Nasrin Hanifi | Zanjan University of Medical Science (original) (raw)
Papers by Nasrin Hanifi
Research Square (Research Square), Oct 2, 2023
Background Patient's shared decision-making (SDM) is an ethical standard for respecting patient a... more Background Patient's shared decision-making (SDM) is an ethical standard for respecting patient autonomy. Objectives This study aimed to investigate the level of shared decision-making (SDM) for emergency surgery and its related factors in hospitals a liated with the Zanjan University of Medical Sciences (Iran). Methods The study has a cross-sectional design. The study was performed on 306 patients candidates for emergency surgery in 2020. The research instruments included a 9-item Shared Decision-Making Questionnaire (SDM-Q-9) and an SDM-related factors questionnaire for surgery. Results The results showed that more than 50% of patients did not participate in the choice of emergency surgery. Among the related factors, the SDM level of the family members, the patient's marital status, and systolic blood pressure were the main predictors of the patient's SDM for surgery (P-value < 0.05). Conclusions The emergency conditions of patients and the high workload of staff reduced participation in the decisionmaking of patients and their family members.
Journal of Genetics and Breeding, 2000
Journal of periAnesthesia nursing/Journal of perianesthesia nursing, Feb 1, 2024
Nursing Forum
Background. The workload of nurses in the intensive care unit (ICU) can affect the quality of nur... more Background. The workload of nurses in the intensive care unit (ICU) can affect the quality of nursing services. Aim. This study aimed to determine the relationship between the nursing activity score and missed care in patients hospitalized in the ICU in Zanjan, Iran. Methods. This observational and prospective study was conducted from April 3 to September 18 in 2021. The study utilized a patient and nurse profile questionnaire, the Nursing Activity Score (NAS), and a checklist for missed care as research tools. Missed care was observed in the 301 patients for whom the NAS was calculated. Analysis of variance (ANOVA) was used to investigate the differences in mean levels of missed care. Logistic regression models were used to assess the association between factors and missed nursing care. Results. Results show that the medical ICU’s mean NAS was 76.31 (95% CI: −13.06–14.89). In 9 dimensions of care, the extent of missed care was 40.7%. In the care dimensions of assessment, hand hygie...
Perspectives in Psychiatric Care, Feb 11, 2023
Purpose. Tis study was designed to characterize the psychometric properties of the Persian versio... more Purpose. Tis study was designed to characterize the psychometric properties of the Persian version of Fear of Hospitalization Scale (P-FHS). Design and Methods. In order to evaluate the validity and reliability of the translated scale, a cross-sectional design was employed. Ten experts evaluated the content validity of Fear of Hospitalization Scale (FHS) after it had been back-translated into Persian. With 612 patients having emergency surgery, construct validity was assessed using exploratory factor analysis (EFA) and confrmatory factor analysis (CFA). Te STROBE checklist for cross-sectional studies was followed. Findings. Te results of EFA (n � 306) showed that fear of hospitalization had three factors. Tese three factors accounted for 45.28% of the total variance. Also, these factors were confrmed by CFA (n � 306) (root-mean-square error of approximation � (90% confdence interval) � 0.050 (0.041, 0.058), goodness-of-ft index � 0.945, comparative ft index � 0.968, non-normal ft index � 0.948, incremental ft index � 0.968, Tucker-Lewis index � 0.959). Te coefcients of Cronbach's alpha, McDonald's omega, composite reliability, and maximum reliability for all three factors were greater than 0.7, demonstrating satisfed internal consistency. Practice Implication. According to the published results, the P-FHS is efective at measuring hospitalization anxiety in patients undergoing emergency surgery. It is advised that nurses in Iranian culture use a legitimate and trustworthy technique to pinpoint the causes of hospitalization anxiety in patients undergoing emergency surgery to give optimal care.
DOAJ (DOAJ: Directory of Open Access Journals), 2022
Background: Patients with traumatic brain injury (TBI) experience changes in their level of consc... more Background: Patients with traumatic brain injury (TBI) experience changes in their level of consciousness (LOC). Royal Jelly is used in the treatment of neurological diseases. Objective: This study aimed to examine the effect of royal jelly on the LOC of patients with TBI. Methods: This double-blind randomized trial was performed in 2020 on 61 patients with TBI admitted to the intensive care unit. The patients were recruited consecutively and randomly assigned to an intervention (n = 33) and a control (n = 28) group. Patients in the intervention group received 3000 mg of royal jelly orally each day for 14 days, while those in the control group received routine care. The LOC was evaluated using the Glasgow Coma Scale (GCS) and Full Outline of Unresponsiveness (FOUR) score from day 1 to day 14. Data were analyzed using the repeated measures analysis and analysis of covariance. Results: The mean baseline GCS scores of the intervention and the control group were 4.39 ± 0.61and 4.82 ± 0.77, respectively, and changed to 11.93 ± 2.41 and 7.60 ± 2.51 at the end of the 14 th day (P < 0.001). Furthermore, the mean baseline FOUR scores of the intervention and the control groups were 6.06±0.93 and 6.42 ± 1.16, respectively, and changed to 13.88 ± 2.57 and 9.71 ± 2.40 at the end of the study (P < 0.001). Conclusion: Using royal jelly for 2 weeks could improve the LOC of patients with TBI. However, further studies are recommended to determine the dose and duration of the usage.
