ABSTRACT
Introduction: numerous factors play an important role in participation of medical staff in education programs. However, information in this regards is very limited. The purpose of this study was to assess facilitating and inhibiting factors in health care personnel participation in in-service education programs
Method: in this cross sectional study, 740 medical staff from Kerman university of medical science were enrolled into the study using convenience method from April to July 2013. Data collected using three questionnaires [demographic questionnaire, questionnaire that examined barriers of participation in continuing medical education programs and questionnaire that examined facilitating factors of participation in inservice medical education programs. Data were analyzed using SPSS version 16. Descriptive analysis, independent t test, and one way ANOVA were used
Results: "credits earned" was the most important motivational factor with mean score of 4.25 +/- 0.84 and "competitive advantage" was the least significant with mean score of 3.0 +/- 1.12. The main barrier was "lack of enough personnel" with mean score of 4.02 +/- 1.20 and the least significant was "low self-confidence" with mean score of 2.88 +/- 1.38. Results of present study showed significant difference between mean score of personal [3.97 +/- 0.22] and organizational [3.48 +/- 0.27] motivational. But difference between mean score of personal [3.42 +/- 0.36] and organizational [3.49 +/- 0.23] barrier were not significant
Conclusion: "credits earned" was the main motivation factor of participation in continuing education programs. Therefore, methods such as employee suggestion program, determining content of educational, and workshops on program verification for staff nurses may change their attitude towards educational programs
ABSTRACT
Patients admitted to the Intensive Care Unit, who have decreased level of consciousness and are receiving sedative and paralytic drugs; lose the protective mechanisms of eyes. Consequently increases the risk of developing ocular surface disorders. Therefore, the aim of this study was to Comparing the effectiveness of two methods of eye care in prevention of ocular surface disorders in critically ill patients. In this clinical trial, 42 eligible patients divided in two groups by random allocation method. Each of the eyes in each group of patients randomized to receive one method of eye care. Simple eye ointment was administered every 6 hours and tapes were replaced every 6 hours, too. The eyes were examined daily for ocular surface disorders, by an intensivist and with a portable slit lamp, for seven days The data were analyzed by descriptive and analytical test [Chi-square, Fisher exact, ANOVA and T-test] with SPSS Ver 20. Of the 20 eyes that had a positive fluorescein test, three [3.6%] were in the simple eye ointment group and seventeen [20.2%] were in the eyelid taping group. This difference was statistically significant [X[2]=12.8, P=0.000]. In the present study, simple eye ointment and had the greatest impact on the prevention of ocular surface disorders than eyelids taping. Thus, using the simple eye ointment for eye care, are recommended
Subject(s)
Humans , Eye Diseases , Intensive Care Units , Ointments , Critical IllnessABSTRACT
In new patient-training methods the issue of patient empowerment has been presented which emphasizes the active role of patient in education. HbA1C is an important indicator that can help patient to control blood sugar successfully. This study was done to determine the effect of the empowerment program on glycosylated hemoglobin level in patients with type 2 diabetes. This clinical trial study was performed on 134 patients with type 2 diabetes. They were assigned randomly into two groups of 67 in intervention and control. The questionnaires were the demographic information and the hemoglobin A1C blood tests respectively. Empowerment program were conducted according to regulatory protocols in six sessions of 90 minutes in each group. Hemoglobin A1C was measured before and three months after the intervention. For analysis of data, SPSS 17, independent, paired t test, X[2], ANOVA and correlation Pearson tests were used. There was no significant difference in relation to hemoglobin A1C between the intervention and control group before the intervention. Results indicated that there was a significant difference in relation to hemoglobin A1C between intervention group [8/33 +/- 1/52] and control [10/06 +/- 1/57] after the intervention [P<0.001]. The mean of hemoglobin A1C in intervention group after the empowerment program were diminished. The results showed that implementation of the empowerment program increased patients' efficiency to control blood sugar level and positively affected the reduction of HbA1C of patient undergone type 2 diabetes.
