Iran Journal of Nursing最新文献

{"title":"The Relationship between Serum Levels of Oxidative Stress Biomarkers and Dysmenorrhea, Dyspareunia and Pelvic Pain in Women with Endometriosis","authors":"L. Amini, Maryam Shami, Razieh Chegini","doi":"10.52547/IJN.33.126.58","DOIUrl":"https://doi.org/10.52547/IJN.33.126.58","url":null,"abstract":"Background & Aims: Endometriosis is a common disorder associated with an increased risk of cancers, especially ovarian cancer. One of the most prevalent symptoms of this disease is pelvic pain, which is the major complaint among patients during menstruation. While the pathophysiology of endometriosis and the mechanisms responsible for its complications, namely pelvic pain and infertility, are not yet well understood, it seems that oxidative stress plays an undeniable role in the pathogenesis of endometriosis. In other words, the production of large amounts of inflammatory mediators by endometriosis tissue can explain and be responsible for the onset and exacerbation of pelvic pain. There is an apparent imbalance between oxygen free radicals and antioxidants in the endometrial tissue of diagnosed women. In addition, decreased total antioxidant capacity is observed in the peritoneal fluid in women with endometriosis, which is indicative of inadequate antioxidant status. Even though a significant relationship has been reported between symptoms of pelvic pain and indicators of peritoneal oxidative stress in women with endometriosis in some studies, there are still conflicting theories about the relationship between serum biomarkers of oxidative stress and endometriosis. With this background in mind, the present study aimed to determine the relationship between serum levels of oxidative stress biomarkers and dysmenorrhea, dyspareunia, and pelvic pain in women with endometriosis who referred to Sarem Fertility & Infertility Research Center in Tehran, Iran in 2017. Materials & Methods: This was a descriptive, correlational and cross-sectional study performed on 60 women aged 15-49 years with symptoms of endometriosis. The inclusion criteria were diagnosis of endometriosis based fluid, is not observed in the blood. The results were indicative of no significant relationship between chronic leg pain and dyspareunia with levels of oxidative stress biomarkers. It is generally believed that an increase in oxidative stress of those with dysmenorrhea depends on oxygen-free radicals. However, no studies have clearly mentioned the existence and relationship of oxygen-free radical balance and antioxidant systems with dysmenorrhea. Nonetheless, further studies are required to investigate this issue. It is recommended that oxidative stress biomarkers in peritoneal fluid in women with endometriosis be evaluated in future studies.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"880 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124959947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structural Relations between Physical and Mental Health Based on Flourishing Mediated by Optimism in Nursing Students","authors":"E. Y. Barhaghtalab, Mohammadreza Seirafi, M. K. Golkar","doi":"10.52547/IJN.33.126.28","DOIUrl":"https://doi.org/10.52547/IJN.33.126.28","url":null,"abstract":"Background & Aims: Recently, special attention has been paid to physical and mental health and its predictors among the researchers of psychology. Health is a multidimensional concept, and its dimensions affect each other and the health of the individual and community. Health is essential to the fulfillment of social roles, and humans should be fully active if they feel healthy and are considered healthy by the society. The nursing profession plays a pivotal role in the provision of healthcare services in every country. Therefore, the physical and mental health of nurses and improving their professional performance in patient care are of utmost importance. Identifying and determining the influential factors in the physical and mental health of nurses is crucial in this regard. The present study aimed to provide a model of prosperity and optimism to better understand the physical and mental health of nursing students. The importance of the research subject is that health is not only defined as the absence of diseases and encompasses physical, mental, and social welfare as well. However, this comprehensive definition is rather ideal and unattainable, and it may not be easy to distinguish between health and disease as such. By this definition, health should be considered a high peak that can never be conquered, while everyone must strive to achieve it. Researchers believe that health and disease are not an absolute and independent state, but rather a process in which the influence of cultural, social, and psychological factors is highlighted in the development of the disease. Considering the valuable role of positivity, studies on the influential factors in mental and physical health are of particular importance. In this regard, the variables of prosperity, positive emotions, and optimism have been shown to affect physical and mental health. The present study aimed to provide a model for the assessment of physical and mental health using flourishing mediated by positive emotions and optimism. makes them less exposed to the further risks and pressure caused by stressful events. The immune system performs better in the individuals with high optimism, and they have better coping abilities against stress by using more effective coping strategies, such as reassessment and problem-solving. Therefore, it is expected that training on flourishing and increasing optimism through positive psychology techniques could be an effective mechanism to correct false beliefs and prevent psychosomatic and psychological disorders in nursing students. Furthermore, the effects of such training interventions could be intensified with the incorporation of interventional programs in the field of student empowerment against stress.