shahrzad ghiyasvandian - Academia.edu (original) (raw)

Papers by shahrzad ghiyasvandian

International Journal of Medical Research and Health Sciences, 2016

This study aimed to explore nurses' perception of working in the Maternity Hospital in Erbil,... more This study aimed to explore nurses' perception of working in the Maternity Hospital in Erbil, Iraq. Heideggerian phenomenology was adopted to explore the Iraqi nurses’ perception of working in maternity units. The data, collected through semi-structured, in-depth interviews, were analyzed using Dikelman & Allen’s method [15]. Five themes, namely a feeling of frustration and failure, humanitarian and spiritual work, satisfaction, capable and competent, and confusion, emerged during data analysis. Nurses' perception of working in a maternity unit was described in five main themes. These findings can help nurses and other healthcare personnel in maternity hospitals to provide the patients with better care. However, further research in this field is warranted.

Nursing and Midwifery Studies, 2015

Background: Studies introduce maternal and neonatal safety phenomena as important challenges to t... more Background: Studies introduce maternal and neonatal safety phenomena as important challenges to the public health, particularly in low-income countries. However, few researches are conducted on the identification of safety issues in maternity hospitals in Iraq. It was the first study on nurses' perspectives on safety issues in Kurdistan, Iraq. Objectives: The current study aimed to describe nurses' perspectives on what constitutes a safe maternity service in Kurdistan, Iraq. Patients and Methods: A qualitative design, based on a content analysis approach, was used. Ten Kurdish nurses who worked in the delivery room of Kurdistan, Iraq maternity hospital were recruited through purposive sampling. Semi-structured interviews were performed to collect data. All interviews were audiotaped and transcribed verbatim. Sampling continued to the level of data saturation. Data analysis was performed based on the steps suggested by Graneheim and Lundman. Results: Thematic analysis led to the identification of six main categories including stressful job, lack of schedule and job description, providing care with limited resources, professional unaccountability, regional sociopolitical factors, and inadequate training. Conclusions: Iraqi nurses identified factors such as limited health resources, lack of job description, and professional unaccountability as major safety issues in maternity services. These findings alarm the need to ensure the provision of females and neonates with appropriate care. This, however, would require coordination between Iraqi Kurdistan health authorities to provide midwifery care facilities, highquality and relevant staff training, and an effective healthcare system in the maternity units.

Global Journal of Health Science, 2013

Critical thinking disposition represents an inclination of a person to use possessed skills in re... more Critical thinking disposition represents an inclination of a person to use possessed skills in relation to critical thinking. The trend of critical thinking has been described as inner motivation to solve problems and make decisions by thinking. In nursing as a practical profession, the concept of critical thinking dispositions is important component in helping to manage complex health situations and to deal with patient issues effectively. Willingness to think critically is a prerequisite for safe and subtly performance. The results of studies show critical thinking dispositions of nursing students in Asian countries are different from non-Asian countries. Aim of this literature review was to compare critical thinking dispositions of nursing students in Asian and non-Asian countries. Literature review was done in English and Persian databases. The results showed of the 795 articles published in English and Persian language that studied critical thinking, 73 ones studied critical thinking skills and dispositions in nursing education, and relationship between teaching methods and critical thinking skills and dispositions in nursing education of different countries. Fifteen of seventy three articles assessed critical thinking dispositions in nursing students. Limited studies showed that the Asian nursing students had mostly undermining score of the critical thinking dispositions, while non-Asian countries tend to positive scores. The reasons for these differences could be due to issues such as environmental, educational methods and cultural differences. However, future studies should measure critical thinking disposition by discipline-based tools.

Iranian Journal of Cancer Care, 2019

Introduction: Communication is an essential part of ethical behaviors and a vital element of all ... more Introduction: Communication is an essential part of ethical behaviors and a vital element of all nursing activity, including prevention, treatment, rehabilitation, education and health promotion so in this article communication strategies provided based on the COMFORT Communication curriculum (Comfort Communication Project, Los Angeles, CA). Method: In this study, margin, PubMed and google scholar databases were searched with the keywords nursing, therapeutic communication and cancer and related studies were analyzed. Results: findings shows that COMFORT Communication Project provides appropriate strategies for therapeutic communication between nurses and patients. This project point to the seven strategy for improving communication that are Communication, Orientation, Mindful communication, Family, Openings, Relating, and Team. Conclusion: Using the Comfort Communication project and its suggested strategies will improve the nurse's communication skills. Therefore, it is suggested that these strategies be considered into nursing students' curriculum and continuing education programs for nurses.

