Alireza Nikbakht Nasrabadi | Tehran University of Medical Sciences (original) (raw)
Conference Presentations by Alireza Nikbakht Nasrabadi
Background Mobile health (mHealth) interventions to promote medication adherence have shown promi... more Background
Mobile health (mHealth) interventions to promote medication adherence have shown promise; however, among patients primarily diagnosed with Coronary Heart Disease (CHD), effective tailoring of the intervention based on cardiac nurses’ perspectives may be necessary.
Objectives
To explore nurses’ perspectives of the potential effect and barriers of a mHealth intervention among CHD patients;
To identify reported facilitators for optimum implementation of a patient-centred mHealth intervention through which such
interventions may affect medication adherence.
Method
Three focus groups were used to obtain nurses' perceptions about mHealth interventions. 23 cardiac nurses were recruited using purposive sampling from three university hospitals in Iran. Semi-structured questions were administered to facilitate discussion in each of the focus groups.
Results
The emerging data from the focus groups identified three key areas of relevance as identified by the participants: 1. perceived effect of mHealth-based interventions, 2. Associated challenges and, 3. provided suggestions for best implementing the intervention. Participants perceived the intervention as being beneficial to CHD patients and their
medication taking. The major benefits outlined in discussions were that the intervention would provide patients with reminders and postdischarge follow-up. Key challenges of mHealth interventions included lack of health informatics specialists, legal and privacy issues, limitation of technology knowledge and access to mobile technology. The majority of participants suggested surveying patients to have a better understanding of feasibility and acceptability of a mobile-based
intervention.
Conclusion
The inclusion of nurses in the development of reminder message content and timing will be helpful for future studies that
implement and evaluate the impact/effectiveness of the intervention. Focus groups informed the refinement of a mHealth intervention to promote cardiac medication adherence among CHD patients at risk for nonadherence.
Papers by Alireza Nikbakht Nasrabadi
BMJ Open
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...
Journal of Psychosocial Nursing and Mental Health Services
The authors conducted a systematic review of factors that moderate the influence of intergenerati... more The authors conducted a systematic review of factors that moderate the influence of intergenerational contact on ageism. MEDLINE (using PubMed), EMBASE, Scopus, Web of Science, and Proquest databases were searched, using terms and keywords including intergenerational conflict, intergenerational relation, intergeneration gap, and ageism, and no date restrictions. The search yielded a total of 247 articles, of which 23 met eligibility criteria for the review. Findings revealed that the experience of ageism for older adults is widespread and highly prevalent in Western and Eastern countries. In addition, culture, age, and gender played important roles in young people's decisions to contact older adults. These factors were important moderators of intergenerational relationships and ageism. Robust, trans-disciplinary research is needed to examine factors related to intergenerational relations, particularly with older adults in clinical populations.
Background: Receiving accurate and complete information about diagnosis, prognosis, and treatment... more Background: Receiving accurate and complete information about diagnosis, prognosis, and treatments is among patients’ rights in healthcare systems. Although all healthcare providers have the same viewpoint about truth-telling in the process of treatment, sometimes truths are not told to patients or they are told a “white lie”. The aim of the study was to explore nurses’ experiences of the situations of using white lie during patient care. Methods: This qualitative descriptive study was conducted in 2018. Participants were eighteen hospital nurses purposively recruited with maximum variation from ten hospitals affiliated to Tehran University of Medical Sciences, Tehran, Iran. Data were collected through semi-structured interviews. Sampling and data collection were continued up to data saturation. Data analysis was done concurrently with data collection through conventional content analysis. Results: Situations of using white-lie-telling by nurses during patient care resulted in eleve...