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129823804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Attitude for Medical Students towards COVID-19","authors":"A. Roghani, R. Nemati, Y. Fathi, S. Jahed, F. A. Khamsloo, M. A. Khamslou","doi":"10.52547/IJN.33.126.44","DOIUrl":"https://doi.org/10.52547/IJN.33.126.44","url":null,"abstract":"Background & Aim : COVID-19, as an emerging infectious disease, affects the whole world. The causative agent for the disease is coronavirus acute respiratory syndrome 2 (SARS-CoV-2) and typical symptoms of the disease include fever, cough, and shortness of breath. Also, muscle pain, sputum production, sore throat, lack of taste and red eyes are among the less common symptoms. In severe cases, the disease can cause severe respiratory failure and even death. COVID-19 is transmitted from sick people to healthy people through respiratory droplets. Disease spread can be prevented by washing hands and other hygiene measures . The rate of transmission and prevalence for the disease is higher than other infectious diseases, however, the main point in controlling the disease is the knowledge and attitude of the community towards Corona disease, which can play a key role in controlling the disease and reduce the increasing trend. It is very important to pay attention to the attitude and awareness of people involved in patient care. According to the literature review, no study has been conducted on the knowledge and attitude for medical students towards COVID-19, therefore, the current research was conducted to determine the attitude and knowledge of medical students across the country about COVID-19 . Materail & Methods : The study was performed as descriptive cross-sectional. Data were collected through a virtual self-administered questionnaire. 420 medical students in the country participated in this study by voluntary sampling from April 20 to May 6, 2016. The final data was obtained by removing 10% of the questionnaires due to incomplete filling of 381 samples. A researcher-made questionnaire was used to collect information. The questionnaire included three sections: demographic characteristics, attitude and knowledge about COVID-19. The first part of the questionnaire contained questions related to demographic characteristics including age, gender, degree, field of study, semester, type of (58.3%) in bachelor degree, 8 people (2.1%) in master degree and 133 people (34.9%) were studying in professional doctoral degree. 271 students (71.1%) were students of 1-4 semesters and 93 students (24.4%) of them were studying in 5-8 semesters. 112 students (29.4%) were studying in medicine, 129 (33.9%) were studying in nursing and 115 (30.2%) were studying in paramedical fields. Also, 57.5% of the students were natives and 96.9% of the students had no work experience in the corona sector and 83.5% of the students did not participate in the virtual courses of the Ministry of Health and the World Health Organization related to the corona virus. The mean and standard deviation for students' attitudes toward COVID-19 were generally 58.75 ± 5.56 and their knowledge was 41.61 ± 6.27. The results showed that there was no significant relationship between attitude and demographic characteristics. Besides, there was a significant relationship between students' knowledge sc","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128500063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fatigue in Patients with Multiple Sclerosis in Tehran in 1398","authors":"Niloofar Hejazizadeh, M. Pazokian, Mojtaba Abdi","doi":"10.52547/IJN.33.126.1","DOIUrl":"https://doi.org/10.52547/IJN.33.126.1","url":null,"abstract":"Background & Aims: The prevalence of multiple sclerosis (MS) has been on the rise, especially among the youth in Iran. MS is more common in the individuals in their 20s and 40s, while women are also twice as likely to develop MS compared to men. Statistics suggest that there are 2.5 million MS patients worldwide, and this figure has been reported to be 15-30 cases per 100,000 in Iran. According to the Iranian MS Association, approximately 50,000 Iranians have MS, including 9,000 registered cases, and the rate is constantly increasing. Some of the main symptoms of MS are neurological, sensory, motor, and balance disorders, and fatigue is considered to be the most debilitating and common symptom; about one-third of MS patients report fatigue within the first three years of the disease diagnosis. Fatigue is an early symptom in 40% of MS patients, and 38% experience fatigue as the first diagnostic symptom. Extensive research