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Showing 10 results for Hanifi

Mohammadali Aslani, Nasrin Hanifi, Fazlollah Ahmadi, Ramazan Fallah,
Volume 5, Issue 1 (9-2015)

Background and Objectives: Aspiration is a serious complication that occurs due to delayed gastric emptying in mechanically ventilated patients. Aspiration results in increased rate of pneumonia and death. Acupressure can increase gastric motility and prevent aspiration. This study aimed to determine the effect of acupressure on occurrence of gastric content aspiration in mechanically ventilated patients hospitalized in intensive care units. Materials and Methods: In this quasi-experimental study, 78 patients hospitalized in the intensive care units of educational hospitals of Zanjan were recruited using convenience sampling method during 2012-2013. Patients were randomly allocated into two intervention and control groups. In the intervention group, acupressure wristbands were placed on the Neiguan point of both hands of the patients for four days. Aspiration was measured and compared using glucose and PH strips on the second and fourth days in both groups. Data were analyzed using the independent T-test, Mann-Whitney, Chi-squared test, Mantel-Haenszel and logistic regression in the SPSS-16. Results: The aspiration, totally and in the fourth day, was lower in the intervention group in compare with the control group however the difference between the two groups was not statistically significant. Conclusion: Acupressure is an easy-to-use and harmless method to relatively decrease aspiration among the patients. It can be considered as a complementary treatment in decreasing aspiration among patients hospitalized in the intensive care units.

Fatemeh Mahdavisaeb, Mahin Ruhani, Nasrin Hanifi, Kurosh Kamali,
Volume 6, Issue 1 (6-2016)

Background and Objectives: The high clinical competency of Critical Care Nurses (CCNs) is required, as the quality of nursing care in critical care units (CCUs) with critically ill patients is extremely important. This study was conducted to compare CCNschr('39') clinical competency using self-assessment method and assessment by their Head nurses.

Materials and Methods: This cross-sectional study was conducted on 148 CCNs who were included in the study in a period of six months (June -November 2014), in the hospitals of the Zanjan university of medical sciences. Data was collected using Nurse Competency Scale (NCS) which assesses 63 skills in seven different domains. The Cohenchr('39')s kappa coefficient was used to compare the agreement between the clinical competency and the use of skills in CCNs and their head nurses.

Results: The inter-rater agreement was poor between the nurses and their Head nurses in the evaluation of the clinical competency, and in two aspects was very poor. The "Quality assurance" (0.098) and the" Helping Role" (0.373) domains had the lowest and the highest level of agreement, respectively. The inter-rater agreement of the use of skills by nurses was reported very poor in all domains.

Conclusion: The current study revealed that there is no agreement between the evaluation of CCNschr('39') clinical competency by own nurses and their head nurses indicating these two methods are not interchangeable.

Masoumeh Masoumi, Nasrin Hanifi, Mohammadreza Jamshidi, Soghrat Faghihzadeh,
Volume 6, Issue 1 (6-2016)

Background and Objectives: Oral care is a fundamental activity in nursing care. Providing oral care for ill patients, who are not able to keep their oral care, would provide comfort for patients and prevented them from oral lesions. This study was conducted to compare of the effect of Ozone water with Chlorhexidine in prevention of oral lesions in patients in critical care units.

Materials and Methods: This randomized controlled trial was carried out on 74 patients under mechanical ventilation in intensive care unit of Mousavi hospital in Zanjan. The participants were selected preliminary using convenience sampling, and then allocated randomly to two groups of intervention (n=39) and control (n=35) groups. Data was collected using the Beck Oral Assessment Scale (BOAS) scale. The data were analyzed using univariate statistical analysis (independent t statistical tests, Fisherchr('39')s exact test, and Cochran Q (in SPSS16.

Results: The results of the study showed that the mean score of oral lesions according to BOAS in intervention group was almost the same as control groups by the third day of intervention. However, the mean score of oral lesions in the intervention group was reduced statistically compared to control group (P=0/013) on the fourth day.

Conclusion: The results of the current study revealed that Ozone water is more effective than chlorhexodone in prevention of oral lesions.

Mahin Roohani, Sayede Fatemeh Gheiasi, Nasrin Hanifi, Kourosh Kamali,
Volume 6, Issue 3 (11-2016)

Background and Objectives: Re-admission of patients with heart failure is increasingly high. Therefore, this study aimed to determine the effects of teaching heart failure patients and their families based on their learning needs on the frequency of re-admission.

Materials and Methods: This clinical trial was conducted on 75 patients with heart failure. Samples were divided randomly into one experimental group and two control groups. For the experimental group, along with their family members, teaching was done on the basis of their learning needs using CHFPLNI. For the control group (1), teaching was done without assessment of learning needs and with the presence of their family members and for the control group (2), teaching was conducted without assessment of learning needs and without the presence of their family members. Re-admission on day 30, 60 and 90 after discharge was calculated. The collected data was fed to SPSS- 11.5 software and analyzed using Chi-square and Exact Fisher test.

