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Introduction: self-confidence in adolescents gradually diminishes during puberty due to changes in identity and in their responsibilities. It decreases more in adolescents suffering from chronic disease of diabetes, in whom promotion of self-confidence for self-management behaviors, has a significantly positive effect. The purpose of this study was to investigate the effect of spiritual care on the self-confidence of adolescents with type 1 diabetes
Materials and Methods: this quasi-experimental clinical trial study was performed on 52 adolescents with type 1diabetes, selected through convenience sampling and randomly assigned in two groups, the intervention and control [n=26 each]. The intervention was implemented daily for 6 sessions in the experimental group. Data were collected using the demographic and Rosenberg scale and analysis was done by SPSS-19 software. Descriptive and inferential statistics and repeated measure ANOVA, Mann-Whitney, Fisher, and Chi-square tests were used
Results: the mean scores of self-confidence in the control group before/after the intervention, and also in the follow up period were 0.46, 1.5, and 1.46, respectively. The values in the intervention group were 3.92, 5.69, and 6.38, respectively. Results of analysis of variance showed the significant effects of intervention [p<0.001]
Conclusion: the results indicate the effect of spiritual care on the self-confidence of adolescents with type 1 diabetes, emphasizing that nurses, as part of the health care system, must pay attention to spiritual care and its continuity in the care of these patients
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Introduction: This study aimed to examine the concept of self-management of type I diabetes in adolescents
Materials and Methods: This study used the Van Manen's six-step hermeneutic phenomenological approach to examine the concept of self management of type-1 diabetes among Iranian adolescents, with the disorders Eight adolescents, aged 13-18 years, diagnosed with type I diabetes at least one year ago, were recruited. Mean age of the adolescents was 16 years, the mean duration of suffering was 3 years and 10 months and the mean length of interviews was 35 min, and 27 sec. Data were collected through semi-structured interviews. After each interview, data were analyzed by the research team. Each interview was a guide for the next interview, the questions of which were changed based on the data obtained from the previous interview. Field notes were also used as an instrument to collect data
Results: This study extracted 7 themes, including productive interaction, self-efficacy achievement, self-regulation achievement, overcoming problems, future prospects and "diabetes, a part of life", A theme not previously observed in other studies was maintaining appearances among these adolescents
Conclusion: This study showed that Iranian adolescents with diabetes type 1 are eager to participate in selfcare and self-management
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Introduction: Nurses must be able to define parameters of their roles based on views of care recipients because awareness of the parents' perception of hospitalized children of caring behaviors is very important and it can produce significant results and provide useful information. This study aimed to explore mothers' perceptions of nurse caring behaviors
Method: This study is a qualitative research with content analysis approach. Fourteen mothers of hospitalized children in pediatric ward of Yazd hospitals selected by purposive sampling and data were collected via semi-structured individual interviews. Data was analyzed by using qualitative content analysis
Results: Data analyses led to emerge of the main theme "confidence building behaviors" that its sub-themes include: calming presence, mother absorption in caring, valuing, constructive communication
Conclusion: Due to the main theme of the study "confidence building behaviors", it seems paying attention to confidence attracting in caring behaviors and planning and implementation of caring plan based on this aim is necessary for pediatric nurses
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Introduction: In health care, work dynamic is one of the variables affecting in medication errors by nurses as a result of changing health care program, procedures and physician orders may be confused and disoriented and eventually medication error occur. This aim assessing factor analysis, validity, reliability and psychometric characteristics of "work dynamic" scale in medication errors by nurses in Iran
Method: This study was for determine items of work dynamic in mediation errors. The scale translated by Wilde and colleagues model [2005] and assessed. Study population were nurses that working in deferent ward of teaching - therapeutic centers of shahid Beheshti University of Medical Sciences, 115 nurses were selected by convenience sampling method based on inclusion criteria. Data was analyzed using SPSS software version 18
Results: The average age of nurses was 34.8 +/- 7.87 and almost them were female [n=78] and mean work experience in ward was 6.07 +/- 4.13. Factor analysis, rotated matrix determined 2 factors: 1] team dynamic 2] Continuous work dynamic. Also reliability using Cranach's alpha coefficient for internal consistency showed high reliability of scale [alpha=0.81] and correlation coefficient in test- retest for stability [r=0.93]
Conclusion: Although translations of "work dynamic" scale in nursing medication errors has satisfactory reliability and validity and can be used in the Iranian health system
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Introduction: One of the ways to improve quality of education is to assess Students' Learning styles. Several factors such as learning styles can affect the learning process. Frequency of using learning styles varies in different countries. The purpose of this study is to introduce an overview of experiental learning styles in nursing education
Method: After searching for available resources and articles related to experiential learning including Pubmed, Scopus, Proquest, Google Scholar, Elsevier, Iranmedex and SID, this study was conducted in 2013. Key words were "Learning styles, Experiental learning, Kolb, Nursing student and Nursing education"
Results: According to conducted studies among nursing students, superior learning styles among students are convergent and assimilator learning. However, in different studies it is revealed that some students use two or more learning styles
Conclusion: There are more learning styles in nursing students, especially convergent and assimilating styles. Therefore, coordination of learning styles and teaching methods is a way to improve quality of education