ABSTRACT
Introduction: Asthma is a common chronic illness in children that effects patients' and their families' quality of life. The aim of this study was to determine the effect of family-centered Empowerment Model on quality of life of school aged children with asthma
Materials and Methods: This study was a quasi-experimental research on 172 children between 6 and12 years old, whom were referred to asthma clinic in Kerman Afzalipoor Hospital. For this purpose, in control and experimental group were selected based on convenience sampling. Data was gathered using [Pediatric Asthma Quality of Life Questionnaire] and was approved with content validity and reliability [?lpha=0.80]. The model has four stages [increase knowledge, self-empowerment, self-steam and evaluation] and was used in discussions, demonstrations and cooperative leanings with experimental group. The participants completed questionnaire before and after intervention. For data analysis SPSS/16 was used
Findings: Results showed that before intervention there was not any significant difference between two groups in quality of life scores. However, after intervention, quality of life scores in experimental and between two groups was different [p<0.05]
Conclusion: Findings showed that the designed model has improved quality of life in children [symptoms, activity limitation, and emotional function]. Hence, usage of this model is also suggested for other chronic illness
ABSTRACT
Quality of life of patients with asthma is affected by many factors including the lack of knowledge about the disease. Different training methods with different outcomes have been applied to improve the quality of life of these patients. The aim of this study was to design to investigate and compare the effect of two educational models based on compliance and empowerment on the quality of life of patients with asthma. In this s quasi-experimental study, the effect of two educational models on quality of life of 70 patients with asthma was assessed. The samples were randomly assigned into two groups. The training was based on the compliance model [CM] and patient empowerment model [PEM] in each group. Both groups completed the asthma quality of life questionnaire before the intervention and eight weeks after it. Data were analyzed using descriptive and inferential statistics. The mean age of the patients was 47.6 years in the CM group and 44.5 years in PEM group. The mean scores for overall and dimensions of quality of life and self management knowledge were not significantly different between the groups before and after the intervention [P>0.05]. Significant increase in the mean scores of overall and dimensions of quality of life and self management knowledge after the intervention in comparison with the scores before the intervention in both groups was reported [P<0.05]. Both training methods improved quality of life patients with asthma. The role of education in order to improve the quality of life for patients with asthma should be considered by health care team members especially nurses
Subject(s)
Humans , Female , Male , Asthma/diagnosis , Models, Educational , Compliance , Quality of LifeABSTRACT
Introduction: Self-efficacy of nurses whom deal with unexpected events is valuable. One of the indexes that have close relationship with performance of nurses in real situation is feeling of self-efficacy. This study aimed to determine the correlation of self- efficacy of nurses to deal with unexpected events with the demographic characteristics of the nurses' city of Kerman
Methods and Materials: In this study, 484 nurses whom are working in public and private hospitals in Kerman participated in the census. The instruments for data collection were Nurses Self-efficacy to deal with Emergencies Questionnaire that was made based on Bandura Social Cognitive Theory by researchers. This questionnaire has 47 items. The validity [content validity index] was 0.92 and internal consistency of this questionnaire was 0.82. Statistical analysis was done using inferential methods of ANOVA with SPSS [v.13]
Findings: The results of this study showed that the nurses have an average self-efficiency in confrontation with unexpected events. Factors such as age, work experience, and the increase in education and experience in previous disasters had a significant correlation with average score self-efficacy [p<0.05]
Conclusion: To deal with possible unexpected events in the future is needed to increase ability of nurses. This study can determine issues and topics to increase nurses' self- efficacy
ABSTRACT
Introduction: Health care delivery systems in rural areas face many challenges in meeting the needs of the community and unfortunately adequate attention have not been paid to resolve this problem. The aim of this study was to explore challenges of health care process in rural society of Iran according to health care providers' experience
Materials and methods: This is a qualitative study using content analysis method. According to purposive sampling17 health care providers were selected. Data were collected via semi-structured individual interviews and were analyzed using qualitative content analysis method
Findings: Analysis of Data, eventually led to formation of one category as challenges of caring process in rural society. This challenge itself consists of different subcategories such as; change in characteristics of rural society, increase in complexity of caring process, decrease in workforce efficiency and reduction in tendency of peoples' taking care
Conclusion: Due to changes in the caring process, health care systems should provide new health care models to face potential challenges in this area
ABSTRACT
Preoperative worries can have adverse impacts in children. It has associations with a number of behavioral disturbances after the surgery. Considering the rate of 65% of children candidates for surgery, suffering from preoperative worries, recognition of worries relationship with behavioral disturbances has great impotence. It could help nurses to diagnose such complications better in order to have a proper plan for reducing preoperative worries and disturbances after surgery. The study aimed at determining the association of preoperative worries and sleep disturbances in children undergo surgery in hospitals affiliated to Kerman Medical University. A correlational descriptive - analytic study was conducted cross-sectionally. A total of 309 children, aged 8-14 years old were who had undergone general anesthesia and surgery, participated in the study. Data were collected through standard preoperative worries questionnaire in four dimensions of disease, surgery, hospitalization and injection procedures, and sleep disturbances questionnaire [researcher-made] in 4 domains of general sleep disturbances, disturbances prior to sleep, disturbances during sleep and disturbances after sleep. All statistics were computed using the SPSS software [version 13]. ANOVA and Pearson correlation coefficients were used as statistical tests for analysis. Among 309 participants, 118 were female and 191 males. Their mean age was 10.64 years old. 14 years old participants had the minimum scores of worries and 12 years old ones, the maximum. The results showed a significant correlation between preoperative worried and sleep disturbances after surgery [r=0.31]. The children who underwent respiratory surgery had the highest levels of worries and the children with mass resection surgery showed the lowest levels of worries. Also, the children who had come from other provinces expressed more worries. A negative correlation was found between worries scores and age [P<0.05] but no significant correlation between worries scores hospitalized care units and residential place [P<0.05]. Worried related factors had significantly positive correlation with age, gender and kind of surgery [P<0.05]. The study revealed that children experience fear and worries in surgery which is directly associated with their sleep disturbances. The study calls for more investigation on different aspects of issue. Nurses should provide plans for decreasing levels of children and their parents' worries in collaboration with other health team members and make it as an acting plan for taking care of such children