The Canadian journal of critical care nursing最新文献

{"title":"The Effect of Motivational Interviewing on the Life Expectancy of Patients with Chronic Obstructive Pulmonary Disease","authors":"Hamid Naderloo, Z. Vafadar, Alireza Eslaminejad, Abbas Ebadi","doi":"10.5812/CCN.10600","DOIUrl":"https://doi.org/10.5812/CCN.10600","url":null,"abstract":"","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88609815","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 Effect of Health Messages on Job Stress of Nurses Working in Intensive Care Unit","authors":"Behnam Esbakiyan Bandpey, M. Heravi-Karimooi, N. Rejeh, Hamid Sharif Nia","doi":"10.5812/CCN.10504","DOIUrl":"https://doi.org/10.5812/CCN.10504","url":null,"abstract":"Background: Because of its nature, nursing is one of the stressful jobs. Abundant stressful factors existing in this job cause the occurrence of physical and mental disorders in nurses. Objectives: Therefore, the aim of this research was to determine the effect of health messages on job stress of nurses working in ICU (intensive care unit). Methods: This empirical study was performed in ICUs of hospitals in Babol city in 2015 2016. The research population included all employed and eligible nurses working in ICUs of hospitals affiliated to Babol University of Medical sciences. After homogenization, the subjects were randomly divided into two groups of 40 named intervention and control groups. The tools for data collection included a demographic form and OSIPOW job stress questionnaire, which were completed by both groups. Then, for the nurses in the intervention group, 2 messages per week were sent regularly with a constant interval for three months. The OSIPOW questionnaire was completed by both groups one day and one month after the completion of the intervention. Statistical analysis was performed using SPSS v 20 software. Shapiro Wilk test was used to examine normal distribution of continuous quantitative variables. The data were evaluated using descriptive and inferential statistics (Mann Whitney and Freedman tests). Significance level was set at P < 0.05. Results: The nurses participating in this study were homogenously distributed in two groups in terms of job stress levels before performing the intervention. The mean scores of job stress in nurses working in ICU were 242.05 ± 22.72 in the intervention group and 241.80 ± 24.22 in the control group (P = 0.068). Also, the mean scores of job stress in nurses in the control group before the intervention, one day, and one month after the completion of the intervention were not significantly different from each other (P < 0.001), While the mean scores of job stress in nurses in the intervention group one day after the completion of the intervention meaningfully decreased compared to the control group. Therefore, message-based procedure decreased job stress in nurses working in ICUs (P < 0.001). Conclusions: The findings of this research showed that job stress level in nurses of the case group reduced after the intervention. Therefore, sending health messages can cause a decrease in job stress among nurses working in intensive care units.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89441381","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":"Integration of the Newborn Resuscitation-Training Program in Pediatric Nursing Teaching: A Mixed-Method Study","authors":"H. Heidari, M. Mardani-Hamooleh","doi":"10.17795/CCN-9028","DOIUrl":"https://doi.org/10.17795/CCN-9028","url":null,"abstract":"Background: The neonatal care in the first few minutes after birth could affect the newborn’s quality of personal life and thus its entire lifetime. \u0000 \u0000Objectives: The aim of this study was to examine the integration of the newborn resuscitation-training program in pediatric nursing teaching. \u0000 \u0000Methods: The present study was a mixed-method study, which began with qualitative and quantitative data collection at the same time. That is why the qualitative and quantitative steps performed at the same time. The qualitative phase was conducted based on the qualitative content analysis. Purposeful sampling was performed. Saturation occurred with10 interviews. The quantitative phase was performed based on a researcher-made questionnaire. The content validity of the questionnaire was confirmed by the feedback of experts and its reliability was assessed by Cronbach’s alpha 92%. The number of students at this stage was 48. \u0000 \u0000Results: Based on the results of the qualitative phase, two main categories of clinical skills promotion and the necessity of attention to educational needs of students were obtained, which was in accordance with the results of the quantitative step. Based on the results of the quantitative step, the following results were obtained: areas of the resuscitation-training program improved my skills (83% strongly agree and 17% agree); I am satisfied with resuscitation-training program (94% strongly agree and 6% agree); I agree with continuing resuscitation program in future terms (77% strongly agree, 21% agree, and 2% disagree); the resuscitation-training program conformed with students’ needs (92% strongly agree, 4% agree and 2% disagree); and the quality of resuscitation training program was appropriate (94% strongly agree and 6% agree). \u0000 \u0000Conclusions: Performing the newborn resuscitation for nursing students and increasing their knowledge and skills may lead to increase student motivation, reduce hospital costs and increase the quality of care.