Revista Brasileira de Enfermagem, 2017

Objective: to describe the process of developing of an educational booklet on insulin therapy for... more Objective: to describe the process of developing of an educational booklet on insulin therapy for children with diabetes mellitus type 1. Method: methodological approach, in which the following steps were carried out: selecting of the content and type of technology to be developed (for this step, an integrative review, an analysis of the comments of blogs about Diabetes Mellitus type 1 and interviews with the children were performed), creation of images, formatting and layout composition. Results: the work resulted in the production of the fi nal version of the educational booklet, which was titled Aplicando a insulina: a aventura de Beto [Applying insulin: Beto's adventure]. The process of developing of the booklet was based on the active participation of the children and guided by the theoretical framework of Piagetian Constructivism. Conclusion: the resource is a facilitator for the improvement of the knowledge and practices of self care of children with Diabetes Mellitus type 1. Descriptors: Diabetes Mellitus Type 1; Children; Health Education; Educational Technology; Insulin. RESUMO Objetivo: descrever o processo de construção de uma cartilha educativa sobre insulinoterapia para crianças com diabetes mellitus tipo 1. Método: abordagem metodológica, na qual se seguiram as etapas: seleção do conteúdo e tipo de tecnologia a ser construída (para essa etapa, foi realizada revisão integrativa, análises dos comentários de blogs sobre Diabetes Mellitus tipo 1 e entrevista com as crianças), criação de imagens, diagramação e composição do layout. Resultados: o trabalho resultou na produção da versão fi nal da cartilha educativa, que teve como título Aplicando a insulina: a aventura de Beto. O processo de construção da cartilha foi embasado na participação ativa das crianças e norteado pelo referencial teórico do Construtivismo Piagetiano. Conclusão: o recurso é facilitador para a melhoria do conhecimento e das práticas de autocuidado de crianças com Diabetes Mellitus tipo 1. Descritores: Diabetes Mellitus Tipo 1; Crianças; Educação em Saúde; Tecnologia Educacional; Insulina. RESUMEN Objetivo: describir el proceso de construcción de una cartilla educativa sobre insulinoterapia para niños con diabetes mellitus tipo 1. Método: abordaje metodológico en el que unas etapas fueron seguidas: selección de contenido y tipo de tecnología a ser construida (para esa etapa, se realizó una revisión integrativa, análisis de comentarios de blogs sobre Diabetes Mellitus tipo 1 y entrevista con los niños), creación de imágenes, diagramación y composición de layout. Resultados: el trabajo resultó en la producción de una versión fi nal de una cartilla educativa, cuyo título fue Aplicando la insulina: la aventura de Beto. El proceso de construcción de la cartilla se basó en la participación activa de los niños y se norteó por el referencial teórico del Constructivismo Piagetiano. Conclusión: el recurso es facilitador para la mejoría del conocimiento y de las prácticas de autocuidado de niños con Diabetes Mellitus tipo 1. Descriptores: Diabetes Mellitus Tipo 1; Niños; Educación en Salud; Tecnología Educacional; Insulina. Development of a booklet on insulin therapy for children with diabetes mellitus type 1 Construção de cartilha sobre insulinoterapia para crianças com diabetes mellitus tipo 1 Construcción de cartilla sobre insulinoterapia para niños con diabetes mellitus tipo 1

Iranian Journal of Nursing Research, 2019

1 Associate Professor, School of Nursing and Midwifery, Tehran University of Medical Sciences, Te... more 1 Associate Professor, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran 2 Assistant Professor, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran 3 Professor of Biostatistics, department of biostatistics, faculty of medical sciences, Tarbiat Modares University, Tehran, Iran 4 Instructor, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran 5 Ph.D. Student of Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran * Corresponding author: Zahra Goodarzi, Instructor, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. E-mail: goodarzi.z@iums.ac.ir

Acta medica Iranica, 2016

The concept of blended learning in the field of nursing and medicine has been accepted. Blended l... more The concept of blended learning in the field of nursing and medicine has been accepted. Blended learning has been extensively used thanks to the development of communication technologies and the availability of Internet services. Meanwhile, experiences-based research, by all accounts, can help the expansion of such a learning modality. Therefore, this study was designed to explain nursing doctoral students' experiences of blended learning. To attain this goal, a descriptive phenomenology method was used to illustrate experiences as they are experienced by the participants in the study. With regard to the nature of the investigated phenomena and the existing methods for the inductive analysis, Colaizzi's method of data analysis was used. The findings of the study led to the discovery of three main themes: "failure", "synergy" and "specific interaction". Each of the themes has been further divided into some sub-themes.

