@article{ 
author = {Rahimi, Masoumeh and Kolagari, Shohreh and Yazdi, Khadijeh and Aryaie, Mohamm},  
title = {The Relationship of Discomforting Factors with Coping Strategies
Among Patients in Cardiac Surgery Intensive Care Units}, 
abstract ={Background: Patients in cardiac surgery intensive care units are affected by different discomforting factors and use different strategies for their management. Objective: The aim of this study was to examine the relationship of discomforting factors with coping strategies among patients hospitalized in cardiac surgery intensive care units. Methods: This descriptive - correlational study was done in 2016. A convenience sample of 110 patients was drawn from the cardiac surgery intensive care unit of Amir - al - momenin heart surgery center, Kordkuy, Iran. Data were collected using a demographic questionnaire, the Discomforting Factors in Cardiac Surgery Intensive Care Unit Questionnaire, and Jalowiec Coping Scale. Pearson correlation analysis, the one - way analysis of variance, the paired - sample t - test and the Tukey&#8217;s post hoc test were used to analyze the data. Data analysis was performed via the SPSS software (v. 16.0) and at a significance level of less than 0.05. Results: The mean score of discomforting factors was greater than the moderate level (74.08 &#177; 16.93). Participants used emotion - focused coping strategies more than problem-focused ones. Discomforting factors were inversely correlated with problem - focused strategies (r = - 0.266; P = 0.005) and directly correlated with emotion-focused strategies (r = 0.247; P = 0.009). Conclusions: Patients in cardiac surgery intensive care units suffer from the negative effects of different discomforting factors and use emotion - focused coping strategies more than problem - focused strategies for the management of the factors. Keywords: Discomforting Factors, Coping Strategies, Cardiac Surgery Intensive Care Unit},  
Keywords = {},
volume = {11},
Number = {1}, 
pages = {1-8}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-408-en.html},  
eprint = {http://jccnursing.com/article-1-408-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Rajaeian, Zahra and MasoudiAlavi, Negi},  
title = {Barriers to Nursing Performance from the Perspective of Nurses Working in Intensive Care Units}, 
abstract ={Background: Therearemanyperformanceobstaclesinintensivecareunits(ICU)thatcanwasteanurse&#8217;stimeandenergy. Detectionandeliminationof theseobstaclescanimproveeﬃcacyinICUs. Objectives: ThisstudywascarriedouttoidentifytheperformanceobstaclesexperiencedbynursesinICUsof selectedhospitalsin Kashan,Iran,2015. Methods: In this descriptive analytical cross-sectional study, all 80 nurses working in ICUs reported their performance obstacles in 240 working shifts. The research instrument had 2 parts: 1- information of nurses and their working shift; 2- nursing performance obstacles questionnaire of Gurses. The questionnaire evaluates performance obstacles in 4 dimensions of environment, task,technology,andorganization. ThedataanalyzedwiththedescriptiveandanalyticalstatisticsincludingMann-WhitneyUand Krukall-Wallistests,andmultipleregressionanalysisusingSPSS16. Results: The most common obstacles were: receiving too many phone calls from family members (75%), delay in getting medicationsfrompharmacy(54.6%),insuﬃcientspacetositdownanddopaperwork(52.9%),anddisorganizedunit(51.6%). Intheﬁeldof technology, havingtouseequipmentinpoorcondition(35%)wasthemostfrequentobstacle. Delayinseeingnewmedicalorders (48.3%)andinadequateinformationfromphysicians(30.4%)wereothercommonobstacles. Thenurseswithlessthan3yearsof experienceworkinginICUs,thoseworkingmorningshifts,andnurseswhohadadmittedmorepatientsreportedsigniﬁcantlymore obstacles. Conclusions: Nursing performance obstacles were diﬀerent. Many obstacles such as receiving too many phone calls and having touseequipmentinpoorconditioncanbemanagedbysimpleinterventionssuchasusingtechnologytogiveinformationtothe familymembers.Managementpoliciesandenhancingteamworksareneededtoreduceobstaclessuchasinadequateinformation from physicians and disorganized unit. We need further studies, to evaluate how the elimination of these obstacles can improve thenursingcareinICUs. Keywords: CriticalCareNursing,IntensiveCareUnits,WorkPerformance,BarrierandPerception},  
