Leila M Jouybari | Golestan University Of Medical Sciences (original) (raw)

Papers by Leila M Jouybari

Research paper thumbnail of Tendency to Hookah Among Adolescents in Kurdkoy City, Iran

Background and Objective: Nowadays, smoking is a widespread health problem in the world. Hookah s... more Background and Objective: Nowadays, smoking is a widespread health problem in the world. Hookah smoking is common in many countries, especially in the Middle East and Africa. This study aimed to investigate the causes of hookah smoking in adolescents in Kurdkoy, 2013. Material and Methods: This cross-sectional study was conducted on 266 teenagers selected via multi stage sampling. The questionnaires were distributed among the people who were present at the Coffeehouses and the results were reported by descriptive statistics. Results: The results showed that 51.5% of the participants said they use Hookah every day. The reasons were pastime (56.4), unemployment (41.7), Pleasant feeling (33.8), being with friends (33.5), fatigue reduction (33.5) and the availability of hookah (32.3). Conclusion: To minimize the tendency to Hookah smoking, we recommend planning some activities for leisure time, "learning to say no" and training how to reduce anxiety and fatigue.

Research paper thumbnail of The effects of foot reflexology on the level of depression in patients under hemodialysis

Journal of Nursing Education, 2017

Introduction: Depression is the most common psychological problems in hemodialysis patients that ... more Introduction: Depression is the most common psychological problems in hemodialysis patients that may lead to decreased quality of life and increased mortality rate. The aim of this study was to investigate the effect of foot reflexology on depression in patients undergoing hemodialysis. Methods: This clinical trial conducted on 78 patients who were admitted to hemodialysis wards in Imam Ali hospital and Iran Mehr Clinic of Bojnord City. Probability convenient sampling technique was used to select the sample. The patients randomly assigned to three groups including: experimental, control and placebo groups. Beck Depression questionnaire was used to measure the level of depression before and after the intervention. Foot reflexology was done in the experimental group, a simple foot massage without pushing standard reflexology points in placebo group, and the routine care in control group was conducted. Data analysis was done using SPSS 16 and ANOVA. Results: Mean depression score for patients in the experimental group, placebo group and control group were: (P < 0.001), (P = 0.016), and (P = 0.042), respectively. The depression was increased in the intervention and placebo group and had a reduction in the control group. Conclusions: Reflexology is an effective medical intervention in reducing depression in patients undergoing hemodialysis.

Research paper thumbnail of Title: Principle of confidentiality in patients with functional impairment in hospital: Case report

Education and Ethics in Nursing, 2016

Introduction: Secrecy and confidentiality of the information of patients is an important principl... more Introduction: Secrecy and confidentiality of the information of patients is an important principle in the medical profession. This has been a major challenge in patients with acquired immunodeficiency. However, the ethical aspects of protecting individual rights of other people related to the patient are very important. Therefore, in this study, a case has been presented with the ethical challenge of protecting the confidentiality of a patient with acquired immunodeficiency in the hospital. Case Report: The patient was 44 years old, admitted to the urological ward of hospital because of kidney stones. The patient had already diagnosed with HIV and hepatitis B. The became dismayed and disconcerted by the fact that other people in the hospital knew his disease and by failing to keep the secrets by the custodian, and after his confrontation, without treatment and crushing surgery, he was taken off the hospital with satisfaction. Conclusion: The ethical challenge we face in this study is to keep confidentiality of the patient, which is of autonomous principles and very important, and on the other hand, because of the fatalities of these diseases, informing and maintaining the safety of the other treatment teams is also very necessary. As a result, the solution is to provide confidential information to the staff and the label on the patient's case.

Research paper thumbnail of The Persian version of Neurofibromatosis type 1 Adult Health-Related Quality of Life (NF1-AdQOL) questionnaire in Iranians: A validity and reliability study

The quality of life of the neurofibromatosis community is evaluated with non-specialized tools in... more The quality of life of the neurofibromatosis community is evaluated with non-specialized tools in Iran. Generic QOL and skin HRQOL questionnaires do not measure the impact of disease-specific symptoms and/or concerns. What is new here? This study introduced a valid and reliable tool adapted to cultural differences to measure the QOL of NF1 patients in Persian.

Research paper thumbnail of Nurses' Experiences of Intimacy with the Patient in Pediatric Wards Affiliated to Mazandaran and Golestan Universities of Medical Sciences, Iran, 2016

Introduction: Intimacy is a kind of communication in which people need to have mutual trust and e... more Introduction: Intimacy is a kind of communication in which people need to have mutual trust and emotional closeness, and be able to detect each other's thoughts and feelings. Nurses need to establish a meaningful relationship with the child and his/her family. This study aimed to explain the quality of intimacy between nurses and patients in pediatric ward. Method: This phenomenological study was done in two university medical centers affiliated to Mazandaran and Golestan universities of medical sciences in Iran during the year 2016. 12 nurses were chosen in pediatric wards via purposive sampling method. To collect the data, semi-structured interviews were performed with at least one common question "When I say intimacy with the patient, what comes to your mind? Tell me about it"; probing questions such as why, how, and for example, frequently were used to deepen interviews. Interviews were recorded and transcribed immediately, and then were analyzed using a 7-step Col...

