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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: CRIB II,Mortality risk prediction,Preterm newborn
- چکیده:
- چکیده انگلیسی:
Background: The scoring systems evaluate neonatal outcomes based on perinatal factors in the Neonatal Intense Course Unit (NICU).
Aim: This study aimed to predict mortality risk in preterm neonates for the first time, using the Clinical Risk Index for Babies (CRIB II).
Method: This cross-sectional, descriptive-analytical, longitudinal study was conducted on 344 preterm neonates with the gestational age of 23-32 weeks and birth weight of 500-1500 g in a referral center in Tehran, Iran, from winter 2016 to spring 2017. Some neonatal variables were completed within the first 12 h of life, and the final scores were calculated based on CRIB II. Then, the correlation of these variables with mortality outcome was evaluated using logistic regression. Sensitivity, specificity, and positive and negative values were also calculated via SPSS software (version 23).
Results: According to the results, 253 (73.57%) neonates, including 122 girls (48%), survived in the first 24 h after birth. The total CRIB II score in the surviving neonates was 6.1±2.6. The area under the receiver operating characteristic curve was estimated at 0.84 with the cut-off point of 8.5. In addition, the sensitivity, specificity, positive predictive value, and negative predictive value of the CRIB II system were obtained as 75%, 78%, 55%, and 89.5%, respectively. The results revealed a significant correlation between the CRIB II score and mortality outcome. In this regard, an increase in the CRIB score coincided with a 0.67 increase in the risk of death (OR=1.671, p <0.001).
Implications for Practice: Based on the findings of the present study,CRIB II can be concluded to be an appropriate scoring system. Consequently, the result of this tool can be used for routine investigations.
- انتشار مقاله: 13-11-1398
- نویسندگان: Firuzeh Faridpour,Azam Shirinabadi Farahani,Maryam Rassouli,Mamak Shariat,Malihe Nasiri,Mina Ashrafzadeh
- مشاهده
- جایگاه : پژوهشی
- مجله: Nursing and Midwifery Studies
- نوع مقاله: Journal Article
- کلمات کلیدی: attitude,evidence,Knowledge,Nursing students,Intention,Based Practice
- چکیده:
- چکیده انگلیسی: Background Evidence-Based Practice (EBP) is one of the nursing professional roles that can lead them to provide the best and more effective care. However, no studies are available on nursing students’ competencies in EBP. Objectives This study aimed to investigate the nursing students’ knowledge, attitude and intention to implement EBP and its related factors in two nursing and midwifery faculties in Tehran, Iran. Materials and Methods In this cross-sectional study, 170 undergraduate nursing students were selected from two faculties of nursing and midwifery in Tehran, Iran. A census sampling method was applied and they were all before graduation in 2013. The Rubin and Parrish questionnaire was used to assess the students’ knowledge, attitude and intention to implement EBP as well as factors affecting the implementation of EBP. Students completed the instrument through self-report. Descriptive statistics, Independent sample t-test and Pearson correlation coefficient were used to analyze the data. Results The students mean scores of knowledge, attitude and intention to implement EBP was 31.08 ± 5.77, 50.40 ± 9.58, 36.01 ± 4.64, respectively. The students’ age was inversely correlated with their scores of knowledge, attitude and intention to use EBP (P < 0.05). However, the students’ GPA was in direct association with their knowledge, attitude and intention to implement EBP (P < 0.05). No significant differences were observed between the males and females mean scores in the three subscales. However, significant differences were found between the students mean scores in the two subscales of knowledge and attitudes toward EBP in terms of familiarity with statistics and research methods (P < 0.05). Neither familiarity with research methods nor familiarity with EBP could significantly affect the students’ intention to implement EBP. Conclusions The present study showed that nursing students have not a high mean score in the three subscales of knowledge, attitude and intention to implement EBP. It is essential for faculties and nurse managers not only to focus on education of EBP, but also to support nurses and nursing students to implement it in the process patient care.