has assessed the correlations between MS and various demographic variables, including individual factors (age, gender, education level), familial factors (family history of the disease), social factors (support of social institutions), economic factors (monthly income), emotional factors (family support), and disease-related factors (age at onset, length of hospital stay, medication). The present study aimed to measure fatigue in a large population of MS patients and determine its association with demographic variables. Materials & Methods: This correlational study was conducted on 296 MS patients referring to the Iranian MS Association in Tehran, Iran during June-August 2019 via computation within a specific period. Fatigue was measured using Krupp fatigue intensity (1989), which has been used in extensive medical research. The minimum and maximum possible scores in this scale are nine and 63, respectively. Scores 9-18 indicate low fatigue, scores 18-45 indicate moderate fatigue, and scores above 45 show high fatigue. In Iran, Shahvaroughi Farahani et a key role in adapting to the disease, taking measures to reduce fatigue, adherence to the treatment regimen, and reducing the number of hospitalizations in MS patients.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124422288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Correlation of Missed Nursing Care and Perceived Supervisory Support in Nurses","authors":"Ilnaz Vatankhah, M. Rezaei, E. Baljani","doi":"10.52547/IJN.33.126.103","DOIUrl":"https://doi.org/10.52547/IJN.33.126.103","url":null,"abstract":"Background & Aims: Missed nursing care is a common threat to the safety and quality of patient care, and investigating the influential factors in this regard could prevent or minimize this issue. Missed nursing care could lead to patient readmission and extra costs imposed on patients and healthcare organizations. Supervisor support plays a pivotal role in the commitment of nurses to the organization. The behaviors and activities of health supervisors could promote the positive attitude of the subordinates, thereby leading to their moral commitment. Although missed nursing care is considered to be a highly challenging issue for nursing managers, few studies have evaluated perceived care support and the associated challenges. The present study aimed to investigate the correlation between missing nursing care and perceived supervisory support. Materials & Methods: This descriptive-correlatinal study was conducted on 139 nurses employed in the inpatient wards of Imam Reza Hospital in Urmia, Iran during May-March 2019. The participants were selected via census sampling. Data were collected using a questionnaire, the first section of which consisted of demographic data, the second section was the missed care nursing questionnaire, and the third section included the standard tools for the assessment of perceived supervisory support. The missed care questionnaire was designed and psychoanalyzed by Kalish in 2006, and the items are scored based on a five-point Likert scale (Never=0, Always=4). The scale has four domains of review, interventions and personal care, interventions and primary care, and planning. The family supportive supervisor behaviors (FSSB) perceived support questionnaire consists of 14 items and was designed and psychoanalyzed by Hammer in 2009. The questionnaire items are scored based on a five-point Likert scale, with the higher scores indicating higher parental support. The main dimensions of the FSSB are emotional support, instrumental support, and role models. After obtaining the required permit for sampling, the questionnaire was distributed among the nurses working in different shifts and on different days. With their consent, the contact number of the participants was obtained. The questionnaires were total scores of perceived support and missed nursing care (r=-0.19; P<0.05). Furthermore, significant, inverse correlations were denoted between perceived support and the subscales of missing nursing care (r=-0.167; P<0.05), as well as perceived support and the primary care subscale (r=-134; P<0.05). However, no significant associations were observed between perceived support, the personal care subscale, and planning (P>0.05). Conclusion: According to the results, perceived supervisory support was correlated with the dimensions of assessment and interventions and primary care regarding missed nursing care. Nursing managers are advised to pursue and implement the support of clinical nurses as a major hospital policy to prevent the l","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127933272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Empowerment on the Attitudes toward Fertility and Childbearing in Women with Failed Pregnancies: A Clinical Trial","authors":"M. Salehabadi, M. Kheirkhah, N. Esmaeili, S. Haghani","doi":"10.29252/IJN.33.125.55","DOIUrl":"https://doi.org/10.29252/IJN.33.125.55","url":null,"abstract":"Background & Aims: Failed pregnancy is a destructive and common experience associated with physical, psychological, and cognitive complications, including a negative self-image, doubts about one's fertility, considering the body to be inefficient, and feeling of failure in playing the feminine role and fulfilling the feminine