ABSTRACT
The concept of family-centered care in neonatal intensive care unit has changed drastically in protracted years and has been used in various contexts differently. Since we require clarity in our understanding, we aimed to analyze this concept. This study was done on the basis of developmental approach of Rodgers's concept analysis. We reviewed the existing literature in Science direct, PubMed, Google Scholar, Scopus, and Iran Medex databases from 1980 to 2012. The keywords were family-centered care, family-oriented care, and neonatal intensive care unit. After all, 59 out of 244 English and Persian articles and books [more than 20%] were selected. The attributes of family-centered care in neonatal intensive care unit were recognized as care taking of family [assessment of family and its needs, providing family needs], equal family participation [participation in care planning, decision making, and providing care from routine to special ones], collaboration [inter-professional collaboration with family, family involvement in regulating and implementing care plans], regarding family's respect and dignity [importance of families' differences, recognizing families' tendencies], and knowledge transformation [information sharing between healthcare workers and family, complete information sharing according to family learning style]. Besides, the recognized antecedents were professional and management-organizational factors. Finally, the consequences included benefits related to neonate, family, and organization. The findings revealed that family centered-care was a comprehensive and holistic caring approach in neonatal intensive care. Therefore, it is highly recommended to change the current care approach and philosophy and provide facilities for conducting family-centered care in neonatal intensive care unit
Subject(s)
Humans , Intensive Care Units, Neonatal , FamilyABSTRACT
Regular physical activity contributes positively to physiological and psychological health. This study aimed to identify exercise behavior changes, self efficacy and decisional balance in nursing and midwifery students. This is a cross-sectional study carried out in Iran. All undergraduate nursing and midwifery students [n=300] participated in this study. Data were collected using a standard questionnaire developed by Wakui including demographic information, exercise stages of change [using a 5-item, dichotomous [Yes/No] scale], exercise self efficacy [5 item using Likert scale] and exercise decisional balance [12 item using Likert scale]. Validity and reliability was checked by the panel of experts and test retest correlation, respectively. Descriptive statistics [frequency and percentage] and analytical tests [Correlation, independent t-test, one way ANOVA] were used for analysis. In total, 41 subjects were males [13.6%] and 259 females [86.3%]. According to the results, 23.3% of the students were in pre-contemplation, 29% in contemplation, 32.6% in preparation, 7.3% in action and 7.3% in maintenance stages of changes in exercise behaviors. Significant differences were found in the individual efficacy scores, pros and cons of decisional balance in different stages of changes of exercise behavior. Significant differences were found between the pre-contemplation and other groups by post-hoc follow up test [P>0.05]. No significant differences were found between nursing and midwifery students in SECQ scores and also between academic year, and self efficacy and pros and cons of decisional balance scores [P>0.05]. This study showed that a large number of nursing and midwifery students were in the inactive stage. So, exploring effective strategies for directing students from inactive to active stage and motivating them to follow the appropriate exercise behavior seem to be necessary
ABSTRACT
Obesity is currently the most prevalent nutritional disease of children and adolescents, prevention and treatment of which, is required. The purpose of this study was to identify the effect of dietary behavior modification on anthropometric indices in the obese adolescent female students of Shiraz, 2007. In this Quasi-experimental research, 53 obese adolescent girls [BMI>95th percentile], aged 11 to 15 years, participated in a behavior modification program which lasted for 16 weeks [4 hours each week]. The Subjects were chosen from two different schools and were assigned to two groups of experimental [=24] and control [=29] randomly. The Program included teaching problem solving, stress management [yoga], teaching healthy eating, physical behavior and parent education. Anthropometric indices were assessed just before and after the program and also two months later for follow up. The data were analyzed by SPSS 11.5 by using descriptive and analytic test and the statistical significance was considered at P<0.05. There were significant differences in changes in body weight [-2.75 kg vs. 0.62 kg], BMI [-1.07 kg/m2 vs. 0.24 kg/m2] and arm circumference [-2.31 cm vs. 0.5 cm] in the experimental versus the control group [P<0.001]. This study reveals that behavioral modification program has a great effect on decreasing the body mass index. Parents, school nurses and other support groups should be encouraged to participate in this program