Results: Findings showed that in terms of re-admission after the intervention, there is no statistically significant difference between the experimental group and the control groups (P> 0.005).

Conclusion: Intervention on re-admission did not show a significant statistical impact. Therefore, further investigation is needed. Designing studies to consider frequent hospital readmissions with differentiation of causes and longer follow-ups is recommended.

Nasrin Hanifi, Marjan Delkhosh, Sorour Parvizy,
Volume 7, Issue 4 (10-2018)

Background: Motivation is an abstract, construct and concept regarded important issue in nursing education. The clinical setting complicates the concept of motivation in the clinical education of nursing students.
Objectives: The present study aimed to evaluate the concept of motivation in the clinical education of nursing students.
Methods: The hybrid model by Rogers was used to develop the concept of motivation. In the theoretical phase, 105 articles were obtained, and 59 articles were selected after accurate assessments. In the fieldwork phase, in-depth, semi-structured, face-to-face interviews were conducted with 14 nursing students and instructors, and the interview data were analyzed. In the final analysis stage, the results of the theoretical and fieldwork phases were integrated and assessed.
Results: In the theoretical phase, a definition of motivation was provided based on previous studies. The determined categories based on the interviews in the fieldwork stage included chr('39')spiritual satisfactionchr('39'), chr('39')attitude of the society toward the nursing professionchr('39'), chr('39')appropriate educational environmentschr('39'), chr('39')professional knowledgechr('39'), chr('39')capabilities in clinical practicechr('39'), chr('39')independencechr('39'), chr('39')communicationschr('39'), chr('39')valueschr('39'), chr('39')Dignity and respectchr('39'), chr('39')role modelschr('39'), and chr('39')working conditions of nurseschr('39'). In the final analysis stage, the results demonstrated that some of the antecedents and consequences of the theoretical phase overlapped with the fieldwork stage, and some were exclusively related to the field of nursing.
Conclusion: According to the results, in addition to interacting with individual psychological conditions, the concept of motivation is correlated with the spiritual beliefs of nursing students, clinical education environment, and professional conditions. Depending on the circumstances, motivation for clinical education in nursing students is within a dynamical range with occasional surges and declines.
Mostafa Abin, Parvin Shiri Qidari, Nasrin Hanifi, soghrat Faqihzadeh,
Volume 7, Issue 4 (10-2018)

Background: Ventilator-associated pneumonia (VAP) is considered a common infectious disease in the intensive care units (ICU) and it is associated with increased morbidity and mortality. Therefore, humidifying the artificial airway is important care for patients under mechanical ventilation in the ICU.
Objectives: The present study aimed to compare the effect of using active and passive humidifiers on VAP in ICU patients.
Methods: The samples of this clinical trial included 80 patients under mechanical ventilation who were selected by simple sampling method and randomly assigned to two groups of 40 cases. Active and passive humidifiers were applied in the first and second groups, respectively. In addition, data were collected using a demographic questionnaire and clinical pulmonary infection score (CPIS) checklist. Patients were assessed for seven days (days one, three, and seven) in terms of VAP incidence rate. Finally, data were analyzed by the SPSS software, version 16 using independent t-test and Fischer’s exact test.
Results: The heated humidifier standard (HHS) and heat and moisture exchangers (HME) groups were homogeneous with regard to the rate of VAP incidence, indicating no significant difference on days three (P=0.239) and seven (P=0.370). Further, the number of patients with VAP was clinically higher in the HHS group (52.5%) compared to the HME group (42.5%).
Conclusion: Based on the results of the study, no significant difference was found between the research groups regarding VAP incidence. However, humidifiers are suggested to be selected based on the needs of the patents and duration of ventilation.
Zeinab Bakhteari, Nasrin Jafari Varjoshani, Nasrin Hanifi, Kourosh Amini,
Volume 8, Issue 3 (12-2018)

Background: Although nurses are legally and morally responsible for the quality of patient care, patients also have the right to receive high-quality and decent nursing care.
Objectives: The purpose of this study is to determine the effect of education-based empowerment program on the nursing care quality in the dialysis ward.
Methods: The present semi-experimental clinical trial study was performed as pre-test and post-test, before and after the intervention, in two stages. All hospitalized patients (150 subjects) in the dialysis center of Valiasr Hospital in Zanjan were enrolled by the census method. At the end of the study, the number of subjects was 125. Before the intervention, the SERVQUAL questionnaire was completed by the patients. Afterwards, nurse empowerment sessions were held. Finally, after the intervention, the SERVQUAL questionnaire was filled by the patients. To analyze the collected data, paired t-test, independent t-test, and variance analysis were performed using SPSS V22 software.
Results: The findings of the study showed significant differences between the patients’ expectations and  perceptions of services, before and after intervention, in terms of tangibility, reliability, responsiveness, and overall dimensions (P<0.0001).
Conclusion: The results of the present research indicated that education-based empowerment program affected nursing care quality in different dimensions. Hence, it is recommended paying more attention to education-based empowerment program to improve nursing care quality
Nasrin Hanifi, Masoume Moqaddam, Zeinab Ghahremani,
Volume 9, Issue 1 (6-2019)

