calcium intake. Also, Structural barriers and
perceived benefits were identified as strong predictors for vitamin D.
Conclusion: According to the results, The health belief model could become suitable framework for
interventional programs, However, taking into account social -cultural factors related to the preventive
behaviors could have effective role for improving preventive nutritional measures.
Keywords: nutritional behavior, osteoporosis, prevention, health belief model

Background and aim: Documentation is one of the nurses’ professional tasks, which is an essential
component of medical evidence and patient’s record; it sounds that nothing can reflect the total amount of
nursing care giving patients as documentation does. The aim of this study was to audit the nurses’
documentation in NICU at hospitals affiliated to Babol University of Medical Sciences and health service,
2012.
Method & Materials: This study was a descriptive survey, 400 nursing documentations of the two NICUs of
two hospitals of Babol University of Medical Sciences were selected through time sampling. The data were
collected by a check list which was developed by the researcher in accordance with recent national and
international standards of nursing documentation. The validity of the check list was assured by a panel of
experts .Reliability was determined by inter rater method. Completeness of records was observed and scores
as: not acceptable (0-49), somewhat acceptable (50-74) and acceptable (75-100).
Findings: The study indicated that 49.3% of nursing documents complied with standards of documentations.
Which indicates a poor quality of documentation in NICUs of hospitals in this study.
Conclusion: Findings of the study showed that there is a need to educate Nurses in NICUs on documentation
principles and more supervision and feedback by managers and leaders

Keywords: Documentation, Nursing, Auditing, NICU.

Background and aim : Nursing process is a deliberate problem solving approach for meeting people's health
care needs .Using nursing process helps to improve the quality of patient care. The aim of this study was to
determine the effect of nursing process implementation on quality of nursing care of patients hospitalized in
surgical wards at Shahid Beheshty hospital in Yasuj city in 2012.
Method and Material: This was a quasi- experimental study with befor-after design. The sample of the
consisted of 48 nurses working in surgical wards of teaching hospitals affiliated to Yasoj Medical University.
The samples were selected by using purposive sampling. The nursing care quality was evaluated by using the
quality patient care scale (Qual PacS) checklist, that its validity were determined by face and content validity
and its reliability was determined by using inter-observer (ICC=0.86) . Initially the nursing care quality was
evaluated. Nurses participated in an educational program on nursing process and its implementation. After
one month the quality of nursing care was assessed again. Data were analyzed by SPSS 16 software and
using paired t-test.
Results: This study showed a significant difference between the quality of nursing care in meeting
psychosocial needs (p=0.031) communication needs (p=0.012), physical aspects of care (p=0.047) and the
overall quality of nursing care (p=0.001) before and after implementation of nursing process.
Conclusions: The results of this study showed that nursing process implementation can improve the quality
of nursing care of patients in surgical wards.
Keywords: Quality of nursing care, Nursing care, Nursing process.

Background and aim : Nursing process is a deliberate problem solving approach for meeting people's health
care needs .Using nursing process helps to improve the quality of patient care. The aim of this study was to
determine the effect of nursing process implementation on quality of nursing care of patients hospitalized in
surgical wards at Shahid Beheshty hospital in Yasuj city in 2012.
Method and Material: This was a quasi- experimental study with befor-after design. The sample of the
consisted of 48 nurses working in surgical wards of teaching hospitals affiliated to Yasoj Medical University.
The samples were selected by using purposive sampling. The nursing care quality was evaluated by using the
quality patient care scale (Qual PacS) checklist, that its validity were determined by face and content validity
and its reliability was determined by using inter-observer (ICC=0.86) . Initially the nursing care quality was
evaluated. Nurses participated in an educational program on nursing process and its implementation. After
one month the quality of nursing care was assessed again. Data were analyzed by SPSS 16 software and
using paired t-test.
Results: This study showed a significant difference between the quality of nursing care in meeting
psychosocial needs (p=0.031) communication needs (p=0.012), physical aspects of care (p=0.047) and the
overall quality of nursing care (p=0.001) before and after implementation of nursing process.
Conclusions: The results of this study showed that nursing process implementation can improve the quality
of nursing care of patients in surgical wards.
Keywords: Quality of nursing care, Nursing care, Nursing process.