- انتشار مقاله: 11-10-1348
- نویسندگان: Tahereh Ashktorab,Tahereh Ashktorab,Shahzad Pashaeypoor,Maryam Rassouli,Hamid Alavi-Majd
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Advances in Medical Education and Professionalism
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Introduction: Evidence based practice (EBP) education isessential in promoting of clinical care, but an effective educationalstrategy for teaching EBP in nursing faculties is not available.The aim of this study was to explore the experiences of nursingstudents of EBP Education according to Rogers’ Diffusion ofInnovation Model.Methods: This qualitative study was carried out using a directedcontent analysis method and purposeful sampling. Data werecollected until saturation by fourteen semi-structured face-tofaceindividual interviews and two focus group discussions withnursing students from two nursing faculties in Tehran, Iran.Rogers’ Model was used in this study.Results: Data were classified into five themes and 11 categoriesaccording to the Rogers’s Model. Themes and main categorieswere knowledge (educational enrichment, new strategyfor education), persuasion (internalization of education,improvement of motivation), decision (acceptance, use in thefuture), implementation (objectivity, consolidation of learning)and confirmation (learning and teaching, achieving a goal, selfconfidence).Conclusions: EBP Education, based on the teaching strategyof Rogers’s Model, leads to an improved EBP learning. All thenecessary steps for a better education of it are included in thiseducational approach which can be used to teach any new subjectlike EBP.Keywords: Evidence based practice; Education; Nursing; Baccalaureate
- انتشار مقاله: 11-07-1396
- نویسندگان: SHAHZAD PASHAEYPOOR,TAHEREH ASHKTORAB,MARYAM RASSOULI,HAMID ALAVI_MAJD
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: hope,premature infant,Spiritual care,NICU,mothers,Transcendence
- چکیده:
- چکیده انگلیسی: Background: Premature birth and hospitalization in Neonatal Intensive Care Units (NICUs) is a critical issue for parents, especially mothers. The present study aimed to investigate the effect of spiritual care on hope and self-transcendence in mothers with premature newborns hospitalized in the NICUs.
Methods: This quasi-experimental, single-group study was conducted using time series analysis. The sample consisted of 30 mothers with premature neonates hospitalized in Shahid Beheshti Hospital, Maraqeh, Iran. The participants were selected through a convenience sampling method following the inclusion criteria. The data were collected using the demographic characteristic forms of mothers and the clinical status of infants, as well as the hope and self-transcendence scales of the mothers with premature neonates admitted to the NICU. The data were analyzed in SPSS software (version 19) through descriptive statistics (i.e., frequency distribution, mean and standard deviation) and repeated measures analysis of variance (ANOVA).
Results: The findings show a significant difference among the pre-test, post-test, and follow-up stages in terms of the mean scores of hope and self-transcendence using repeated measure ANOVA (P<0.001). Moreover, in examining the effect of spiritual care on hope and self-transcendence in mothers, the results of repeated measures ANOVA showed that there was a difference among the pre-test, post-test and follow-up stages in terms of the mean scores of mothers’ hope, (P<0.001, F=53.133, and Eta-squared=0.639). Moreover, a significant difference was observed among the pre-test, post-test, and follow-up phases regarding the mean scores of self-transcendence (P<0.001, F=131.239, and Eta-squared=0.814).
Conclusion: Since spirituality can lead to an increase in hope and self-transcendence of mothers with premature infants hospitalized in the NICUs, this approach can be used as an appropriate intervention method to help improve their adaptation and peace of mind. Therefore, barriers to providing these types of care and managing them must be identified so that nurses in the NICUs can use them.
- انتشار مقاله: 06-05-1398
- نویسندگان: Mahnaz Afaghi Roveshty,Azam Shirinabadi Farahani,Nadereh Memaryan,Maryam Rassouli
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: premature infant,quality of care,Neonatal intensive care unit (NICU),Length of stay (LHS)
- چکیده:
- چکیده انگلیسی: Background: Length of hospital stay (LHS) is the most important and practical indicator in hospitals, which largely reflects the level of hospital performance and activity. It is also an important indicator for resource planning. Moreover, the quality of care can theoretically be related to LHS. The aim of this study was to investigate the relationship between LHS and quality of nursing care in the neonatal intensive care unit (NICU).