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
HLRP: Health Literacy Research and Practice
Background: Limited skill in health literacy is a global issue. Variation in health literacy skil... more Background: Limited skill in health literacy is a global issue. Variation in health literacy skills within societies is a source of health inequality unless health care providers apply health literacy practices to effectively communicate with all clients. Objective: This study examined Iranian registered nurses' knowledge of and experience with health literacy practices. Methods: This cross-sectional study provides a quantitative description of knowledge of and experience with health literacy practices. Using a rigorous process, we adapted the Health Literacy Knowledge and Experience Survey to collect data from the participants, who were 190 registered nurses working in Tehran, Iran. Key Results: Findings identify gaps in participants' knowledge and experience with health literacy practices. Knowledge deficits are most noticeable in standards to create written materials, screening tools to identify limited health literacy, and the Teach-Back strategies to determine people's understanding. Limited experience is prominent in using health literacy screening tools, evaluating written health information, and applying technologies to provide health information. Our multivariate analysis suggests participants who reported more interaction with health care professionals for personal reasons scored higher in knowledge of health literacy practices. Conclusions: This study indicated that registered nurses in Iran do not have adequate knowledge and experience regarding health literacy practices. Addressing this issue is fundamental to promoting health equity. Future investigations should identify both barriers and facilitators for nurses to apply health literacy practices. [HLRP: Health Literacy Research and Practice. 2019;3(4):e268-e279.] Plain Language Summary: Health literacy practices enable health care professionals to offer understandable health information to all people and contribute to health equity. We surveyed 190 registered nurses in Iran to assess their knowledge of and experience with health literacy practices. The findings will be a guide to create interventions to improve registered nurses' knowledge of these practices and to use them to communicate clearly with clients. Providing quality care for all people regardless of their personal characteristics, such as gender, age, social status, geographic location, and socioeconomic status, is a fundamental objective for health care systems (Marmot, 2013). Health literacy, which is defined as the ability to access, understand, and apply health information, is one of the determinants of health (Pelikan, Ganahl, & Roethlin, 2018). Limited health literacy is prevalent in vulnerable populations such as older adults, racial and ethnic minorities, people living with chronic illnesses, and those with less education (Paasche-Orlow, Parker, Gazmararian, Nielsen-Bohlman, & Rudd, 2005; Schaeffer, Berens, & Vogt, 2017). People with limited health literacy usually have poor health outcomes and an increased risk of hospitalization and mortality (Berkman,
OBJECTIVES Spinal cord injury (SCI) is a life-changing experience for the individuals with SCI an... more OBJECTIVES Spinal cord injury (SCI) is a life-changing experience for the individuals with SCI and their families. This study aimed to investigate physical strategies used for overcoming physical disability in individuals with SCI. METHODS In this qualitative study, 17 SCI persons and 13 family caregivers were selected by a purposeful sampling. Settings of the study were Brain and SCI research (BASIR) center of Tehran University of Medical Sciences and Southern Social Welfare Center of Tehran and SCI Association of Tehran, Iran. Data were collected by face-to-face semi-structured interviews, which were continued until data saturation. The gathered data were concurrently analyzed by the content analysis method. RESULTS The data analysis revealed one main theme (towards overcoming physical disability) and three sub-themes: 1) physical rehabilitation by various methods; 2) tendency towards the use of alternative medical methods; and 3) making effort for self-reliance. CONCLUSION The pa...
Journal of caring sciences, 2017
Introduction: Harmful nature of epilepsy can affect the patient and their parent. Stigma, arising... more Introduction: Harmful nature of epilepsy can affect the patient and their parent. Stigma, arising from it, affects the patient and their family. To relieve it understanding the experiences of the parent are useful. This study was aimed at understanding the experiences of parent of child with epilepsy in Iran. Methods: In this interpretative phenomenological study, 10 parents who took care of their child with epilepsy were participated. Data were collected through in-depth semi-structured interviews. After transcription, data were analyzed using Van Manen's method. Results: Family stigma emerged as a main theme in data analysis with three subthemes including becoming verbally abusive, a dull and heavy shadowed look, and associates interference. Conclusion: Family stigma is a major challenge for parents of child with epilepsy need to special attention by health system. Nurses, as a big part of the system, can play an important role to manage this problem.
