nasrin Elahi - Academia.edu (original) (raw)

Papers by nasrin Elahi

Diversity & Equality in Health and Care, 2016

Background & aim: Diabetes is the most common metabolic disease in the world that in the absence ... more Background & aim: Diabetes is the most common metabolic disease in the world that in the absence of appropriate controls it could results in significant morbidity and mortality. Appropriate Blood sugar controlling measures could reduce or delay the onset and progression of diabetes complications. Considering the importance of providing cares for diabetic patients that has been implied by the American Diabetes Association, this study was conducted to check the status of the diabetes cares provided in the Ahvaz diabetes clinics. Methods: This cross-sectional study was conducted by convenient sampling Method on 296 diabetic patients referred to the diabetes clinics in the Ahvaz. Data was collected from patients through questionnaires, medical records and blood A1C hemoglobin measurement through a blood test. Data was analyzed using SPSS software (version 21) with a significance level of less than 0.05 and descriptive statistics, Paired t-test and chi-square. Results: The results showed that the majority of patients (70.9%) were women in the age range of 80-56 years (76.8%). A large percentage (79%) of patient has high blood pressure but only 45.3% of them were taking ASA. the 83.8% of people has high blood fat, and most of them (66.8%) had non-standard hemoglobin A1C. The annual examination of the heart (ECG) and eye exams was done in 70.9% and 82.4% of patients respectively. But a small percentage of patients, 18.2% and 29% respectively, underwent neurological examination and foot examination. Kidney tests and measurement of blood fat and blood were done in 82.4%, 98.6% and 89.9% of patients, respectively. Conclusion: Despite the desirability of the care provided in most cases and their compliance with the international standards of American Diabetes Association, we see lacks of proper control of blood glucose in these patients. As a result, the evaluation of the quality of cares provided at the national level, introducing appropriate solutions, as well as relying on the necessity of patient and health workers adherence with the medical cares are suggested to improvement of the health status of individuals.

Nursing and midwifery studies, 2018

Background: Patients with breast cancer (BC) suffer from sleep disorders, pain, fatigue, and naus... more Background: Patients with breast cancer (BC) suffer from sleep disorders, pain, fatigue, and nausea after receiving chemotherapy. Objectives: The objective of this study was to assess the effects of the continuous care model (CCM) on sleep quality, pain, fatigue, and nausea among patients with BC who were receiving chemotherapy. Methods: This randomized clinical trial was conducted on 78 patients with BC who referred in April-June 2013 to the chemotherapy clinic of Ahvaz University of Medical Sciences, Ahvaz, Iran. Initially, patients were paired with each other respecting their age, type of surgery, and educational level, and then through tossing a coin, one patient in each pair was randomly allocated to the intervention and the other to the control group. The CCM was used for care provision to patients in the intervention group, while care services were provided to patients in the control group through routine methods. Data were collected 4 days after chemotherapy onset and 2 months after the intervention using a demographic questionnaire, a visual analog scale for nausea assessment, the Pittsburgh Sleep Quality Index, the Brief Fatigue Inventory, and a 10-cm ruler for pain assessment. For data analysis, the independent-sample t and the Chi-square tests were used. Results: Before the intervention, the groups did not significantly differ from each other concerning the scores of sleep quality, fatigue, pain, and nausea (P > 0.05). However, after the intervention, between-group differences of the intervention group and the controls were statistically significant for sleep quality (7.81 ± 4.50 vs. 16.80 ± 4.32, P < 0.0001), fatigue (36.23 ± 15.60 vs. 61.00 ± 12.32, P < 0.0001), pain (2.90 ± 2.82 vs. 6.81 ± 2.31, P < 0.0001), and nausea (2.16 ± 2.90 vs. 5.2 ± 2.93, P < 0.0001). Conclusion: This study proves the positive effects of the CCM on sleep quality, pain, fatigue, and nausea among patients with BC. Nurses can use this model to improve the patient outcomes.

Journal of Clinical Research, Sep 21, 2015

Indian journal of forensic medicine and toxicology, 2018

Telemedicine is new method for better diagnosis and treatment. The triangulation study was conduc... more Telemedicine is new method for better diagnosis and treatment. The triangulation study was conducted in order to Survey of Iranian Physician's view about Telemedicine and its Potential use in Medical Practice. The descriptive_ analysis study was done in two main phases. First, various aspects of telemedicine were evaluated and identified by 22 experts on Delphi method and was designed a questionnaire. After its validity and reliability were confirmed (%87). 235 physicians completed questionnaire. The data were analyzed by spss software. Findings showed that treating physicians would have fully agreed about the aspects of running time of treatment and care and costs and economic problems. However, their views were negative with the rules and confidentiality of information and physician-patient relationship. It is recommended that authorities establish the appropriate infrastructures to launch this system and hold appropriate training for users in order to making optimum use of the system.

