Shokoh Varaei - Academia.edu (original) (raw)
Papers by Shokoh Varaei
BMC nursing, Mar 25, 2024
Background Professional misconduct by nurses is a critical challenge in providing safe quality ca... more Background Professional misconduct by nurses is a critical challenge in providing safe quality care, which can lead to devastating and extensive outcomes. Explaining the experiences of clinical nurses and nursing managers in this regard using an in-depth qualitative method can be beneficial. This study was conducted with the aim of explaining the experiences of nurses regarding the outcomes of professional misconduct. Methods The present study used a qualitative descriptive with a conventional content analysis approach. A total of 22 clinical nurses and nursing managers were selected through purposive sampling until data saturation was reached. Data were collected using semi-structured in-depth interviews and analyzed using Graneheim and Lundman's approach. Results Analyzed data were categorized into four main themes and 11 subthemes: (1) Physical outcomes: critical threat and weakening patients' safety; (2) Psychological outcomes: psycho-emotional responses of patients and their families, moral distress, and cautionary tale of nurses; (3) Financial outcomes: imposing costs on the patient and financial loss of the nurse; (4) Organizational outcomes: the normalization of misconduct, chaos in the organization, waste of the organization's resources, and reputational damage to the organization. Conclusion Professional misconduct by nurses can have adverse outcomes for patients in physical, mental, and financial dimensions, their families, nurses, and healthcare organizations. Therefore, it is indispensable to adopt management strategies to reduce the rate of professional misconduct.
Research Square (Research Square), Feb 13, 2024
Background: Availability of medical infrastructures, the ability to comprehend the transmission o... more Background: Availability of medical infrastructures, the ability to comprehend the transmission of a disease, the application of control strategies and proper implementation of logistic policies are vital for successful management of an epidemic in a country but all of them are under the in uence of the health and management policies of countries. Thus, the present study aimed to compare the strategies used by Iranian and Chinese nurses for management plan of patients with COVID-19. Methods: The present study was conducted based on the conventional content analysis method and Graneheim & Lundman approach. The participants were recruited by purposeful sampling and based on inclusion criteria from the nurses working in the COVID-19 wards of Shariati hospital in Tehran of Iran and Haikou hospital in Hainan of China. The data were collected by conducting semi-structured, in-depth, one-to-one interviews until reaching data saturation. Then the differentiation of the strategies used in the two countries was investigated. Results: In-depth interviews with 9 Chinese and 10 Iranian nurses were done. "managers as key element to overcoming the crisis" as the main category, 6 categories and 22 subcategories were excluded from Iranian interviews. "Action to Control Crisis" as the main category, 8 categories and 19 subcategories were excluded from Chinese interviews. Conclusion: Nursing managers in China have given more importance to the process of training and preparing nurses to take care of patients with Covid-19 and reduce the transmission of infection between Health care workers. However, nursing managers in Iran have focused more on using measures to compensate for the shortage of nurses, limiting the days of hospitalization of patients and daily monitoring of nurses' performance and ventilator settings of patients.
BMC Nursing
Background The instruments used to measure presenteeism are all flawed and only incompletely meas... more Background The instruments used to measure presenteeism are all flawed and only incompletely measure the concept of presenteeism in employees of the general population. As a result, the concept of presenteeism is not measured, and in most of these instruments, the population for which the instrument has been developed differs from the nursing population. The present research was conducted to design and validate the instrument for evaluating presenteeism in nursing. Methods The present study was part of an exploratory sequential mixed study. In this study, the instrument for measuring the level of presenteeism among nurses was developed and validated based on the results of the qualitative stage. To this end, the instrument’s psychometric properties were investigated using face, content, and construct validity, as well as reliability through internal consistency and stability. Results In this study, an instrument containing 17 items and three dimensions (imperfect cognitive presence,...
BMC Nursing
Background Nurses have been at the center of managing the COVID-19 outbreak through direct bedsid... more Background Nurses have been at the center of managing the COVID-19 outbreak through direct bedside care in respiratory, emergency and intensive care environments, managing hospital units, providing Covid-19 testing, vaccination and contact tracing. Thus, the present study aimed to analysis the strategies used by Iranian nurses for management of Provided Care for patients with COVID- 19. Methods The present study was conducted based on the conventional content analysis method and Graneheim & Lundman approach. The participants included the nurses working in the COVID-19 wards and were recruited by purposeful sampling and based on inclusion criteria. The data were collected by conducting semi-structured, in-depth, one-to-one interviews until reaching data saturation. Results In-depth interviews with 10 nurses represented four main categories and fifteen subcategories. Four main categories emerged in this study i.e. “justice in human resources management”, “The art and science of compre...
BMC Nursing
Background The accuracy of health care−associated infections (HAIs) statistics in many countries ... more Background The accuracy of health care−associated infections (HAIs) statistics in many countries is questionable and the main reasons of this inaccuracy are not well-known. The study aim was to explore inhibitors of and corrective recommendations for HAIs case findings and reporting in some of Iran hospitals. Methods Sixteen face-to-face interviews and an expert panel were performed with expertise of infection prevention and control (IPC) programs in hospitals, and Deputies of Health and Treatment in medical university and Ministry of Health from Feb 2018 to May 2019. Using conventional content analysis, code, subcategories and categories were developed. Result Three categories emerged including improper structure preparation, conflict of interest, and inadequate motivation. Allocating distinct budget and adequate staff to IPC programs, developing a user-friendly surveillance system and engaging physicians and nurses for HAIs reporting are the main corrective recommendations accepte...