Research paper thumbnail of Copper Concentrations in Breast Cancer: A Systematic Review and Meta-Analysis

Current Medicinal Chemistry, 2020

Breast cancer is the most common neoplasm, comprising 16% of all women's cancers worldwide. R... more Breast cancer is the most common neoplasm, comprising 16% of all women's cancers worldwide. Research of Copper (Cu) concentrations in various body specimens have suggested an association between Cu levels and breast cancer risks. This systematic review and meta-analysis summarize the results of published studies and examine this association. We searched the databases PubMed, Scopus, Web of Science, and Google Scholar and the reference lists of relevant publications. The Standardized Mean Differences (SMDs) between Cu levels in cancer cases and controls and corresponding Confidence Intervals (CIs), as well as I2 statistics, were calculated to examine heterogeneity. Following the specimens used in the original studies, the Cu concentrations were examined in three subgroups: serum or plasma, breast tissue, and scalp hair. We identified 1711 relevant studies published from 1984 to 2017. There was no statistically significant difference between breast cancer cases and controls for Cu...

Research paper thumbnail of Comparative Study of Master’s Critical Care Nursing Program in Iran and Scotland (University of Edinburgh)

Research in Medical Education

Introduction: The field of critical care nursing provides the reduction of mortality and morbidit... more Introduction: The field of critical care nursing provides the reduction of mortality and morbidity in intensive care units through the optimization of nursing care for critical patients who need special care. The aim of this study was to compare the Iranian and Scottish Intensive Care Nursing Master's Degree Program (University of Edinburgh). Methods: This comparative study was conducted using the Bereday model in four stages of description, interpretation, comparison, and educational models based on the educational program of the critical care nursing master's course in Iran and Scotland. Result: The results showed that in Iran, curricula have been specially developed with a focus on nursing in the critical care units. In contrast, the goal of the Scottish curriculum is to develop nursing based on clinical evidence-based decision-making. Conclusion: Although the master's degree in intensive care nursing is free in Iran, clinical courses are not given as much attention as the curriculum in Scotland. The existence of part-time courses, planning courses aimed at training academic staff and online classes can increase the strength of the curriculum of this course in Iran.

Research paper thumbnail of اجرای پانل صدای بیماران در اولین همایش کشوری دانشجویی بیماری‌های نادر و ژنتیکی ایران: تجربه‌ای از آموزش پاسخ‌گویی اجتماعی Social Accountability Education To The Students Through The Panel “Voice Of Patients” At The First National Student Conference On Rare And Genetic Diseases In Iran

از زمانی که آموزش پزشکی به سمت جامعه محوری و جامعه‌نگری سوق پیدا کرده است، به مفهوم پاسخ‌گویی اجت... more از زمانی که آموزش پزشکی به سمت جامعه محوری و جامعه‌نگری سوق پیدا کرده است، به مفهوم پاسخ‌گویی اجتماعی آموزش پزشکی توجه شایانی معطوف گردیده است(1). دانشکده‌های پزشکی باید از نظر اجتماعی پاسخ‌گو باشند و باید درجات خاصی از پاسخ‌گویی در قبال سلامت جامعه را بپذیرند(2). دانشکده‌های پزشکی برای این که به اجتماع پاسخ‌گو باشند می‌بایست 10 استراتژی را به کار گیرند، اولین استراتژی "پاسخ به نیازهای سلامتی جاری و آتی و چالش‌های موجود در جامعه" تعریف شده است(3). از طرفی شواهد حاکی از آن است که برنامه‌های درسی آموزش پزشکی از نظر بینش‌های انسان‌گرایانه دچار فقر است. دانشکده‌های پزشکی از فراگیران انتظار حرفه‌گرای و سلوک حرفه‌ای را دارند در حالی در برنامه‌های درسی رویکرد انسان‌گرایانه آموزش داده نمی شود. مفاهیمی همانند پزشک به عنوان وکیل مدافع جامعه و همچنین آموزش علوم اجتماعی که از الزامات پاسخ‌گویی‌اند در برنامه‌های درسی مغفول مانده‌اند(1). اولین همایش کشوری دانشجویی بیماری‌های نادر و ژنتیکی ایرانی با محوری بیماری نوروفیبروماتوز در 25 آبان ماه 1394 در دانشگاه علوم پزشکی گلستان، گرگان برگزا...

Research paper thumbnail of Comparing of emotional intelligence in bright talents and non-talented students in Golestan university of medical sciences

هوش هیجانی دیدگاه جدیدی درباره پیش‏بینی عوامل مؤثر بر موفقیت افراددرجامعه را فراهم میسازد. هوش عم... more هوش هیجانی دیدگاه جدیدی درباره پیش‏بینی عوامل مؤثر بر موفقیت افراددرجامعه را فراهم میسازد. هوش عمومی دربهترین شرایط، تنهاعامل بیست درصدازموفقیت‏های زندگی است. هشتاد درصد موفقیت‏ها به عوامل دیگر از جمله هوش هیجانی وابسته است. درنظام آموزشي ما، اين مشكل وجود دارد كه برهوش شناختی تأكيد و هوش هيجاني كه بي اندازه درسرنوشت افراد اهميت دارند، ناديده گرفته مي شود. این مطالعه به مقایسه هوش هیجانی دانشجویان استعداددرخشان وغیراستعداددرخشان می پردازد. Background and Objective: Emotional Intelligence provides a new perspective to anticipate effective factors on people's success in a society. Cognitive Intelligence, in its best context, is the cause of 20 percent of people's success in their life. 80 percent of success depends on other factors like Emotional Intelligence.In our educational system there is more emphasis on cognitive intelligence than emotional intelligence. Therefore, as EQ is of paramount importance in people's future, this study investigated a comparison between tale...

