Alice Khachian - Academia.edu (original) (raw)

Papers by Alice Khachian

Supportive care in cancer, May 16, 2024

Military Caring Sciences

Introduction: The operating room can be used to treat various types of medical errors due to nume... more Introduction: The operating room can be used to treat various types of medical errors due to numerous invasive procedures. The effects of recording error messages and timely reporting on preventing it and improving patient safety are of great importance.

Aim: To develop and validate a shared governance feasibility instrument in schools of nursing in ... more Aim: To develop and validate a shared governance feasibility instrument in schools of nursing in Iran with respect to the nature of the profession and the sociocultural context of the Iranian community. Background: Nursing schools are liable to the application of shared governance due to the presence of various expert educational groups within the school that necessitates reciprocal cooperation. Since the concept of shared governance is culture-based and given that no full-fledged study has been conducted on shared governance in Iran, the development of a suitable shared governance feasibility instrument is rendered as mandatory. Methods: This sequential exploratory mixed method study consisted of two qualitative and quantitative parts was accomplished 2016-2019. First, the primary items were extracted through extensive review of literature and qualitative interviews and underwent psychometric validation using a methodological approach. Face, content, construct validity, reliability...

DOAJ (DOAJ: Directory of Open Access Journals), 2021

Background: Osteoporosis is the most common metabolic bone disease, which is greatly reduced by l... more Background: Osteoporosis is the most common metabolic bone disease, which is greatly reduced by lifestyle modification. The protection motivation theory (PMT) is one of the best theories to understand health behaviors and decisions made by a person to protect him or herself against harmful events and cope with them. Aims: Therefore, the researchers conducted this study to determine the effect of educational intervention based on PM theory on the osteoporosis preventive nutritional behaviors in women of reproductive age referred to healthcare centers in Sabzevar. Methods: This quasi-experimental study was performed on 66 women of the reproductive age of Sabzevar who were selected by stratified sampling. Data were collected through questionnaire, the validity and reliability of which were verified and confirmed. The intervention was held within 6 sessions. The evaluation took place three courses. The data analysis was carried out using Stata12 and p-value <0.05 was considered statistically significant.Results: A total of 66 women in the reproductive age of 15-49 participated in the present study. 43% of participants were under 30 years of age. The results showed that the mean score of behavior in the experimental groups changed with time, and there was a significant difference between the two groups at different times (p≤0.0001).Conclusion: In general, the results of this study showed the positive effect of education on model constructs and eventually increasing the frequency of osteoporosis preventive nutritional behaviors in women of reproductive age. Therefore, the results support the efficacy of this model in promoting osteoporosis preventive behaviors.

Journal of nursing & care, Mar 21, 2017

علوم مراقبتی نظامی, Dec 1, 2020

Introduction: Ethical climate determines how to make decisions in the organization based on ethic... more Introduction: Ethical climate determines how to make decisions in the organization based on ethical criteria leading to employee's satisfaction and quality of service. In a stressful environment of an operating room, the survey of the ethical climate can help to promote surgery properly. Furthermore, organizational commitment is one of the factors which determines the criteria for ethical decision making Objective: This study aimed to determine the correlation between ethical climate and organizational commitment from the viewpoints of operating room technologists and anesthesia technologists in hospitals affiliated to Iran University of Medical Sciences. Material and Methods: This descriptive-analytical cross-sectional study was performed on 161 operating room and anesthesia technologists working in the training hospitals of Iran University of Medical Sciences in 2019 by survey sampling. Data were collected using a questionnaire. The material consisted of three parts including demographic information, the ethical climate of Victor and his colleague, and the organizational commitment of Allen and his colleague. To analyse the data, descriptive and analytical statistics including Mean and Pearson's correlation test were used (SPSS 20) the significance level was considered less than 0.05. Results: The mean age of the subjects was 33.02±7.18 years, ranging from 23 to 53 years old; 71.4% were females; 24.3% had undergraduate education and the rest were college students. The working experience of subjects was at most in the range of 1 to 5 years (41.6%). The most frequent field of specialization was general surgery (21.1%).The strongest ethical climate and organizational commitment were associated with "professionalism" and "continued commitment", respectively. The result of Pearson's test showed that there is a positive and significant relationship between ethical climate and organizational commitment. (P=0.002 and R=0.237). Moreover, a significant relationship was found between its dimensions (P<0.05) Discussion and Conclusion: The results of present study help hospital managers to identify the ethical climate and organizational commitment, administer curricula to institutionalize ethics, and ultimately enhance organizational commitment and sustain human capital.

