eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2013-01-01
1
1
2
40633
To The Readers
Farkhondeh Sharif
fsharif2008@gmail.com
1
Editor-in-chief Professor, Mental Health & Psychiatric Nursing, Department of Mental Health & Psychiatric Nursing, Faculty of Nursing & Midwifery, Shiraz University of Medical Sciences, P.O.Box:713451359, Shiraz, Iran
https://ijcbnm.sums.ac.ir/article_40633_a107bca2dfc0329c20cd4aca73855f38.pdf
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2013-01-01
1
1
3
15
40632
Original article
Everyday Life Condition in Stroke Survivors and Their Family Caregivers in Iranian Context
Asghar Dalvandi
asghar.dalvandi@gmail.com
1
Hamid Reza Khankeh
2
Sirkka-Liisa Ekman
3
Sadat Seyed Bagher Maddah
maddah.ssb@gmail.com
4
Kristiina Heikkilä
5
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden; and University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
BackgroundStroke is an unexpected major life incident that effect on physical functioning and can lead to changes in lifestyle and inability to manage self care, work or leisure. To explore the everyday life situation as experienced by stroke survivors, and their family caregivers, this study was conducted 3-6 month after stroke.MethodsTwelve stroke survivors and thirteen family caregivers were interviewed and a qualitative content analysis was conducted to analyze data. ResultsThe results were categorized into two central themes that were identified as; (1) Being challenged by changes in everyday life situation including; the struggle with physical dysfunctions, inappropriate daily plan for leisure activities, changes in mood, being faced with economical problems and being worried about changing roles (2) striving to cope with new conditions including; trying to preserve self-worth, seeking to support from spirituality, learning and re-learning and regaining independency. ConclusionPhysical dysfunction was the major concern for both the survivors and their family caregivers in their everyday life situation. This problem led to, and forced them, to be dependent on others. Training is needed to teach stroke survivors and their families strategies of how to cope with and overcome ongoing challenges of everyday life after stroke and to re-organize their lives and improve skills of the survivors to deal with the new situation at home.A daily plan for spending their time and leisure activities would ease this work. More investigation will be needed to clarify the process of life after stroke to cover this gap.
https://ijcbnm.sums.ac.ir/article_40632_a6fddbe1317c7693406f26af50089715.pdf
Stroke survivors
Family caregivers
Everyday life
Content analysis
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2013-01-01
1
1
16
25
40636
Original article
Facilitators and Barriers to the Professionalization of Nursing in Iran
Hosein Habibzadeh
ahmadif@modares.ac.ir
1
Fazlollah Ahmadi
ahmadi_fazl@hotmail.com
2
Zohreh Vanaki
vanakiz@gmail.com
3
Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
BackgroundIn recent years, healthcare organizations have supported the professionalization of nursing in order to improve the quality of care delivered to patients. The purpose of this study was to explore facilitators and barriers to professionalization of nursing in Iran.MethodsA qualitative study was conducted using the conventional content analysis. Semi-structured interviews were held with 18 nurses working in various nursing positions and in different healthcare settings. Themes related to the professionalization of nursing was developed. ResultsDuring the data analysis, five themes were developed: “communication”, “motivation and attitude”, “organizational culture and structure”, “academic education”, and “supportive resources”. Each theme as a factor impacted the professionalization of nursing in a positive or negative manner.ConclusionRecognizing factors influencing professionalization of nursing contributes to improvement of quality of nursing care delivered to patients. Healthcare system authorities can facilitate the development of the nursing profession and facilitate the professionalization of nursing through increasing the number of postgraduate nurses and also improving the nurses’ work conditions.
https://ijcbnm.sums.ac.ir/article_40636_f96c86d6803b8f3b913a84112d4096b8.pdf
Content analysis
Nursing
Professionalization
Qualitative research
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2013-01-01
1
1
26
34
40637
Original article
The Effect of Conflict Resolution Training on Marital Satisfaction in Couples Referring to Counseling Centers in Shiraz, Southern Iran
Farkhondeh Sharif
fsharif2008@gmail.com
1
Sarah Soleimani
2
Arash Mani
mania@sums.ac.ir
3
Sareh Keshavarzi
sheida918@gmail.com
4
Department of Mental Health and Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Mental Health and Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Psychiatry, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Epidemiology, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran
BackgroundMarital conflicts are among the most common problems in today’s society. Conflicts are unavoidable since people have different viewpoints, personalities, and goals. Marital conflicts can ultimately lead to divorce. This study aimed to assess the effects of conflict resolution training on marital satisfaction in a sample of Iranian couples. MethodsThis interventional and clinical trial was performed in 2011 in the counseling centers of Shiraz, southern Iran. 56 couples, having the necessary inclusion criteria, were randomly selected using the convenient sampling method. These couples had moderate to severe scores of conflicts (>60) according to the marital conflict questionnaire. The participants were divided into experimental and control groups, using random block allocation. Then the experimental group was randomly subdivided into three groups. The experimental group received 10 sessions of conflict resolution skills training, twice a week, lasting for 1.5 hours. The level of conflict and marital satisfaction was checked before, immediately, and one month after the intervention in the experimental groups, and before and one month after the intervention in the control group. Data were analyzed using SPSS software, version 16.ResultsBoth groups were demographically homogenous with no statistically significant difference. The difference in the mean scores of marital conflict and marital satisfaction before, immediately and one month after the intervention was statistically significant in the experimental groups (P<0.0001) but not in the control group. ConclusionConflict resolution training is effective in reducing marital conflicts. Therefore it can be recommended for couples who have marital conflicts.