Background and aim: Sexuality is an important aspect of quality of life that affects both physical and
psychological aspects. Sexual relationship is central to quality of women’s life, and reflects her psychosocial
and life aspects. Different factors such as health, emotional problems, stress, and hormones affect sexual
function. Some reports reveal the effect of hormones, and conversely, some report lack of effect. This study
aimed to asses sexual function of women using DMPA presenting to health centers affiliated to Shahid
Beheshti University of Medical Sciences in Tehran , Iran in 2013
Methods and material : This descriptive study was conducted on 120 women in health centers in Tehran,
Iran. They were selected by multistage sampling. A questionnaire completed by interviewing was used for
data collecting. 3 parts were included in the questionnaire: demographic characteristic, and Female Sexual
Function Index (FSFI). Data was analyzed by SPSS 16 and Different statistical tests were used. (P<0. 05)
Result: Mean age of women was 28. 63±7. 16 years. Women use DMPA had favorite sexual function (60.
8%). Logistic regression showed women with regular menstruation had favorite sexual function than others
(P<0. 05) .
Conclusion: Menstrual patterns was significantly associated with sexual function.While introducing
hormonal contraceptive methods, health workers should emphasize their adverse effects such as menstrual
patterns on sexual function.
Key word: Sexual function, Depo-medroxy Progesterone Acetate, Prevalence, Iran.

is a very complicated process ,so affects different dimentions of physical health,social,spiritual and
psychological aspects of an individual. The aim of this study was determine the correlation between
general(overall)comfort with health status in patients with HIV/AIDS was conducted in 1391.
Methods and Material: This descriptive – correlation study was performed on 25 HIV/AIDS patient that
refferd to Imam Khomeine Hospital in Tehran in 1391 by convenience sampling methods. A questionnaire
with items related to demographic information,36-Item-Form Health Survey(SF-36) and general comfort
questionnaire was used for data collection. Its validity was assured by content validity method. Data were
analyzed using SPSS 16 software . A Pearson correlation coefficient was calculated to determine the
relationship between variables.
Findings: Based on the finding average of ages was 36. 44±10. 43 who 60% were married and 64% were
lived with their partner and children. The mean of physical status and psychological ,social- economic status,
total health status and general comfort was 41. 68±13. 56,36. 84±17. 38,31±14. 61,109±34. 86,86. 48±22. 63.
The relationship between stage of disease and physical health status and married and total health status, and
Physical health and psychological health status(p=0. 001,r = 0. 9)was significant(P= 0. 02, r = 0. 4),(P= 0.
001, r=0. 6).
Conclusion: According to the results, some features of AIDS can associated with different dimentions health
status which eventually may be affect general comfort in HIV/AIDS patients.
Keywords: Health status, General Comfort, Comfort, HIV/AIDS.

Introduction: Food and nutrition are basic needs of human society. Fulfilling this need lies in concept of
food security. There are two main prerequisites for food security in any society: Ensure the availability and
accessibility of food in society and ensure the ability of households to obtain food. Household food security
means all family members have access to enough food for their minimum amount of necessary requirements.
With a systematic review approach, this article wants to investigate the scales, prevalence, contributing
factors and consequences of household food security in Iran.
Methods and Materials: Proceedings of the Persian writers on household food security without limits of
time, place and language publishing was searched thorough informative databases of PubMed, Elsevier , SID,
Medlib, Magiran, Iranmedex, Irandoc, Google Scholar using "food security, food insecurity, associated
factors, prevalence, causes, women, children and Iran" as search keywords.
Findings: Six scales for assessing household food insecurity has been used in Iranian studies.
According to various studies, regardless of the scale used, the prevalence of food insecurity was about 20 to
60%; and in female-headed households and low-income communities, 75 and 86% have been reported.
Reduce variation in food consumption and intake of essential micronutrients, poor nutritional status of infants,
inconsistent effects on body mass index and weight of children, adolescents, women and men were the studied
consequences of food insecurity.
Conclusion: Household food security is considered as an indicator of individual and family health
which can be measured to help policy makers and other institutions to design, monitor and evaluate programs
and interventions. At national and provincial levels, there are good policy and practices in this field .Due to
nutritional transition, increased urbanization and demographic changes in Iran, investigating food security
status at the individual and family level, influencing social and cultural factors, its consequences, Design,
implement and evaluate proper interventions need further consideration by policy makers, government
officials and experts in the country.
Keywords: Household food security, prevalence, influencing factors, consequences, Iran.