Nursing open, Apr 9, 2023
AimThis study was designed to characterize the psychometric properties of the Persian version of ... more AimThis study was designed to characterize the psychometric properties of the Persian version of the Second Victim Experience and Support Instrument (P‐SVEST).DesignThis study was a methodological and cross‐sectional study.MethodsThe SVEST was back‐translated into Persian and 10 experts assessed its content validity. Construct validity was determined through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) with a total of 754 critical care and emergency nurses.ResultsThe results of exploratory factor analysis showed that the P‐SVEST had four factors. These four factors accounted for 51.67% of the total variance. Also, these factors were confirmed by confirmatory factor analysis (root mean square error of approximation = (90%. confidence interval) = 0.058 [0.045, 0.071], goodness‐of‐fit index = 0.932, comparative fit index = 0.956, non‐normal fit index = 0.918, incremental fit index = 0.957 and Tucker–Lewis index = 0.944). Coefficients of Cronbach's alpha, McDonald's omega, composite reliability and maximum reliability for all of the factors were >0.7, demonstrating satisfied internal consistency.
علوم مراقبتی نظامی, Aug 1, 2018
Introduction: Health care-related infections are serious problems that influence patient›s safety... more Introduction: Health care-related infections are serious problems that influence patient›s safety settings. Hand hygiene is the most effective method for preventing these infections. Objectives: The current study aimed at investigating health care workers› knowledge and attitude towards hand hygiene in intensive care units of educational hospitals affiliated to Zanjan University of Medical Sciences, during year 2014. Materials and Methods: The present study was a descriptive cross-sectional study, which was conducted on 88 health care workers of Intensive Care Unit (ICU) and Coronary Care Unit (CCU) in two educational hospitals affiliated to Zanjan University of Medical Sciences, who were selected by random sampling. Knowledge and attitude of the participants toward hand hygiene, was examined through World Health Organization (WHO) recommended standardized questionnaire and researcher-designed questionnaire, respectively. All health care workers, including physicians, nurses and others (radiology and laboratory technicians), were enrolled in the study during May 2014. Collected data were analyzed by using SPSS software, version 16. Results: The findings showed that none of the participants had poor knowledge, 47.7% had moderate knowledge, 34.1% had good knowledge, and only 18.2% had very good knowledge. Regarding attitude, 95.4% of the participants had a positive attitude towords hand hygiene. T-test and Kruskal-Wallis statistical tests on demographic characteristics also showed that variables, such as level of education, professional status, and the last round of retraining course with knowledge and workplace had a significant relationship with attitude. The result of the correlation test showed a significant relationship between knowledge and attitude. Discussion and Conclusion: Despite the positive attitude of intensive care unit staff towards hand hygiene, their knowledge is not desirable and optimal, and having favorable knowledge and performance requires more training.
DOAJ (DOAJ: Directory of Open Access Journals), Mar 1, 2022
Background: Ventilator-associated pneumonia (VAP) is considered a common infectious disease in th... more Background: Ventilator-associated pneumonia (VAP) is considered a common infectious disease in the intensive care units (ICU) and it is associated with increased morbidity and mortality. Therefore, humidifying the artificial airway is important care for patients under mechanical ventilation in the ICU. Objectives: The present study aimed to compare the effect of using active and passive humidifiers on VAP in ICU patients. Methods: The samples of this clinical trial included 80 patients under mechanical ventilation who were selected by simple sampling method and randomly assigned to two groups of 40 cases. Active and passive humidifiers were applied in the first and second groups, respectively. In addition, data were collected using a demographic questionnaire and clinical pulmonary infection score (CPIS) checklist. Patients were assessed for seven days (days one, three, and seven) in terms of VAP incidence rate. Finally, data were analyzed by the SPSS software, version 16 using independent t-test and Fischer's exact test. Results: The heated humidifier standard (HHS) and heat and moisture exchangers (HME) groups were homogeneous with regard to the rate of VAP incidence, indicating no significant difference on days three (P=0.239) and seven (P=0.370). Further, the number of patients with VAP was clinically higher in the HHS group (52.5%) compared to the HME group (42.5%). Conclusion: Based on the results of the study, no significant difference was found between the research groups regarding VAP incidence. However, humidifiers are suggested to be selected based on the needs of the patents and duration of ventilation.