Emergency, 2018

Introduction Infrequency and low exposure to critically ill patients requiring airway management ... more Introduction Infrequency and low exposure to critically ill patients requiring airway management will lead to reduction in the skills and performance of the Emergency Medical Technicians (EMTs) over time. The present study was conducted primarily aiming to evaluate airway management in stationary ambulance simulations and identify the factors affecting Endotracheal Intubation (ETI) success rate. Method This is a simulation study. The study population comprised of active EMTs in prehospital emergency bases in Hamadan province. The participants were placed at the back of an ambulance to perform the airway management scenario, which had already been prepared. To investigate the factors affecting the success (≤3 attempts) or failure rate of intubation, both unadjusted and adjusted odds ratios (95% confidence intervals) for univariate and multivariate regressions were reported. Results 184 subjects with the mean age of 33.91+6.25 years and the median work experience of 8 years were studi...

Journal of Clinical Nursing and Midwifery, 2019

Background and Aims Continuous clinical evaluations and necessary interventions based on their re... more Background and Aims Continuous clinical evaluations and necessary interventions based on their results have a certain effect on improving the educational process at all levels. Considering such effects, especially in nursing, we aimed to compare the 360-degree feedback in assessing the clinical skills of nursing students in Ardabil University of Medical Sciences. Methods The present interventional study was conducted on the undergraduate Freshman nursing students of the 2014-2015 academic year (48 students) in Ardabil University of Medical Sciences in the burn ward of Fatemi Hospital in Ardabil City, Iran. The data gathering tool was a three-part researcher-made questionnaire for assessing clinical skills. Data analysis was performed in SPSS, using descriptive and inferential statistics, including Independent Samples t-test and Paired Samples t-test. Results In the present study, the total mean±SD scores of the traditional and 360-degree grading based on the score of 20 were 15.8±0.88 and 17.66±0.61, respectively. Moreover, the results of Independent Samples t-test indicated a significant difference between the two methods (P<0.031). Conclusion According to the obtained results, the use of 360-degree feedback, considering its potential characteristics, can reduce the gap between theory and practice by involving coaches and nurses. Furthermore, this method can effectively reduce the aura errors and evaluation of students' taste by masters and trainers. In addition, it can provide students with more realistic scores in clinical settings and reflect their strengths and weaknesses.

Iranian Journal of Nursing Research, 2013

Journal of Health Promotion Managment, 2017

Introduction: The ability to communicate effectively with patients is considered as one of the mo... more Introduction: The ability to communicate effectively with patients is considered as one of the most important characteristics of nurses. The aim of this study was to determine facilitators and barriers of communication between the nursing student and patient during 2000-2015. Methods: In this systematic review, full text of articles related to nurse-patient communication were retrieved from English and Persian databases (PubMed, Embase, ScienceDirect, ProQuest, Magiran, SID and Medlib). Using the "Nursing Students", "Patients" and "Communication" search strings and their equivalent in Persian language, the titles of articles were searched. In addition, the data extraction form which was developed according to the study's objectives was used to collect data. From the 38 related papers that were identified, 26 articles were excluded because they were not in line with the inclusion criteria. Nine additional studies relevant to the research were directly added through manual search. In total, 21 English and Persian papers were identified and considered in this review. Results: Seventeen of 21 articles (80.96%) were descriptive studies, of which four (19.04%) were qualitative studies. Six of 17 descriptive articles (35.29%) were from intervention studies. Twelve of the papers (57.14%) were conducted in Iran and nine (42.86%) were investigated in other countries. The results showed that improving the nursing students' theoretical knowledge and clinical experience of communication, giving feedback, listening, empathy and assertiveness skills, and cultural and social characteristics of the wards were facilitators or inhibitors of the communication between the nursing students and patients. Conclusions: Based on the findings, individual, educational and environmental factors may act as facilitators or inhibitors of the communication between nursing student and patient. As such, it is suggested that nursing educators teach students about these factors and consider them in practice.