Journal of multidisciplinary care, Sep 30, 2022

Background and aims: Examining the preparedness of nurses, including the individual preparedness ... more Background and aims: Examining the preparedness of nurses, including the individual preparedness of emergency nurses, has yet to be investigated. Given the hypocrisy of emergency nurses as the first group of the treatment team in responding to accidents and disasters and reducing the amount of damage to patients, the present study aims to investigate the individual preparedness of emergency nurses of Iran University of Medical Sciences in facing disasters in 2019. Methods: The present study was descriptive-cross-sectional in which the preparedness of 190 nurses in the emergency departments of the teaching and therapeutic hospital affiliated with the Iran University of Medical Sciences was investigated. Data collection was done using a demographic characteristics checklist and the 37-item questionnaire on than individual preparedness of nurses in disasters. Data analysis was done by SPSS version 21 using descriptive statistics (frequency, percentage, mean ± standard deviation). To determine statistical significance, inferential statistics (independent t, analysis of variance, Spearman's correlation coefficient, Tukey's test) were used at the significance level (P < 0.05). Results: The study's results showed that nurses' preparedness was at a reasonable level. The highest average score was obtained for the teamwork communication skills domain (86.35 ± 14.01), and the lowest average score for the clinical skills in the disaster response phase domain (10.55 ± 20.50) based on 0 to 100 was obtained (P < 0.001). Among the demographic variables, age (31.84 ± 5.81 years) and nursing experience in the emergency department (7.02 ± 5.24) had a significant relationship with nurses' preparedness (P < 0.001). Conclusion: Having experience in nursing work and working in the emergency department plays a role in increasing the level of individual preparedness of nurses in disasters. Therefore, the recruitment of experienced staff in the emergency department and their hiring to training less professional staff should be encouraged. Implementing educational programs in the form of theoretical training and the performance of practical programs can effectively improve the level of preparedness of nurses, especially novice and apprenticeship ones, in facing disasters.

علوم مراقبتی نظامی, Apr 1, 2020

Current Oncology, Jul 16, 2023

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

نشریه پرستاری ایران, Sep 1, 2022

Background & Aims As a chronic disease with many complications, diabetes requires adherence to tr... more Background & Aims As a chronic disease with many complications, diabetes requires adherence to treatment regimen. Despite the importance of adherence, it is not done completely in these patients. Nonadherence to treatment has many personal and social consequences. Adherence in diabetic patients can lead to mortality reduction and success in the treatment of diabetes. Considering that adherence to the treatment regimen is challenging among diabetic patients and less attention has been paid to it in Iran, the present study aims to identify the factors related to adherence to treatment regimen among diabetic patients in Sari, Iran. Materials & Methods This descriptive cross-sectional study was conducted in 2021 on 226 adults with Type 2 diabetes referred to Baghban clinic affiliated to Mazandaran University of Medical Sciences in Sari, Iran who were selected using a continuous sampling method. Data were collected using a demographic form and the diabetes activities questionnaire. Questionnaires were prepared online using Google Forms. Data analysis was performed in SPSS software, version 26. Results The mean age of participants was 53.06±10.81 years. Most of them were female (61.9%) and married (85.8%) with a high school diploma (26.5%) and moderate economic status (69%). Economic status, age, and BMI had a significant relationship with adherence to treatment regimen (P<0.05); Economic status and age had a positive significant relationship while BMI had a negative significant relationship with adherence to treatment regimen. Diabetic patients with better economic status, higher age, and lower BMI had better adherence. Conclusion This study provides a basis for expanding knowledge of adherence to treatment regimens in diabetic patients in Iran. It is necessary for healthcare providers, especially nurses, to pay attention to the factors related to adherence to treatment in diabetic patients in providing care and education to them to have better treatment.

Research Square (Research Square), May 5, 2020

To develop and validate a shared governance feasibility instrument in schools of nursing in Iran ... more To develop and validate a shared governance feasibility instrument in schools of nursing in Iran with respect to the nature of the profession and the sociocultural context of the Iranian community. Background: Nursing schools are liable to the application of shared governance due to the presence of various expert educational groups within the school that necessitates reciprocal cooperation. Since the concept of shared governance is culture-based and given that no full-fledged study has been conducted on shared governance in Iran, the development of a suitable shared governance feasibility instrument is rendered as mandatory. Methods: This sequential exploratory mixed method study consisted of two qualitative and quantitative parts was accomplished 2016-2019. First, the primary items were extracted through extensive review of literature and qualitative interviews and underwent psychometric validation using a methodological approach. Face, content, construct validity, reliability of the instrument was established were done. Results: 150 items were distilled from the first stage of the study, was reduced to 70 after establishing face and content validity, and primary reliability. Exploratory factor analysis resulted in 52 items covering the two factors "shared atmosphere and culture" and "infrastructural prerequisites". These two factors accounted for 78.6% of the total variance of the questionnaire. In calculating the final reliability coefficient of the instrument, Cronbach's alpha and Omega were 0.981 and 0.805, respectively. The results showed an ICC of 0.91 indicating high reliability of the developed instrument with standard error of measurement (SEM) of 10.43. Finally, the items underwent weighting via scoring by considering item weights due to differences between the two methods. Conclusion: "Shared governance feasibility instrument" can provide a new insight to organizational performance for all policy-makers and beneficiaries of higher education. This not only leads to the use of intelligence and capabilities of the beneficiaries, but also aids in faster movement toward achieving organizational goals. Implications for Nursing Management : This study and the developed instrument may serve as guide for the feasibility of implementing shared governance to assess management styles and performance in higher education centers.