Critical care nursing quarterly
Nursing errors are common in critical care units, and nurses are in the first line of confrontati... more Nursing errors are common in critical care units, and nurses are in the first line of confrontation. The purpose of this study was to explore the processes of managing nursing errors in critical care units in Iran and to develop a theoretical explanation of the phenomenon. This was a grounded theory study. We recruited a sample of 18 critical care nurses for the study. The sampling method was purposive and then changed to theoretical. The data were collected through in-depth interviews. For data analysis, we employed the constant comparative analysis technique. The core category of the study was "continuous situational analysis." The main categories were situational analysis and error removal. When nurses confronted an error, they opted for analyzing the error situation in terms of the nature of error, probable consequences, monitoring, and life threat. Accordingly, they employed error removal strategies such as self-action, cooperation, notifying, and censoring. These ste...
Iranian Journal of Nursing and Midwifery Research, Jun 1, 2010
... PhD, Associate Professor, School of ... Homayun Naji * , Alireza Nikhbakht Nasrabadi ** , Mar... more ... PhD, Associate Professor, School of ... Homayun Naji * , Alireza Nikhbakht Nasrabadi ** , Marzieh Shaban ... Beigi Sh, Osareh M, Fayyazi S. Effects of self care education on frequency of hospitalization and quality of life of CHF patients in educational hospitals of Tehran University ...
Electronic physician, 2016
Introduction: The professional satisfaction of staff is one of the most challenging organizationa... more Introduction: The professional satisfaction of staff is one of the most challenging organizational concepts that can enhance the efficiency level of organizations. In a similar vein, the professional satisfactio n of nurses is of considerable importance, in that, professional dissatisfaction among nurses could result in emotional detachment, depression, anger, evasion from work, and inefficacy and would negatively impact the organization's work rate. The aim of this study was to understand Iranian nurses' experiences of the concept of professional satisfaction. Methods: This was a qualitative study conducted with a targeted sampling of 10 nurses (4 men and 6 women) in 2015. The data were collected through conducting in-depth interviews, and textual data were analyzed subsequently using the Qualitative Content Analysis (QCA) method. Results: The findings of this study pointed to "fair conduct," which was comprised of three sub-categories, i.e., expectation of fairness in social-professional settings, expectation of fairness in receiving professional benefits, and expectation of fairness in the area of professional interactions. Conclusions: There are various ups and downs in nursing due to the challenging nature of the profession, from the initial education at the university until retirement. According to the findings of this study, a lack of fairness in social-professional settings, a lack of fairness in receiving professional benefits, and a lack of fairness in the area of professional interactions were among the factors that have great impacts on the degree of professional dissatisfaction among nurses.
Iranian Journal of Medical Education, Mar 15, 2008
Introduction: The effect of the presence of trained personnel in the team on the outcome of resus... more Introduction: The effect of the presence of trained personnel in the team on the outcome of resuscitation has been proved in previous studies. An informative need assessment, in the environment of present study, reveals the role of the nurses' knowledge in Cardiopulmonary Resuscitation (CPR). Therefore, this study was designed to determine the effect of education through workshop on nurses' sustained learning regarding resuscitation. Methods: An interventional study, using pre-test and post-test was carried out. The data gathering tool was a questionnaire consisted of two parts including individual characteristics and 21 multiple choice questions about necessary actions in cardiopulmonary resuscitation. This questionnaire was answered by the participants before, immediately after, and 6 months after the workshop. The results were analyzed using Repeated Measure ANOVA by SPSS software. Results: The highest score, the lowest score and the mean score in pre-test were 17, 6 and 10.12, respectively. These scores for the post-test were 21, 13 and 17.96, respectively. For the test held after 6 month, the highest score was 17, the lowest was 10 and the mean score was 15.02. Comparing the means of these tests showed a significant difference between the pre-test, post-test, and the test after 6 months. Conclusion: Although CPR workshops met the needs felt by nurses to some extent, the repetition of these workshops in regular bases (six months at maximum), seems to be necessary.