Journal of Education and Health Promotion, 2020

Complex intervention framework is extensively used in health service delivery, community, health ... more Complex intervention framework is extensively used in health service delivery, community, health and social policy, such as education, with important health outcomes. Such interventions are sensitive and flexible to the regional context and culture. Complex interventions introduce the use of two or more information sources or two or more research methods to answer a research question.[1,2] Using more than two research methods with triangulation techniques increases the validity of the research findings. Such studies are considered as mixed methods.[2] Complex intervention framework includes the steps which are not necessarily linear and there is also no clear boundary between simple and complex interventions. Such steps include plan development, feasibility and pilot, evaluation, and implementation. These steps have no linear or cyclic order.[3] This framework emphasizes that any intervention should be presented to the patients tailored to the context and culture of that society (political, social, and geographical). Even if the intervention can be presented equally in different societies, the context of that society cannot be ignored in the face of the intervention because one intervention may have different effects on two different societies. In fact, this framework introduces the mechanisms which are sufficiently relevant to that society in order to achieve some changes. In addition, the context of the society after the intervention should be considered in interpreting the findings.[4] Meanwhile, Lakshman et al. considered the use of this framework to infants' nutritional behaviors in lactation with the analysis of cost-effectiveness of a complex intervention in his study as a challenging, long and costly intervention. He even suggested conducting interventional research with or without a framework to evaluate their effectiveness alongside costs.[5]

International Journal of Hematology-Oncology and Stem Cell Research, 2019

Background: Hematopoetic stem cell transplantation is considered as a standard treatment for canc... more Background: Hematopoetic stem cell transplantation is considered as a standard treatment for cancer patients to stay hopeful toward treatment outcome. However, these patients experience many complications which might affect different aspects of their life. The aim of this study was to investigate the lived experience of patients after hematopoetic stem cell transplantation and introduce supportive care strategies. Materials and Methods: In this study, Van Manen’s Hermeneutic phenomenological approach was used. Eleven patients (7 males and 4 females) were chosen by targeted sampling from visitors of Shariati Hospital’s outpatient clinic. Semi-structured interviews were conducted and the final data were analyzed by MAXQDA 10 software. Results: Data analysis revealed that the main theme was resiliency with two sub-themes of “not surrendering to disease” and “feeling closer to God”. Conclusion: Participants declared that transplantation was like a second chance for life and considered t...

Journal of Education and Community Health, 2018

Background and Objective: Educating patients plays an important role in improving their quality o... more Background and Objective: Educating patients plays an important role in improving their quality of life. The collaborative care model is a new method of self-care training. This study was conducted to evaluate the effect of collaborative care model on the quality of life and metabolic control indexes in patients with type 2 diabetes. Materials and Methods: In this semi-experimental study, 60 patients with type 2 diabetes visiting diabetes clinic of Jiroft Hospital were studied. The participants were selected based on the convenience sampling method. To implement the collaborative model that included four stages of motivation, preparation, engagement, and evaluation, the patients were divided into four groups, and the model was executed for three months for each group. Data collection tools included a researcher-made questionnaire including demographic characteristics, metabolic indexes and vital signs and the quality of life questionnaire for patients with diabetes. The collected data were analyzed using Wilcoxon, Mac-Nemar and paired t-test in SPSS, version 20. Results: After performing the collaborative care model, the total mean quality of life increased from 50.7±5.7 to 68.3 ±5.2. The results of Wilcoxon test showed a significant difference in care and metabolic indexes (P<0.001). The quality of life improved in different dimensions compared to the preintervention stage (P<0.001). Conclusion: The implementation of this model improves the quality of life and metabolic indexes. Therefore, the use of collaborative care model as an effective model for educating patients with type 2 diabetes is recommended.

