Background: Because nurse prescription has numerous benefits for the health systems, in many coun... more Background: Because nurse prescription has numerous benefits for the health systems, in many countries around the world, nurses are given the right to prescribe medication. In Iran, the role of nurses in prescription drugs is not well understood, and nurses face various challenges in this regard. Materials and methods: A qualitative content analysis methodology based on the Graneheim and Lundman model was used. Thirteen nurses working in medical wards of hospitals affiliated with the Tehran University of Medical Science were selected to participate in this study by purposeful sampling. Participants were interviewed via telephone using a semi-structured tool. After thirteen interviews, data saturation was reached. Data collection was undertaken between April 2020 and April 2021. Results: The results of this study are summarized in one theme, four categories, and ten subcategories. The theme extracted from the data analysis was "the practical challenges of nurse prescription," which included four main categories: structure challenges, personnel-related barriers, interprofessional separation, and society's attitudes. Conclusions: The results of this study explain the barriers and practical challenges of nurse prescription in Iran. Identifying these challenges and barriers provides the necessary evidence for policymakers to remove and adjust these challenges and barriers. Moreover, the elimination of identified challenges will help nurses better perform their new roles and develop the nursing scope and profession.
BACKGROUND Metabolic syndrome (MS) is rampant all over the world. Depression is expected to be th... more BACKGROUND Metabolic syndrome (MS) is rampant all over the world. Depression is expected to be the second most common cause of loss of DALY (Disability Adjusted Life Events) by 2020 after coronary artery disease as per WHO (World Health Organization). Previous studies show connection between depression and MS. Most studies are from western world. We tried to find MS in clinically depressed patients attending a tertiary care hospital of Eastern India. Aims and Objectives-Our objective was to assess the prevalence of MS in patients with depression who had never been treated with antidepressants for their depressive disorder and compare the same with a matched group of healthy patients. We followed the criteria proposed by the International Diabetes Federation (IDF) in diagnosing MS. MATERIALS AND METHODS There are two groups. Study group (51) comprised clinically depressed patients as per ICD-10. Second group comprised healthy controls (46) who were matched for age, sex, gender, education and socioeconomic profile. Anthropometric measurement and assessment of metabolic parameters were noted in both groups. Cases were given 'Beck Depressive Inventory (BDI)' to assess severity of depression. RESULTS 31.4% of study group and 17.4% of control group had MS. Most common of MS among study group was low HDL and among control group was central obesity. CONCLUSION Our study strongly indicates association of depression and MS. Low HDL was the most common abnormality in our patient group, in which females were more in number.
Background: Transition from intensive care unit to a general ward is a stressful situation for pa... more Background: Transition from intensive care unit to a general ward is a stressful situation for patients. It is believed that a liaison nurse can prevent adverse events during the transfer process. Objectives: This study aimed to examine the effect of a liaison nurse on anxiety related to the transportation of patients from the cardiac surgery intensive care unit to a general ward. Methods: This randomized clinical trial was conducted on 68 patients that were randomly assigned to the experimental and control groups. The demographic information and disease profile were collected at the baseline of the study. Liaison nurse services were provided for the experimental group during the transfer process. The Spielberger state-trait anxiety inventory (STAI) was used to measure the patients' anxiety at the start of the transfer and two hours after admission to the general ward. Independent samples and paired t-tests were used to compare the anxiety mean scores in the experimental and control groups. Results: Before the intervention, the mean anxiety was 45.61 ± 12.42 and 40.11 ± 10.95 in the experimental and the control groups, respectively (P = 0.057). However, after the intervention, the mean anxiety score was significantly decreased to 33.20 ± 6.22 in the experimental group (P < 0.001) while it increased to 44.17 ± 10.23 in the control group (P < 0.001). Conclusions: Liaison nurse services affected the patients' anxiety in the process of transition from the cardiac surgery intensive care unit to the general ward.