Research paper thumbnail of یادگیری مبتنی بر تیم Team Based Learning

دکتر لیلا جویباری، دانشیار، دکترای آموزش پرستاری، کارشناسی ارشد آموزش پزشکی، دانشگاه علوم پزشکی گ... more دکتر لیلا جویباری، دانشیار، دکترای آموزش پرستاری، کارشناسی ارشد آموزش پزشکی، دانشگاه علوم پزشکی گلستان، jouybari@goums.ac.ir اهداف یادگیری : در انتهای این مبحث انتظار می رود شما قادر باشید: تعریف یادگیری مبتنی بر تیم توصیف چهار اصل اساسی یادگیری مبتنی بر تیم شناسایی مزایای یادگیری مبتنی بر تیم فهرست گام های اجرای یادگیری مبتنی بر تیم در یک درس این کارگاه را در دانشگاه علوم پزشکی سبزوار - اسفند 94 برگزار کرد

Research paper thumbnail of اسلاید مبحث سندرم کودک لوس Spoiled Child Syndrome

اسلاید مبحث سندرم کودک لوس - کلاس پرستاری کودکان یک - دانشگاه علوم پزشکی گلستان- گروه هدف: دانشجو... more اسلاید مبحث سندرم کودک لوس - کلاس پرستاری کودکان یک - دانشگاه علوم پزشکی گلستان- گروه هدف: دانشجویان پرستاری - مدرس: دکتر لیلا جویبار

Research paper thumbnail of تجربیات زیسته یک مادر دارای کودک مبتلا به سندرم وردینگ هافمن: مطالعه موردی کیفی The Lived Experiences of the Mother of a Child with Werdnig-Hoffman Syndrome: A Qualitative Case Study

مقدمه: سندوم وردینگ هافمن جزء بیماری‌های تحلیل برنده و پیش‌رونده عصبی- نخاعی محسوب می‌شود که به ص... more مقدمه: سندوم وردینگ هافمن جزء بیماری‌های تحلیل برنده و پیش‌رونده عصبی- نخاعی محسوب می‌شود که به صورت اتوزومی نهفته به ارث می‌رس

Research paper thumbnail of مقاومت در برابر اموزش توالت رفتن چیست؟

مقاومت در برابر آموزش توالت رفتن Toilet Training Potty Training Resistance Potty Training Refusal... more مقاومت در برابر آموزش توالت رفتن Toilet Training Potty Training Resistance Potty Training Refusal Why do Children Resist Potty Training مقاومت در برابر اموزش توالت رفتن چیست؟ کودکانی که اگرچه خودشان را خیس و کثیف می کنند و یا تلاش می کنند که حرکات مدفوع خود را به عقب برگردانند از اموزش توالت رفتن امتناع کنند. بسیاری از این کودکان همچنین از نشستن در توالت خودداری می کنند یا فقط زمانی از توالت استفاده خواهند کرد اگر والدین شان ان ها را بلند کنند و با هم به دستشویی بروند! کودکان بالای 3 سال و سالم اموزش ندیده نسبت به کودکان اموزش دیده بعد از چندین ماه از آموزش می توانند تظاهر به مقاومت در برابر فرایند اموزش کنند

Research paper thumbnail of مطالعه پديدارشناسي تجربه يائسگي زنان ترکمن

مقدمه: یائسگی، یک پدیده پیچیده دوران میانسالی است که شامل ابعاد جسمی، روانی و اجتماعی می باشد. اگ... more مقدمه: یائسگی، یک پدیده پیچیده دوران میانسالی است که شامل ابعاد جسمی، روانی و اجتماعی می باشد. اگر چه این پدیده، رویدادی زیستی است، اما معانی اجتماعی مرتبط به آن است که تعیین می کند چگونه یک زن، واقعیت چنین رویدادی را درک و تفسیر کند. درک زنان از این دوران انتقال، بستگی به هنجارهای فرهنگی، عوامل اجتماعی و دانش فردی درباره یائسگی دارد. این مطالعه پدیدارشناسی به منظور تبیین تجربه یائسگی زنان قومیت ترکمن انجام شد. روشکار: این مطالعه کیفی پدیدارشناسی در سال 1131 بر روی 54 زن ترکمن ساکن بندر ترکمن، آق قلا و گنبد در استان گلستان که تجربه یائسگی به صورت طبیعی داشتند، انجام شد. جهت گردآوری داده ها از مصاحبه های نیمه ساختار استفاده شد. تمام داده ها ضبط و دست نویس و با رویکرد "پدیدارشناسی ون منن" مورد تجزیه و تحلیل قرار گرفت. يافتهها: از آنالیز داده ها پنج مضمون اصلی "آمادگی برای یائسگی، رهایی از قفس، سبک و سنگین کردن، باورها و احساسات، درمان های خانگی" که تبیین کننده تجربیات زیستی زنان ترکمن از یائسگی است، استخراج شد. احساس راحتی برای عبادت، تمیزی و پاکی، کاهش درد و رنج، ...