The Journal of Medical Research, 2018

Background: Patients undergo Coronary Artery Bypass Graft (CABG) surgery experience varying degre... more Background: Patients undergo Coronary Artery Bypass Graft (CABG) surgery experience varying degrees of discomfort. Few studies evaluate the effect of music on patients` comfort. Aims and objectives: The aim of this study was to determine effect of listening to music on general comfort level of patients underwent CABG surgery. Study Design: This was a randomized controlled trial. Setting: This study was conducted in open heart surgery Intensive Care Unit (OH-ICU) in Imam Khomeini Hospital affiliated to Tehran University of Medical Sciences. Materials and Methods: 65 patients with age between 30 to 75 years, stable hemodynamic condition, no substance abuse, no hearing problems and underwent CABG surgery for the first time were allocated to two groups of intervention and control by block balanced randomization method. Intervention was listening to preferred light and instrumental music for 30 minutes in day after surgery at 4 to 6 PM by MP3 player and individual headphone, while patients in the control group received usual care. Study outcome was general comfort level that was measured by general comfort questionnaire (GCQ) at baseline and at end of the study. Statistics: SPSS software version 16 was used. Data were described and analyzed by descriptive statistics and statistical tests. A P-value less than 0.05 was considered statistically significant. Results: At end of the study, 62 patients (31 patients in each group) completed the study. There is no significant difference between the two groups at baseline regarding demographic and clinical characteristic (P>0.05). Although patients` general comfort level was not different between intervention and control groups (47.10 ±2.04, and 47.10 ±1.95; P= 1.000), it improved significantly following the intervention in the intervention group compared with control group (45.48±2.01 vs 47.29±1.95; P< 0.001). Conclusion: Our study indicated that listening to preferred music can be used as a non-invasive intervention by nurses for patients underwent CABG surgery during hospitalization in order to improve their general comfort level.

Journal of Visual Impairment & Blindness, 2017

Introduction Mothers, who often serve as primary care-givers for their offspring, play a crucial ... more Introduction Mothers, who often serve as primary care-givers for their offspring, play a crucial role in the development of children. Understanding the parenting experiences of mothers who are blind can be valuable and beneficial for professional educators and health care workers who wish to provide holistic and appropriate services to both mothers who are blind and their children. This study aimed to explore the experience of mother-child integration by mothers who are blind living in Iran. Methods A hermeneutic phenomenology approach was adopted to conduct the study. Congruent with this approach, Van Manen's (1990) method consisted of six interplay activities that helped the researchers in the process of the study. Semistructured in-depth interviews were performed to produce qualitative data with nine mothers who are blind. The thematic analysis introduced by Van Manen was used to isolate and extract the meaning units, subthemes, and the main theme hidden in the lived stories ...

Nursing research and practice, 2017

In recent years, particular attention has been paid to nursing students' therapeutic communic... more In recent years, particular attention has been paid to nursing students' therapeutic communication (TC) with patients, due to a strong emphasis on patient-centered education in the Iranian healthcare reform. However, various studies have highlighted the poor communication of future nurses. Therefore, researchers have used qualitative methodology to shed light on the antecedents and consequences of nursing students' TC and promote it. We carried out a conventional content analysis using semistructured interviews with a purposefully selected sample of 18 participants, including nursing instructors, students, and patients in hospitals affiliated to Tehran University of Medical Sciences. "Communication readiness," "predisposing factors," and "continuity of care" were identified as the three major themes. "Communication readiness" consisted of "physical readiness," "academic readiness," and "developmental readiness....

Electronic Physician, 2017

Background and aim: Therapeutic communication, the fundamental component of nursing, is a complex... more Background and aim: Therapeutic communication, the fundamental component of nursing, is a complex concept. Furthermore, the poor encounters between nursing student and patient demonstrate the necessity of instruction regarding therapeutic communication. The aim of this study was to define and clarify this important concept for including this subject in the nursing curriculum with more emphasis. Methods: A literature search was conducted using keywords such as "nursing student", "patient" and "therapeutic communication" and Persian-equivalent words in Persian databases (including Magiran and Medlib) and English databases (including PubMed, ScienceDirect, Scopus and ProQuest) without time limitation. After extracting concept definitions and determining characteristic features, therapeutic communication in nursing students was defined. Then, sample cases, antecedents, consequences and empirical referents of concept were determined. Results: After assessing 30 articles, therapeutic communication defining attributes were as follows: "an important means in building interpersonal relationships", "a process of information transmission", "an important clinical competency", "a structure with two different sections" and "a significant tool in patient centered care". Furthermore, theoretical and clinical education and receiving educators' feedback regarding therapeutic communication were considered as antecedents of the concept. Improving physical and psychological health status of patient as well as professional development of nursing students were identified as consequences of the concept. Conclusion: Nursing instructors can use these results in order to teach and evaluate therapeutic communication in nursing students and train qualified nurses. Also, nursing students may apply the results to improve the quality of their interactions with patients, perform their various duties and meet patients' diverse needs.