The study aimed to explore the conditions that accompany conflict of conscience experienced by nu... more The study aimed to explore the conditions that accompany conflict of conscience experienced by nurses in intensive care units. A qualitative approach guided the study, which was undertaken between April 2020 and April 2021. A total of 15 registered nurses working in intensive care units were recruited through purposive sampling. Individual semi-structured interviews were conducted. The data were analyzed using a qualitative content analysis. The analysis revealed two themes: "conflict of conscience in relation to the structure" and "Conflict of conscience based on context." Conflict of conscience in relation to the structure consisted of two categories: conflict of interest and conflict of conscience and law. Conflict of conscience based on context consisted of two categories: care dilemmas and arbitrary behaviors with end-stage patients. A variety of factors were accompanied by a conflict of conscience for nurses in intensive care units. Given that conflict of conscience has negative consequences on the health and quality of nursing care, health care managers need to tailor strategies to reduce the negative consequences considering the findings of the study. This article is protected by copyright. All rights reserved.
Background: The effects of peer education have been addressed in different populations, but this ... more Background: The effects of peer education have been addressed in different populations, but this method of education has not been applied in the elderly population of Iran, and its effect has not been studied. The present study investigated the effects of peer group education on anxiety, stress, and depression of the older adults living in nursing homes. Materials and Methods: This research is a quasi-experimental study with an intervention and control group and it was conducted on 70 elderly citizens living in Qom nursing homes in July 2017. For the intervention group, a relaxation and stress reduction program was trained through the peer group. The control group received routine care. Data were collected using a Demographic information questionnaire and Depression Anxiety Stress Scale-21 (DASS-21). Data were collected at the beginning, 10 and 30 days after the intervention. Data analysis was performed using SPSS 19, descriptive statistics, and repeated measure analysis of variance. Results: The results of the study showed no significant difference between any of the demographic variables at the beginning of the study (p > 0.05). The statistical test showed that the effects of time (p < 0.001) and group (p < 0.011) were significant on anxiety, stress, and depression. Conclusions: The results of this study showed that peer education could decrease anxiety, stress, and depression in the elderly. Therefore, this educational method can be used by nurses to promote various health education programs, e.g., to health promotion and prevent disease especially in the elderly community.
Complementary therapies in clinical practice, 2020
INTRODUCTION Anxiety and sleep disorders are the most common disorders of patients admitted to th... more INTRODUCTION Anxiety and sleep disorders are the most common disorders of patients admitted to the cardiac care units. The purpose of this study is to investigate the effect of Rosa damascene fragrance on anxiety and sleep quality of hospitalized patients in the cardiac care units. METHODS In this Randomized clinical trial, 60 patients who had the inclusion criteria were conveniently sampled and randomly allocated to the experimental and control groups. Patients were enrolled in the study 24 h after hospitalization. Those diagnosed with dysrhythmia, ACS, and CHF were included. Patient recruitment lasted from October 2018 to December 2019. In these groups, in addition to the routine care, the intervention was performed for three consecutive nights from 22:00 to 06:00. In the experimental group, patients inhaled five drops of Rosa damascene essence 40% in distilled water, while in the control group, patients inhaled five drops of distilled water as placebo. In both groups, anxiety and...
Results: The total number of deaths was reported 80 individuals in the first 5 months of 2014. Th... more Results: The total number of deaths was reported 80 individuals in the first 5 months of 2014. The highest statistics of death was related to the Qom–Aveh road with 11 deaths, and 29 deaths were due to vehicle rollover. Most of the victims (17 cases), were in the age group of 0-10 years, followed by 21-30 and 31-40 age groups, each with 15 cases; 59 deceased individuals were male, and 28 individuals had primary education level, while this rate was two cases in individuals with bachelor's degree. Forty-one deceased individuals, were drivers. Fiftyseven subjects died at the scene of the accident. Multiple fractures and head trauma, were the most common cause of death with 38 and 36 subjects, respectively. Seventy deaths were related to the main roads and 17 deaths occurred on Thursday.
Journal of medical ethics and history of medicine, 2018
Moral distress is among the various types of distress that involves nurses and can lead to multip... more Moral distress is among the various types of distress that involves nurses and can lead to multiple complications. It is therefore rather important to identify the factors related to moral distress. The purpose of this study was to examine the relationship between futile care perception and moral distress among intensive care unit (ICU) nurses. This cross-sectional study used a descriptive-correlation method and was conducted on 117 ICU nurses of Qom hospitals in 2016. Data were collected using a 17-item futile care perception questionnaire, and Jameton's moral distress questionnaire containing 30 questions. Data analysis was performed using SPSS 16, descriptive statistics and univariate regression analysis. The results showed that the mean age of the participants was 34.99, and most (about 66.7%) were women. Univariate regression analysis indicated that when ICU nurses' perception of futile care and work experience increased, their moral distress also increased significantl...