Journal of Rehabilitation, 2022
Objective Progressive visual impairment is one of the problems that threatening the health of pat... more Objective Progressive visual impairment is one of the problems that threatening the health of patients and has the negative effects on their abilities. This study aimed to explore the health concerns of patients with Retinitis Pigmentosa (RP). Materials & Methods A qualitative inductive approach was used. Eleven patients with RP, participated in this study in Iran. Patients were selected through purposeful sampling. Data collection was done through two methods of in-depth semi-structured individual interviews and field notes. Data analysis was performed using approach of conventional content analysis. Results The categories of "perceived health threat" and "perceived support needs", were extracted. The category of perceived health threat included sub-subcategories of "gradual decline in physical function", "sustained fluctuations in mental health", and "weakening of social capability". "need for socio-economic support", &qu...
World Journal of Plastic Surgery, 2017
Burn injuries are a painful form of trauma.1 Patients of burn injuries experience severe pain on ... more Burn injuries are a painful form of trauma.1 Patients of burn injuries experience severe pain on a daily basis, both immediately after the injury and during therapeutic procedures, such as dressing changes,debridement and physiotherapy.2 In addition, repetition of these painful procedures often creates anticipatory anxiety forpatients with burns.3 Anxiety induced by a bad acute pain experience risks poor compliance with rehabilitation therapies,increased pain perception and loss of belief in the burn team.3 Application of topical anti-bacterial agents and disinfectants was shown as the most widely used topical therapy in burn injuries with anti-microbial effects.4 Herbal medicines with less toxicity and as inexpensive therapies have been used in healing of burn injuries,5,6 but reports on pain control in burn patients is very few. Aloe vera (family: Liliaceae) has been used in traditional medicine for a long time. It is one of the most recognizableherbs in the world and the medicina...
Journal of Babol University of Medical Sciences, 2018
BACKGROUND AND OBJECTIVE: Chemotherapy is one of the main treatment options for cancer patients. ... more BACKGROUND AND OBJECTIVE: Chemotherapy is one of the main treatment options for cancer patients. Nausea and vomiting are also the most common side effects of chemotherapy drugs. The aim of this study was to determine the effect of aromatherapy with peppermint essential oil on nausea and vomiting in the acute phase of chemotherapy (the first 24 hours) in patients with breast cancer. METHODS: This randomized clinical trial was conducted on 100 women with breast cancer who were referred to the chemotherapy centers of Imam Khomeini Hospital on an outpatient basis for the first course. Patients were randomly divided into intervention and control groups. Peppermint essential oil was used in the intervention group, while normal saline was used in the control group. Frequency and severity of acute nausea and vomiting in the first night after chemotherapy were recorded and compared using Rhodes standard questionnaire with a mean score of 0 – 32. FINDINGS: The two groups were not statisticall...
International Journal of Hematology-Oncology and Stem Cell Research, 2021
Background: Acute lymphoblastic leukemia is a disease of the hematopoietic system and chemotherap... more Background: Acute lymphoblastic leukemia is a disease of the hematopoietic system and chemotherapy is recommended as the primary treatment. As many chemotherapeutic agents have severe adverse effects, patients require to be supported by their family to deal with chemotherapy-related symptoms. This study attempted to investigate the effect of family-centered supportive programs on chemotherapy symptom control in patients with acute lymphoblastic leukemia. Materials and Methods: Sixty-six patients with acute lymphoblastic leukemia undergoing chemotherapy along with their caregivers participated in this nonrandomized clinical trial. Patients in Shariati and Taleghani Hospital were assigned to intervention (n=33) and control group (n=33), respectively. A survey of family-centered supportive program was conducted via in-person and telephone up to 6 cycles of chemotherapy. The chemotherapy symptom assessment scale was administered to record the data during 6 cycles of chemotherapy treatme...
Journal of Obstetrics, Gynecology and Cancer Research, 2022
Background & Objective: The recent surge in coronavirus disease 2019 (COVID-19) cases has exposed... more Background & Objective: The recent surge in coronavirus disease 2019 (COVID-19) cases has exposed health care workers (HCWs) to a wide range of psychological stressors and predisposed them to anxiety-related disorders. In this study, we observed the anxiety level in this population. Materials & Methods: This multicenter, cross-sectional study was performed on 1,038 HCWs in 14 hospitals of Tehran during the COVID-19 pandemic. In May 2020, Beck Anxiety Inventory (BAI) was used to measure the level of anxiety in this population. Results: The mean±SD age of participants was 36.30±8.23 years old. Most participants were 31 to 40 years old (43.2), female (87.6%), and nurses (49.5%). The BAI scores of the participants were in a positive skew distribution, with a score range of 0-63, a median of 12, and a mean value of 15.30±11.43. Out of 1,038 hospital staff, 411 (39.6%) had moderate to severe anxiety. The anxiety level was significantly higher in HCWs ≤40 years old, women, and nurses. However, there was no significant relationship between stress levels among frontline workers compared to second-line workers (P=0.82). Conclusion: It seems that HCWs experienced a high level of anxiety in the COVID-19 outbreak. One of the critical measures in every epidemic is to provide supportive care to maintain the mental well-being of HCWs, especially in high-risk groups, including younger HCWs, women, and nurses.