Methods: In this descriptive correlational study, the samples were 205 premature infants hospitalized in the NICU and 80 nurses working in the NICUs of selected hospitals. They were selected based on the inclusion criteria. The data were gathered using the demographics of nurses and neonates through Quality Patient Care Scale (QUALPAC). The data was analyzed in SPSS (version 21) using Spearman correlation coefficient.
Results: The results showed that 47.5% of the nurses were within the age range of 29-36 years and 68.8% of nurses had a working experience of 1-5 years. There was an inverse correlation between the neonate's length of stay and the quality of care (r=-0.507, P<0.0001).
Conclusion: The findings revealed an inverse relationship between the length of stay and quality of care. By improving the quality of care, we can decrease the LHS.- انتشار مقاله: 24-11-1397
- نویسندگان: Narges Nikuee,Maryam Rassouli,Houman Manuchehri,Abolfazl Payandeh,Leila Khanali Mojen
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: Prevention,neonate,Nursing care,Ventilator-associated pneumonia,Mechanical Ventilation
- چکیده:
- چکیده انگلیسی: Background: Ventilator-associated pneumonia (VAP) is the second common nosocomial infection in NICUs leading to some complications. Nurses are one of the main resources in health care that directly influence neonatal health care. Responsibility of most of preventive strategies related to VAP complications lies with nurses; therefore, nursing care should be assessed until the nurses show standard level of performance in hospitals. The aim of this cross-sectional study, conducted within 2015-2016, was to assess nursing care regarding VAP prevention in neonatal intensive care units (NICUs) in selected hospitals affiliated to Shahid Beheshti University of Medical Sciences.
Methods: In this descriptive cross-sectional study, 100 observations of nursing care regarding VAP were selected by convenience method in NICUs of Mahdiyeh, Mofid, and Imam Hossein hospitals affiliated to Shahid Beheshti University of Medical Sciences within 2015-2016. The data collection tools included demographic information questionnaire and a developed checklist related to VAP prevention. The observations were assessed and documented with two sampling methods, including time and event sampling. The data were analyzed in SPSS software (version 16).
Results: According to the results of the current study, the rate of compliance of nursing care with the standards for prevention of VAP in neonates under mechanical ventilation in NICU with developed standards was estimated at 62.81 percent.
Conclusion: Authorities should pay more attention to nursing cares especially incompetent cares explained in this study to increase the health of hospitalized neonates, decrease complications, length of stay, and costs. Moreover, future research is needed to investigate the reasons of this incompetency.- انتشار مقاله: 19-10-1397
- نویسندگان: Leila Khanali Mojen,Maryam Rassouli,Saleheh Tajalli,Ahmad Reza Baghestani,Zahra Jafari
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Neonatal Intensive Care Unit,Nursing staff,work sampling,Working hour
- چکیده:
- چکیده انگلیسی: Background: Human resources are considered the most valuable capital of every healthcare system, and the quality of care is closely related to the quantity and skill of this group. Therefore, the proper estimation of the required nursing staff in different wards can help improve the quality of nursing care. The purpose of this study was to determine the hours of provided care by nursing staff in neonatal care units.
Methods: In this descriptive study, the research samples consisted of all nursing activities done by the nursing staff including head nurses, nurses, and nurse assistants working in the neonatal intensive care units of the chosen educational hospitals affiliated with Shahid Beheshti University of Medical Sciences in Tehran, Iran. Data collection tool was a nursing checklist with four categories, including direct care, indirect care, managerial activities, and personal activities. Calculating their activity duration was done using a stopwatch. Data analysis was performed by SPSS software (version 21).
Results: The obtained findings showed that the time allocated to direct care by head nurses and nurses in morning and evening shifts was always less than the time allocated to indirect care and the nurses spent most of their time doing indirect activities.