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83081467","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":"Assessment of Sleep Respiratory Apnea in Cardiovascular Patients","authors":"Amin Koohsariyan, T. Nasrabadi, Mohammad Zare","doi":"10.17795/CCN-9759","DOIUrl":"https://doi.org/10.17795/CCN-9759","url":null,"abstract":"Background: Sleep apnea is one of the respiratory problems during sleep and about 50% of cardiovascular patients suffer from sleep apnea. On the other hand, cardiovascular diseases are increasing in our country. Therefore, nurses working in critical care units should have a special approach towards sleep disorders of hospitalized cardiovascular patients. Objectives: This study aimed to assess sleep respiratory apnea in cardiovascular patients. Methods: In this descriptive study, 76 cardiovascular patients were selected through random sampling from Baqiyatallah Hospital in Tehran, Iran, during 2015 2016. They were assessed in terms of respiratory apnea during sleep. A total of 51 patients finished review processes completely. The Epworth sleep scale (ESS ), which is a standard questionnaire, was used to assess sleep apnea. The subjective findings were assessed using the overnight polysomnography test. Data were analyzed using inferential statistics by the SPSS 19 software. Results: In this study, 66.7% of the patients were males and 33.3% were females. The mean age of the patients was 55.01 ± 12.1. The mean ESS score of the patients was 15.1 ± 5.1. 15. Ninety-two percent of the patients had sleep respiratory apnea. The mean score of sleep respiratory disorders of cardiovascular patients was 33.05 ± 4.6. The lowest score of sleep respiratory disorders was 3 and the highest score was 126.8. Conclusions: Sleep apnea during sleep is a common finding in cardiovascular patients. Therefore, the quality of life of these patients should be improved through timly assessment of cardiovascular patients’ sleep disorders. Also, nurses can be effective in decreasing complications and associated problems of these patients through assessing patients’ sleep pattern and referring them to clinics that assess sleep disorders.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91153268","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":"Self-Care Agency Power Components Among Patients with Heart Failure: A Qualitative Directed Content Analysis Based on the Orem Self-Care Theory","authors":"Ghasem Abotalebidariasari, R. Memarian, Z. Vanaki, A. Kazemnejad, N. Naderi","doi":"10.5812/CCN.9150","DOIUrl":"https://doi.org/10.5812/CCN.9150","url":null,"abstract":"Background: Self-care is a self-regulatory action, which necessitates self-care power. Objectives: The current study aims at exploring self-care agency power components among patients with heart failure by the Orem self-care theory. Methods: The current qualitative study utilized content analysis approach based on the Orem self-care theory. Twenty-seven patients with heart failure and their family members were purposefully recruited from Shahid Rajaie cardiovascular center, Tehran, Iran. The study data were collected from December 2014 to May 2015 through in-depth semi-structured interviews. Data collection was continued until data saturation which was attained after the 24th interviews and hence, the last 3 interviews produced no new data. Data analysis was carried out by the directed content analysis approach proposed in 2005 by Hsieh and Shannon. Results: Data analysis yielded 79 primary codes, which represented the instances of self-care agency power components among patients with heart failure. The main components of self-care agency power were ability to acquire self-care knowledge, ability to identify factors aggravating heart failure, motivation for self-care, physical ability to engage in self-care activities, ability to adjust physical activities in order to save energy, ability to monitor bodily functions, reasoning about the causes of related symptoms, ability to decide on appropriate self-care measures, ability to understand the nature of the disease, ability to communicate with others to use their capabilities for self-care, ability to organize self-care measures, and ability to adhere to self-care activities. The most basic abilities are self-care knowledge, physical ability, and self-care motivation. Conclusions: The findings of the study indicated that effective self-care among patients with heart failure requires a wide range of self-care abilities. Nurses can use the findings to develop self-care plans for patients with heart failure.