identity adequately, which are manifested through reduced sexual activity and unwillingness to become pregnant again. In addition, the lack of sexual drive causes communicational tensions between parents. Therefore, a failed pregnancy affects the approach and attitude toward parenting, and since attitude is the foremost factor in the development of reproductive behavior, changing attitudes toward childbearing decreases fertility. Repeated pregnancy positively influences the stress caused by a failed pregnancy despite a sense of doubt and hesitation in the parents. After fetal loss, the majority of women need consultations and follow-ups regarding the causes of the incident, estimated risk of future pregnancy, and prevention of recurrence, while they may not be presented with the opportunity and receive no training, and the lack of awareness leads to concerns about the recurrence of the incident, unwillingness for another pregnancy, and even the attempt to conceive inappropriately. Therefore, the provision of an educational, care, and support program for these women with an emphasis on their experience of a failed pregnancy is paramount. Knowledge-based empowerment interventions promote the knowledge of fertility, self-efficacy, self-esteem, and self-control, thereby improving social communication, reducing negative emotions, and creating the right attitude to life experiences; in relation to failed pregnancies, such interventions have not been performed in Iran. The present study aimed to evaluate the impact of empowerment on women with a history of failed pregnancies. Materials & Methods: This clinical trial was conducted on 80 women with a history of failed pregnancies who were admitted to Shahid Akbarabadi Hospital in Tehran, Iran within the past 3-6 weeks for the termination of pregnancy during January-May 2020. The inclusion criteria were the age of 18-40 years, basic literacy, no medical prohibition for pregnancy, no children, absence of mental disorders, no pregnancy after a failed pregnancy, history of failed pregnancies up to the maximum of two cases, no history of infertility, and intentional failed pregnancy. The exclusion criteria were stressful events during the study, absence in more than one training session, and pregnancy during the study. The names of eligible subjects were extracted from the hospital medical records unit continuously until the completion of the sample size. The women were invited to participate via phone. After obtaining written informed consent from all the subjects, they were assigned to two groups of intervention and control with four random blocks, and each sample was assigned a specifi","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130510878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Workplace Bullying and the Quality of Nursing Care in Intensive Care Unit and Emergency Department Nurses","authors":"F. Hajibabaee, S. Mousavi, A. Hosseini, S. Haghani, S. Bahramali","doi":"10.29252/IJN.33.125.42","DOIUrl":"https://doi.org/10.29252/IJN.33.125.42","url":null,"abstract":"Background & Aims: The work environment of healthcare providers and hospitals is constantly exposed to tremendous work pressure, complexity, and chaos. Due to the changes in various fields of treatment and care, these work environments are constantly changing as well. Meanwhile, bullying is considered to be a serious phenomenon in these organizations, which has also been reported worldwide as an important issue in the nursing profession. Workplace bullying could variably affect nursing. In healthcare organizations, workplace bullying could increase absenteeism, job loss, and job dissatisfaction among the employees. Furthermore, this phenomenon may reduce the quality of nursing care in hospitals and medical centers. These issues are particularly highlighted in the nursing profession since as the largest group of healthcare providers in these organizations and the leading managers of hospitals, nurses play a pivotal role in patient care. Improving the quality of nursing care is the most important factor to accelerate the recovery and return of patients to the community; therefore, the quality assessment of nursing care is essential. In Iran, most of the studies on bullying have been performed on students and teachers in schools, and few studies have been focused on nurses. Given the lack of accurate statistics on the rate of workplace bullying among Iranian nurses and the fact that the quality of nursing care is an important issue that could be affected by the bullying phenomenon, the present study aimed to evaluate the level of workplace bullying among Iranian nurses and its association with the quality of nursing care. Materials & Methods: This cross-sectional, descriptive-correlational study was conducted on 200 emergency department and intensive care unit (ICU) nurses at Imam Khomeini Hospital Complex affiliated to Tehran University of Medical Sciences, Iran in 2019. The sample size included 200 nurses who were selected via simple random sampling. The inclusion criteria were employment as a nurse in the emergency department or ICU of Imam Khomeini Hospital Complex, willingness to participate in the study, and minimum work experience of six months as a nurse in the department. The exclusion criterion