Research paper thumbnail of رفتارهای نامحترمانه در محیط کار پرستاران: یک مطالعه کیفیUncivil Behaviors in Nursing Workplace: A Qualitative Study

Introduction: Uncivil behaviors in workplace are threating and a leading risk for health of nurse... more Introduction: Uncivil behaviors in workplace are threating and a leading risk for health of nurses and patients in clinical environments. Lack of job satisfaction and quitting are the main work-related outcomes of incivility. This study aimed to explain the concept of workplace incivility among nurses. Methods: In this research in 2014, using qualitative approach, 50 hospital nurses affiliated to Golestan University of Medical Sciences were participated. The sampling method was purposeful with maximum variation. Data were collected by semi-structured interviews; they were stopped after data saturation and analyzed using conventional qualitative content analysis method. Results: Eighty percent of participants were female, with 3-20 years of work experience. The concept of incivility was characterized with "inferiority", "verbal/non-verbal aggression", "threating", "blaming", "ignoring", and "isolating" in terms of interaction with coworkers, superiors, physician, patients, patients' attendants and cleaning staff. The participants experienced uncivility in a range of mild to severe and felt as it was very stressful; insulting from patients was perceived as less personal, so they could endure it better. The participants did not always know the best way to respond to uncivil behavior, how to deal with the agent of abusive behavior, or the mistreating behavior was not reported. Conclusions: The results showed that uncivil behaviors occur to varying degrees and in different aspects in the nurses' workplace. The persistence of such behaviors and feelings as well as lack of supporting system could lead to frustration from profession and stress.

Research paper thumbnail of Evaluation of pneumonia due to mechanical ventilation and its association with the severity of disease in patients admitted to intensive care unit

Acta Facultatis Medicae Naissensis, 2021

Among the hospital-acquired infections, ventilator-associated pneumonia (VAP) has the highest mor... more Among the hospital-acquired infections, ventilator-associated pneumonia (VAP) has the highest mortality and morbidity rates. The aim of this study was to identify VAP in the intensive care unit (ICU) and its association with the severity of the disease. This descriptive-analytic study was conducted in Golestan University of Medical Sciences (Northern Iran). In the present study, 239 patients undergoing mechanical ventilation hospitalized in ICU were selected through non-random sampling. Data were recorded by using APACHE II criteria and diagnosis of VAP was made based on clinical criterion and physician confirmation. Data were analyzed by independent t-test, Chi-square test, Mann-Whitney test, and single-variable logistic test. The incidence of VAP was 19.2% and it was significantly related to mean arterial pressure (P = 0.035) and male sex (P = 0.122). There was a significant and direct correlation between the incidence of VAP and the increase in the value of gastric residual volum...

Research paper thumbnail of Application Of Watson Human Care Theory On Anxiety And Frustration Of An Adolescent With Trauma And Burn Injury: An Educational Report

Education and Ethics in Nursing, 2020

Introduction: Patient response to trauma problems is influenced by individual's cultural and spir... more Introduction: Patient response to trauma problems is influenced by individual's cultural and spiritual background. This highlights the importance of spiritual and human care; nurses pay less attention to it. Watson's theory of human care states that human existence should not be treated as an object of care, and that care is a spiritual ideal that is intertwined with their mind, spirit, and body involved and effective. Objective: The purpose of this case report is to apply nursing care based on the theory of human care on adolescent anxiety and hopelessness with fracture trauma and burns. Methods and Materials: This case study of nursing care was based on Watson's human care model and Caritas care process on a patient with burn trauma and fracture. Data gathering method was qualitative method using semistructured interview. Care of the client was performed according to Watson's human care model in two phases: First phase. Interview based on Watson's human care model with the patient to identify care needs and problems second phase. Implement interventions based on the classification of identified needs and problems based on the ten care factors and caritas care processes and receive feedback. Case Study: This study reports the case of a 17-year-old adolescent with trauma of the 3rd and 2.5 th burns on the palms, fingers and wrists and from 5 fractures of the palms and fingers 3 and 4. Having a psychological problem during treatment, such as misery, loneliness, misery. In this study, Watson's theory of human care was used to identify and solve the patient's problem, so that follow-up care and educational interviews were conducted based on the classification of needs and psychological problems based on ten care factors. Conclusion: This study demonstrated the application of Watson's theory in difficult and anxious events. The improvement in the condition of the adolescent with trauma was based on the patient's expression of feelings of improvement during the care interview process.

Research paper thumbnail of Negligence and carelessness: A case report of neglect in care

Education and Ethics in Nursing, 2017

Research paper thumbnail of Comparative Study of Iran Nursing Doctoral Curriculum and University of Pennsylvania School of Nursing

Education and Ethics in Nursing, 2020

Introduction: It is important to prepare PhD students in nursing with scientific knowledge in thi... more Introduction: It is important to prepare PhD students in nursing with scientific knowledge in this profession based on correct and applicable curricula. The doctoral program has traditionally been considered the focus of nursing research; therefore, evaluating the quality of nursing doctoral education and comparing it with robust educational programs in the world is essential.

Research paper thumbnail of Quality of life of the mothers of children with autism

مجله دانشگاه علوم پزشکی گرگان, 2019

Background and Objective: Parents of children with autism have difficulty in their daily activiti... more Background and Objective: Parents of children with autism have difficulty in their daily activities and social relationships and have a low quality of life. The negative effect of having a low intelligence or disabled child is more likely to cause tension and pressure on mother than the other family members. This study was conducted to determine the quality of life of mothers with autism children compared to mothers with normal children. Methods: This case-control study was performed on 36 mothers with autistic child and 114 mothers with healthy children in Gorgan (Iran) during 2015. Sampling was done randomly and the data gathering tool was SF-36 quality of life standard questionnaire. Results: The quality of life of mothers with autistic child had a significant reduction in comparison with the quality of life of mothers with healthy child (P<0.05). Also, items of quality of life including general health, social function, and role limitation due to psychological, emotional and ...