Journal of Multidisciplinary Care

Frontiers in Cardiovascular Medicine

ObjectivesGiven the increasing trend of care transition from healthcare settings to patients’ own... more ObjectivesGiven the increasing trend of care transition from healthcare settings to patients’ own home, patients and their family caregivers should take more responsibilities for care at own home. This study is going to investigate the effect of a transitional care program from hospital to own home using a digital messaging application on patients’ undergoing coronary artery bypass graft (CABG) surgery and their family caregivers’ health outcomes.MethodsA parallel randomized controlled trial study will be conducted in a hospital in a metropolis located in southwestern Iran. Sampling will be performed sequentially and the eligible dyad of patients and family caregivers will be randomly assigned to intervention and control groups. The intervention group will receive a transitional care program for 8 weeks using the WhatsApp on the mobile phone based on the person-centered care approach, but the control group will receive routine care for patient’s transition. Data collection will be c...

Archives of Hygiene Sciences

Background & Aims: COVID-19 pandemic affects the physical and mental health of nursing and midwif... more Background & Aims: COVID-19 pandemic affects the physical and mental health of nursing and midwifery students as a group who are potentially in contact with patients during a pandemic. Considering that receiving social support is very necessary for crisis situations and also good general health makes the person adapt to the surrounding environment; therefore the present study was conducted during the COVID-19 pandemic to determine the relationship between perceived social support and general health among nursing and midwifery students of Iran University of Medical Sciences. Materials and Methods: This descriptive correlational study was conducted from April to July 2019 with 186 students of the Faculty of Nursing and Midwifery of Iran University of Medical Sciences. The data collection tool was an electronic questionnaire including demographic information, General Health Questionnaire (GHQ), and Multidimensional Scale of Perceived Social Support questionnaire. Data were analyzed usi...

Clinical Nursing Research, Feb 14, 2023

World journal of plastic surgery, 2020

BACKGROUND Self-management programs on needs of burn patients are still essential. So this study ... more BACKGROUND Self-management programs on needs of burn patients are still essential. So this study determined the effect of self-management training on anxiety and comfort of burn patients who were candidate for skin grafting. METHODS In a continuous sampling method in Shahid Motahari Burn Center affiliated to Iran University of Medical Sciences, 80 burn patients candidate for skin grafting were divided into equal groups of intervention and control. Educational intervention was undertaken in the form of booklet during two sessions before and after skin grafting. Visual comfort scale questionnaire and Spiel Berger state-trait anxiety inventory were completed by patients before training and one month after intervention. RESULTS There was a significant difference between the frequency of comfort level in both groups before and after the intervention. The level of comfort in the intervention group increased more than control group. The mean level of patients' anxiety showed a signific...

World Journal of Plastic Surgery, 2019

BACKGROUND Burn is the fourth most common cause of trauma worldwide and is the fourth among the i... more BACKGROUND Burn is the fourth most common cause of trauma worldwide and is the fourth among the injuries and surgeries requiring medical care. This study was designed to determine the effect of a short-term training course by nurses on body image in patients with burn injuries. METHODS This study was a semi-experimental single-group survey assessing before and after interventions. Totally, 130 subjects (65 women and 65 men) were enrolled. The training course was held in 3 sessions of two hours. The contents of the group training course (a group of 5 people) were in relation to the body image and the factors affecting it, and the ways to improve the body image. The data collection instrument was the satisfaction with appearance scale (SWAP). RESULTS The mean scores of the body image of patients before and after the intervention were 49.44±11.39 and 41.63±11.89, respectively. There was a significant difference between the mean scores of body image before and after educational interven...

Introduction: Nosocomial (hospital-acquired) infections are one of the most important issues in p... more Introduction: Nosocomial (hospital-acquired) infections are one of the most important issues in patients' health and safety. They result in prolonged stay and emerging disabilities among patients, increased antibiotic resistance, increased mortality, and elevated health care costs for both individual patients and healthcare system. Given that the transmission of pathogens in the hospital environment is usually done through contaminated hands of health care employees, hand hygiene observation is effective in preventing nosocomial infections. Research performed in various countries has shown a variety of reasons for non-compliance with hand hygiene such as poor knowledge about this issue and lack of positive attitude towards it. For this purpose, a study designed by us in 2018-2019 aimed to determine the hand hygiene related knowledge, attitude and perception of nurses working in intensive care units of treatment educational centers of Iran University of Medical Sciences. Methodol...

Background: Cesarean section is one of the most important and common surgeries, and surgical inci... more Background: Cesarean section is one of the most important and common surgeries, and surgical incision wound disorders are one of the medical problems. Self-care behaviors can be effective in accelerating the wound healing process. Objectives: This study was conducted to determine the effect of a self-care training program on surgical incision wound healing in women undergoing cesarean section. Methods: This study was a quasi-experimental clinical trial on 72 women undergoing cesarean section in 2017 at one of the medical centers of Sarpol-e Zahab. Sampling was continuous, and subjects were randomly assigned to control or intervention groups based on inclusion criteria. The mothers of the experimental group were given a surgical wound care booklet, and the contents were taught by the researcher in 45 - 60 minutes one day before cesarean section. The learning rate was measured before and after the intervention at the clinic. Cesarean section wound healing was assessed 24 hours and nin...