International Nursing Review En Espanol Revista Oficial Del Consejo Internacional De Enfermeras, 2007
Información del artículo Socorro en terremotos:: respuestas de las enfermeras iraníes en Bam, 200... more Información del artículo Socorro en terremotos:: respuestas de las enfermeras iraníes en Bam, 2003, y lecciones aprendidas.
International Journal of High Risk Behaviors and Addiction, 2016
Background: The success of drug abuse treatment and relapse prevention methods depends widely on ... more Background: The success of drug abuse treatment and relapse prevention methods depends widely on not only pharmaceutical and nonpharmaceutical therapies but also self efficacy and self esteem promotion. Objectives: The current study attempted to clarify the effects of Problem Solving Education (PSE) on relapse rate, self efficacy and self esteem among drug abusers. Patients and Methods: This non-controlled clinical trial (quasi-experimental) assessed 60 opium and heroin abusers who were willing to quit and were referred to the Mehr Center of Addiction Treatment and Rehabilitation Facility. The patients were allocated to two groups of 30 (intervention and control groups). While both groups received the routine care of the clinic, the intervention group also attended eight 45-minute family-centered PSE sessions. The Coopersmith Self esteem Inventory and Quit Addiction Self efficacy Questionnaire were filled out for all subjects before and after the intervention. Drug relapse was investigated four times with two-week intervals. The two groups were compared using chi-square and Student's-t tests. Logistic regression analysis was applied to determine factors affecting drug relapse. Results: A total of 45 individuals (21 and 24 in the intervention and control groups, respectively) completed the study. At baseline, the two groups had no significant difference regarding their mean scores of self esteem and self efficacy (P = 0.692 and 0.329, respectively). After the intervention, however, the mean changes of self esteem scores were 20.10 ± 3.75 for the intervention group and 4.50 for the control group (P < 0.001). The mean changes of self efficacy scores in the mentioned groups were 34 34.17 ± 5.19 and 9.03± 2.04, respectively (P < 0.001). Drug relapse after two weeks was correlated with age (OR = 1.216; P = 0.026; 95% CI: 1.024-1.445) and implementation of the intervention (OR = 0.036; P = 0.003; 95% CI: 0.004-0.322). Conclusions: According to our findings, supplementing drug abuse treatment with cognitive behavior therapy, particularly PSE, can reduce relapse rate and enhance self efficacy and self esteem among patients.
Quran and Medicine, Feb 1, 2014
Global Journal of Health Science, 2015
Background: The application of family planning methods to people with HIV not only prevents unwan... more Background: The application of family planning methods to people with HIV not only prevents unwanted pregnancy, but also leads to a reduction in the possibility of transmission of the virus from the patient to the sexual partner and the fetus. In order to prevent the spread of HIV and enhance reproductive rights, it is necessary to inform women with HIV of the contraception methods. Objective: The aim of this study was to explore experiences of HIV positive women about contraception use. Method: This qualitative study was conducted on 18 women with HIV who were at reproductive age and had referred the Center for clients with Risky Behavior in Imam Khomeini Hospital. Data were analyzed using the conventional content analysis method in MAXQDA 10. Results: The following two themes were derived from descriptions of the use of contraception methods by women with HIV: 1) Contraception is the forgotten component of reproductive health services; 2) inconsistent condom use. Each theme also contained three sub-themes. Conclusion: Results of investigations showed that Risky Behavior consultation Centers mostly stress the use of condom for husband/sexual partners without HIV. In addition, since health care practitioners play an important role in provision of reproductive health services, their lack of knowledge and cooperation considerably contribute to the spread of the disease and violation of patient rights.
Background Mobile health (mHealth) interventions to promote medication adherence have shown promi... more Background
Mobile health (mHealth) interventions to promote medication adherence have shown promise; however, among patients primarily diagnosed with Coronary Heart Disease (CHD), effective tailoring of the intervention based on cardiac nurses’ perspectives may be necessary.
Objectives
To explore nurses’ perspectives of the potential effect and barriers of a mHealth intervention among CHD patients;
To identify reported facilitators for optimum implementation of a patient-centred mHealth intervention through which such
interventions may affect medication adherence.