DOAJ (DOAJ: Directory of Open Access Journals), Dec 1, 2010
Background and Aim: It has been known for many years that there is a high risk of relapse after t... more Background and Aim: It has been known for many years that there is a high risk of relapse after treatment of drug abuse. This has made addiction more complicated. Knowledge of related factors allows the health care professionals to initiate much broader, client-centered, relapse prevention strategies. Materials and method: This study had a descriptive design. The sample comprised 200 addicts who all were male and had at least one relapse episode after treatment. Data were collected by structured face-to-face interviews. The related factors to relapse are divided in two groups as individual and environmental factors. The intensity of related factors was asked as "not any", "a little", "medium" and "very much". Results: The results showed that 33.5% of the subjects had 1 relapse, 38% 2-3 relapse and 28.5% more than 3 relapse. ˴ Also, 53% of them relapse in less than 3 month after treatment. Only 12% could avoid drug use for more than 1 year. The mean time of abstinence was 6.3±3 month. According to Friedman test, insomnia and temptation were the most important individual factors (P<0.000), and simple access to drugs, family conflicts and noncompliance with treatment were the most important environmental factors (P<0.000). Conclusion: With respect to results, since psychological factors were the most important (mean= 1.6 ± 0.5), mere detoxification is not efficient enough and may end in client's relapse. Treatment services should be developed further and strengthen relapse prevention and relapse coping skills among drug misuser's and pschological health is the first thing that should be notified by them.
Background: The results of acute ischemic stroke (AIS) are highly affected by time-to-treatment. ... more Background: The results of acute ischemic stroke (AIS) are highly affected by time-to-treatment. This study aimed at determining the factors influencing the in-hospital and pre-hospital delays in the complications and time-to-treatment in AIS. Methods: The present prospective study was carried out on 204 AIS patients referring to the stroke care unit in Zanjan, Iran (2019). To collected the required data, the patients and families were interviewed, as well as using the observations and records. The complication and mortality rates were recorded for 30 days after stroke via call follow-ups. Results: Based on the obtained results, the maximum delay was associated with the onset-to-arrival time (288.19 ±339.02 minutes). The logistic regression results indicated a statistically significant decline in the treatment via consultation after initiating the symptoms, transferring the patient to the hospital via emergency medical service, and the patients’ comprehension regarding the AIS sympt...
PREVENTIVE CARE IN NURSING & MIDWIFERY JOURNAL, 2016
Introduction: Invasive diagnostic procedures such as coronary angiography, in most cases, are acc... more Introduction: Invasive diagnostic procedures such as coronary angiography, in most cases, are accompanied by stress and anxiety for patients,which may effect on hemodynamic signs. Materials and Methods:This research, as a quasi experimental study, has the objective to determine the influence of applying methods of relaxation on hemodynamic signs in hospitalized 40 patients, experienciny coronary angiography (CA),, has been studied, in regard to existing conditions and methods of sampling and random allocation to two groups of control and relaxation at 2003 . Data collection tool included demographic and disease related information sheet, as well as record sheets for hemodynamic parameters at intervals of 8-12 and ½ hrs before, during and after the angiography. For relaxation group, the researcher would speak individually about the influence of relaxation, the day before angiography; Then with the aid of client himself/herself, performed relaxation instances in a single bout, and eventually asked client to perform relaxation technique 2-3 times before going for angiography. In control group was attended in the usual manner preangiographically. Homodynamic parameters were measured in both groups 8-12 and ½ hrs, before during and after CA. Afterward, resulted data were analyzed statistically by T-Test Chi-squre. Results: With T-Test, respiratory rates½ hrs, beforeAngiography, diastolic blood pressure and Respiratory Rate after Angiography showed statisticaly significant difference between two groups (P0.05).but most of parameters showed clinically significant difference between two groups. Conclusion: Therfore it is offered that relaxation method is applied after invasive procedures.