Traditional and Integrative Medicine, 2021
Chronic low back pain (LBP) is common disorder among nurses. The present study compared the effec... more Chronic low back pain (LBP) is common disorder among nurses. The present study compared the effect of rubbing joint oil (chamomile oil product) and sesame oil on the control of chronic LBP in nurses. This study was a double-blind randomized clinical trial conducted on 74 nurses with chronic LBP. The samples were divided into two groups using the randomization method. In the first group, joint oil (chamomile oil product), and in the second group, sesame oil was rubbed twice a day for three weeks. The pain severity was assessed using a visual analog scale before, one, two, three, and four weeks after the intervention. The second outcomes including absenteeism and satisfaction with treatment were also assessed in two groups. Moreover, the mean pain severity decreased, and in both groups, the effect of rubbing both oils was the same after the first week and this effect continued after the fourth week (P <0.05). There was no statistically significant difference between both groups in ...
BMJ Open, 2021
ObjectivesEdication management is a process in which medications are selected, procured, delivere... more ObjectivesEdication management is a process in which medications are selected, procured, delivered, prescribed, reviewed, administered and monitored to assure high-quality patient care and safety. This paper explores clinicians’ attitudes towards medication management which is both open to influence and strongly linked to successful changes in mediation behaviour. We aimed to investigate effects of engaging in participatory action research to improve emergency medicine clinicians’ attitudes to safety in medication management.SettingEmergency department of one university affiliated hospital.ParticipantsA total of 85 clinicians including nurses and physicians partook as participants. Eight managers and clinicians participated as representatives.DesignData are drawn from two-cycle participatory action research. Initially, a situation analysis on the current medication management and clinician views regarding medication management was conducted using three focus groups. Evaluation and r...
BMC Nursing, 2021
BackgroundPresenteeism describes the state in which staff who lack the conditions for being prese... more BackgroundPresenteeism describes the state in which staff who lack the conditions for being present at work and need rest and leave for various reasons (such as illness, low spirits, fatigue, etc.) are present at the workplace. Due to the lack of knowledge about the antecedents of presenteeism in nurses and the context-based nature of this concept, the present study was conducted to explain the reasons for presenteeism in nurses.MethodsThis qualitative study was performed using the qualitative content analysis method. The study population consisted of 17 nurses working in different wards of hospitals. In this regard, data were collected from February to June 2020 using individual, face-to-face, in-depth, semi-structured interviews and were analyzed using qualitative content analysis.ResultsThe nurse without a nurse was a category introduced as an antecedent of presenteeism. In this respect, nurses experienced limited power, injustice, compulsory presence, inadequate structural facil...
Journal of Hematology & Thromboembolic Diseases, 2017
Background: Breast cancer is one of the most common malignancies in the world and in Iran. Preval... more Background: Breast cancer is one of the most common malignancies in the world and in Iran. Prevalence of this disease in Iran 21.4% was reported. One of the main alternatives for treating breast cancer is chemotherapy which causes complications such as acute and delayed nausea and vomiting. The aim of this study was to determine the effect of aromatherapy with peppermint oil on nausea and vomiting induced by chemotherapy among breast cancer patients. Methods: This study was a randomized controlled trial on 100 women who suffering from Breast Cancer and receiving chemotherapy as outpatient's hospital care in Imam Khomeini. Before chemotherapy and after obtaining informed consent the patients with random sampling block were randomly allocated into intervention and control group. Intervention group received routine medications for controlling nausea and vomiting as well as aroma therapy with peppermint for five days. Meanwhile, the control group received only the routine medications. The data were gathered by using demographic and Rhodes Standard Questionnaire (about severity and number of nausea and vomiting). The results obtained from both groups were compared by using the SPSS version 11.5 software and descriptive and analytic statistics. Results: The results showed there were no statistical differences between two groups in some variables such as age, duration of cancer, history of alcohol use, history of nausea and vomiting (p>0.05). Use of aromatherapy with peppermint in acute phase lead to decreased of nausea and vomiting without any complications (p<.0.5). The use of aromatherapy with peppermint oil leads to a reduction in frequency and duration of nausea and vomiting in the delayed phase but not statistical significance (p>0.05). Indeed more than half of samples stated that they are satisfied with aromatherapy and recommend it to others. Conclusions: Aromatherapy with peppermint in breast cancer patients could decrease nausea and vomiting in acute phase after chemotherapy. It is suggested that nurses use this aroma therapy as a complementary treatment, inexpensive and without complications for relieving the nausea and vomiting caused by chemotherapy.