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88661860","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":"Effect of Foot Reflexology Massage and Foot Bath on the Sleep Quality of Patients with Acute Coronary Syndrome: A Comparative Study","authors":"M. Naseri, A. Rahmani, Batool Nerir, M. Salari, M. Farahani","doi":"10.17795/CCN-10294","DOIUrl":"https://doi.org/10.17795/CCN-10294","url":null,"abstract":"","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83594385","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 Incidence of Acute Kidney Injury after Coronary Artery Bypass Surgery with or without Cardiopulmonary Bypass","authors":"S. Moradian, A. Ebadi, F. Faizi, M. Motamedi, M. Ghiasi","doi":"10.17795/CCN-9617","DOIUrl":"https://doi.org/10.17795/CCN-9617","url":null,"abstract":"Background: The incidence of acute kidney injury commonly follows cardiac surgery. Some studies have demonstrated better outcomes following off-pump cardiac surgery. Objectives: This study was conducted to compare the incidence of acute kidney injury and laboratory findings in patients undergoing cardiac surgery with or without cardiopulmonary bypass. Methods: In a retrospective study, 167 patients who underwent coronary artery bypass grafts (CABG) with or without cardiopulmonary bypass were selected by systematic randomized sampling method from the list of Jamaran heart hospital (Tehran) patients and the incidence of acute kidney injury and laboratory findings were compared. Results: There was no significant difference in the demographics (age, sex, drug history, and chronic disease) between the groups (P > 0.05). The acute kidney injury (AKI) was observed in 19.3 and 33.7% of the off-pump and on-pump patients, respectively. A total number of16 (19.3%) in the off-pump and 44 (52.9%) in on-pump group needed blood transfusion. The mean hospital stay was 6.74± 1.86 days for OPCAB and 7.2 ± 1.72 for on-pump patients. Haemoglobin and haematocrit level, also, were higher in OPCAB. Conclusions: This study showed that off-pump coronary artery bypass (OPCAB) is superior in acute kidney injury, blood transfusion, blood glucose management, and hospital stay. Considering these complications and those adverse effects, it seems that off-pump technique is better in selected patients, but it is proposed that more prospective multi-disciplinary studies with larger sample sizes","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"437 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84482168","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":"Outcomes of Applying Neuman System Theory in Intensive Care Units: A Systematic Review","authors":"M. Khatiban, K. Oshvandi, S. Borzou, M. Moayed","doi":"10.17795/CCN-8886","DOIUrl":"https://doi.org/10.17795/CCN-8886","url":null,"abstract":"Introduction: Applying theories in clinical practices is an important factor in development of nursing science and reduction of the gap between theory and practice. The aim of this study is to assess outcomes of applying Neuman system theory in intensive care units. Methods: A review study was conducted in 2016 through searching on Cochrane Library, Science Direct, Ovid, Google scholar, Pub Med, Wiley, ProQuest, and Blackwell databases. The search was performed by using ICU, critical care, defense line, client system, nursing, and neuman system model as key words. Finally, 7 articles in English were assessed in this study, comprised of 5 quantitative studies, 1 qualitative study, and 1 case report study. Findings: Outcomes of applying the theory were assessed in three categories including: 1. Caregivers (nurses), 2. Care receivers (patients and their families) and, 3. Intensive care unit environment. Regarding nurses, the results indicated an improvement in supporting of nurses, creating a social network in the workplace, and preventing post-traumatic disorder by using three prevention levels. Regarding patients and their families, identifying environmental stressors and controlling them resulted in high quality care and by using evidence-based care, it led to the prevention of delirium. Family was found to have an important role in terms of the created environment and acceleration in patients’ improvement; regarding factors related to the unit, creating a relaxing environment by playing music resulted in stress reduction. Conclusions: Correct evaluation of the elements of treatment process leads to identify different kinds of stressors in nurses, patients, clients’ families, and intensive care unit environment as well as providing appropriate strategies which can cause stress reduction and subsequently satisfactory treatment outcomes. Achieved knowledge and awareness may lead to new studies for combining theory with clinical practice. This new knowledge can provide dynamic and scientific care.