Journal of Archives in Military Medicine
Background: Patient’s shared decision-making (SDM) is an ethical standard for respecting patient ... more Background: Patient’s shared decision-making (SDM) is an ethical standard for respecting patient autonomy. Objectives: This study aimed to investigate the level of SDM for emergency surgery and its related factors in hospitals affiliated with the Zanjan University of Medical Sciences, Iran. Methods: This cross-sectional study was performed on 306 patients candidates for emergency surgery in 2020. The research instruments included a 9-item SDM Questionnaire and an SDM-related factors questionnaire for surgery. Results: Our results showed that more than 50% of patients did not participate in choosing emergency surgery. Among the related factors, the SDM level of the family members, the patient's marital status, and systolic blood pressure were the main predictors of the patient’s SDM for surgery (P < 0.05). Conclusions: The emergency conditions of patients and the high workload of staff reduced participation in the decision-making of patients and their family members.
Journal of Medical Education and Curricular Development
Objectives This study aimed to determine the relationship between cultural intelligence and cultu... more Objectives This study aimed to determine the relationship between cultural intelligence and cultural competence (CC) of the school of nursing and midwifery students from the Zanjan University of Medical Sciences in 2020-2021. Methods This cross-sectional study was conducted on 245 from 600 nursing and midwifery students of the Zanjan University of Medical Sciences from November 24, 2020, to March 18, 2021. Data were collected using three questionnaires of demographic information, Cultural Intelligence Scale, and The Nurse Cultural Competence Scale. Data analysis was done through Pearson's test and the logistic regression model using SPSS Version 22. Results The response rate was 40.83%. The results showed that the total score of cultural intelligence had a strong positive relationship with CC ( r = 0.88). Also, the logistic regression model showed that the cultural intelligence variable could predict nursing and midwifery students’ CC (B = 0.1, P = .013). Conclusion It is recomm...
Preventive Care In Nursing and Midwifery Journal
Preventive Care In Nursing and Midwifery Journal
Background: The COVID-19 disease has worse outcomes in individuals with underlying diseases and e... more Background: The COVID-19 disease has worse outcomes in individuals with underlying diseases and elderly individuals. Therefore, identifying COVID-19 risk perception and its related factors and outcomes in vulnerable groups is essential for the health system. Objectives: This study aimed to determine COVID-19 risk perception, its related factors, and outcomes in vulnerable groups (individuals with underlying diseases, smokers, opioid addicts, the elderly, and pregnant women). Methods: This systematic review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search was carried out using the keywords "Risk perception" and "COVID-19" in PubMed, Scopus, Science Direct, SID, Proquest, and Magiran databases in the period from 2019 to July 3, 2021. The quality of selected studies was checked by two authors independently according to Newcastle-Ottawa Scale adapted for cross-sectional. Results: In the initial search, 640 articles were found, of which 56 remained in the screening phase. Then, the full text of 56 articles was studied. Eventually, based on the inclusion and exclusion criteria of the articles, 8 articles were reviewed. This systematic review showed that suffering from an underlying disease, more anxiety, younger age, and female gender are associated with higher COVID-19 risk perception. The outcomes of COVID-19 risk perception were higher COVID-19 risk perception, delayed treatment sessions, increased anxiety and fear, increased ineffective safety behaviors, and greater compliance with health protocols. Conclusion: Creating sensitivity and proper COVID-19 risk perception is necessary to follow health protocols, but high COVID-19 risk perception can endanger vulnerable groups' mental and physical health. Besides, reducing the sensitivity of vulnerable groups toward COVID-19 can expose them to the disease.
Preventive Care In Nursing and Midwifery Journal
Background: The physical-mental health status of health care providers and patients can be influe... more Background: The physical-mental health status of health care providers and patients can be influenced by the leadership styles of head nurses and health centers managers. Objectives: The current study aimed to study the leadership styles of head nurses working in the training hospitals of Zanjan in 2020. Methods: In the current descriptive study 346 nurses working in the training hospitals wards affiliated to Zanjan University of Medical Sciences participated through cluster random sampling. A tool including demographic and Multifactor Leadership Questionnaire was used to collect data. Data were analyzed using descriptive-inferential tests such as mean, standard deviation and analysis variance and LSD by SPSS software version 25. Results: Head nurses adopted transformational (3.02+0.61), laissez-fair (2.94+0.92) and transactional (2.81+0.53) leadership styles, respectively. The relationship between the leadership styles and the type of hospitals and the wards was significant (p<0.05). Bu Ali Sina Hospital had the highest percentage of using transformational and laissez-fair leadership styles and Ayat-Allah Mousavi Hospital had the highest percentage of using transactional leadership style as well. Concerning the wards, pediatric and neonatal wards used the most of the transformational leadership style and the highest percentage of using transactional and laissez-fair leadership styles was associated with psychiatric ward. Conclusion: Due to the superiority of transactional leadership style over the laissez-fair leadership style, it can be said that head nurses give less freedom to the nurses working in their wards. Therefore, motivating head nurses to be innovative and further use of laissez-fair leadership style is recommended.