Research paper thumbnail of Tendency to Hookah Among Adolescents in Kurdkoy City, Iran

Background and Objective: Nowadays, smoking is a widespread health problem in the world. Hookah s... more Background and Objective: Nowadays, smoking is a widespread health problem in the world. Hookah smoking is common in many countries, especially in the Middle East and Africa. This study aimed to investigate the causes of hookah smoking in adolescents in Kurdkoy, 2013. Material and Methods: This cross-sectional study was conducted on 266 teenagers selected via multi stage sampling. The questionnaires were distributed among the people who were present at the Coffeehouses and the results were reported by descriptive statistics. Results: The results showed that 51.5% of the participants said they use Hookah every day. The reasons were pastime (56.4), unemployment (41.7), Pleasant feeling (33.8), being with friends (33.5), fatigue reduction (33.5) and the availability of hookah (32.3). Conclusion: To minimize the tendency to Hookah smoking, we recommend planning some activities for leisure time, "learning to say no" and training how to reduce anxiety and fatigue.

Research paper thumbnail of The effects of foot reflexology on the level of depression in patients under hemodialysis

Journal of Nursing Education, 2017

Introduction: Depression is the most common psychological problems in hemodialysis patients that ... more Introduction: Depression is the most common psychological problems in hemodialysis patients that may lead to decreased quality of life and increased mortality rate. The aim of this study was to investigate the effect of foot reflexology on depression in patients undergoing hemodialysis. Methods: This clinical trial conducted on 78 patients who were admitted to hemodialysis wards in Imam Ali hospital and Iran Mehr Clinic of Bojnord City. Probability convenient sampling technique was used to select the sample. The patients randomly assigned to three groups including: experimental, control and placebo groups. Beck Depression questionnaire was used to measure the level of depression before and after the intervention. Foot reflexology was done in the experimental group, a simple foot massage without pushing standard reflexology points in placebo group, and the routine care in control group was conducted. Data analysis was done using SPSS 16 and ANOVA. Results: Mean depression score for patients in the experimental group, placebo group and control group were: (P < 0.001), (P = 0.016), and (P = 0.042), respectively. The depression was increased in the intervention and placebo group and had a reduction in the control group. Conclusions: Reflexology is an effective medical intervention in reducing depression in patients undergoing hemodialysis.

Research paper thumbnail of Title: Principle of confidentiality in patients with functional impairment in hospital: Case report

Education and Ethics in Nursing, 2016

Introduction: Secrecy and confidentiality of the information of patients is an important principl... more Introduction: Secrecy and confidentiality of the information of patients is an important principle in the medical profession. This has been a major challenge in patients with acquired immunodeficiency. However, the ethical aspects of protecting individual rights of other people related to the patient are very important. Therefore, in this study, a case has been presented with the ethical challenge of protecting the confidentiality of a patient with acquired immunodeficiency in the hospital. Case Report: The patient was 44 years old, admitted to the urological ward of hospital because of kidney stones. The patient had already diagnosed with HIV and hepatitis B. The became dismayed and disconcerted by the fact that other people in the hospital knew his disease and by failing to keep the secrets by the custodian, and after his confrontation, without treatment and crushing surgery, he was taken off the hospital with satisfaction. Conclusion: The ethical challenge we face in this study is to keep confidentiality of the patient, which is of autonomous principles and very important, and on the other hand, because of the fatalities of these diseases, informing and maintaining the safety of the other treatment teams is also very necessary. As a result, the solution is to provide confidential information to the staff and the label on the patient's case.

Research paper thumbnail of The Persian version of Neurofibromatosis type 1 Adult Health-Related Quality of Life (NF1-AdQOL) questionnaire in Iranians: A validity and reliability study

The quality of life of the neurofibromatosis community is evaluated with non-specialized tools in... more The quality of life of the neurofibromatosis community is evaluated with non-specialized tools in Iran. Generic QOL and skin HRQOL questionnaires do not measure the impact of disease-specific symptoms and/or concerns. What is new here? This study introduced a valid and reliable tool adapted to cultural differences to measure the QOL of NF1 patients in Persian.

Research paper thumbnail of Nurses' Experiences of Intimacy with the Patient in Pediatric Wards Affiliated to Mazandaran and Golestan Universities of Medical Sciences, Iran, 2016

Introduction: Intimacy is a kind of communication in which people need to have mutual trust and e... more Introduction: Intimacy is a kind of communication in which people need to have mutual trust and emotional closeness, and be able to detect each other's thoughts and feelings. Nurses need to establish a meaningful relationship with the child and his/her family. This study aimed to explain the quality of intimacy between nurses and patients in pediatric ward. Method: This phenomenological study was done in two university medical centers affiliated to Mazandaran and Golestan universities of medical sciences in Iran during the year 2016. 12 nurses were chosen in pediatric wards via purposive sampling method. To collect the data, semi-structured interviews were performed with at least one common question "When I say intimacy with the patient, what comes to your mind? Tell me about it"; probing questions such as why, how, and for example, frequently were used to deepen interviews. Interviews were recorded and transcribed immediately, and then were analyzed using a 7-step Col...