Journal of Nursing Education, May 15, 2014

Frontiers in Public Health

Background and ObjectiveIn recent decades, nursing has witnessed many changes in Iran. Despite th... more Background and ObjectiveIn recent decades, nursing has witnessed many changes in Iran. Despite the numerous advances in nursing, the health system faces many challenges in community health nursing. This study aims to review the challenges in community health nursing in Iran and provide an evidence-based solution as well.Materials and MethodsThis article is an integrated review of the literature regarding the challenges in community health nursing published between 2000 and 2021 in the databases Scopus, Medline, Cochrane Database of Systematic Reviews, Science Direct, Google Scholar, Scientific Information Database (SID). After performing searches, 20 articles were selected and studied. Data analysis was done using Russell approach (2005).FindingsThe results of this study were summarized in 6 themes consisting of challenges in community health nursing education, practical challenges in community health nursing, policy-making challenges in community health nursing, management challeng...

BMC Nursing

Background Considering the need for nurses specializing in community health and in order to defin... more Background Considering the need for nurses specializing in community health and in order to define professional duties for future planning towards creating the position of community health nurses in the primary health care system of Iran, this study aims to explain the range of services which can be provided by community health nurses from the perspective of the mangers and nurses. Methods The present qualitative study was conducted with the approach of contract content analysis in Iran in 2020. This study was conducted through in-depth and semi-structured interviews with 22 participants, including community health nursing faculty members, health deputies and managers, community health nurses working in health centers, and the care seekers visiting comprehensive health centers. The samples were selected through purposeful sampling. The interviews continued until data saturation. Data analysis was performed simultaneously with data collection. The interviews were recorded, transcribe...

Indian Journal of Medical Ethics

Religious, economic, political, social, and cultural factors influence professional autonomy in n... more Religious, economic, political, social, and cultural factors influence professional autonomy in nursing, and differ from country to country. The aim of this study was to explain barriers and facilitators of professional autonomy in the experience of clinical nurses. This qualitative study was conducted on 19 clinical nurses and nursing managers selected based on purposive sampling from January 2018 to December 2019. Data were collected through semi-structured interviews, which continued until data saturation was reached. Conventional content analysis based on the Graneheim and Lundman approach was used to analyse the data. Data were categorised into 34 subcategories, 8 main categories, and two main themes, which were titled as facilitators of professional autonomy (professional, organisational, and individual factors, and effective communication) and barriers to professional autonomy (professional, organisational, and personal barriers, and inappropriate communications). The results...

Jundishapur Scientific Medical Journal, Nov 21, 2012

Frontiers in Public Health, 2022

Background: Accepting community health nursing in the primary care system of each country and foc... more Background: Accepting community health nursing in the primary care system of each country and focusing on creating a position for community health nurses is of significant importance. The aim of this study was to examine the stakeholders' perception of the requirements for establishing a position for community health nursing in the Iranian primary health care system.Methods: This qualitative study was done using 24 semi-structured interviews conducted from May 2020 to February 2021 in Iran. The participants were selected through purposive sampling and consisted of nursing policy makers, the policy makers of the Health Deputy of Ministry of Health, the managers and the authorities of universities of medical sciences all across the country, community health nursing faculty members, and community health nurses working in health care centers. After recording and transcribing the data, data analysis was performed in MAXQDA10 software, using Elo and Kyngas's directed content analy...

Jundishapur Journal of Chronic Disease Care, 2020

Background: One of the common treatments for cancer is chemotherapy that is usually done by intra... more Background: One of the common treatments for cancer is chemotherapy that is usually done by intravenous injection. Central catheters and portholes are used for the intravenous administration of chemotherapy drugs through peripheral vessels. Objectives: This study aimed to compare the caring outcomes of the two methods of drug injection through the peripheral vessels and ports in patients undergoing chemotherapy. Methods: In this descriptive study, 68 cancer patients admitted to the Hematology and Oncology Wards of Shahid Baghaei Hospital 2 in Ahwaz during three months were evaluated in two groups of 34 patients receiving chemotherapy (one group via ports and one group via peripheral blood vessels). Data were collected by a questionnaire consisting of two parts: demographic information (sex, age, and type of disease) and information about the patient's condition (drug injection method, serum, and catheter number), and an observational checklist including inflammation rate, drug e...

Iranian Journal of Diabetes and Metabolism, 2019

International Journal of Community Based Nursing and Midwifery, 2019

Background: Morbid obesity (body mass index≥40 kg/m2 or >35 kg/m2 with co-morbidity) is an imp... more Background: Morbid obesity (body mass index≥40 kg/m2 or >35 kg/m2 with co-morbidity) is an important factor in reducing the quality of life which is influenced by the characteristics of the individual, his social, cultural, and environmental conditions; also, each disease has unique effects on it. Although most of the studies have been conducted on obesity (25>BMI>40), how to prevent it and improve life quality, there is lack of knowledge about what morbid obese people really experience about their life quality. Thus, this qualitative study aimed to explore the viewpoints of morbid obese people about life quality. Methods: In this conventional content analysis, data were collected using semi-structured interviews with 20 morbid obese patients who were referred to nutrition and obesity clinics of Shiraz and Ahvaz Jundishapur University of Medical Sciences. Purposeful sampling was processed from May 2016 to January 2017. The sampling continued until data saturation. Each inte...