https://ijcbnm.sums.ac.ir/article_40637_1f8f75f9419e52a285432a1318e18b38.pdf
Marriage
Satisfaction
Conflict resolution
education
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2013-01-01
1
1
35
42
40638
Original article
The Assessment of Eating Behaviors of Obese, Over Weight and Normal Weight Adolescents in Shiraz, Southern Iran
Marzieh Kargar
kargarm@sums.ac.ir
1
Raheleh Sabet Sarvestani
2
Hamid Reza Tabatabaee
3
Sahar Niknami
4
Shiraz Fatemeh (PBUH) College of Nursing & Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Shiraz Fatemeh (PBUH) College of Nursing & Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Biostatistics, Shiraz University of Health Care, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Clinical Nutrition & Dietetics Shiraz University of Medical Sciences, Shiraz, Iran
BackgroundObesity is one of the most common nutritional problems in adolescent. Knowing eating behavior of adolescents improve our understanding about this pandemic and helps design an appropriate preventive and care plan. MethodsIn a cross-sectional study, 372 students selected randomly from 8 guidance schools of Shiraz, Iran, during August-December 2009. Body weight was measured to the nearest 0.1 kg, height was measured in bare feet to the nearest 0.5 cm. Adolescents with a Body Mass Index (BMI)over the 85th but less than 95th percentile are considered overweight and those with a BMI greater than the 95th percentile are considered obese. Eating behaviors was assessed using Dutch eating behavior questionnaire (DEBQ). The analysis was performed using the SPSS statistical software version 13. A P value of less than 0.05 was considered as statistically significant.ResultThe mean age of adolescent was 13.43±0.973 years. Of population studied, 23.9%, 22.35% and 53.8% were found to be obese, overweight and normal weight There was significant differences between restrained and external eating score in obese and overweight groups (P=0.0001). Restrained eating score in obese and overweight adolescent was higher than those of normal weight group. There was no significant difference between emotional eating behavior in adolescent (P>0.05). There was a positive significant correlation between dietary restriction and BMI (r=0.36) in adolescent (P=0.000).ConclusionUnderstanding the individual differences in eating behaviors is the first step in modifying programs for obesity. Emotional eating behavior is also recommended to be considered in designing preventive programs.
https://ijcbnm.sums.ac.ir/article_40638_6c8e2677ac5c75bec4902d6db9a329b4.pdf
Eating behaviors
Obese
Overweight
Normal weight
Adolescents
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2013-01-01
1
1
43
51
40639
Original article
The Public Health Nurse in the Iran’s Health System: an Ignored Discipline
Mohsen Adib-Hajbaghery
adib1344@yahoo.com
1
Associate Professor, Department of Medical-Surgical Nursing, School of Nursing, Kashan University of Medical Sciences, Kashan, Iran
BackgroundPublic health nursing system, which is an accepted universal model for improvement of the community health, has not yet attained its rightful status in Iran. The present study was conducted to evaluate the perceptions of the pioneers of health care about the public health nursing and the roles that a public health nurse can play in Iran’s health system. MethodsThis is a qualitative study comprising nine participants purposively selected from nurses, nurse educators and physicians in Kashan University of Medical Sciences. Individual semi-structured interviews were used and qualitative content analysis method was used for data analysis. Results Three emerged main categories included perceptions about public health nursing, the roles of public health nurses, and barriers to establishing public health nursing. Additionally, five main roles were defined for a public health nurse. These involved the gatekeepers of the health system, direct continual care, health monitoring and disease prevention, health educator and health promoter. The disease oriented health system and the policy makers’ viewpoints were also proved to be the main barriers to establishing public health nursing. ConclusionThe study showed the positive attitudes of the front line health team about public health nursing. The five emerging roles, if established, may facilitate achieving the global objective of health for all. Efforts are needed to encourage policy-makers decide on this issue.