was incomplete questionnaires. Data were collected using a demographic questionnaire (age, gender, marital status, admission to the nursing major based on interest/knowledge, education level, clinical ward, service history, type of employment, shift work, duration of employment in the current department, having a managerial position, interest in the workplace, and coercion in the current department), negative acts questionnaire-revised, and SERVQUAL questionnaire. Sampling was performed after the approval of the study protocol and receiving the ethics license from the Joint Organizational Ethics Committee of the School of Nursing and Midwifery and the School of Rehabilitation of Tehran University of Medical Sciences. Eligible nurses were selected af","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127723483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Effects of Auditory and Visual Distraction on the Pain and Anxiety of Patients Receiving Extracorporeal Shockwave Lithotripsy","authors":"M. Roshanzadeh, M. Shirani, A. Tajabadi, F. Mansori, S. Mohammadi","doi":"10.29252/IJN.33.125.79","DOIUrl":"https://doi.org/10.29252/IJN.33.125.79","url":null,"abstract":"Background & Aims: Today, the rate of kidney diseases and urinary tract stones is on the rise. A common treatment method for urinary tract stones is the use of extracorporeal lithotripsy using shock waves, which may cause pain in the patients when the waves penetrate the skin. Pain could affect hemodynamic parameters and cause restlessness and movement in the patients, thereby disrupting the lithotripsy process. To reduce the pain in these patients, pharmacological methods such as the injection of various narcotic and non-steroidal analgesics are used. In addition to these medications, non-pharmacological methods such as mental distraction could effectively decrease patients' pain during painful procedures. Previous studies have indicated that mental distraction methods could variable affect pain relief and reduce anxiety in patients during different painful techniques. The present study aimed to compare the effects of visual and auditory distraction the pain and anxiety of these patients. Materials & Methods: This three-group quasi-experimental study (auditory intervention, visual intervention, and control) was conducted with a pretest-posttest design at Shahrekord University of Medical Sciences, Iran in 2019. The sample population included the eligible candidates of extracorporeal lithotripsy referring to the lithotripsy unit of Ayatollah Kashani Hospital in Shahrekord in 2019 for outpatient treatment. The patients were selected via non-random sampling from the crusher candidates to achieve the sample size based on the inclusion criteria. The inclusion criteria were the initial diagnosis of kidney stones, age range of 20-50 years, auditory and visual health, and no history of using anti-anxiety medications and painkillers. The exclusion criteria were pain intolerance during the procedure, higher blood pressure than 140/90 mmHg, receiving drug therapy, drug addiction, history of mental and respiratory diseases, and previous experience of stone crushing. Data were collected before and after the intervention using the demographic information questionnaire, McGill short-form pain questionnaire, and Spielberger state-trait anxiety inventory. Data analysis was performed in SPSS version 16 using descriptive statistics (frequency, frequency percentage, mean, and standard deviation) and inferential statistics (paired t-test, t-test, Pearson's correlation-coefficient, and analysis of variance). Results: The Smirnov-Kolmogorov test showed that the study variables were normal (P>0.05). In total, 48% of the patients were male, and 42% were female. In terms of age, the research units were aged 23-51 years. The analysis of variance (ANOVA) and Chi-square indicated that demographic variables were not significantly different in the three study groups (P>0.05). The mean pain in the studied units was not considered significant in the study groups before the intervention (P=0.13), while this mean value was significant between the groups after the intervention (P<0","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131884074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship between Teamwork and the Performance of Medical Staff of Shahid Rajaei Cardiovascular, Medical and Research Center in Tehran, Iran in 2016","authors":"Farahnaz Mirzaei, S. Tabibi, Leila Nazarimanesh","doi":"10.29252/IJN.33.125.70","DOIUrl":"https://doi.org/10.29252/IJN.33.125.70","url":null,"abstract":"Background & Aims: The present study aimed to evaluate the relationship between teamwork and performance of the medical staff of Shahid Rajaei Cardiovascular, Medical and Research Center in Tehran, Iran. In a health system, teamwork is highly important for increasing the quality of services and the provision of safe and effective care. In addition, teamwork is recognized as an integral part of safe and efficient performance in a hospital. In addition, patient safety and health are considered a critical issue in the health systems of various countries. Therefore, teamwork and communication to prevent and reduce the medical staff’s errors are of utmost importance. The present study was carried