Journal of Medicinal Plants, 2020
Journal of Caring Sciences, 2020
Introduction: Urinary incontinence is a common problem after Prostatectomy that affects patients’... more Introduction: Urinary incontinence is a common problem after Prostatectomy that affects patients’ life. Nurses can assist patients in improving urinary problems. This study aimed to assess the effects of pelvic floor muscle exercises on urinary incontinence and the quality of life in patients after Prostatectomy. Methods: This randomized clinical trial was performed on 60 patients with suprapubic prostatectomy and urinary incontinence who had referred to urology department of Vali-e-Asr Hospital in Tehran. The subjects were selected and randomly divided into control and intervention groups. The control and intervention groups received standard care and pelvic floor muscles exercises after surgery, respectively. The data were gathered in the course of seven days; one, two and three months after surgery, using three questionnaires and a check list for the evaluation of urinary incontinence and assessing Quality of Life. The data were then analyzed, using SPSS ver.13, and statistical t...
Avicenna Journal of Nursing and Midwifery Care, 2019
Pressure ulcer is a complication from which many patients suffer. Preventing this matter is one o... more Pressure ulcer is a complication from which many patients suffer. Preventing this matter is one of the duties of nurses. The purpose of this study was to determine the effect of massage of olive oil with sweet almonds on prevention of pressure ulcer in patients hospitalized in ICU. Methods: This study is a double-blind randomized clinical trial that was performed on 90 patients admitted to ICU Hospital in Maybod city, Yazd, Iran. Patients were selected by purposeful sampling and random blocked method in enrolled in two groups of test and one control group. The patients of the test groups received a massage in the areas exposed to risk of pressure ulcer for a week once a day with 3-1 mL of olive oil or sweet almonds. Also these two groups received the usual skin care including a change in position every two hours and a wavy mattress and control group received just the usual care of the skin. Data was collected using a demographic questionnaire and a checklist for potential areas with the risk of pressure ulcer using Braden's scale. Data was analyzed by Chi-square test, Fisher's exact test and variance analysis test in SPSS 16. Results: There was no statistically significant difference between the groups in terms of demographic variables. The results showed that the incidence of pressure ulcers in the experimental groups was lower than the control group and in the olive oil massage group was lower than the sweet almond oil massage group (P<0.05). Conclusion: The results showed that olive Oil and sweet almond massage is effective in preventing pressure ulcer. A similar study to this study should be done using other herbal products such as Aloe Vera gel to prevent Pressure ulcer.
Iran Journal of Nursing, 2018
World Family Medicine Journal/Middle East Journal of Family Medicine, 2017
Background and Objectives: Cancer is a deadly disease of humanity. One of the main curative optio... more Background and Objectives: Cancer is a deadly disease of humanity. One of the main curative options is the use of chemotherapy treatments. From 40 to 80 percent of chemotherapy treatment can cause complications such as nausea and vomiting, mouth sores and disorders of the bowel. The aim of this study was to evaluate the effect of education on self-care behaviors on gastrointestinal side effects in patients undergoing chemotherapy. Methodology: This study is a randomized clinical trial of 60 women with breast cancer undergoing chemotherapy who were referred to Chamran hospital chemotherapy center. Prior to chemotherapy and after obtaining the consent for the random sampling method, patients were divided into two groups, intervention and controls. Patients in the intervention group received routine treatment to improve the side effects of chemotherapy, in the form of self-care training received from the researcher. Data was collected by a demographic questionnaire, a questionnaire on side effects of chemotherapy questionnaire and Morrow standard questionnaires were collected. Data using descriptive and inferential statistics were analysed by SPSS¬¬¬v21 software. Results: The results showed that the use of selfcare education to reduce mouth sores was statistically significant (p <0.05). Self-care training also leads to a reduction in frequency and severity of nausea and vomiting in patients. This reduction was statistically significant (p <0.05). Conclusion: Findings of the study showed that the use of self-care training alongside drug regimen reduces the side effects of chemotherapy in patients. Therefore, it is recommended that nurses use this technique as a complementary method to reduce side effects of chemotherapy.
Journal of Nursing Education, 2017
Introduction: Selecting education methods can help Instructors to use methods that are more effec... more Introduction: Selecting education methods can help Instructors to use methods that are more effective for future nursing Programs. The aim of this study was to compare the effect of CD-based and traditional education on Nursing Students' learning in Tehran University of Medical Sciences. Methods: In this quasi-experimental study two case and control groups were selected. 38 nursing students (19 students in each group) who were passing community health nursing course 3 in 2012-2013 were divided equally into two groups of CD-based education and traditional education by using random allocation method. In the case group, the intervention consisted of delivering educational material using compact disc for 8 weeks. The other group received educational material by lecturing in the classroom at the same time. In both groups, final exam scores measured students' learning 3 weeks after finishing the course. Two groups' scores were compared by descriptive statistic as mean, standard deviation, independent T test, k square and Analysis of Covariance (ANCOVA) using SPSS version 16. Results: Based on the findings, mean and standard deviation of final exam scores in the case and control groups were M = 13.70 ± 1.80 and 13.41 ± 1.85. Analysis of Covariance (ANCOVA) test showed that Compact Disc-based education and traditional education had the same effect on the Nursing Students' Learning (P value = 0.55). Conclusions: According to the findings, Compact Disc-based education seems to be as effective as traditional education on the Nursing Students' Learning. Therefore, with regard to the advantages of modern educational methods, it is recommended to be used in the blended method of educational programs.