Method
Three focus groups were used to obtain nurses' perceptions about mHealth interventions. 23 cardiac nurses were recruited using purposive sampling from three university hospitals in Iran. Semi-structured questions were administered to facilitate discussion in each of the focus groups.
Results
The emerging data from the focus groups identified three key areas of relevance as identified by the participants: 1. perceived effect of mHealth-based interventions, 2. Associated challenges and, 3. provided suggestions for best implementing the intervention. Participants perceived the intervention as being beneficial to CHD patients and their
medication taking. The major benefits outlined in discussions were that the intervention would provide patients with reminders and postdischarge follow-up. Key challenges of mHealth interventions included lack of health informatics specialists, legal and privacy issues, limitation of technology knowledge and access to mobile technology. The majority of participants suggested surveying patients to have a better understanding of feasibility and acceptability of a mobile-based
intervention.
Conclusion
The inclusion of nurses in the development of reminder message content and timing will be helpful for future studies that
implement and evaluate the impact/effectiveness of the intervention. Focus groups informed the refinement of a mHealth intervention to promote cardiac medication adherence among CHD patients at risk for nonadherence.
BMJ Open
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...
Journal of Psychosocial Nursing and Mental Health Services
The authors conducted a systematic review of factors that moderate the influence of intergenerati... more The authors conducted a systematic review of factors that moderate the influence of intergenerational contact on ageism. MEDLINE (using PubMed), EMBASE, Scopus, Web of Science, and Proquest databases were searched, using terms and keywords including intergenerational conflict, intergenerational relation, intergeneration gap, and ageism, and no date restrictions. The search yielded a total of 247 articles, of which 23 met eligibility criteria for the review. Findings revealed that the experience of ageism for older adults is widespread and highly prevalent in Western and Eastern countries. In addition, culture, age, and gender played important roles in young people's decisions to contact older adults. These factors were important moderators of intergenerational relationships and ageism. Robust, trans-disciplinary research is needed to examine factors related to intergenerational relations, particularly with older adults in clinical populations.
Background: Receiving accurate and complete information about diagnosis, prognosis, and treatment... more Background: Receiving accurate and complete information about diagnosis, prognosis, and treatments is among patients’ rights in healthcare systems. Although all healthcare providers have the same viewpoint about truth-telling in the process of treatment, sometimes truths are not told to patients or they are told a “white lie”. The aim of the study was to explore nurses’ experiences of the situations of using white lie during patient care. Methods: This qualitative descriptive study was conducted in 2018. Participants were eighteen hospital nurses purposively recruited with maximum variation from ten hospitals affiliated to Tehran University of Medical Sciences, Tehran, Iran. Data were collected through semi-structured interviews. Sampling and data collection were continued up to data saturation. Data analysis was done concurrently with data collection through conventional content analysis. Results: Situations of using white-lie-telling by nurses during patient care resulted in eleve...