https://ijcbnm.sums.ac.ir/article_40639_bafcdea5be2d04cb74236d67bbcd507c.pdf
Public health nursing
Health care
Iran
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2013-01-01
1
1
52
61
40640
Original article
General Health Status and Burnout of the Hematopoietic Stem Cell Transplantation Nurses in Tehran
Zahra Farsi
zahrafarsi@gmail.com
1
Nahid Dehghan Nayeri
nahid.nayeri@gmail.com
2
Azam Sajadi
3
Faculty of Nursing, AJA University of Medical Sciences, Kaj Street, Shariati Street, Tehran, Iran
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Faculty of Nursing, AJA University of Medical Sciences, Kaj Street, Shariati Street, Tehran, Iran
BackgroundNowadays, it has been found that the mental state of caregivers may have a noticeable effect on both patient and caregiver’s health. This study was conducted to determine the burnout and general health status of the hematopoietic stem cell transplantation nurses in Tehran, Iran. MethodsIn a cross-sectional study, burnout and general health status of 65 hematopoietic stem cell transplantation nurses in Tehran were examined. Each subject filled out two questionnaires in 2010: The General Health Questionnaire and the Maslach Burnout Inventory as well as demographic information. The data were gathered after obtaining the participants’ agreement to take part in the study. ResultsThe majority (67.7%) of the nurses had scores lower than the cut off score of the General Health Questionnaire-28. The majority of the nurses were in the low level in terms of emotional exhaustion (50.8%), depersonalization (66.2%), and personal accomplishment (58.5%). The general health status score of the nurses was positively related to emotional exhaustion and depersonalization scores. However, there was an inverse relationship between health status and personal accomplishment scores.ConclusionThe result of the current study did not have a significant agreement with the general view indicating that working in hematopoietic stem cell transplantation units leads to an increase in burnout levels. Hence, the majority of nurses were in low levels in terms of emotional exhaustion and depersonalization and in good condition in terms of general health status; there is a need for conducting further studies in order to find out the reason behind these differences.
https://ijcbnm.sums.ac.ir/article_40640_bd6a72789157bdab9f4f413726e88cee.pdf
Burnout
cancer
General health status
Hematopoietic stem cell transplantation
Iran
Nurse
Oncology
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2013-01-01
1
1
62
68
40634
Challenges of Community Health Nursing Education in Iran
Hossein Karimi Moonaghi
ildarabadie861@mums.ac.ir
1
Abbas Heydari
2
Ali Taghipour
taghipoura@mums.ac.ir
3
Es-hagh Ildarabadi
ildarabadi@gmail.com
4
Department of Med-Surg, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Med-Surg, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Post Graduate, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Comprehensive studies on community health nursing education have not been performed In Iran and nursing graduates have limited ability to provide health care outside the hospital. However, education policy makers require a thorough understanding of nursing education for training of professional nurses. The aim of the present study is to review the existing challenges of community health nursing education in undergraduate curriculum, and explore its dimension. In this review study, some medical resources including nursing index, nursing consult, Proquest, Scopus, Elsevier, Pub Med, SID, Iranmedex, Magiran and Medlib were used in order to cover all associated studies. Searching articles from 1991 to 2012 was performed by using key words: Undergraduate nursing education, community health, and review studies separately and in combination. Inadequate productivity weakness of holistic and community-oriented attitude of nursing students, non-applicability and poor training methods are the biggest problems in community health nursing education. Education of community health nursing is of poor quality and absence of educational models and appropriate practical programs challenge its progress against major barriers. The findings of this study have provided compelling evidences for authorities involved in nursing education. We believe that the desirable change would be possible by considering the experiences of students; teachers and employees involved in community health nursing, a process providing better understandings and directives for nursing education policy makers.
https://ijcbnm.sums.ac.ir/article_40634_fd720f59959d6ec01cb7c79301bed0c9.pdf
Baccalaureate nursing education
Community health
Review study
Iran
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2013-01-01
1
1
69
75
40635
When Extreme Stress Reveals Multiple Sclerosis: A Case Report
Marjaneh Fooladi
1
Professor and Fulbright Scholar, World Wide Nursing Service Network, LLP 508 Twin Oaks Place, El Paso, TX 79912 in USA
A prior history of healthy lifestyle may be misleading when we consider associated risk factors for developing a serious and debilitating condition such as multiple sclerosis under extreme stress. The author reports a case of a woman who lived a healthy life and yet experienced an unexpected event leading to the diagnosis of multiple sclerosis. The patient’s condition was predominantly provoked by a major motor vehicle accident resulting in temporary paralysis. Significant family disbelief ensued for the way medical professionals addressed the patient’s concerns and questions. The author then reviews the literature on the onset of MS and highlights the importance of competent care, promoting hope for healing and dietary approach to manage multiple sclerosis.
https://ijcbnm.sums.ac.ir/article_40635_5de7ee22262be3b3bd6c4486f024673d.pdf
Multiple Sclerosis
Patient communication
Bedside manner
Diet
Holistic approach