African Educational Research Journal, 2016

Evaluation is the heart of any educational program. In nursing education, ensuring the competence... more Evaluation is the heart of any educational program. In nursing education, ensuring the competence of nursing graduates is of particular importance. The main objective of this study was to investigate teacher nurses' experience about student evaluations in clinical settings and classrooms. The experiences of 28 educators were collected until data saturation through in-depth semi-structured interviews. Data were analyzed using content analysis method. The constant comparison method was used in order to perform qualitative analysis. Accuracy and consistency of the study was obtained with regard to the four axes of real value, applicability, continuity, and fact-based. During the data analysis, three main themes emerged: effectiveness of the implementation process, feedback efficiency, and collaborative evaluation. Findings reveal a gap between what Iranian nursing teachers understand as being a fair and equitable efficient evaluation and what they have experienced during their care...

Journal of Qualitative Research in Health Sciences, 2017

Introduction: Given the common work scope of nurses and physicians, and the complementarity of th... more Introduction: Given the common work scope of nurses and physicians, and the complementarity of the two professions, professional communication is inevitable. Effective communication between physicians and nurses is shown to enhance patient care and increase professional successfully and satisfaction. This study aimed to assess nurses' and physicians' experiences of the pattern of their professional relationship

Introduction: performance evaluation is as one of the principal tasks of managers to achieve orga... more Introduction: performance evaluation is as one of the principal tasks of managers to achieve organizational goals and promote the quality of services. It can have an impact on job satisfaction. This study aimed to determine the impact of performance evaluation by compilation method on nurses' job satisfaction. Methods: forty eight nurses working in hospitals in Ramhormoz were enrolled with census. In the first phase, their job satisfaction was measured using JDI questionnaire. Then, before the intervention, samples were taught about the new way of compilation performance evaluating was made by researcher during a workshop session, then using the compilation evaluation form, their evaluation was for two months. At the end of the evaluation and feedback to subjects, again their job satisfaction were measured and job satisfaction scores after the intervention than before the intervention were compared and evaluated. Data were analyzed using the software SPSS-22. Results: The result...

Journal of Urmia Nursing and Midwifery Faculty, 2015

کچ ي هد پ ي ش مز ي هن :فده و موتکتسام ی ار ی ج رت ی ارب نامرد ن ي ا رد ناتسپ ناطرس ی نار م ی ازفا... more کچ ي هد پ ي ش مز ي هن :فده و موتکتسام ی ار ی ج رت ی ارب نامرد ن ي ا رد ناتسپ ناطرس ی نار م ی ازفا اب اذل .دشاب ی ا دادعت ش ی ب ن ی مها نارام ی سررب ت ی راگزاـس دنور ي نآ اـه راکشآ م ی ددرگ ا زا فده . ی بت هعلاطم ن یی ن راگزاس دنور ي موتکتسام اب ی ش تحت ناوج نانز رد ی م ی نامرد ی م ی .دشاب :راک شور و داوم ا ی ور اب هعلاطم ن ی روئت ددنارگ درک ي م ی دشاب تکراشم هک هب ناگدننک هنومن تروص گ ی ر ي رظن و دنمفده ي .دندـش باـختنا هداد اـه رط زا ـی ق ن هبحاصم ی راتخاس هم ی عمج هتفا روآ ي عابشا نامز ات و هداد اه همادا ی .تفا هداد اه هب عمج اب نامزمه روط روآ ي بروـک و سوارتـشا شور زا هدافتسا اب تاعلاطا ی ن لحت ی درگ ل ی رابتعا .د هداد اه رب عم ساسا ی اهرا ي پ ی داهنش ي ل ی ابوگ و نلونک أت یی .دش د ی هتفا راگزاس دنور براجت :اه ي 23 تکراشم رد هدننک 5 نورد ام ی ه و زارف ،(رتسب) نارحب اب ههجاوم لماش شن ی ب ارش) اه ی لع ط ی وه نداد تسد زا ،( ی دپ) ت ـی ،(هد امح ی همه ت هلخادم لماوع) هبناج ارب شلات ،(رگ ي زاسزاب ي گدنز ی بهار) پ و (در ی گدنز دنو ی موتکتسام اب ی هب پ ناونع ی دما م ی اراد هک دشاب ي ز ی ...

Introduction: Stress is seen in all occupations, especially in occupations associated with human ... more Introduction: Stress is seen in all occupations, especially in occupations associated with human health. Resilience is one of the coping strategies that helps a person to face stressful situations and to save on pathogens. The aim of this study, carried out in 2017, was to investigate the correlation between occupational stress and resilience in faculty members of Ahvaz Jundishapur University of Medical Sciences. Method: This is a descriptive correlational study in which 65 faculty members of Ahvaz Jundishapur University of Medical Sciences were recruited through stratified sampling. The data gathering tool was a questionnaire of job stress and resiliency. Data were analyzed by SPSS version 16 and using Pearson correlation test. Results: In this study, of 65 faculty members, 40 individuals (61.5%) were male and 15 individuals (38.5%) were female. The mean age and working experience of the faculty members were 42.05 ± 10.37 and 13.77 ± 10.10, respectively, and the mean of resilience ...