BMC nursing, Mar 25, 2024
Background Professional misconduct by nurses is a critical challenge in providing safe quality ca... more Background Professional misconduct by nurses is a critical challenge in providing safe quality care, which can lead to devastating and extensive outcomes. Explaining the experiences of clinical nurses and nursing managers in this regard using an in-depth qualitative method can be beneficial. This study was conducted with the aim of explaining the experiences of nurses regarding the outcomes of professional misconduct. Methods The present study used a qualitative descriptive with a conventional content analysis approach. A total of 22 clinical nurses and nursing managers were selected through purposive sampling until data saturation was reached. Data were collected using semi-structured in-depth interviews and analyzed using Graneheim and Lundman's approach. Results Analyzed data were categorized into four main themes and 11 subthemes: (1) Physical outcomes: critical threat and weakening patients' safety; (2) Psychological outcomes: psycho-emotional responses of patients and their families, moral distress, and cautionary tale of nurses; (3) Financial outcomes: imposing costs on the patient and financial loss of the nurse; (4) Organizational outcomes: the normalization of misconduct, chaos in the organization, waste of the organization's resources, and reputational damage to the organization. Conclusion Professional misconduct by nurses can have adverse outcomes for patients in physical, mental, and financial dimensions, their families, nurses, and healthcare organizations. Therefore, it is indispensable to adopt management strategies to reduce the rate of professional misconduct.
Research Square (Research Square), Feb 13, 2024
Background: Availability of medical infrastructures, the ability to comprehend the transmission o... more Background: Availability of medical infrastructures, the ability to comprehend the transmission of a disease, the application of control strategies and proper implementation of logistic policies are vital for successful management of an epidemic in a country but all of them are under the in uence of the health and management policies of countries. Thus, the present study aimed to compare the strategies used by Iranian and Chinese nurses for management plan of patients with COVID-19. Methods: The present study was conducted based on the conventional content analysis method and Graneheim & Lundman approach. The participants were recruited by purposeful sampling and based on inclusion criteria from the nurses working in the COVID-19 wards of Shariati hospital in Tehran of Iran and Haikou hospital in Hainan of China. The data were collected by conducting semi-structured, in-depth, one-to-one interviews until reaching data saturation. Then the differentiation of the strategies used in the two countries was investigated. Results: In-depth interviews with 9 Chinese and 10 Iranian nurses were done. "managers as key element to overcoming the crisis" as the main category, 6 categories and 22 subcategories were excluded from Iranian interviews. "Action to Control Crisis" as the main category, 8 categories and 19 subcategories were excluded from Chinese interviews. Conclusion: Nursing managers in China have given more importance to the process of training and preparing nurses to take care of patients with Covid-19 and reduce the transmission of infection between Health care workers. However, nursing managers in Iran have focused more on using measures to compensate for the shortage of nurses, limiting the days of hospitalization of patients and daily monitoring of nurses' performance and ventilator settings of patients.
BMC Nursing
Background The instruments used to measure presenteeism are all flawed and only incompletely meas... more Background The instruments used to measure presenteeism are all flawed and only incompletely measure the concept of presenteeism in employees of the general population. As a result, the concept of presenteeism is not measured, and in most of these instruments, the population for which the instrument has been developed differs from the nursing population. The present research was conducted to design and validate the instrument for evaluating presenteeism in nursing. Methods The present study was part of an exploratory sequential mixed study. In this study, the instrument for measuring the level of presenteeism among nurses was developed and validated based on the results of the qualitative stage. To this end, the instrument’s psychometric properties were investigated using face, content, and construct validity, as well as reliability through internal consistency and stability. Results In this study, an instrument containing 17 items and three dimensions (imperfect cognitive presence,...
BMC Nursing
Background Nurses have been at the center of managing the COVID-19 outbreak through direct bedsid... more Background Nurses have been at the center of managing the COVID-19 outbreak through direct bedside care in respiratory, emergency and intensive care environments, managing hospital units, providing Covid-19 testing, vaccination and contact tracing. Thus, the present study aimed to analysis the strategies used by Iranian nurses for management of Provided Care for patients with COVID- 19. Methods The present study was conducted based on the conventional content analysis method and Graneheim & Lundman approach. The participants included the nurses working in the COVID-19 wards and were recruited by purposeful sampling and based on inclusion criteria. The data were collected by conducting semi-structured, in-depth, one-to-one interviews until reaching data saturation. Results In-depth interviews with 10 nurses represented four main categories and fifteen subcategories. Four main categories emerged in this study i.e. “justice in human resources management”, “The art and science of compre...
BMC Nursing
Background The accuracy of health care−associated infections (HAIs) statistics in many countries ... more Background The accuracy of health care−associated infections (HAIs) statistics in many countries is questionable and the main reasons of this inaccuracy are not well-known. The study aim was to explore inhibitors of and corrective recommendations for HAIs case findings and reporting in some of Iran hospitals. Methods Sixteen face-to-face interviews and an expert panel were performed with expertise of infection prevention and control (IPC) programs in hospitals, and Deputies of Health and Treatment in medical university and Ministry of Health from Feb 2018 to May 2019. Using conventional content analysis, code, subcategories and categories were developed. Result Three categories emerged including improper structure preparation, conflict of interest, and inadequate motivation. Allocating distinct budget and adequate staff to IPC programs, developing a user-friendly surveillance system and engaging physicians and nurses for HAIs reporting are the main corrective recommendations accepte...
