Professional concerns of role-model nursing instructors: a qualitative research

The present study was conducted to perceive the role-model nursing instructors' experience in terms of professional challenges and identification of occupational concerns in the education of nursing students. Nursing instructors have a critical and decisive role in the training of skilled and specialized manpower and subsequent growth and development of the communities. So, the present study was conducted to address the role model nursing instructor's experience in terms of professional challenges of nursing students' education. The present qualitative study was carried out using the inductive thematic analysis method and the objective-based sampling. Data were collected until saturation, using three focus-group discussions [n=22] and two individual interviews with nursing instructors, as well as eight semi-structured face-to-face interview's with role-model instructors from five nursing faculties of the universities in Tehran. The three main themes were extracted, indicating the occupational challenges perceived by the instructors as follows: [Inefficient education-research system] [Inappropriate professional position] and [Ineffective interpersonal interactions]. Regarding the concerns of successful model instructors, professional development, prevention of job dissatisfaction, and implementation of role modeling strategies are recommended to be emphasized. Taken together, reducing the clinical training-associated problems in order to modify the education-research system was recognized as the main professional concern of the role-model nursing instructors

effect of family-centered empowerment model on quality of life and self efficacy of multiple sclerosis patients family care givers

Introduction: Family is primary source for caring of patients. The caregivers make patients in family with economical, affective and health care support

The needs for caregiver's family increased with hospital - central care to community - center care. Community center care makes increase of knowledge of the care givers on the patients in house. This study with objective of family - center empowerment model was done on the quality of life and self efficacy of the care - givers of multiple sclerosis patients

Methods: This study is clinical trial with 70 multiple sclerosis patients that enrolled in the multiple sclerosis society of Iran classified in two groups based on random allocation [35 patients care givers case and 35 patients care givers in control group]. The eight sessions of educational program based on educational needs of caregivers done for three months and matured with checklist of self reported for applied of programs

After three months of program done measured quality of life and self efficacy with questionnaire in case and control groups. Data analyzed with deductional satisfaction tests. Results: Results showed no significant difference on the quality of life and self efficacy in two groups of the case and control before intervention based on independent t-test [P?0.05] whereas t-test showed significant difference in two groups of case and control after intervention [P=0.001]. Pairs t-test showed significant difference in increased of the quality of life and self efficacy in care givers of case group after three mounths of intervention [P=0.001] where as t-test showed no significant difference in all above factors in care-givers of control group after three mounts [P>/=0.05]

Conclusion: The care - givers of chronic patients considered high risk tendency for covered disease that tolerates high tension

The interaction such as empowerment based on educational needs for them improves attitudes on the sign of disease changed, behavioral signs and also intervention in low - economic safe and affective method for care - givers of multiple sclerosis patients helps them to manage stress and spiritual tensions and increases quality of life

Influence of discharge planning on anxiety levels in patients with myocardial infarction

Nowadays, myocardial infarction is the second factor of the deaths after accidents and cancers in the world. The coronary artery diseases are stressful for patients. This research was performed to determine the influence of discharge planning on anxiety levels in acute myocardial infarction patients. This quasi-experimental study was performed on 60 patients with acute myocardial infarction at CCU [30 patients in each test and control groups]. The patients in the test group were received both routine intervention in their ward and designed discharge planning program based on the nursing process for 5 educational sessions at the hospital and followed up for 4- weeks in their homes; while, patients in the control group were received only routine intervention in their ward. The anxiety levels in myocardial infarction patients at the beginning of the hospitalization and one month after their discharge was measured by Spill Berger questionnaire. The independent t-test results showed that there is not a significant difference in the situational and total anxiety average scores of the patients in the test and control group before discharge planning. After applying discharge planning, there was a significant difference in the situational and total anxiety average scores of the patients in the test and control group [P<0.05]. Applying discharge planning for the patients with myocardial infarction resulted to decreasing their anxiety levels. Therefore, it suggests that the program of discharge planning to be used as a public plan based on an effective non-drug treatment and inexpensive method for reducing anxiety in patients who are suffering from acute myocardial infarction throughout the country