Research paper thumbnail of Copper Concentrations in Breast Cancer: A Systematic Review and Meta-Analysis

Current Medicinal Chemistry, 2020

Breast cancer is the most common neoplasm, comprising 16% of all women's cancers worldwide. R... more Breast cancer is the most common neoplasm, comprising 16% of all women's cancers worldwide. Research of Copper (Cu) concentrations in various body specimens have suggested an association between Cu levels and breast cancer risks. This systematic review and meta-analysis summarize the results of published studies and examine this association. We searched the databases PubMed, Scopus, Web of Science, and Google Scholar and the reference lists of relevant publications. The Standardized Mean Differences (SMDs) between Cu levels in cancer cases and controls and corresponding Confidence Intervals (CIs), as well as I2 statistics, were calculated to examine heterogeneity. Following the specimens used in the original studies, the Cu concentrations were examined in three subgroups: serum or plasma, breast tissue, and scalp hair. We identified 1711 relevant studies published from 1984 to 2017. There was no statistically significant difference between breast cancer cases and controls for Cu...

Research paper thumbnail of Comparative Study of Master’s Critical Care Nursing Program in Iran and Scotland (University of Edinburgh)

Research in Medical Education

Introduction: The field of critical care nursing provides the reduction of mortality and morbidit... more Introduction: The field of critical care nursing provides the reduction of mortality and morbidity in intensive care units through the optimization of nursing care for critical patients who need special care. The aim of this study was to compare the Iranian and Scottish Intensive Care Nursing Master's Degree Program (University of Edinburgh). Methods: This comparative study was conducted using the Bereday model in four stages of description, interpretation, comparison, and educational models based on the educational program of the critical care nursing master's course in Iran and Scotland. Result: The results showed that in Iran, curricula have been specially developed with a focus on nursing in the critical care units. In contrast, the goal of the Scottish curriculum is to develop nursing based on clinical evidence-based decision-making. Conclusion: Although the master's degree in intensive care nursing is free in Iran, clinical courses are not given as much attention as the curriculum in Scotland. The existence of part-time courses, planning courses aimed at training academic staff and online classes can increase the strength of the curriculum of this course in Iran.

Research paper thumbnail of اجرای پانل صدای بیماران در اولین همایش کشوری دانشجویی بیماری‌های نادر و ژنتیکی ایران: تجربه‌ای از آموزش پاسخ‌گویی اجتماعی Social Accountability Education To The Students Through The Panel “Voice Of Patients” At The First National Student Conference On Rare And Genetic Diseases In Iran

از زمانی که آموزش پزشکی به سمت جامعه محوری و جامعه‌نگری سوق پیدا کرده است، به مفهوم پاسخ‌گویی اجت... more از زمانی که آموزش پزشکی به سمت جامعه محوری و جامعه‌نگری سوق پیدا کرده است، به مفهوم پاسخ‌گویی اجتماعی آموزش پزشکی توجه شایانی معطوف گردیده است(1). دانشکده‌های پزشکی باید از نظر اجتماعی پاسخ‌گو باشند و باید درجات خاصی از پاسخ‌گویی در قبال سلامت جامعه را بپذیرند(2). دانشکده‌های پزشکی برای این که به اجتماع پاسخ‌گو باشند می‌بایست 10 استراتژی را به کار گیرند، اولین استراتژی "پاسخ به نیازهای سلامتی جاری و آتی و چالش‌های موجود در جامعه" تعریف شده است(3). از طرفی شواهد حاکی از آن است که برنامه‌های درسی آموزش پزشکی از نظر بینش‌های انسان‌گرایانه دچار فقر است. دانشکده‌های پزشکی از فراگیران انتظار حرفه‌گرای و سلوک حرفه‌ای را دارند در حالی در برنامه‌های درسی رویکرد انسان‌گرایانه آموزش داده نمی شود. مفاهیمی همانند پزشک به عنوان وکیل مدافع جامعه و همچنین آموزش علوم اجتماعی که از الزامات پاسخ‌گویی‌اند در برنامه‌های درسی مغفول مانده‌اند(1). اولین همایش کشوری دانشجویی بیماری‌های نادر و ژنتیکی ایرانی با محوری بیماری نوروفیبروماتوز در 25 آبان ماه 1394 در دانشگاه علوم پزشکی گلستان، گرگان برگزا...

Research paper thumbnail of Comparing of emotional intelligence in bright talents and non-talented students in Golestan university of medical sciences

هوش هیجانی دیدگاه جدیدی درباره پیش‏بینی عوامل مؤثر بر موفقیت افراددرجامعه را فراهم میسازد. هوش عم... more هوش هیجانی دیدگاه جدیدی درباره پیش‏بینی عوامل مؤثر بر موفقیت افراددرجامعه را فراهم میسازد. هوش عمومی دربهترین شرایط، تنهاعامل بیست درصدازموفقیت‏های زندگی است. هشتاد درصد موفقیت‏ها به عوامل دیگر از جمله هوش هیجانی وابسته است. درنظام آموزشي ما، اين مشكل وجود دارد كه برهوش شناختی تأكيد و هوش هيجاني كه بي اندازه درسرنوشت افراد اهميت دارند، ناديده گرفته مي شود. این مطالعه به مقایسه هوش هیجانی دانشجویان استعداددرخشان وغیراستعداددرخشان می پردازد. Background and Objective: Emotional Intelligence provides a new perspective to anticipate effective factors on people's success in a society. Cognitive Intelligence, in its best context, is the cause of 20 percent of people's success in their life. 80 percent of success depends on other factors like Emotional Intelligence.In our educational system there is more emphasis on cognitive intelligence than emotional intelligence. Therefore, as EQ is of paramount importance in people's future, this study investigated a comparison between tale...