Although conscience, as an ethical concept, has emerged widely in the field of nursing, its funct... more Although conscience, as an ethical concept, has emerged widely in the field of nursing, its functional meaning and its effects on nurses' performance are not clear. Therefore, the present study aimed to analyze the concept of conscience in the context of Iranian nurses’ ethical performance. This study used a hybrid model including theoretical, fieldwork, and final analytic stages. In the theoretical phase, English and Persian articles published up to 2020 and indexed by scientific databases were analyzed. In the fieldwork phase, semi-structured in-depth interviews were conducted on nurse participants. The last two stages were jointly considered to draw the study’s conclusions. In the theoretical phase, conscience was considered as a context-dependent concept, an inner voice, and a criterion for distinguishing right from wrong. The fieldwork phase’ results were categorized into three themes: “perception of conscience”, “commands of conscience”, and “obedience to conscience. T...
Background: Researches have shown that in some countries where patients are transferred from inte... more Background: Researches have shown that in some countries where patients are transferred from intensive care to the general ward, they experience mental challenges, including anxiety. However, in Iran no researches have been done on this subject. Objectives: The aim of this study was to evaluate the prevalence of anxiety in patients transferred from the intensive care unit to the general ward. Methods: This study was a cross-sectional study. Samples of this study included 110 patients transferred from the intensive care unit to the general ward. Spielberger's questionnaire was used to collect data. To analyze the data, the SPSS version 16 software was used. Results: After entering variables in the multivariate logistic regression model, it was found, that there was only a significant relationship between gender and anxiety. Statistical data showed that 63.6% of patients had moderate anxiety. Conclusions: According to the study, the subjects had high levels of anxiety, thus providing a platform for learning how to deal with anxiety seems to be required for these patients. The study also found that being female is directly related to the level of anxiety in these patients. Therefore, more attention to females during transfer from the intensive care to the general ward is important.
Background: Because nurse prescription has numerous benefits for the health systems, in many coun... more Background: Because nurse prescription has numerous benefits for the health systems, in many countries around the world, nurses are given the right to prescribe medication. In Iran, the role of nurses in prescription drugs is not well understood, and nurses face various challenges in this regard. Materials and methods: A qualitative content analysis methodology based on the Graneheim and Lundman model was used. Thirteen nurses working in medical wards of hospitals affiliated with the Tehran University of Medical Science were selected to participate in this study by purposeful sampling. Participants were interviewed via telephone using a semi-structured tool. After thirteen interviews, data saturation was reached. Data collection was undertaken between April 2020 and April 2021. Results: The results of this study are summarized in one theme, four categories, and ten subcategories. The theme extracted from the data analysis was "the practical challenges of nurse prescription," which included four main categories: structure challenges, personnel-related barriers, interprofessional separation, and society's attitudes. Conclusions: The results of this study explain the barriers and practical challenges of nurse prescription in Iran. Identifying these challenges and barriers provides the necessary evidence for policymakers to remove and adjust these challenges and barriers. Moreover, the elimination of identified challenges will help nurses better perform their new roles and develop the nursing scope and profession.
BACKGROUND Metabolic syndrome (MS) is rampant all over the world. Depression is expected to be th... more BACKGROUND Metabolic syndrome (MS) is rampant all over the world. Depression is expected to be the second most common cause of loss of DALY (Disability Adjusted Life Events) by 2020 after coronary artery disease as per WHO (World Health Organization). Previous studies show connection between depression and MS. Most studies are from western world. We tried to find MS in clinically depressed patients attending a tertiary care hospital of Eastern India. Aims and Objectives-Our objective was to assess the prevalence of MS in patients with depression who had never been treated with antidepressants for their depressive disorder and compare the same with a matched group of healthy patients. We followed the criteria proposed by the International Diabetes Federation (IDF) in diagnosing MS. MATERIALS AND METHODS There are two groups. Study group (51) comprised clinically depressed patients as per ICD-10. Second group comprised healthy controls (46) who were matched for age, sex, gender, education and socioeconomic profile. Anthropometric measurement and assessment of metabolic parameters were noted in both groups. Cases were given 'Beck Depressive Inventory (BDI)' to assess severity of depression. RESULTS 31.4% of study group and 17.4% of control group had MS. Most common of MS among study group was low HDL and among control group was central obesity. CONCLUSION Our study strongly indicates association of depression and MS. Low HDL was the most common abnormality in our patient group, in which females were more in number.