out to assess the relationship between the teamwork of nurses and the performance of the medical staff of Shahid Rajaei Cardiovascular, Medical and Research Center in Tehran. Materials & Methods: This descriptive-analytical research was performed in 2016. The statistical population included all nurses with a BSc, MSc, or higher degree working at medical centers of the university (n=290). The present research was carried out as correlational research, which is a type of descriptive study (nonexperimental) that evaluates the relationship among variables based on research objectives. In total, 290 individuals were selected by simple non-random sampling method, and data were collected using a staff performance questionnaire by Choharie et al. and a teamwork questionnaire by Luncheon. The validity and reliability of the researcher-based questionnaire used in the present study were confirmed, and data analysis was performed in SPSS version 16 using the Pearson correlation coefficient and t-test. Results: In the evaluation of the correlation of two variables, the Pearson correlation coefficient will be applied if both variables are in relative and distance scale. If the correlation coefficient of the population is ρ and the correlation coefficient is a sample with n volume of the population r, r might be obtained randomly. To this end, we exploited the significance test of the correlation coefficient to determine whether the two variables were random or independent. In other words, the question was: are the correlation coefficient of community zero or not. The coefficient estimates the level of correlation between two distance or relative variables with a value in the range of +1 and -1. A positive value is interpreted as changes occurred in the two variables in the same direction. In other words, an increase in one variable leads to an increase in the other variable. On the other hand, a negative r value means that the two variables operate in the opposite direction. In other words, an increase in the value of one variable decreases the value of the other variable and vice versa. In addition, a zero value shows the lack of relationship between the two variables, whereas a positive and negative value is indicative of a completely positive and completely negative cor","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128514919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influential Factors in the Job Motivation among Midwives as the Healthcare Providers in the Iranian Health Sector Evolution Plan","authors":"P. M. Ganjgah, M. Geranmayeh, S. Haghani","doi":"10.29252/IJN.33.125.13","DOIUrl":"https://doi.org/10.29252/IJN.33.125.13","url":null,"abstract":"Background & Aims: Midwives play a key role in the delivery of care services to mothers and neonates in the health system. The provision of high-quality services by midwives has a great impact on the prevention of maternal and neonatal mortality and its consequences, as well as the empowerment of women. It has been recommended that countries expand their midwifery programs, maintain the highest global standards, and improve the environment where midwives could effectively address the needs of women and their families. To achieve these goals, it is essential to motivate midwives as high job motivation could promote their efficiency. Theorists consider several factors to be influential in job motivation, such as physiological needs, safety, social needs, respect, and self-actualization. In Herzberg's two-factor theory, the needs and stimuli that motivate employees have been listed, as well as the approaches through which they could be addressed in an organization. Numerous studies have assessed the influential factors in the job motivation of midwives in Iran based Herzberg's theory. Meanwhile, midwives in healthcare centers have exclusively focused on their job duties (i.e., care of women of the reproductive age, pregnant women, and neonates). It seems that some of the motivational dimensions proposed for midwives have been modified due to the changes in the job duties of healthcare midwives in the Health Sector Evolution Plan, in which all midwives have been regarded as healthcare midwives, their organizational position has changed, and they were obliged to provide non-specialized and non-midwifery services in addition to specialized midwifery services, such as care services for infectious and non-communicable diseases for all ages and genders. Since the influential factors in the job motivation of midwives have not been properly recognized after the Health Sector Evolution Plan, the present study aimed to determine the influential factors in the job motivation of midwives based on Herzberg's theory. in the health system (enrichment of the midwifery profession). Furthermore, conducting research on the views and opinions of middle-range managers of the Health Sector Evolution Plan about staff motivation and the challenges in improving the quality of the healthcare services provided by midwives and healthcare providers could result in the inclusive assessment of the issues and challenges and adoption of comprehensive, practical, and effective strategies.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131460956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}