Journal of Rehabilitation, 2022
Objective Progressive visual impairment is one of the problems that threatening the health of pat... more Objective Progressive visual impairment is one of the problems that threatening the health of patients and has the negative effects on their abilities. This study aimed to explore the health concerns of patients with Retinitis Pigmentosa (RP). Materials & Methods A qualitative inductive approach was used. Eleven patients with RP, participated in this study in Iran. Patients were selected through purposeful sampling. Data collection was done through two methods of in-depth semi-structured individual interviews and field notes. Data analysis was performed using approach of conventional content analysis. Results The categories of "perceived health threat" and "perceived support needs", were extracted. The category of perceived health threat included sub-subcategories of "gradual decline in physical function", "sustained fluctuations in mental health", and "weakening of social capability". "need for socio-economic support", &qu...
World Journal of Plastic Surgery, 2017
Burn injuries are a painful form of trauma.1 Patients of burn injuries experience severe pain on ... more Burn injuries are a painful form of trauma.1 Patients of burn injuries experience severe pain on a daily basis, both immediately after the injury and during therapeutic procedures, such as dressing changes,debridement and physiotherapy.2 In addition, repetition of these painful procedures often creates anticipatory anxiety forpatients with burns.3 Anxiety induced by a bad acute pain experience risks poor compliance with rehabilitation therapies,increased pain perception and loss of belief in the burn team.3 Application of topical anti-bacterial agents and disinfectants was shown as the most widely used topical therapy in burn injuries with anti-microbial effects.4 Herbal medicines with less toxicity and as inexpensive therapies have been used in healing of burn injuries,5,6 but reports on pain control in burn patients is very few. Aloe vera (family: Liliaceae) has been used in traditional medicine for a long time. It is one of the most recognizableherbs in the world and the medicina...
Journal of Babol University of Medical Sciences, 2018
BACKGROUND AND OBJECTIVE: Chemotherapy is one of the main treatment options for cancer patients. ... more BACKGROUND AND OBJECTIVE: Chemotherapy is one of the main treatment options for cancer patients. Nausea and vomiting are also the most common side effects of chemotherapy drugs. The aim of this study was to determine the effect of aromatherapy with peppermint essential oil on nausea and vomiting in the acute phase of chemotherapy (the first 24 hours) in patients with breast cancer. METHODS: This randomized clinical trial was conducted on 100 women with breast cancer who were referred to the chemotherapy centers of Imam Khomeini Hospital on an outpatient basis for the first course. Patients were randomly divided into intervention and control groups. Peppermint essential oil was used in the intervention group, while normal saline was used in the control group. Frequency and severity of acute nausea and vomiting in the first night after chemotherapy were recorded and compared using Rhodes standard questionnaire with a mean score of 0 – 32. FINDINGS: The two groups were not statisticall...
International Journal of Hematology-Oncology and Stem Cell Research, 2021
Background: Acute lymphoblastic leukemia is a disease of the hematopoietic system and chemotherap... more Background: Acute lymphoblastic leukemia is a disease of the hematopoietic system and chemotherapy is recommended as the primary treatment. As many chemotherapeutic agents have severe adverse effects, patients require to be supported by their family to deal with chemotherapy-related symptoms. This study attempted to investigate the effect of family-centered supportive programs on chemotherapy symptom control in patients with acute lymphoblastic leukemia. Materials and Methods: Sixty-six patients with acute lymphoblastic leukemia undergoing chemotherapy along with their caregivers participated in this nonrandomized clinical trial. Patients in Shariati and Taleghani Hospital were assigned to intervention (n=33) and control group (n=33), respectively. A survey of family-centered supportive program was conducted via in-person and telephone up to 6 cycles of chemotherapy. The chemotherapy symptom assessment scale was administered to record the data during 6 cycles of chemotherapy treatme...
Journal of Obstetrics, Gynecology and Cancer Research, 2022
Background & Objective: The recent surge in coronavirus disease 2019 (COVID-19) cases has exposed... more Background & Objective: The recent surge in coronavirus disease 2019 (COVID-19) cases has exposed health care workers (HCWs) to a wide range of psychological stressors and predisposed them to anxiety-related disorders. In this study, we observed the anxiety level in this population. Materials & Methods: This multicenter, cross-sectional study was performed on 1,038 HCWs in 14 hospitals of Tehran during the COVID-19 pandemic. In May 2020, Beck Anxiety Inventory (BAI) was used to measure the level of anxiety in this population. Results: The mean±SD age of participants was 36.30±8.23 years old. Most participants were 31 to 40 years old (43.2), female (87.6%), and nurses (49.5%). The BAI scores of the participants were in a positive skew distribution, with a score range of 0-63, a median of 12, and a mean value of 15.30±11.43. Out of 1,038 hospital staff, 411 (39.6%) had moderate to severe anxiety. The anxiety level was significantly higher in HCWs ≤40 years old, women, and nurses. However, there was no significant relationship between stress levels among frontline workers compared to second-line workers (P=0.82). Conclusion: It seems that HCWs experienced a high level of anxiety in the COVID-19 outbreak. One of the critical measures in every epidemic is to provide supportive care to maintain the mental well-being of HCWs, especially in high-risk groups, including younger HCWs, women, and nurses.