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
HLRP: Health Literacy Research and Practice
Background: Limited skill in health literacy is a global issue. Variation in health literacy skil... more Background: Limited skill in health literacy is a global issue. Variation in health literacy skills within societies is a source of health inequality unless health care providers apply health literacy practices to effectively communicate with all clients. Objective: This study examined Iranian registered nurses' knowledge of and experience with health literacy practices. Methods: This cross-sectional study provides a quantitative description of knowledge of and experience with health literacy practices. Using a rigorous process, we adapted the Health Literacy Knowledge and Experience Survey to collect data from the participants, who were 190 registered nurses working in Tehran, Iran. Key Results: Findings identify gaps in participants' knowledge and experience with health literacy practices. Knowledge deficits are most noticeable in standards to create written materials, screening tools to identify limited health literacy, and the Teach-Back strategies to determine people's understanding. Limited experience is prominent in using health literacy screening tools, evaluating written health information, and applying technologies to provide health information. Our multivariate analysis suggests participants who reported more interaction with health care professionals for personal reasons scored higher in knowledge of health literacy practices. Conclusions: This study indicated that registered nurses in Iran do not have adequate knowledge and experience regarding health literacy practices. Addressing this issue is fundamental to promoting health equity. Future investigations should identify both barriers and facilitators for nurses to apply health literacy practices. [HLRP: Health Literacy Research and Practice. 2019;3(4):e268-e279.] Plain Language Summary: Health literacy practices enable health care professionals to offer understandable health information to all people and contribute to health equity. We surveyed 190 registered nurses in Iran to assess their knowledge of and experience with health literacy practices. The findings will be a guide to create interventions to improve registered nurses' knowledge of these practices and to use them to communicate clearly with clients. Providing quality care for all people regardless of their personal characteristics, such as gender, age, social status, geographic location, and socioeconomic status, is a fundamental objective for health care systems (Marmot, 2013). Health literacy, which is defined as the ability to access, understand, and apply health information, is one of the determinants of health (Pelikan, Ganahl, & Roethlin, 2018). Limited health literacy is prevalent in vulnerable populations such as older adults, racial and ethnic minorities, people living with chronic illnesses, and those with less education (Paasche-Orlow, Parker, Gazmararian, Nielsen-Bohlman, & Rudd, 2005; Schaeffer, Berens, & Vogt, 2017). People with limited health literacy usually have poor health outcomes and an increased risk of hospitalization and mortality (Berkman,
OBJECTIVES Spinal cord injury (SCI) is a life-changing experience for the individuals with SCI an... more OBJECTIVES Spinal cord injury (SCI) is a life-changing experience for the individuals with SCI and their families. This study aimed to investigate physical strategies used for overcoming physical disability in individuals with SCI. METHODS In this qualitative study, 17 SCI persons and 13 family caregivers were selected by a purposeful sampling. Settings of the study were Brain and SCI research (BASIR) center of Tehran University of Medical Sciences and Southern Social Welfare Center of Tehran and SCI Association of Tehran, Iran. Data were collected by face-to-face semi-structured interviews, which were continued until data saturation. The gathered data were concurrently analyzed by the content analysis method. RESULTS The data analysis revealed one main theme (towards overcoming physical disability) and three sub-themes: 1) physical rehabilitation by various methods; 2) tendency towards the use of alternative medical methods; and 3) making effort for self-reliance. CONCLUSION The pa...
Journal of caring sciences, 2017
Introduction: Harmful nature of epilepsy can affect the patient and their parent. Stigma, arising... more Introduction: Harmful nature of epilepsy can affect the patient and their parent. Stigma, arising from it, affects the patient and their family. To relieve it understanding the experiences of the parent are useful. This study was aimed at understanding the experiences of parent of child with epilepsy in Iran. Methods: In this interpretative phenomenological study, 10 parents who took care of their child with epilepsy were participated. Data were collected through in-depth semi-structured interviews. After transcription, data were analyzed using Van Manen's method. Results: Family stigma emerged as a main theme in data analysis with three subthemes including becoming verbally abusive, a dull and heavy shadowed look, and associates interference. Conclusion: Family stigma is a major challenge for parents of child with epilepsy need to special attention by health system. Nurses, as a big part of the system, can play an important role to manage this problem.
Critical care nursing quarterly
Nursing errors are common in critical care units, and nurses are in the first line of confrontati... more Nursing errors are common in critical care units, and nurses are in the first line of confrontation. The purpose of this study was to explore the processes of managing nursing errors in critical care units in Iran and to develop a theoretical explanation of the phenomenon. This was a grounded theory study. We recruited a sample of 18 critical care nurses for the study. The sampling method was purposive and then changed to theoretical. The data were collected through in-depth interviews. For data analysis, we employed the constant comparative analysis technique. The core category of the study was "continuous situational analysis." The main categories were situational analysis and error removal. When nurses confronted an error, they opted for analyzing the error situation in terms of the nature of error, probable consequences, monitoring, and life threat. Accordingly, they employed error removal strategies such as self-action, cooperation, notifying, and censoring. These ste...
