A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Iranmanesh, Sedigheh
- Nursing Staff's Perception of Facilitators in Providing End of Life Care to Terminally Ill Pediatric Patients in South East Iran
Authors
1 Kerman University of Medical Science, Kerman, IR
Source
Asian Journal of Nursing Education and Research, Vol 4, No 4 (2014), Pagination: 394-402Abstract
Objective: To determine pediatric nurses 'perceptions of intensity, frequency of occurrence and magnitude score of selected facilitators of providing pediatrics EOL care. Method: A sample of 173 nurses working in pediatric units in 2 hospitals supervised by Kerman University of Medical Sciences was surveyed. A translated modified version of the (NSCCNR-EOLC) was used to rate the facilitators' intensity and frequency.
Results: 173 sets of questionnaires were distributed with a drop out of 22. The 3 highest PFM (Perceived facilitator magnitude) score were: 1) providing a peaceful, dignified bedside scene for family members once the Child has died (5.75). 2) Physicians agreeing about direction of child care (5.25), and 3) Nurses offer verbal and behavioral support to each other (5). The 3 lowest PFM score were: 1) Letting the religious leader take primary care of the grieving family (1.08), and 2) Having a unit schedule that allows for continuity of care for the dying child by the same nurses (1.76). 3) Having fellow nurses take care of your other child while you get away from the unit for a few moments after your child's death (2.19).
Conclusion: The result may indicate a long distance between what nurses believe to be facilitating and what actually happens. Therefore some efficient strategies are needed to improve the current situation. The lack of education and experience as well as some cultural and professional limitations may have contributed to this distance. Creating a reflective narrative environment in which nurses can express their feelings about death, dying, and palliative care may be an effective approach. A continuing palliative care education adding to nursing curriculum can improve the EOL care quality in the context. Since EOL care is multidimensional, it is suggested to conduct some appropriate qualitative studies to deeply understand nurses' experiences/perceptions about facilitators of providing EOL care to terminally ill pediatric patients to develop valuable instruments in order to assess most important issues around this topic.
Keywords
Perception, Facilitators, End of Life Care, Terminally Ill Children.
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- Nurses' Knowledge about and Attitude towards Palliative Care in Southeast Iran
Authors
1 School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, IR
2 Neuroscience Research Center, Neuropharmacology Institute of Kerman University of Medical Sciences, Kerman, IR
Source
Asian Journal of Nursing Education and Research, Vol 5, No 3 (2015), Pagination: 399-404Abstract
Background: Palliative care requires nurses to be knowledgeable about and maintain a positive attitude towards different aspects of care they provide for dying patients. This study thus was conducted to examine the correlation between nurses' knowledge about and attitude towards palliative care in southeast Iran.
Method: For this descriptive correlational study, Palliative Care Quiz for Nursing (PCQN) and a selfadministered questionnaire were used to assess respectively the palliative care knowledge and attitudes of 140 oncology and ICU nurses from three hospitals supervised by Kerman University of Medical Science.
Results: In PCQN, the mean score was 7.59±2.28 out of 20. Participants had moderately negative to neutral attitudes toward palliative care (2.99±0.29 out of 5). There was a significant correlation between the subscale of "management of pain of and other symptoms" in PCQN and participants' length of experience caring for a dying family member. A significant correlation was found between nurses' attitudes toward palliative care and palliative care education, personal study about palliative care, level of education, and experience of caring for a dying family member. No correlation was found between nurses' knowledge about and attitude towards palliative care.
Conclusions: The study suggests that a continuing palliative care education may need to be added to the nursing curriculum in order to improve the quality of care at the end of life. Establishing specific palliative care units and creating a reflective narrative environment in which nurses can express their own feelings about palliative care and can improve palliative care knowledge and attitude.
Keywords
Southeast Iran, Nurses, Knowledge, Attitude, Palliative Care.- The Relationship between Type of Cancer and Parent's Psychosocial Risks
Authors
1 Kerman Medical University, Kerman, IR
Source
Asian Journal of Nursing Education and Research, Vol 4, No 4 (2014), Pagination: 496-502Abstract
Objective: Support of parents of children with cancer requires health care personnel to be knowledgeable about the relationship between characteristics of parents of children with cancer and their psychosocial risks. This study thus was conducted to fulfill this aim in South-East of Iran.
Method: Using the Psychosocial Assessment Tool- Revised (PAT-R) for parents of children with cancer, 200 parents of these children in two hospitals supervised by Kerman University of Medical Sciences was assessed.
Result: The mean of category of "parents' stress reactions" (mean= 2.77, p=0, SD=0.47) was higher among parent of cancerous child with age ranged between 0-1 years compared to the others. The mean category of "parents' stress reactions" was higher among parents of children with Wilms tumor (mean= 2.277, p=0.005, SD=0.70) compared to the others. The mean of category of "family beliefs" was higher among parents of children with ALL (mean= 1.59, p=0.03, SD=0.32) compared to the others.