Background: Moral courage is an important criterion in nursing for moral care. Enormous moral challenges facing students of nursing in their clinical environment require being morally courageous.
Objectives: The aim of this study is to explore factors concerning nursing students’ moral courage.
Methods: This cross-sectional study was conducted in Zanjan 2018, focusing on 208 nursing students who were selected based on convenience sampling method and time series Poisson distribution. The criteria for the sampling was the students undergoing practical training for at least three semesters and were willing to take part in this study. To collect the data, the Professional Moral Courage Scale by Sekerka et al. (2009) was used. The questionnaire evaluates moral courage on five dimensions, including moral agency, multiple values, endurance of threats, going beyond compliance, and moral goals. The range of scores was 15-105. The data were analyzed using Kruskal-Wallis and Mann-Whitney tests.
Results: Nursing students’ mean score of moral courage was 85±12.66, which showed a favorable level. The highest mean score was related to `Moral agency’ (85±12.66) followed by `Going beyond compliance’ (17.48±3.05) and the least mean score was related to `Moral goals’ (16.09±3.39). The findings of this study showed that `Moral courage’ was significantly higher among those with high average and among the natives (p=0.05).
Conclusion: Since the mean score of moral courage increased in proportion to average and nativity, the educational officials and advisors are recommended to pay attention to keeping moral courage in a favorable level and try to raise students’ educational ability, trying to admit nursing students in their own cities
Samira Adineh Menbar , Nasrin Hanifi, Soheila Rabie Siahkali,
Volume 9, Issue 3 (11-2019)

Background: Following hospitalization in various wards of a hospital, especially in the fully intensive wards of a hospital like emergency department, a patient’s family and relatives start to face new needs which if are not considered, a crisis will erupt.
Objectives: The goal of this research was to analyze the needs of the relatives of the patients hospitalized in the emergency department of the education and medication centers of the city of Zanjan in 2019.
Methods: This descriptive study was done on the availibility sampling method in Poisson Point Distribution. The target population were 323 relatives of the patients in the emergency departments of the education and medication centers of the city of Zanjan. The instruments used for collection of the data was Critical Care Family Needs Inventory for Emergency Departments (CCFNIED).
Results: Results showed that in opinion of families, the needs in terms of importance were as follows: The communication needs (3.67 ± 0.30), the participation needs (3.41 ± 0.39), supportive needs (3.13 ± 0.40), and finally the welfare needs (3.05 ± 0.39).
Conclusion: The communication need was the most important need of families. Regarding importance of the health of family in patient’s recovery, identification of the needs of the family of the patients should be part of nursing care and their elimination in the emergency and other wards of the hospital is recommended.
Vahideh Rashtchi, Saeed Ahmadi, Nasrin Hanifi, Ramazan Fallah,
Volume 10, Issue 2 (8-2020)

Background: The challenges of health systems emphasize the need for more motivated employees to perform better and more effectively. Therefore, pervasive attention to job satisfaction of these employees is a matter of course.
Objectives: The present study aimed at investigating factors affecting job satisfaction in emergency medical services (EMS) staff of Zanjan Province, Iran, in 2019.
Methods: The present descriptive-correlational study was performed on 170 EMS personnel working in the Disaster and Emergency Medical Management Center (DEMMC) of Zanjan Province. The stratified random sampling method was utilized to select the subjects. Job description index and GHQ-12 were administered as data collection instruments. Data were analyzed by SPSS version 16 using descriptive statistics, ANOVA, and Pearson correlation coefficient.
Results: In the present study, the work experience of 46.5% and 26% of the subjects was less than five and more than 10 years, respectively. The highest and lowest scores of job satisfaction belonged to coworkers and pay subscales, respectively (24.4±17 vs. 11.5±18.4). The overall job satisfaction score of the subjects was 19.7±18.2 out of 100. Also, a significant relationship was found between the level of education and overall satisfaction.
Conclusion: Considering the low level of job satisfaction in EMS staff, it seems that modifying the reward mechanisms in the prehospital emergency department and using performance improvement levers can enhance the motivation and improve the performance of staff. Besides, strive to promote social relations among coworkers as an effective element may help to enhance job satisfaction and the overall satisfaction of personnel.

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