Traditional and Integrative Medicine, 2021
Chronic low back pain (LBP) is common disorder among nurses. The present study compared the effec... more Chronic low back pain (LBP) is common disorder among nurses. The present study compared the effect of rubbing joint oil (chamomile oil product) and sesame oil on the control of chronic LBP in nurses. This study was a double-blind randomized clinical trial conducted on 74 nurses with chronic LBP. The samples were divided into two groups using the randomization method. In the first group, joint oil (chamomile oil product), and in the second group, sesame oil was rubbed twice a day for three weeks. The pain severity was assessed using a visual analog scale before, one, two, three, and four weeks after the intervention. The second outcomes including absenteeism and satisfaction with treatment were also assessed in two groups. Moreover, the mean pain severity decreased, and in both groups, the effect of rubbing both oils was the same after the first week and this effect continued after the fourth week (P <0.05). There was no statistically significant difference between both groups in ...
BMJ Open, 2021
ObjectivesEdication management is a process in which medications are selected, procured, delivere... more ObjectivesEdication management is a process in which medications are selected, procured, delivered, prescribed, reviewed, administered and monitored to assure high-quality patient care and safety. This paper explores clinicians’ attitudes towards medication management which is both open to influence and strongly linked to successful changes in mediation behaviour. We aimed to investigate effects of engaging in participatory action research to improve emergency medicine clinicians’ attitudes to safety in medication management.SettingEmergency department of one university affiliated hospital.ParticipantsA total of 85 clinicians including nurses and physicians partook as participants. Eight managers and clinicians participated as representatives.DesignData are drawn from two-cycle participatory action research. Initially, a situation analysis on the current medication management and clinician views regarding medication management was conducted using three focus groups. Evaluation and r...
BMC Nursing, 2021
BackgroundPresenteeism describes the state in which staff who lack the conditions for being prese... more BackgroundPresenteeism describes the state in which staff who lack the conditions for being present at work and need rest and leave for various reasons (such as illness, low spirits, fatigue, etc.) are present at the workplace. Due to the lack of knowledge about the antecedents of presenteeism in nurses and the context-based nature of this concept, the present study was conducted to explain the reasons for presenteeism in nurses.MethodsThis qualitative study was performed using the qualitative content analysis method. The study population consisted of 17 nurses working in different wards of hospitals. In this regard, data were collected from February to June 2020 using individual, face-to-face, in-depth, semi-structured interviews and were analyzed using qualitative content analysis.ResultsThe nurse without a nurse was a category introduced as an antecedent of presenteeism. In this respect, nurses experienced limited power, injustice, compulsory presence, inadequate structural facil...
Journal of Hematology & Thromboembolic Diseases, 2017
Background: Breast cancer is one of the most common malignancies in the world and in Iran. Preval... more Background: Breast cancer is one of the most common malignancies in the world and in Iran. Prevalence of this disease in Iran 21.4% was reported. One of the main alternatives for treating breast cancer is chemotherapy which causes complications such as acute and delayed nausea and vomiting. The aim of this study was to determine the effect of aromatherapy with peppermint oil on nausea and vomiting induced by chemotherapy among breast cancer patients. Methods: This study was a randomized controlled trial on 100 women who suffering from Breast Cancer and receiving chemotherapy as outpatient's hospital care in Imam Khomeini. Before chemotherapy and after obtaining informed consent the patients with random sampling block were randomly allocated into intervention and control group. Intervention group received routine medications for controlling nausea and vomiting as well as aroma therapy with peppermint for five days. Meanwhile, the control group received only the routine medications. The data were gathered by using demographic and Rhodes Standard Questionnaire (about severity and number of nausea and vomiting). The results obtained from both groups were compared by using the SPSS version 11.5 software and descriptive and analytic statistics. Results: The results showed there were no statistical differences between two groups in some variables such as age, duration of cancer, history of alcohol use, history of nausea and vomiting (p>0.05). Use of aromatherapy with peppermint in acute phase lead to decreased of nausea and vomiting without any complications (p<.0.5). The use of aromatherapy with peppermint oil leads to a reduction in frequency and duration of nausea and vomiting in the delayed phase but not statistical significance (p>0.05). Indeed more than half of samples stated that they are satisfied with aromatherapy and recommend it to others. Conclusions: Aromatherapy with peppermint in breast cancer patients could decrease nausea and vomiting in acute phase after chemotherapy. It is suggested that nurses use this aroma therapy as a complementary treatment, inexpensive and without complications for relieving the nausea and vomiting caused by chemotherapy.