Conclusion: Nurses are required to give timely and accurate information to the parents about the type of cancer, its complications and its treatment as well. Doing this may reduce parents' stress, especially those who are younger, and involved with some special cancer such as Willms tumor.
Keywords
South-East, Iran, Psychosocial Risk, Parents of Children with Cancer.- Effect of Nursing Support on Perceived Stress among Parents of Preterm Infants in South-East of Iran
Authors
1 Kerman University of Medical Sciences, Kerman, IR
Source
Asian Journal of Nursing Education and Research, Vol 4, No 1 (2014), Pagination: 81-86Abstract
Objective: When a premature infant is hospitalized, parents experience lots of stresses. So, nursing support is needed to reduce parent's stresses. Specifying parent's stress and nursing support can be useful for improving quality of care. Thus the current study was conducted to examine the relationship between parental stress and nursing support.
Methods: In this study descriptive correlational design was employed. Using NPST (Nurse Parent Support Tool) and PSS (Parent Stressor Scale) questionnaires perceived nursing support and parenteral stress of 154 parents (77mothers and 77 fathers) of hospitalized premature infants in NICU of Afzalipur hospital in Kerman - Iran was evaluated. Data analysis was done with spss19.
Findings: Results showed that there was a negative correlation between nursing support and stress in category of "emotional support and parental role alteration"(P=0.009, r=0.209). Results revealed that in all categories of NPST mothers received more nursing support than fathers. While, in all category of PSS except "infant's appearance and behavior" fathers stress was more than mothers. Generally, fathers experienced more stress and receive less support.
Conclusion: According to the results nursing support can reduce parental stress. Hence, to providing high quality care it is necessary for nurses to be aware of individual differences and stressors of newborn parents' in neonatal intensive care unit.
Keywords
Premature Infant, Nursing Support, Parental Stress, Neonatal Intensive Care Unit.3.- Iranian Nurses' Organizational Commitment and Job Motivation
Authors
1 Department of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, IR
2 Department of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, IN
3 Department of Health, Kerman University of Medical Sciences, Kerman, IR
Source
Asian Journal of Nursing Education and Research, Vol 4, No 2 (2014), Pagination: 189-194Abstract
Purpose: This is a cross-sectional study designed to assess organizational commitment and job motivation among nurses in South-East of Iran. The study also aimed to examine the relationship between these two variables.
Design: Meyer and Allen's (1997) organizational commitment scale (OCS) and Job Motivation questionnaire were used to assess the relationship between organizational commitment and job motivation among 300 nurses working in 4 hospitals supervised by Kerman Medical University .
Results: All questionnaires were analyzed using the Statistical Package for Social Scientists (SPSS 20). The mean total score of organizational commitment was 3.2. The mean score of sub category of continuance commitment was more than that of other subcategories (3.35). Overall mean score of job motivation scale was 3.42. The mean score of sub scale of extrinsic motivational factors (3.71 ±0.22) was more than that of intrinsic motivational factors (3.36 ±0.29). There was a positive correlation between subcategory of affective commitment and intrinsic motivational factors (r = 0.287, p = 0.000).
Conclusion: The study suggests that the physical and organisational context must be supportive and enable nurses to stand up to the demands of organization. Health care managers must be sensitive and pay attention to the preferences of each unique nurse through her or his needs.
Keywords
Organizational Commitment, Job Motivation, Nurses, Extrinsic Motivational, Intrinsic Motivational, Affective, Continuance, Normative, Salaries and Wages, Appreciation.- Critical Care Nurses’ Moral Distress in South-East of Iran
Authors
1 Department of Medical Surgical, Kerman Medical University, Kerman, IR
2 Department of Intensive and Critical Care, School of Nursing and Midwifery, Shahrekord University of Medical Science, Shahrekord, IR
Source
Asian Journal of Nursing Education and Research, Vol 3, No 3 (2013), Pagination: 129-133Abstract
Objectives: Critical care nurses are the key persons that deal with patients with life-threatening situations, and encounter many situations that may cause different levels of moral distress. This study aimed to assess the level of moral distress of critical care nurses in South-East Iran.
Material and Method: Translated Moral Distress Scale (MDS) consisting of 38-items was used to measure the nurses' level of moral distress and their perception of futile care. There were 141 nurses working in intensive care units (ICU) in South-East of Iran who completed the questionnaires.
Results: Nurses reported a moderate level of moral distress overall. The highest levels of moral distress belonged to the physician practice category. The lowest level of moral distress also belonged to the euthanasia category. Intensity of moral distress was significantly correlated with years of nursing experience.
Conclusion: An appreciative collaboration between critical care nurses and physician lets them to value each other as a health care system. Through such collaborations they can also have ethical meetings and discuss about ethically difficult situations occurred in order to find appropriate resolutions.