Iranian Journal of Nursing and Midwifery Research, Jun 1, 2010
... PhD, Associate Professor, School of ... Homayun Naji * , Alireza Nikhbakht Nasrabadi ** , Mar... more ... PhD, Associate Professor, School of ... Homayun Naji * , Alireza Nikhbakht Nasrabadi ** , Marzieh Shaban ... Beigi Sh, Osareh M, Fayyazi S. Effects of self care education on frequency of hospitalization and quality of life of CHF patients in educational hospitals of Tehran University ...
Electronic physician, 2016
Introduction: The professional satisfaction of staff is one of the most challenging organizationa... more Introduction: The professional satisfaction of staff is one of the most challenging organizational concepts that can enhance the efficiency level of organizations. In a similar vein, the professional satisfactio n of nurses is of considerable importance, in that, professional dissatisfaction among nurses could result in emotional detachment, depression, anger, evasion from work, and inefficacy and would negatively impact the organization's work rate. The aim of this study was to understand Iranian nurses' experiences of the concept of professional satisfaction. Methods: This was a qualitative study conducted with a targeted sampling of 10 nurses (4 men and 6 women) in 2015. The data were collected through conducting in-depth interviews, and textual data were analyzed subsequently using the Qualitative Content Analysis (QCA) method. Results: The findings of this study pointed to "fair conduct," which was comprised of three sub-categories, i.e., expectation of fairness in social-professional settings, expectation of fairness in receiving professional benefits, and expectation of fairness in the area of professional interactions. Conclusions: There are various ups and downs in nursing due to the challenging nature of the profession, from the initial education at the university until retirement. According to the findings of this study, a lack of fairness in social-professional settings, a lack of fairness in receiving professional benefits, and a lack of fairness in the area of professional interactions were among the factors that have great impacts on the degree of professional dissatisfaction among nurses.
Iranian Journal of Medical Education, Mar 15, 2008
Introduction: The effect of the presence of trained personnel in the team on the outcome of resus... more Introduction: The effect of the presence of trained personnel in the team on the outcome of resuscitation has been proved in previous studies. An informative need assessment, in the environment of present study, reveals the role of the nurses' knowledge in Cardiopulmonary Resuscitation (CPR). Therefore, this study was designed to determine the effect of education through workshop on nurses' sustained learning regarding resuscitation. Methods: An interventional study, using pre-test and post-test was carried out. The data gathering tool was a questionnaire consisted of two parts including individual characteristics and 21 multiple choice questions about necessary actions in cardiopulmonary resuscitation. This questionnaire was answered by the participants before, immediately after, and 6 months after the workshop. The results were analyzed using Repeated Measure ANOVA by SPSS software. Results: The highest score, the lowest score and the mean score in pre-test were 17, 6 and 10.12, respectively. These scores for the post-test were 21, 13 and 17.96, respectively. For the test held after 6 month, the highest score was 17, the lowest was 10 and the mean score was 15.02. Comparing the means of these tests showed a significant difference between the pre-test, post-test, and the test after 6 months. Conclusion: Although CPR workshops met the needs felt by nurses to some extent, the repetition of these workshops in regular bases (six months at maximum), seems to be necessary.
International Nursing Review En Espanol Revista Oficial Del Consejo Internacional De Enfermeras, 2007
Información del artículo Socorro en terremotos:: respuestas de las enfermeras iraníes en Bam, 200... more Información del artículo Socorro en terremotos:: respuestas de las enfermeras iraníes en Bam, 2003, y lecciones aprendidas.
