[New nurses' clinical learning experience in the critical coronary care units [CCCU]]

Learning is the core of human identity showing social participation. Socio-cultural factors have a great impact on learning experiences of new nurses in critical coronary care units [CCCU]. The aim of this study was to explore new nurses' clinical learning experience in the critical coronary care units" [CCCU]. In this qualitative study we used purposive sampling with maximum variation. We interviewed 18 participants with open-ended questions from 2012 to 2013 in Semnan, Iran. The main method of data collection was semi-structured interviews. The interviews were recorded digitally and immediately transcribed and then analyzed by conventional content analysis method. Based on the data analysis, we extracted four themes which indicated clinical learning experiences of new nurses in the CCCU. The themes included "challenges of basic education", "self-directed learning", "equal protection" and "effective supervision". These themes were influenced by the environment and the nurse's role in clinical learning experiences. The main theme was "situational learning". The new nurses learned clinical experience by combining themes in CCCU. The results of this study are valuable for the recognition of learning strategy in the area of knowledge, attitude and practice of new nurses in CCCU. Based on the results of this study, nurse managers, supervisors and trainers can improve nursing education by motivation of personal learning; creating supportive environments and enhanced supervision to provide better clinical learning for new nurses entering CCCU

[Coping to retirement: a review article]

Retirement is combining with extensive changes in everyday life, opportunities, expectations, hopes and fears. Since retirement is a major event in the lives of many people and necessary to coping, it discussed as an important issue for health care professionals. The aim of this review article was exploration of coping to retirement. In this systematic review that was done during 2009-2011, we were collected and analyzed all studies and references in retirement and coping with retirement [Persian and English], without time limitation. This review study was carried out using ISI, MEDLINE and CINAHL database that cover a wide range of scientific literature and journals, the index published their research. Studies in Persian through electronic databases including the Scientific Information Database [SID], Database of Medical Sciences in Iran articles [IranMedex], Institute for Scientific Information and Documentation Iran [IranDoc], Country Information [Magiran] and [Medlib] and search engine [Google] search was performed with Persian words. In addition, offline search that were available in retirement, refer to the archive library journals, dissertations and books, references were also presented at conferences and resources. The results of this search was to obtain after primary investigate of 297 relevant references and finally among of 98 references that the most appropriate in terms of coverage of the subject with emphasis on various aspects of retirement and coping to retirement, were used for this article. These references include of quantitative and qualitative studies, books, and abstracts of research projects. The key concepts involve to coping in retirement include of: "Preparation", "Healthy", "Identifying" and "Supporting", that by precise identification, orderly and planned all the relevant studies can be helpful and effective in coping with retirement. Retirement coping is possible with emphasis on create preparation to retirement, identify of retiree, maintain healthy and enjoyment from supporting of family, leaders, organizations and community. Identify of this concept, creating of social positive attitude towards the phenomenon of retirement are the essential and necessary in coping to retirement

[Designing an adaptation model for retired nurses]

Increasing number of retirees and improved life expectancy has been resulted in increased retirement years. The status of Iranian nurses seems to be different from nurses in other countries; yet no model has been proposed regarding the adaptation of nurses with retirement. The aim of this study was to propose an adaptation model for retired nurses. It was a qualitative grounded theory study. The participants were 20 retired nurses from Semnan city who were recruited by purposeful and theoretical sampling. In the first stage data was generated by semi- structured interviews. Field notes were also used as data. Data collection and analysis by constant comparison was done simultaneously using Strauss and Corbin method. In the second stage, the model of adaptation with retirement was composed using the themes emerged in the first stage and literature review according to the Walker and Avant method. the proposed Model included some stages for nurses' adaptation with retirement: preparation for the experience of retirement, identity reconstruction strengthening, optimum use of supportive factors, attention to negative interactions, and providing facilities for a normal life. Since retirement is not a mono- stage, simple transition process, but is an adaptation process that occurs during time, the proposed model would help nurse retirees to control stressors and imbalances in their lives and adapt with retirement successfully

[Retired nurses' experience from retirement: a qualitative study]

Retirement is a new phase in the life cycle and away to improve health and self-care and living conditions. The aim of this study was to explore the experiences of retired nurses in retirement time. This study was performed by qualitative design and content analysis method. Sampling was based on purposive and participants were 20 retired nurses that live in Semnan. In addition, participants had a BSc in nursing and 1 to 5 years of retirement time. However, they had different positions in various wards and hospitals with 23-30 years' of full-time experience. Data was collected through semi- structured interviews and the sampling ended when the data reached saturation. The main theme extracted from the data analysis was to identity the threat. Classes include "shock and disbelief", "hard separation of the work" and "frustration" that contained several sub-classes. The experience of retired nurses during the retirement was identity threat. Suitable retirement planning and effective interventions to improve existing conditions by authorities and managers of nursing, can prevent incidence of identity threat in retired nurses and provide health promotion and efficiency for nurses. Furthermore, findings of this study can provide and facilitate more future studies in this field

[Perspectives of retired nurses on factors that affect quality of nursing care]

Quality of health care services shows the degree of achievement of health outcomes. From ethical and legal perspectives, nurses should be responsible for quality of presented care. Retired nurses can help to elaborate real and valuable concepts related to effective factors on quality of nursing care due to their experiences. The aim of this study was to explore the perspectives of retired nurses on factors that affect quality of nursing care in Semnan. In this qualitative content analysis method, 20 retired nurses were invited to the study using purposeful sampling. Data were collected mainly using semi-structured interviews. The analysis was carried out using content analysis. Findings of the study yielded to three significant themes including: 1] necessity of humanistic relationships; 2] suitable selection and education [3] planning and organizing nursing cares related to quality of nursing cares. Findings of this study explored perspectives of retired nurses on the effective factors on quality of nursing care. The three themes emerged in the study should be mentioned in planning programs

Comparison of classic symptoms in acute coronary syndromes among young and old patients

Previous studies indicated that classic symptom of acute coronary syndromes [ACS] are probably different between young and old patients. To investigate the symptom predictors of ACS and comparison of those in young and old patients. This research was a cross-sectional descriptive study on 570 patients hospitalized in coronary care unit during one year in Semnan Fatemiah hospital. Using a checklist including demographic profiles, history, and symptoms, the data were collected, sorted and further analyzed statically. Diaphoresis and Pain [presence, distribution pattern and the type] were more common in young patients rather than old ones [P<0.05]. Statistical analyses revealed that the pain, diaphoresis, nausea and vomiting were more prevalent in acute myocardial infarction compared with unstable angina [P<0.05]. Typical symptoms of ACS in young patients showed a higher predictive value comparing to those in old patients

Investigation of glucose-6-phosphate dehydrogenase deficiency by NADP test in jaundiced newborn

Background: G6PD deficiency probably is one of the most important factors for sever icterous and hemolytic crisis in neonates

Objective: This study was done to determine the prevalence of G6PD deficiency by NADP test in jaundiced newborns

Methods: This is a descriptive cross-sectional study that over 15 month investigated 270 infants with jaundice, admitted in Amir hospital in Semnan. Demographic data were collected. Also laboratory tests including blood grouping, hematocrit, hemoglobin, coombs' test, reticulocyte count, bilirobin and NADP test, were done

Finding: Results indicated that 4.44% of newborns had G6PD deficiency. Jaundice began in the 2-3 days after birth. In 40% of newborns with G6PD deficiency, total bilirubin was higher than 18 mg/dl. The most common blood group [42%] was B+and 20% had family history and coombs' test was negative in all newborns

Conclusion: Findings showed that G6PD deficiency is relatively prevalent in icterous newborns