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The birth of a preterm infant is a stressful event for parents. Because of special nature of the Neonatal Intensive Care Unit [NICU] environment, parents of infants admitted to a neonatal intensive care unit experience higher levels of tension, compared with parents of healthy infants the mother's physical and psychological condition may negatively influence early and suitable mother-infant relationship, the mother's participation in her infant care and the infant's long-term developmental outcome. The purpose of this study was to evaluate the effectiveness of Creating Opportunities for Parent Empowerment [COPE] program on participation of mothers of preterm infants hospitalized in NICUs of hospitals affiliated to Isfahan University of Medical Sciences and Health Services. A randomized clinical trial was conducted with 90 mothers of premature infants hospitalized in the neonatal intensive care units. COPE mothers received 2 intervention sessions of audiotaped and printed materials with workbook. This program consisted of information and behavioral activities about the appearance and behavioral characteristics of preterm infants and how best to parent them. Duration between sessions was 2 to 4 days. Data were collected by a questionnaire. The participation was evaluated just 2 to 4 days after second phase. The mea score of mothers' participation in experiment group was 9. 14 +/- 0. 84 and 9. 43 +/- 1. 06 for the first and second phase of post -test. Mothers in the Creating Opportunities for Parent Empowerment program reported significantly more participation in their infants care [p<0. 001]. Creating Opportunities for Parent Empowerment program diminished mothers enhance the amount of mother's participation. This study showed that early interventions during neonatal hospitalization and educational behavioral information in written form may have positive effect on maternal psychological condition and participation
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The first step of developing a proper model for delivering nursing care in hospitals will be identifying relevant components to apply a model. The aim of this study was identify relevant components to apply nursing care models in Shahid Beheshti University of Medical Sciences training hospitals. This study was a qualitative research which was conducted by using content analysis approach. Participants were 6 faculty members and nurse managers of Shahid Beheshti University of Medical Sciences selected by purposeful sampling frame. Data gathered via semi-structured interviews and analyzed by thematic analysis. In this study, extracted themes included caring based on client satisfaction, nurses' knowledge and skills, importance of cooperative care, quantity and expertise of nurses, efficient supervision on nurses' performance, and strategies of health system in higher level. These themes were categorized in three dimensions including structure, process and outcome. Findings of this study would be used for developing a nursing care models in Shahid Beheshti University of Medical Sciences hospitals in future research
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Therapeutic procedures cure diseases and also affect quality of life. Therefore, we can measure quality of life in order to assess impacts of disease and therapeutic procedures. To identifying client problems, it is necessary to assess quality of life dimensions such as physical, spiritual, economic and social aspects. In this regard, researchers conducted a qualitative research to explore quality of life and its dimensions in ostomy patients referred to Iranian ostomy association. In this qualitative study, 14 patients were interviewed about their quality of life dimensions. Interviews were analyzed using content analysis method. The main themes emerging from this study included physical problems related to colostomy, colostomy and psychological conditions, colostomy and sociofamilial relationships, colostomy and economic difficulties, colostomy and nutrition, colostomy and physical activity, colostomy and travel, colostomy and religious issues and colostomy, and sexual problems. The findings of the study showed challenges in quality of life of patients with ostomy. The results can be used by health care providers to create a supporting environment leading to promoting quality of life of patients
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Pediatric and adult oncology wards have special characteristics which may lead to different levels of fatigue in nurses. The aim of this study was to compare fatigue and its related factors in pediatric and adult oncology nurses. This descriptive comparative study was conducted with a sample of 215 nurses working in pediatric and adult oncology wards in selected educational hospitals of Tehran. Nurses were recruited by convenience sampling. Data was collected by "Questionnaire for Psychological and Social factors at work", "The Nursing Stress Scale", and "Oncology Nurses Fatigue Scale". Data analysis was performed using SPSS and T-test. There were significant statistical differences in all three dimensions of fatigue between the two groups of nurses [p<0.001]. There were also a significant difference between the mean scores of emotional factors related to nurses' fatigue [p<0.001]. However no significant difference was found between the mean scores of environmental and social- organizational factors related to nurses' fatigue [p>0.05]. Regarding the differences between emotional factors related to fatigue in pediatric and adult oncology nurses, it is recommended to pay more attention to the special features of pediatric and adult oncology wards that may lead to nurses' fatigue
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Introduction: At first conference of health promotion in Ottawa in 1986, rearrangement of health providing services, especially hospitals, was introduced as a main strategy in health promotion. Health promoting hospitals project had been also proposed by the World Health Organization a decade before. According to the project, hospitals should have health promoting and disease preventing activities. In Iran, preventive services have not been defined as hospitals tasks and most efforts in hospitals are for medical treatment and rehabilitation. The purpose of this study was to recognize various components of clinical preventive services in Taleghani hospital in Tehran
Methods: In this qualitative study, 20 professionals and experts were interviewed using purposive sampling. Data were analyzed using content analysis
Results: Main themes extracted from the interviews consisted of: 1] challenges and barriers of clinical preventive services; 2] role of clinic of prevention in hospitals; 3] human recourses; 4] information recourses; 5] insurance system; 6] receiving and perusing patients; and 7] educating personnel
Conclusion: Providing preventive services is a perspective of future hospitals. Important necessities for implementation of these services in our country are description of the service packages, designing necessary structures, and training human recourses in this field