International Journal of High Risk Behaviors and Addiction, 2016
Background: The success of drug abuse treatment and relapse prevention methods depends widely on ... more Background: The success of drug abuse treatment and relapse prevention methods depends widely on not only pharmaceutical and nonpharmaceutical therapies but also self efficacy and self esteem promotion. Objectives: The current study attempted to clarify the effects of Problem Solving Education (PSE) on relapse rate, self efficacy and self esteem among drug abusers. Patients and Methods: This non-controlled clinical trial (quasi-experimental) assessed 60 opium and heroin abusers who were willing to quit and were referred to the Mehr Center of Addiction Treatment and Rehabilitation Facility. The patients were allocated to two groups of 30 (intervention and control groups). While both groups received the routine care of the clinic, the intervention group also attended eight 45-minute family-centered PSE sessions. The Coopersmith Self esteem Inventory and Quit Addiction Self efficacy Questionnaire were filled out for all subjects before and after the intervention. Drug relapse was investigated four times with two-week intervals. The two groups were compared using chi-square and Student's-t tests. Logistic regression analysis was applied to determine factors affecting drug relapse. Results: A total of 45 individuals (21 and 24 in the intervention and control groups, respectively) completed the study. At baseline, the two groups had no significant difference regarding their mean scores of self esteem and self efficacy (P = 0.692 and 0.329, respectively). After the intervention, however, the mean changes of self esteem scores were 20.10 ± 3.75 for the intervention group and 4.50 for the control group (P < 0.001). The mean changes of self efficacy scores in the mentioned groups were 34 34.17 ± 5.19 and 9.03± 2.04, respectively (P < 0.001). Drug relapse after two weeks was correlated with age (OR = 1.216; P = 0.026; 95% CI: 1.024-1.445) and implementation of the intervention (OR = 0.036; P = 0.003; 95% CI: 0.004-0.322). Conclusions: According to our findings, supplementing drug abuse treatment with cognitive behavior therapy, particularly PSE, can reduce relapse rate and enhance self efficacy and self esteem among patients.
Quran and Medicine, Feb 1, 2014
Global Journal of Health Science, 2015
Background: The application of family planning methods to people with HIV not only prevents unwan... more Background: The application of family planning methods to people with HIV not only prevents unwanted pregnancy, but also leads to a reduction in the possibility of transmission of the virus from the patient to the sexual partner and the fetus. In order to prevent the spread of HIV and enhance reproductive rights, it is necessary to inform women with HIV of the contraception methods. Objective: The aim of this study was to explore experiences of HIV positive women about contraception use. Method: This qualitative study was conducted on 18 women with HIV who were at reproductive age and had referred the Center for clients with Risky Behavior in Imam Khomeini Hospital. Data were analyzed using the conventional content analysis method in MAXQDA 10. Results: The following two themes were derived from descriptions of the use of contraception methods by women with HIV: 1) Contraception is the forgotten component of reproductive health services; 2) inconsistent condom use. Each theme also contained three sub-themes. Conclusion: Results of investigations showed that Risky Behavior consultation Centers mostly stress the use of condom for husband/sexual partners without HIV. In addition, since health care practitioners play an important role in provision of reproductive health services, their lack of knowledge and cooperation considerably contribute to the spread of the disease and violation of patient rights.
Applied Nursing Research, 2015
Hepatitis is one of health problems throughout the world. It has numerous consequences on patient... more Hepatitis is one of health problems throughout the world. It has numerous consequences on patients&amp;amp;amp;#39; life. Stigma, depression, social marginalization and financial problems are some of the challenges in these patients. The purpose of this qualitative study was to examine hepatitis-related stigma and discrimination in patients living with chronic hepatitis in Iranian society. This present study was designed as a qualitative method, and this article shows up the results of a qualitative research study undertaken with patients living with hepatitis in Iran. The study uses a content analysis method. A purposive sample of 18 patients was chosen. Data were collected through a semi-structured interview and field note that the researchers will take during participants&amp;amp;amp;#39; observation. Data analysis process was performed on the texts which were generated from verbatim transcripts of the participants interviews. Participants were between 18 and 61years old. The main theme, Stigma, emerged from three themes during the process data analysis in this study. These themes were including fear to lose of family and social support, fear to present in public and fear of transmission. This research indicates that stigma presents major challenges not only for patients living with chronic hepatitis but also for nurses, other healthcare practitioners, family and social networks, institutions and society. The researcher suggests that interventions to reduce or eliminate stigma should require individual, structural, cultural thought, society and systemic changes.