ABSTRACT
Introduction: The objective of this study was to explain the perspectives of managers regarding change management in nursing and midwifery faculties
Method: This study was conducted according to the qualitative approach; in fact, a descriptive exploratory method was applied with triangulation. Snow ball sampling method was used. Subjects composed of managers in nursing schools in Tehran and the inclusion criterion was at least 1-year experience. In qualitative phase, no variable was measured. Data were gathered by semi-structured interviews in which a guide and field notes were used. Data were saturated after observing the repetition of codes. Content analysis was used for data analysis. The trustworthiness was achieved by a prolonged field experience, member check, peer check and sharing the content with two experts in qualitative research
Results: Ten participants [7 females and 3 males] between 38 and 54 were interviewed. 2 of them had Master degree and 8 with PhD of nursing; only 3 of them were in high-level management of their faculties. After interviews, 124 conceptual codes, 15 sub concepts and 3 core concepts were extracted
Conclusion: Accordingly, the concept of change management was postulated as the purpose of this study. Furthermore, its influencing factors were identified. The implication of the study is in the faculties of nursing and midwifery to use the model according to organizational culture
ABSTRACT
Introduction: The objective of this study was to explain the perspectives of managers regarding change management in nursing and midwifery faculties
Methods: This study was conducted according to the qualitative approach; in fact, a descriptive exploratory method was applied with triangulation. Snow ball sampling method was used. Subjects composed of managers in nursing schools in Tehran and the inclusion criterion was at least 1-year experience. In qualitative phase, no variable was measured. Data were gathered by semi-structured interviews in which a guide and field notes were used. Data were saturated after observing the repetition of codes. Content analysis was used for data analysis. The trustworthiness was achieved by a prolonged field experience, member check, peer check and sharing the content with two experts in qualitative research
Results: Ten participants [7 females and 3 males] between 38 and 54 were interviewed. 2 of them had Master degree and 8 with Ph.D of nursing; only 3 of them were in high-level management of their faculties. After interviews, 124 conceptual codes, 15 sub concepts and 3 core concepts were extracted
Conclusion: Accordingly, the concept of change management was postulated as the purpose of this study. Furthermore, its influencing factors were identified. The implication of the study is in the faculties of nursing and midwifery to use the model according to organizational culture
ABSTRACT
The complex and rapid changes in health care require using the best available evidences to have essential performance in caring. Considering nursing as an academic discipline, utilizing the results of research for improving nursing care and creating more satisfaction in patients is important so this study was designed to determine nurse's perspectives about the concept of evidence based nursing. The approach of current study was descriptive phenomenology which was designed to study the perspective of nurses about the concept of evidence based nursing. Data collection method was semi structured interview and 7 participants were chosen by to purposive sampling. The study was conducted in Shahid Beheshti university affiliated hospitals and data were analyzed using Strubert's phenomenological method. The findings about evidence based nursing were codified in three main categories as improvement of quality of care evidences and values. In the case of second question about influencing factors two main categories as facilitating and interceptor factors were narrowed down. All indicated that knowledge of nurses about evidence based nursing is low therefore the utilization of research results as evidences were low also. Considering the findings of this study introducing the concept and utilization of research results should have patient's higher satisfaction of received care
ABSTRACT
Urolithiasis is the third urinary disease and evidence shows that its incidence has increased continually during the past decades. The relationship between urinary stones and diet is known to some extent, but there are controversies about it. The aim of this study was to determine the relationship between dietary habits, food intake patterns and urinary stone disease. This was a case-control study with 161 adult patients with urinary stone disease referred to Hasheminejad Urology Center, Tehran, Iran, and 254 healthy subjects matched for age and gender. All the subjects were interviewed using a questionnaire to obtain data on demographic characteristics, dietary habits, and food consumption frequency. Data were analyzed using SPSS version 14. The independent T-test, chi square and regression were used to examine the differences. Findings showed that male-to-female ratio was 1.98:1. The prevalence of renal stone was highest in men aged between 30 and 50 years and in women aged between 40 and 60 years. There were no differences in height and weight between the two groups, but BMI was significantly higher in the case group [p=0.007]. A family history of renal stones was observed more frequently in the patients [59% compared to 31.9%; p<0.001]. The mean intakes of food sources of several nutrients were lower in the patients than in the healthy subjects: calcium [p=0.048], phosphorus [p=0.001], potassium [p<0.0001], vitamin A [p<0.0001], vitamin D [p<0.0001], and vitamin C [p=0.004]. Regression analysis confirmed the differences between the two groups as regards sources of vitamins A and D. The intakes of sources of magnesium and vitamin B6, as well as of foods rich in oxalate, were not significantly different between the 2 groups. Results suggest that there are associations between urinary stone formation and the dietary intakes of nutrients such as calcium, phosphorus, potassium, vitamin A, vitamin D, and vitamin C. Considering the challenges of treatment and the costs of this relatively common disease, dietary recommendations may be an easy and cost-effective way to reduce its burden