Conclusion: According to the obtained results of the present, it is essential that nursing managers provide the possibility of reducing some nursing activities’ time by applying more accurate supervision and time management and thus increase the quality of care by providing purposeful healthcare.- انتشار مقاله: 12-12-1397
- نویسندگان: Tahereh Nasrabadi,Azam Shirinabadi Farahani,Maryam Rassouli,Mansoure Zagheri Tafreshi,Samira Chaibakhsh,Zahra Usefinezhad
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: Parents,palliative care,Neonatal Intensive Care Unit,Health Personnel,Delivery of health care
- چکیده:
- چکیده انگلیسی: Palliative care is a series of actions aiming to offer support to parents and their infants in order to improve their quality of life. Despite optimal outcomes, the provision of palliative care for infants and achieving these outcomes may be hardly feasible. The present study aimed to investigate the barriers to palliative care and gain insight into the solutions. Accordingly, the obstacles were identified and classified into three categories of parent-related barriers (parental request for continuing treatment, cultural background, and religious beliefs), barriers concerning healthcare providers (attitude toward palliative care, death, and life values, religious beliefs, knowledge and skills in palliative care, and ethical distress), and barriers within the healthcare system (unclear policies regarding the implementation of palliative care, inadequate support from caretakers, lack of educational programs, insufficient personnel, unprepared environment, lack of technological requirements, and lack of access to consultants). Each category was discussed, and relevant solutions were provided.
- انتشار مقاله: 09-03-1397
- نویسندگان: Naiire Salmani,Maryam Rassouli,Zahra Mandegari,Imaneh Bagheri,Bahareh Fallah Tafti
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Basic Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: female,virulence,phylogeny,Male,Urinary tract infections,Uropathogenic Escherichia coli
- چکیده:
- چکیده انگلیسی: Objective(s): Escherichia coli strains are common pathogens that can cause urinary tract infections (UTI). This study aimed to assess E. coli phylogroups and virulence types in male and female UTI patients.
Materials and Methods: In the present study, 160 uropathogenic E. coli (UPEC) isolates (from both sexes) were assigned to phylogroups/types and some extraintestinal virulence factors were detected within them by multiplex-PCR.
Results: The isolates from women and men were predominantly distributed within phylogroup B2 and D, respectively. The presence of D2 phylotype was higher in men isolates than women, significantly (P=0.045). In male isolates papEF and sfa/focDE are more prevalent in B2 group than D, significantly (P=0.048; P=0.035). The prevalence of hly in B2 group is significantly higher than D (P=0.034) in female isolates.
Conclusion: This study highlighted different features of E. coli genotypes from phylogenetic and virulence point of view implicated in UTI’s in both human genders.- انتشار مقاله: 21-09-1396
- نویسندگان: Hamid Staji,Maryam Rassouli,Samaneh Jourablou
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Basic Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: female,virulence,phylogeny,Male,Urinary tract infections,Uropathogenic Escherichia coli
- چکیده:
- چکیده انگلیسی: Objective(s): Escherichia coli strains are common pathogens that can cause urinary tract infections (UTI). This study aimed to assess E. coli phylogroups and virulence types in male and female UTI patients.
Materials and Methods: In the present study, 160 uropathogenic E. coli (UPEC) isolates (from both sexes) were assigned to phylogroups/types and some extraintestinal virulence factors were detected within them by multiplex-PCR.
Results: The isolates from women and men were predominantly distributed within phylogroup B2 and D, respectively. The presence of D2 phylotype was higher in men isolates than women, significantly (P=0.045). In male isolates papEF and sfa/focDE are more prevalent in B2 group than D, significantly (P=0.048; P=0.035). The prevalence of hly in B2 group is significantly higher than D (P=0.034) in female isolates.
Conclusion: This study highlighted different features of E. coli genotypes from phylogenetic and virulence point of view implicated in UTI’s in both human genders.- انتشار مقاله: 21-09-1396
- نویسندگان: Hamid Staji,Maryam Rassouli,Samaneh Jourablou
- مشاهده