Research paper thumbnail of یادگیری مبتنی بر تیم Team Based Learning

دکتر لیلا جویباری، دانشیار، دکترای آموزش پرستاری، کارشناسی ارشد آموزش پزشکی، دانشگاه علوم پزشکی گ... more دکتر لیلا جویباری، دانشیار، دکترای آموزش پرستاری، کارشناسی ارشد آموزش پزشکی، دانشگاه علوم پزشکی گلستان، jouybari@goums.ac.ir اهداف یادگیری : در انتهای این مبحث انتظار می رود شما قادر باشید: تعریف یادگیری مبتنی بر تیم توصیف چهار اصل اساسی یادگیری مبتنی بر تیم شناسایی مزایای یادگیری مبتنی بر تیم فهرست گام های اجرای یادگیری مبتنی بر تیم در یک درس این کارگاه را در دانشگاه علوم پزشکی سبزوار - اسفند 94 برگزار کرد

Research paper thumbnail of اسلاید مبحث سندرم کودک لوس Spoiled Child Syndrome

اسلاید مبحث سندرم کودک لوس - کلاس پرستاری کودکان یک - دانشگاه علوم پزشکی گلستان- گروه هدف: دانشجو... more اسلاید مبحث سندرم کودک لوس - کلاس پرستاری کودکان یک - دانشگاه علوم پزشکی گلستان- گروه هدف: دانشجویان پرستاری - مدرس: دکتر لیلا جویبار

Research paper thumbnail of تجربیات زیسته یک مادر دارای کودک مبتلا به سندرم وردینگ هافمن: مطالعه موردی کیفی The Lived Experiences of the Mother of a Child with Werdnig-Hoffman Syndrome: A Qualitative Case Study

مقدمه: سندوم وردینگ هافمن جزء بیماری‌های تحلیل برنده و پیش‌رونده عصبی- نخاعی محسوب می‌شود که به ص... more مقدمه: سندوم وردینگ هافمن جزء بیماری‌های تحلیل برنده و پیش‌رونده عصبی- نخاعی محسوب می‌شود که به صورت اتوزومی نهفته به ارث می‌رس

Research paper thumbnail of مقاومت در برابر اموزش توالت رفتن چیست؟

مقاومت در برابر آموزش توالت رفتن Toilet Training Potty Training Resistance Potty Training Refusal... more مقاومت در برابر آموزش توالت رفتن Toilet Training Potty Training Resistance Potty Training Refusal Why do Children Resist Potty Training مقاومت در برابر اموزش توالت رفتن چیست؟ کودکانی که اگرچه خودشان را خیس و کثیف می کنند و یا تلاش می کنند که حرکات مدفوع خود را به عقب برگردانند از اموزش توالت رفتن امتناع کنند. بسیاری از این کودکان همچنین از نشستن در توالت خودداری می کنند یا فقط زمانی از توالت استفاده خواهند کرد اگر والدین شان ان ها را بلند کنند و با هم به دستشویی بروند! کودکان بالای 3 سال و سالم اموزش ندیده نسبت به کودکان اموزش دیده بعد از چندین ماه از آموزش می توانند تظاهر به مقاومت در برابر فرایند اموزش کنند

Research paper thumbnail of مطالعه پديدارشناسي تجربه يائسگي زنان ترکمن

مقدمه: یائسگی، یک پدیده پیچیده دوران میانسالی است که شامل ابعاد جسمی، روانی و اجتماعی می باشد. اگ... more مقدمه: یائسگی، یک پدیده پیچیده دوران میانسالی است که شامل ابعاد جسمی، روانی و اجتماعی می باشد. اگر چه این پدیده، رویدادی زیستی است، اما معانی اجتماعی مرتبط به آن است که تعیین می کند چگونه یک زن، واقعیت چنین رویدادی را درک و تفسیر کند. درک زنان از این دوران انتقال، بستگی به هنجارهای فرهنگی، عوامل اجتماعی و دانش فردی درباره یائسگی دارد. این مطالعه پدیدارشناسی به منظور تبیین تجربه یائسگی زنان قومیت ترکمن انجام شد. روشکار: این مطالعه کیفی پدیدارشناسی در سال 1131 بر روی 54 زن ترکمن ساکن بندر ترکمن، آق قلا و گنبد در استان گلستان که تجربه یائسگی به صورت طبیعی داشتند، انجام شد. جهت گردآوری داده ها از مصاحبه های نیمه ساختار استفاده شد. تمام داده ها ضبط و دست نویس و با رویکرد "پدیدارشناسی ون منن" مورد تجزیه و تحلیل قرار گرفت. يافتهها: از آنالیز داده ها پنج مضمون اصلی "آمادگی برای یائسگی، رهایی از قفس، سبک و سنگین کردن، باورها و احساسات، درمان های خانگی" که تبیین کننده تجربیات زیستی زنان ترکمن از یائسگی است، استخراج شد. احساس راحتی برای عبادت، تمیزی و پاکی، کاهش درد و رنج، ...