Research Square (Research Square), Oct 2, 2023
Background Patient's shared decision-making (SDM) is an ethical standard for respecting patient a... more Background Patient's shared decision-making (SDM) is an ethical standard for respecting patient autonomy. Objectives This study aimed to investigate the level of shared decision-making (SDM) for emergency surgery and its related factors in hospitals a liated with the Zanjan University of Medical Sciences (Iran). Methods The study has a cross-sectional design. The study was performed on 306 patients candidates for emergency surgery in 2020. The research instruments included a 9-item Shared Decision-Making Questionnaire (SDM-Q-9) and an SDM-related factors questionnaire for surgery. Results The results showed that more than 50% of patients did not participate in the choice of emergency surgery. Among the related factors, the SDM level of the family members, the patient's marital status, and systolic blood pressure were the main predictors of the patient's SDM for surgery (P-value < 0.05). Conclusions The emergency conditions of patients and the high workload of staff reduced participation in the decisionmaking of patients and their family members.
Journal of Genetics and Breeding, 2000
Journal of periAnesthesia nursing/Journal of perianesthesia nursing, Feb 1, 2024
Nursing Forum
Background. The workload of nurses in the intensive care unit (ICU) can affect the quality of nur... more Background. The workload of nurses in the intensive care unit (ICU) can affect the quality of nursing services. Aim. This study aimed to determine the relationship between the nursing activity score and missed care in patients hospitalized in the ICU in Zanjan, Iran. Methods. This observational and prospective study was conducted from April 3 to September 18 in 2021. The study utilized a patient and nurse profile questionnaire, the Nursing Activity Score (NAS), and a checklist for missed care as research tools. Missed care was observed in the 301 patients for whom the NAS was calculated. Analysis of variance (ANOVA) was used to investigate the differences in mean levels of missed care. Logistic regression models were used to assess the association between factors and missed nursing care. Results. Results show that the medical ICU’s mean NAS was 76.31 (95% CI: −13.06–14.89). In 9 dimensions of care, the extent of missed care was 40.7%. In the care dimensions of assessment, hand hygie...
Perspectives in Psychiatric Care, Feb 11, 2023
Purpose. Tis study was designed to characterize the psychometric properties of the Persian versio... more Purpose. Tis study was designed to characterize the psychometric properties of the Persian version of Fear of Hospitalization Scale (P-FHS). Design and Methods. In order to evaluate the validity and reliability of the translated scale, a cross-sectional design was employed. Ten experts evaluated the content validity of Fear of Hospitalization Scale (FHS) after it had been back-translated into Persian. With 612 patients having emergency surgery, construct validity was assessed using exploratory factor analysis (EFA) and confrmatory factor analysis (CFA). Te STROBE checklist for cross-sectional studies was followed. Findings. Te results of EFA (n � 306) showed that fear of hospitalization had three factors. Tese three factors accounted for 45.28% of the total variance. Also, these factors were confrmed by CFA (n � 306) (root-mean-square error of approximation � (90% confdence interval) � 0.050 (0.041, 0.058), goodness-of-ft index � 0.945, comparative ft index � 0.968, non-normal ft index � 0.948, incremental ft index � 0.968, Tucker-Lewis index � 0.959). Te coefcients of Cronbach's alpha, McDonald's omega, composite reliability, and maximum reliability for all three factors were greater than 0.7, demonstrating satisfed internal consistency. Practice Implication. According to the published results, the P-FHS is efective at measuring hospitalization anxiety in patients undergoing emergency surgery. It is advised that nurses in Iranian culture use a legitimate and trustworthy technique to pinpoint the causes of hospitalization anxiety in patients undergoing emergency surgery to give optimal care.
DOAJ (DOAJ: Directory of Open Access Journals), 2022
Background: Patients with traumatic brain injury (TBI) experience changes in their level of consc... more Background: Patients with traumatic brain injury (TBI) experience changes in their level of consciousness (LOC). Royal Jelly is used in the treatment of neurological diseases. Objective: This study aimed to examine the effect of royal jelly on the LOC of patients with TBI. Methods: This double-blind randomized trial was performed in 2020 on 61 patients with TBI admitted to the intensive care unit. The patients were recruited consecutively and randomly assigned to an intervention (n = 33) and a control (n = 28) group. Patients in the intervention group received 3000 mg of royal jelly orally each day for 14 days, while those in the control group received routine care. The LOC was evaluated using the Glasgow Coma Scale (GCS) and Full Outline of Unresponsiveness (FOUR) score from day 1 to day 14. Data were analyzed using the repeated measures analysis and analysis of covariance. Results: The mean baseline GCS scores of the intervention and the control group were 4.39 ± 0.61and 4.82 ± 0.77, respectively, and changed to 11.93 ± 2.41 and 7.60 ± 2.51 at the end of the 14 th day (P < 0.001). Furthermore, the mean baseline FOUR scores of the intervention and the control groups were 6.06±0.93 and 6.42 ± 1.16, respectively, and changed to 13.88 ± 2.57 and 9.71 ± 2.40 at the end of the study (P < 0.001). Conclusion: Using royal jelly for 2 weeks could improve the LOC of patients with TBI. However, further studies are recommended to determine the dose and duration of the usage.