Background: Transition from intensive care unit to a general ward is a stressful situation for pa... more Background: Transition from intensive care unit to a general ward is a stressful situation for patients. It is believed that a liaison nurse can prevent adverse events during the transfer process. Objectives: This study aimed to examine the effect of a liaison nurse on anxiety related to the transportation of patients from the cardiac surgery intensive care unit to a general ward. Methods: This randomized clinical trial was conducted on 68 patients that were randomly assigned to the experimental and control groups. The demographic information and disease profile were collected at the baseline of the study. Liaison nurse services were provided for the experimental group during the transfer process. The Spielberger state-trait anxiety inventory (STAI) was used to measure the patients' anxiety at the start of the transfer and two hours after admission to the general ward. Independent samples and paired t-tests were used to compare the anxiety mean scores in the experimental and control groups. Results: Before the intervention, the mean anxiety was 45.61 ± 12.42 and 40.11 ± 10.95 in the experimental and the control groups, respectively (P = 0.057). However, after the intervention, the mean anxiety score was significantly decreased to 33.20 ± 6.22 in the experimental group (P < 0.001) while it increased to 44.17 ± 10.23 in the control group (P < 0.001). Conclusions: Liaison nurse services affected the patients' anxiety in the process of transition from the cardiac surgery intensive care unit to the general ward.
The study aimed to explore the conditions that accompany conflict of conscience experienced by nu... more The study aimed to explore the conditions that accompany conflict of conscience experienced by nurses in intensive care units. A qualitative approach guided the study, which was undertaken between April 2020 and April 2021. A total of 15 registered nurses working in intensive care units were recruited through purposive sampling. Individual semi-structured interviews were conducted. The data were analyzed using a qualitative content analysis. The analysis revealed two themes: "conflict of conscience in relation to the structure" and "Conflict of conscience based on context." Conflict of conscience in relation to the structure consisted of two categories: conflict of interest and conflict of conscience and law. Conflict of conscience based on context consisted of two categories: care dilemmas and arbitrary behaviors with end-stage patients. A variety of factors were accompanied by a conflict of conscience for nurses in intensive care units. Given that conflict of conscience has negative consequences on the health and quality of nursing care, health care managers need to tailor strategies to reduce the negative consequences considering the findings of the study. This article is protected by copyright. All rights reserved.
Background: The effects of peer education have been addressed in different populations, but this ... more Background: The effects of peer education have been addressed in different populations, but this method of education has not been applied in the elderly population of Iran, and its effect has not been studied. The present study investigated the effects of peer group education on anxiety, stress, and depression of the older adults living in nursing homes. Materials and Methods: This research is a quasi-experimental study with an intervention and control group and it was conducted on 70 elderly citizens living in Qom nursing homes in July 2017. For the intervention group, a relaxation and stress reduction program was trained through the peer group. The control group received routine care. Data were collected using a Demographic information questionnaire and Depression Anxiety Stress Scale-21 (DASS-21). Data were collected at the beginning, 10 and 30 days after the intervention. Data analysis was performed using SPSS 19, descriptive statistics, and repeated measure analysis of variance. Results: The results of the study showed no significant difference between any of the demographic variables at the beginning of the study (p > 0.05). The statistical test showed that the effects of time (p < 0.001) and group (p < 0.011) were significant on anxiety, stress, and depression. Conclusions: The results of this study showed that peer education could decrease anxiety, stress, and depression in the elderly. Therefore, this educational method can be used by nurses to promote various health education programs, e.g., to health promotion and prevent disease especially in the elderly community.