Journal of Medicinal Plants, 2020
Journal of Caring Sciences, 2020
Introduction: Urinary incontinence is a common problem after Prostatectomy that affects patients’... more Introduction: Urinary incontinence is a common problem after Prostatectomy that affects patients’ life. Nurses can assist patients in improving urinary problems. This study aimed to assess the effects of pelvic floor muscle exercises on urinary incontinence and the quality of life in patients after Prostatectomy. Methods: This randomized clinical trial was performed on 60 patients with suprapubic prostatectomy and urinary incontinence who had referred to urology department of Vali-e-Asr Hospital in Tehran. The subjects were selected and randomly divided into control and intervention groups. The control and intervention groups received standard care and pelvic floor muscles exercises after surgery, respectively. The data were gathered in the course of seven days; one, two and three months after surgery, using three questionnaires and a check list for the evaluation of urinary incontinence and assessing Quality of Life. The data were then analyzed, using SPSS ver.13, and statistical t...
Avicenna Journal of Nursing and Midwifery Care, 2019
Pressure ulcer is a complication from which many patients suffer. Preventing this matter is one o... more Pressure ulcer is a complication from which many patients suffer. Preventing this matter is one of the duties of nurses. The purpose of this study was to determine the effect of massage of olive oil with sweet almonds on prevention of pressure ulcer in patients hospitalized in ICU. Methods: This study is a double-blind randomized clinical trial that was performed on 90 patients admitted to ICU Hospital in Maybod city, Yazd, Iran. Patients were selected by purposeful sampling and random blocked method in enrolled in two groups of test and one control group. The patients of the test groups received a massage in the areas exposed to risk of pressure ulcer for a week once a day with 3-1 mL of olive oil or sweet almonds. Also these two groups received the usual skin care including a change in position every two hours and a wavy mattress and control group received just the usual care of the skin. Data was collected using a demographic questionnaire and a checklist for potential areas with the risk of pressure ulcer using Braden's scale. Data was analyzed by Chi-square test, Fisher's exact test and variance analysis test in SPSS 16. Results: There was no statistically significant difference between the groups in terms of demographic variables. The results showed that the incidence of pressure ulcers in the experimental groups was lower than the control group and in the olive oil massage group was lower than the sweet almond oil massage group (P<0.05). Conclusion: The results showed that olive Oil and sweet almond massage is effective in preventing pressure ulcer. A similar study to this study should be done using other herbal products such as Aloe Vera gel to prevent Pressure ulcer.
Iran Journal of Nursing, 2018
World Family Medicine Journal/Middle East Journal of Family Medicine, 2017
Background and Objectives: Cancer is a deadly disease of humanity. One of the main curative optio... more Background and Objectives: Cancer is a deadly disease of humanity. One of the main curative options is the use of chemotherapy treatments. From 40 to 80 percent of chemotherapy treatment can cause complications such as nausea and vomiting, mouth sores and disorders of the bowel. The aim of this study was to evaluate the effect of education on self-care behaviors on gastrointestinal side effects in patients undergoing chemotherapy. Methodology: This study is a randomized clinical trial of 60 women with breast cancer undergoing chemotherapy who were referred to Chamran hospital chemotherapy center. Prior to chemotherapy and after obtaining the consent for the random sampling method, patients were divided into two groups, intervention and controls. Patients in the intervention group received routine treatment to improve the side effects of chemotherapy, in the form of self-care training received from the researcher. Data was collected by a demographic questionnaire, a questionnaire on side effects of chemotherapy questionnaire and Morrow standard questionnaires were collected. Data using descriptive and inferential statistics were analysed by SPSS¬¬¬v21 software. Results: The results showed that the use of selfcare education to reduce mouth sores was statistically significant (p <0.05). Self-care training also leads to a reduction in frequency and severity of nausea and vomiting in patients. This reduction was statistically significant (p <0.05). Conclusion: Findings of the study showed that the use of self-care training alongside drug regimen reduces the side effects of chemotherapy in patients. Therefore, it is recommended that nurses use this technique as a complementary method to reduce side effects of chemotherapy.
Journal of Nursing Education, 2017
Introduction: Selecting education methods can help Instructors to use methods that are more effec... more Introduction: Selecting education methods can help Instructors to use methods that are more effective for future nursing Programs. The aim of this study was to compare the effect of CD-based and traditional education on Nursing Students' learning in Tehran University of Medical Sciences. Methods: In this quasi-experimental study two case and control groups were selected. 38 nursing students (19 students in each group) who were passing community health nursing course 3 in 2012-2013 were divided equally into two groups of CD-based education and traditional education by using random allocation method. In the case group, the intervention consisted of delivering educational material using compact disc for 8 weeks. The other group received educational material by lecturing in the classroom at the same time. In both groups, final exam scores measured students' learning 3 weeks after finishing the course. Two groups' scores were compared by descriptive statistic as mean, standard deviation, independent T test, k square and Analysis of Covariance (ANCOVA) using SPSS version 16. Results: Based on the findings, mean and standard deviation of final exam scores in the case and control groups were M = 13.70 ± 1.80 and 13.41 ± 1.85. Analysis of Covariance (ANCOVA) test showed that Compact Disc-based education and traditional education had the same effect on the Nursing Students' Learning (P value = 0.55). Conclusions: According to the findings, Compact Disc-based education seems to be as effective as traditional education on the Nursing Students' Learning. Therefore, with regard to the advantages of modern educational methods, it is recommended to be used in the blended method of educational programs.