Nursing open, Apr 9, 2023
AimThis study was designed to characterize the psychometric properties of the Persian version of ... more AimThis study was designed to characterize the psychometric properties of the Persian version of the Second Victim Experience and Support Instrument (P‐SVEST).DesignThis study was a methodological and cross‐sectional study.MethodsThe SVEST was back‐translated into Persian and 10 experts assessed its content validity. Construct validity was determined through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) with a total of 754 critical care and emergency nurses.ResultsThe results of exploratory factor analysis showed that the P‐SVEST had four factors. These four factors accounted for 51.67% of the total variance. Also, these factors were confirmed by confirmatory factor analysis (root mean square error of approximation = (90%. confidence interval) = 0.058 [0.045, 0.071], goodness‐of‐fit index = 0.932, comparative fit index = 0.956, non‐normal fit index = 0.918, incremental fit index = 0.957 and Tucker–Lewis index = 0.944). Coefficients of Cronbach's alpha, McDonald's omega, composite reliability and maximum reliability for all of the factors were >0.7, demonstrating satisfied internal consistency.
علوم مراقبتی نظامی, Aug 1, 2018
Introduction: Health care-related infections are serious problems that influence patient›s safety... more Introduction: Health care-related infections are serious problems that influence patient›s safety settings. Hand hygiene is the most effective method for preventing these infections. Objectives: The current study aimed at investigating health care workers› knowledge and attitude towards hand hygiene in intensive care units of educational hospitals affiliated to Zanjan University of Medical Sciences, during year 2014. Materials and Methods: The present study was a descriptive cross-sectional study, which was conducted on 88 health care workers of Intensive Care Unit (ICU) and Coronary Care Unit (CCU) in two educational hospitals affiliated to Zanjan University of Medical Sciences, who were selected by random sampling. Knowledge and attitude of the participants toward hand hygiene, was examined through World Health Organization (WHO) recommended standardized questionnaire and researcher-designed questionnaire, respectively. All health care workers, including physicians, nurses and others (radiology and laboratory technicians), were enrolled in the study during May 2014. Collected data were analyzed by using SPSS software, version 16. Results: The findings showed that none of the participants had poor knowledge, 47.7% had moderate knowledge, 34.1% had good knowledge, and only 18.2% had very good knowledge. Regarding attitude, 95.4% of the participants had a positive attitude towords hand hygiene. T-test and Kruskal-Wallis statistical tests on demographic characteristics also showed that variables, such as level of education, professional status, and the last round of retraining course with knowledge and workplace had a significant relationship with attitude. The result of the correlation test showed a significant relationship between knowledge and attitude. Discussion and Conclusion: Despite the positive attitude of intensive care unit staff towards hand hygiene, their knowledge is not desirable and optimal, and having favorable knowledge and performance requires more training.
DOAJ (DOAJ: Directory of Open Access Journals), Mar 1, 2022
Background: Ventilator-associated pneumonia (VAP) is considered a common infectious disease in th... more Background: Ventilator-associated pneumonia (VAP) is considered a common infectious disease in the intensive care units (ICU) and it is associated with increased morbidity and mortality. Therefore, humidifying the artificial airway is important care for patients under mechanical ventilation in the ICU. Objectives: The present study aimed to compare the effect of using active and passive humidifiers on VAP in ICU patients. Methods: The samples of this clinical trial included 80 patients under mechanical ventilation who were selected by simple sampling method and randomly assigned to two groups of 40 cases. Active and passive humidifiers were applied in the first and second groups, respectively. In addition, data were collected using a demographic questionnaire and clinical pulmonary infection score (CPIS) checklist. Patients were assessed for seven days (days one, three, and seven) in terms of VAP incidence rate. Finally, data were analyzed by the SPSS software, version 16 using independent t-test and Fischer's exact test. Results: The heated humidifier standard (HHS) and heat and moisture exchangers (HME) groups were homogeneous with regard to the rate of VAP incidence, indicating no significant difference on days three (P=0.239) and seven (P=0.370). Further, the number of patients with VAP was clinically higher in the HHS group (52.5%) compared to the HME group (42.5%). Conclusion: Based on the results of the study, no significant difference was found between the research groups regarding VAP incidence. However, humidifiers are suggested to be selected based on the needs of the patents and duration of ventilation.