Complementary therapies in clinical practice, 2020
INTRODUCTION Anxiety and sleep disorders are the most common disorders of patients admitted to th... more INTRODUCTION Anxiety and sleep disorders are the most common disorders of patients admitted to the cardiac care units. The purpose of this study is to investigate the effect of Rosa damascene fragrance on anxiety and sleep quality of hospitalized patients in the cardiac care units. METHODS In this Randomized clinical trial, 60 patients who had the inclusion criteria were conveniently sampled and randomly allocated to the experimental and control groups. Patients were enrolled in the study 24 h after hospitalization. Those diagnosed with dysrhythmia, ACS, and CHF were included. Patient recruitment lasted from October 2018 to December 2019. In these groups, in addition to the routine care, the intervention was performed for three consecutive nights from 22:00 to 06:00. In the experimental group, patients inhaled five drops of Rosa damascene essence 40% in distilled water, while in the control group, patients inhaled five drops of distilled water as placebo. In both groups, anxiety and...
Results: The total number of deaths was reported 80 individuals in the first 5 months of 2014. Th... more Results: The total number of deaths was reported 80 individuals in the first 5 months of 2014. The highest statistics of death was related to the Qom–Aveh road with 11 deaths, and 29 deaths were due to vehicle rollover. Most of the victims (17 cases), were in the age group of 0-10 years, followed by 21-30 and 31-40 age groups, each with 15 cases; 59 deceased individuals were male, and 28 individuals had primary education level, while this rate was two cases in individuals with bachelor's degree. Forty-one deceased individuals, were drivers. Fiftyseven subjects died at the scene of the accident. Multiple fractures and head trauma, were the most common cause of death with 38 and 36 subjects, respectively. Seventy deaths were related to the main roads and 17 deaths occurred on Thursday.
Journal of medical ethics and history of medicine, 2018
Moral distress is among the various types of distress that involves nurses and can lead to multip... more Moral distress is among the various types of distress that involves nurses and can lead to multiple complications. It is therefore rather important to identify the factors related to moral distress. The purpose of this study was to examine the relationship between futile care perception and moral distress among intensive care unit (ICU) nurses. This cross-sectional study used a descriptive-correlation method and was conducted on 117 ICU nurses of Qom hospitals in 2016. Data were collected using a 17-item futile care perception questionnaire, and Jameton's moral distress questionnaire containing 30 questions. Data analysis was performed using SPSS 16, descriptive statistics and univariate regression analysis. The results showed that the mean age of the participants was 34.99, and most (about 66.7%) were women. Univariate regression analysis indicated that when ICU nurses' perception of futile care and work experience increased, their moral distress also increased significantl...
Although conscience, as an ethical concept, has emerged widely in the field of nursing, its funct... more Although conscience, as an ethical concept, has emerged widely in the field of nursing, its functional meaning and its effects on nurses' performance are not clear. Therefore, the present study aimed to analyze the concept of conscience in the context of Iranian nurses’ ethical performance. This study used a hybrid model including theoretical, fieldwork, and final analytic stages. In the theoretical phase, English and Persian articles published up to 2020 and indexed by scientific databases were analyzed. In the fieldwork phase, semi-structured in-depth interviews were conducted on nurse participants. The last two stages were jointly considered to draw the study’s conclusions. In the theoretical phase, conscience was considered as a context-dependent concept, an inner voice, and a criterion for distinguishing right from wrong. The fieldwork phase’ results were categorized into three themes: “perception of conscience”, “commands of conscience”, and “obedience to conscience. T...
Background: Researches have shown that in some countries where patients are transferred from inte... more Background: Researches have shown that in some countries where patients are transferred from intensive care to the general ward, they experience mental challenges, including anxiety. However, in Iran no researches have been done on this subject. Objectives: The aim of this study was to evaluate the prevalence of anxiety in patients transferred from the intensive care unit to the general ward. Methods: This study was a cross-sectional study. Samples of this study included 110 patients transferred from the intensive care unit to the general ward. Spielberger's questionnaire was used to collect data. To analyze the data, the SPSS version 16 software was used. Results: After entering variables in the multivariate logistic regression model, it was found, that there was only a significant relationship between gender and anxiety. Statistical data showed that 63.6% of patients had moderate anxiety. Conclusions: According to the study, the subjects had high levels of anxiety, thus providing a platform for learning how to deal with anxiety seems to be required for these patients. The study also found that being female is directly related to the level of anxiety in these patients. Therefore, more attention to females during transfer from the intensive care to the general ward is important.
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