Research paper thumbnail of رفتارهای نامحترمانه در محیط کار پرستاران: یک مطالعه کیفیUncivil Behaviors in Nursing Workplace: A Qualitative Study

Introduction: Uncivil behaviors in workplace are threating and a leading risk for health of nurse... more Introduction: Uncivil behaviors in workplace are threating and a leading risk for health of nurses and patients in clinical environments. Lack of job satisfaction and quitting are the main work-related outcomes of incivility. This study aimed to explain the concept of workplace incivility among nurses. Methods: In this research in 2014, using qualitative approach, 50 hospital nurses affiliated to Golestan University of Medical Sciences were participated. The sampling method was purposeful with maximum variation. Data were collected by semi-structured interviews; they were stopped after data saturation and analyzed using conventional qualitative content analysis method. Results: Eighty percent of participants were female, with 3-20 years of work experience. The concept of incivility was characterized with "inferiority", "verbal/non-verbal aggression", "threating", "blaming", "ignoring", and "isolating" in terms of interaction with coworkers, superiors, physician, patients, patients' attendants and cleaning staff. The participants experienced uncivility in a range of mild to severe and felt as it was very stressful; insulting from patients was perceived as less personal, so they could endure it better. The participants did not always know the best way to respond to uncivil behavior, how to deal with the agent of abusive behavior, or the mistreating behavior was not reported. Conclusions: The results showed that uncivil behaviors occur to varying degrees and in different aspects in the nurses' workplace. The persistence of such behaviors and feelings as well as lack of supporting system could lead to frustration from profession and stress.

Research paper thumbnail of Evaluation of pneumonia due to mechanical ventilation and its association with the severity of disease in patients admitted to intensive care unit

Acta Facultatis Medicae Naissensis, 2021

Among the hospital-acquired infections, ventilator-associated pneumonia (VAP) has the highest mor... more Among the hospital-acquired infections, ventilator-associated pneumonia (VAP) has the highest mortality and morbidity rates. The aim of this study was to identify VAP in the intensive care unit (ICU) and its association with the severity of the disease. This descriptive-analytic study was conducted in Golestan University of Medical Sciences (Northern Iran). In the present study, 239 patients undergoing mechanical ventilation hospitalized in ICU were selected through non-random sampling. Data were recorded by using APACHE II criteria and diagnosis of VAP was made based on clinical criterion and physician confirmation. Data were analyzed by independent t-test, Chi-square test, Mann-Whitney test, and single-variable logistic test. The incidence of VAP was 19.2% and it was significantly related to mean arterial pressure (P = 0.035) and male sex (P = 0.122). There was a significant and direct correlation between the incidence of VAP and the increase in the value of gastric residual volum...

Research paper thumbnail of Application Of Watson Human Care Theory On Anxiety And Frustration Of An Adolescent With Trauma And Burn Injury: An Educational Report

Education and Ethics in Nursing, 2020

Introduction: Patient response to trauma problems is influenced by individual's cultural and spir... more Introduction: Patient response to trauma problems is influenced by individual's cultural and spiritual background. This highlights the importance of spiritual and human care; nurses pay less attention to it. Watson's theory of human care states that human existence should not be treated as an object of care, and that care is a spiritual ideal that is intertwined with their mind, spirit, and body involved and effective. Objective: The purpose of this case report is to apply nursing care based on the theory of human care on adolescent anxiety and hopelessness with fracture trauma and burns. Methods and Materials: This case study of nursing care was based on Watson's human care model and Caritas care process on a patient with burn trauma and fracture. Data gathering method was qualitative method using semistructured interview. Care of the client was performed according to Watson's human care model in two phases: First phase. Interview based on Watson's human care model with the patient to identify care needs and problems second phase. Implement interventions based on the classification of identified needs and problems based on the ten care factors and caritas care processes and receive feedback. Case Study: This study reports the case of a 17-year-old adolescent with trauma of the 3rd and 2.5 th burns on the palms, fingers and wrists and from 5 fractures of the palms and fingers 3 and 4. Having a psychological problem during treatment, such as misery, loneliness, misery. In this study, Watson's theory of human care was used to identify and solve the patient's problem, so that follow-up care and educational interviews were conducted based on the classification of needs and psychological problems based on ten care factors. Conclusion: This study demonstrated the application of Watson's theory in difficult and anxious events. The improvement in the condition of the adolescent with trauma was based on the patient's expression of feelings of improvement during the care interview process.

Research paper thumbnail of Negligence and carelessness: A case report of neglect in care

Education and Ethics in Nursing, 2017

Research paper thumbnail of Comparative Study of Iran Nursing Doctoral Curriculum and University of Pennsylvania School of Nursing

Education and Ethics in Nursing, 2020

Introduction: It is important to prepare PhD students in nursing with scientific knowledge in thi... more Introduction: It is important to prepare PhD students in nursing with scientific knowledge in this profession based on correct and applicable curricula. The doctoral program has traditionally been considered the focus of nursing research; therefore, evaluating the quality of nursing doctoral education and comparing it with robust educational programs in the world is essential.

Research paper thumbnail of Quality of life of the mothers of children with autism

مجله دانشگاه علوم پزشکی گرگان, 2019

Background and Objective: Parents of children with autism have difficulty in their daily activiti... more Background and Objective: Parents of children with autism have difficulty in their daily activities and social relationships and have a low quality of life. The negative effect of having a low intelligence or disabled child is more likely to cause tension and pressure on mother than the other family members. This study was conducted to determine the quality of life of mothers with autism children compared to mothers with normal children. Methods: This case-control study was performed on 36 mothers with autistic child and 114 mothers with healthy children in Gorgan (Iran) during 2015. Sampling was done randomly and the data gathering tool was SF-36 quality of life standard questionnaire. Results: The quality of life of mothers with autistic child had a significant reduction in comparison with the quality of life of mothers with healthy child (P<0.05). Also, items of quality of life including general health, social function, and role limitation due to psychological, emotional and ...