[ effect of family counseling on performance scales of quality of life of women with breast cancer undergoing chemotherapy]

In women with cancer, the quality of life and their performance level would be affected, thus awareness about patient quality of life helps the nurses to lead their care for improving the patients' quality of life. Despite of majority of performed studies, the emphasis is on patients' problems rather than families, So it is necessary for improving the patient quality of life to take into consideration those factors which are important for family The purpose of this study was to determine the effect of consultation with family on performance scale of women's quality of life with breast cancer undergoing chemotherapy. This research is a semi-experimental study, 70 married women aged 30-55 years old who had at least 1 child older than 15 year, undergoing chemotherapy with previous record of mastectomy and they have been referred to clinics located in two cities, Qazvin and Zanjan, were included in the study. Participants were allocated in two -experiment and control-groups. For subjects in experiment group 8 consultation sessions with family was designed, the sessions were held with the presence of patient, spouse and children .The patients' quality of life in both groups was measured at the beginning and at the end of final consultation session. Quality of life was assessed by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire [EORTC QLQ-C30] and its supplementary breast cancer measure [QLQ-BR23] The data were analyzed using SPSS version 15. Results showed that quality of life of patients who had participated in consultation sessions was improved [P<0/05].The improvement was seen in physical functioning, emotional, role functioning, cognitive and social functioning subscales of quality of life measure, and in body image, sexual functioning, sexual enjoyment and future perspective subscales of BR 23 questionnaire. With respect to present research's findings which demonstrate the effect of consultation with family on improvement of patients' performance level, hence the family can have a particular position on protecting patients and improvement quality of life, therefore it is offered the designed program of taking consult with family would be applied as an affective way on improvement quality of life for these patients

[ relationship between planned physical activities and quality of life among women: a cross sectional study]

This study was designed to investigate the relationship between planned physical activities and quality of life in women reside in the west of Tehran, Iran. The Short Form Health Survey [SF-36] was applied to measure quality of life and demographic and other related information were additionally collected. Three parks from western areas in Tehran were randomly selected. A group of volunteer women aged 35-55 years were randomly selected by the researcher in parks and divided into active and non-active groups [walking and not walking]. Using SPSS 15, Mann-Whitney and Kruskal- Wallis statistical tests were performed to analyze data. In all 148 women were studied and the mean age of women in active and non-active groups were 42.1 [SD=5.7] and 41.7 [SD=5.6] respectively. The results of Mann-Whitney test showed that women in the active group had higher mean scores in all quality of life scales and except two [physical functioning and role-emotional], there were statistical significant differences [P<0.05]. The results confirmed that planned physical activities by walking have been effective on promoting quality of life in women. The results suggest that educational programs would be designed to motivate women having daily physical activity

[ experiences of nursing students, instructors, and hospital administrators of nursing clerkship]

Most studies concerning clinical education of nursing students have been performed qualitatively. This study was performed to more deeply investigate the students' education at nursing clerkship and explore the experiences of nursing students, instructors, and hospital administrators from the clinical education of nursing students. In a qualitative study a semi-structured interview was done with 8 nursing students at the end of clerkship, four nurses working as ward administrators, an education supervisor, and two supervising instructors. Qualitative content analysis was employed for analyzing the data. Six central variables were realized [emerged] including lack of readiness for entering into clinical learning environment, undesirability of student assessment process, lack of advantageous relationship between the nursing school and the hospital, ideal planning for clerkship shifts, deficiency in clinical education, and the effects of clerkship on hospital and patients' affairs. According to the findings of the study, it is necessary for the nursing administrators to place more effort to resolve the present problems specially the relationship between the nursing school and the hospital, and to renovate hospital into a favorable learning space to meet educational goals of nursing clerkship