DOAJ (DOAJ: Directory of Open Access Journals), Dec 1, 2010
Background and Aim: It has been known for many years that there is a high risk of relapse after t... more Background and Aim: It has been known for many years that there is a high risk of relapse after treatment of drug abuse. This has made addiction more complicated. Knowledge of related factors allows the health care professionals to initiate much broader, client-centered, relapse prevention strategies. Materials and method: This study had a descriptive design. The sample comprised 200 addicts who all were male and had at least one relapse episode after treatment. Data were collected by structured face-to-face interviews. The related factors to relapse are divided in two groups as individual and environmental factors. The intensity of related factors was asked as "not any", "a little", "medium" and "very much". Results: The results showed that 33.5% of the subjects had 1 relapse, 38% 2-3 relapse and 28.5% more than 3 relapse. ˴ Also, 53% of them relapse in less than 3 month after treatment. Only 12% could avoid drug use for more than 1 year. The mean time of abstinence was 6.3±3 month. According to Friedman test, insomnia and temptation were the most important individual factors (P<0.000), and simple access to drugs, family conflicts and noncompliance with treatment were the most important environmental factors (P<0.000). Conclusion: With respect to results, since psychological factors were the most important (mean= 1.6 ± 0.5), mere detoxification is not efficient enough and may end in client's relapse. Treatment services should be developed further and strengthen relapse prevention and relapse coping skills among drug misuser's and pschological health is the first thing that should be notified by them.
Background: The results of acute ischemic stroke (AIS) are highly affected by time-to-treatment. ... more Background: The results of acute ischemic stroke (AIS) are highly affected by time-to-treatment. This study aimed at determining the factors influencing the in-hospital and pre-hospital delays in the complications and time-to-treatment in AIS. Methods: The present prospective study was carried out on 204 AIS patients referring to the stroke care unit in Zanjan, Iran (2019). To collected the required data, the patients and families were interviewed, as well as using the observations and records. The complication and mortality rates were recorded for 30 days after stroke via call follow-ups. Results: Based on the obtained results, the maximum delay was associated with the onset-to-arrival time (288.19 ±339.02 minutes). The logistic regression results indicated a statistically significant decline in the treatment via consultation after initiating the symptoms, transferring the patient to the hospital via emergency medical service, and the patients’ comprehension regarding the AIS sympt...
PREVENTIVE CARE IN NURSING & MIDWIFERY JOURNAL, 2016
Introduction: Invasive diagnostic procedures such as coronary angiography, in most cases, are acc... more Introduction: Invasive diagnostic procedures such as coronary angiography, in most cases, are accompanied by stress and anxiety for patients,which may effect on hemodynamic signs. Materials and Methods:This research, as a quasi experimental study, has the objective to determine the influence of applying methods of relaxation on hemodynamic signs in hospitalized 40 patients, experienciny coronary angiography (CA),, has been studied, in regard to existing conditions and methods of sampling and random allocation to two groups of control and relaxation at 2003 . Data collection tool included demographic and disease related information sheet, as well as record sheets for hemodynamic parameters at intervals of 8-12 and ½ hrs before, during and after the angiography. For relaxation group, the researcher would speak individually about the influence of relaxation, the day before angiography; Then with the aid of client himself/herself, performed relaxation instances in a single bout, and eventually asked client to perform relaxation technique 2-3 times before going for angiography. In control group was attended in the usual manner preangiographically. Homodynamic parameters were measured in both groups 8-12 and ½ hrs, before during and after CA. Afterward, resulted data were analyzed statistically by T-Test Chi-squre. Results: With T-Test, respiratory rates½ hrs, beforeAngiography, diastolic blood pressure and Respiratory Rate after Angiography showed statisticaly significant difference between two groups (P0.05).but most of parameters showed clinically significant difference between two groups. Conclusion: Therfore it is offered that relaxation method is applied after invasive procedures.