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"55 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87321615","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 Impact of Virtual-Based Education on Nurses’ Self-Efficacy in the Level II Neonatal Care","authors":"M. Kadivar, Nayeemeh Seyedfatemi, M. Zolfaghari, A. Mehran, Zohreh Hossinzade","doi":"10.17795/CCN-9281","DOIUrl":"https://doi.org/10.17795/CCN-9281","url":null,"abstract":"Background: Self-efficacy has an influence on nurses’ professional progress, motivation, effort, perseverance, and time spent by learners on learning. It is also an interface between knowledge and practice. This study aimed to assess the impact of virtual-based education on self-efficacy of nurses in level II neonatal intensive care. Materials and Methods: In this quasi-experimental study, after determining the sample size (n = 80), nurses working in level II neonatal care unit of hospitals affiliated to TUMS were randomly divided into two groups. The study was conducted in 2015. Nurses’ self-efficacy level was measured in the two groups by using Coates self-efficacy questionnaire on the first day of the study. For the intervention group, education content of level II neonatal care was developed and run on Namad system of the virtual faculty of TUMS for two months. No specific intervention was performed for the control group. At the end of the education course, nurses’ psychological empowerment was reassessed in both groups by using the mentioned questionnaire. Data analysis was performed by using the paired t-test, Fisher exact test, chi-square, and independent t-test in SPSS 23. Results: Research units were similar in terms of all demographic variables other than work experience in neonatal unit. Mean and standard deviation of self-efficacy scores in the control and intervention groups before the intervention were 129.7 ± 13.973 and 118.05 ± 11.104, respectively, while mean and standard deviation of the two groups after the intervention were 128.09 ± 12.363 and 136.11 ± 9.830, respectively. There was a statistically significant difference in the mean score of self-efficacy between the two groups before the intervention P ≤ 0.001), self-efficacy mean score in the control group before and after the intervention (P = 0.002), selfefficacy mean score in the intervention group before and after the intervention (P ≤ 0.001), and self-efficacy mean score between the two groups after the intervention (P ≤ 0.004). Conclusions: The results of the present study indicate the effectiveness of virtual education in increased selfefficacy of nurses in level II neonatal intensive care unit. With regard to the advantages of virtual education, it can be employed as a modern educational method to provide necessary requirements and tools for training nurses and other healthcare givers.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80210313","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":"Performance Improvement Priorities From the Perspective of Emergency Department Staff in Iran’s Hospitals","authors":"S. Majidi, A. Nasiripour","doi":"10.17795/CCN-8050","DOIUrl":"https://doi.org/10.17795/CCN-8050","url":null,"abstract":"Background: The emergency department is the heart of every hospital and regular circulation of tasks in this unit can save countless lives. Quality of services provided at emergency departments is of particular importance and performance improvement is considered as one of the most important processes in emergency departments. Objectives: The aim of this study was to determine performance improvement priorities of emergency departments of Iran’s hospitals. Methods: This research was a cross-sectional study. First, a systematic review was conducted and performance improvement priorities of the emergency department were identified and designed as a questionnaire in five areas: communication, teamwork, clinical pathway, patient flow and other factors. During October 2015, after examining the content validity index (CVI) and content validity ratio (CVR), the questionnaires were given to 200 hospital emergency experts (doctors and nurses) across the country. After collecting the questionnaires, the data were entered into the SPSS software and analyzed. Results: In a comparative investigation of the scores of different areas of performance improvement of emergency department of the country’s hospitals based on Friedman test, from the perspective of the emergency department staff, the average score of these areas was significant (P < 0.0001). Correlation of communication area scores with four other areas was statistically significant, and the communication area had the highest correlation with the teamwork area (P < 0.0001 and r = 0.821). There was a significant difference between the scores of different areas and performance improvement in female (P < 0.0001) and male groups (P < 0.009). The doctors’ opinions were similar in all areas and there was no significant difference (P < 5%). However, nurses had different opinions on performance improvement priorities of the emergency department. Conclusions: Priorities set by emergency workers in various areas such as communication, teamwork, clinical pathway and patient flow, play a significant role in the performance improvement of the emergency department.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90595141","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}