Journal of Archives in Military Medicine
Background: Patient’s shared decision-making (SDM) is an ethical standard for respecting patient ... more Background: Patient’s shared decision-making (SDM) is an ethical standard for respecting patient autonomy. Objectives: This study aimed to investigate the level of SDM for emergency surgery and its related factors in hospitals affiliated with the Zanjan University of Medical Sciences, Iran. Methods: This cross-sectional study was performed on 306 patients candidates for emergency surgery in 2020. The research instruments included a 9-item SDM Questionnaire and an SDM-related factors questionnaire for surgery. Results: Our results showed that more than 50% of patients did not participate in choosing emergency surgery. Among the related factors, the SDM level of the family members, the patient's marital status, and systolic blood pressure were the main predictors of the patient’s SDM for surgery (P < 0.05). Conclusions: The emergency conditions of patients and the high workload of staff reduced participation in the decision-making of patients and their family members.
Journal of Medical Education and Curricular Development
Objectives This study aimed to determine the relationship between cultural intelligence and cultu... more Objectives This study aimed to determine the relationship between cultural intelligence and cultural competence (CC) of the school of nursing and midwifery students from the Zanjan University of Medical Sciences in 2020-2021. Methods This cross-sectional study was conducted on 245 from 600 nursing and midwifery students of the Zanjan University of Medical Sciences from November 24, 2020, to March 18, 2021. Data were collected using three questionnaires of demographic information, Cultural Intelligence Scale, and The Nurse Cultural Competence Scale. Data analysis was done through Pearson's test and the logistic regression model using SPSS Version 22. Results The response rate was 40.83%. The results showed that the total score of cultural intelligence had a strong positive relationship with CC ( r = 0.88). Also, the logistic regression model showed that the cultural intelligence variable could predict nursing and midwifery students’ CC (B = 0.1, P = .013). Conclusion It is recomm...
Preventive Care In Nursing and Midwifery Journal
Preventive Care In Nursing and Midwifery Journal
Background: The COVID-19 disease has worse outcomes in individuals with underlying diseases and e... more Background: The COVID-19 disease has worse outcomes in individuals with underlying diseases and elderly individuals. Therefore, identifying COVID-19 risk perception and its related factors and outcomes in vulnerable groups is essential for the health system. Objectives: This study aimed to determine COVID-19 risk perception, its related factors, and outcomes in vulnerable groups (individuals with underlying diseases, smokers, opioid addicts, the elderly, and pregnant women). Methods: This systematic review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search was carried out using the keywords "Risk perception" and "COVID-19" in PubMed, Scopus, Science Direct, SID, Proquest, and Magiran databases in the period from 2019 to July 3, 2021. The quality of selected studies was checked by two authors independently according to Newcastle-Ottawa Scale adapted for cross-sectional. Results: In the initial search, 640 articles were found, of which 56 remained in the screening phase. Then, the full text of 56 articles was studied. Eventually, based on the inclusion and exclusion criteria of the articles, 8 articles were reviewed. This systematic review showed that suffering from an underlying disease, more anxiety, younger age, and female gender are associated with higher COVID-19 risk perception. The outcomes of COVID-19 risk perception were higher COVID-19 risk perception, delayed treatment sessions, increased anxiety and fear, increased ineffective safety behaviors, and greater compliance with health protocols. Conclusion: Creating sensitivity and proper COVID-19 risk perception is necessary to follow health protocols, but high COVID-19 risk perception can endanger vulnerable groups' mental and physical health. Besides, reducing the sensitivity of vulnerable groups toward COVID-19 can expose them to the disease.
Preventive Care In Nursing and Midwifery Journal
Background: The physical-mental health status of health care providers and patients can be influe... more Background: The physical-mental health status of health care providers and patients can be influenced by the leadership styles of head nurses and health centers managers. Objectives: The current study aimed to study the leadership styles of head nurses working in the training hospitals of Zanjan in 2020. Methods: In the current descriptive study 346 nurses working in the training hospitals wards affiliated to Zanjan University of Medical Sciences participated through cluster random sampling. A tool including demographic and Multifactor Leadership Questionnaire was used to collect data. Data were analyzed using descriptive-inferential tests such as mean, standard deviation and analysis variance and LSD by SPSS software version 25. Results: Head nurses adopted transformational (3.02+0.61), laissez-fair (2.94+0.92) and transactional (2.81+0.53) leadership styles, respectively. The relationship between the leadership styles and the type of hospitals and the wards was significant (p<0.05). Bu Ali Sina Hospital had the highest percentage of using transformational and laissez-fair leadership styles and Ayat-Allah Mousavi Hospital had the highest percentage of using transactional leadership style as well. Concerning the wards, pediatric and neonatal wards used the most of the transformational leadership style and the highest percentage of using transactional and laissez-fair leadership styles was associated with psychiatric ward. Conclusion: Due to the superiority of transactional leadership style over the laissez-fair leadership style, it can be said that head nurses give less freedom to the nurses working in their wards. Therefore, motivating head nurses to be innovative and further use of laissez-fair leadership style is recommended.