Keywords = {},
volume = {11},
Number = {1}, 
pages = {1-6}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-409-en.html},  
eprint = {http://jccnursing.com/article-1-409-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {NazriPanjaki, Athare and Salari, Narges and Khoshfetrat, Masoum},  
title = {Investigating the Success Rate of Cardiopulmonary Resuscitation, Survival Rate in Patients,and their Related Factor}, 
abstract ={Background: Cardiopulmonaryresuscitation(CPR)procedureconsistsof measurestakentorestoretheactsof theheartandthe braininapersonwhohaslosttheirownconsciousness. Thus,thepurposeof thepresentstudywastoinvestigatethesuccessrate of CardiopulmonaryResuscitation,survivalrateinpatients,andtheirrelatedfactorsinordertoassistinimprovingeﬀectiveconditionsandmeasureswithinhospitalstoincreasethesuccessrateof CPR. Methods: This cross-sectional analytic study was conducted in 2016. To this end, a total number of 199 patients aﬀected with cardiopulmonaryarrestandundergoingtheCPRprocedureintheemergencywardsandotherhospitalsunitsinIranwererecruited using a convenience sampling method. Then, patient information was collected through a researcher-designed checklist as well as a review of clinical records. The data were also analyzed via the SPSS.16 software. Data analysis was similarly performed using descriptivestatisticsandChi-squareandt-test. Results: The mean age of patients was 44 years. The result of 36.7% of CPR procedures conducted was reported successful, however,only4% of patientsﬁnallysurvived. Ingeneral,theﬁndingsrevealedthatfactorssuchasage,gender,hospital,historyof prior diseases, checked initial rhythm, work shift, time of work shift change, pre-resuscitation intubation status, and underlying cause of cardiopulmonary arrest had no eﬀects on the success rate of CPR procedure. However, location of the occurrence of cardiopulmonaryarrest(P=0.03)andspecialtyof physiciansinchargeof resuscitationteams(P=0.01)wereamongthefactorsaﬀectingthe successrateof CPRprocedure. Furthermore, checkedinitialcardiacrhythm(P&#60; 0.0001)andahistoryof priorheartdiseases(P= 0.05)inpatientshadimpactsontheirsurvivalrate. Conclusions: Given the simplicity and teachability of the principles of basic life support (BLS), health status, and survival rate in patients can be easily and signiﬁcantly promoted through the public education of the initial resuscitation measures. Moreover, according to the investigations made in this respect, post-resuscitation measures can dramatically aﬀect the survival rate of individuals.Therefore,itissuggestedtoinvestigatepost-resuscitationmeasuresinotherstudiesofprospectivetypeinordertopropose strategiestoimprovethesurvivalrateof patients. Keywords: CardiopulmonaryResuscitation,HeartArrest,SuccessRate,SurvivalRate},  
Keywords = {},
volume = {11},
Number = {1}, 
pages = {1-5}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-410-en.html},  
eprint = {http://jccnursing.com/article-1-410-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {D’Orazio, Alessia and Dragonetti, Antonella and Campagnola, Giorgio and Garza, Cristina and Bert, Fabrizio and Frigerio, Simo},  
title = {Patient Compliance to Non-Invasive Ventilation in Sub-IntensiveCare Unit: An Observational Study}, 
abstract ={Background:Thesuccessof noninvasiveventilationdependsonmanyfactorsandeﬀectivedeliveryrequiresteamwork.Informationonthetherapeuticprogrammustbesustainedbyhealthcarestaﬀandfamily. Objectives: Investigatetheclinicalandcarefactorsthataﬀectthelevelof patientcompliancetononinvasiveventilation. Methods: A prospective, observational and multicentre study was conducted between November 1, 2015 and February 15, 2016 in three sub-intensive wards. A data collection tool was created with the working deﬁnition of &#8220;Patient intolerant to non invasive ventilation&#8221; and a structured interview was conducted to investigate patient experience of NIV. Statistical analysis was conducted withtheSTATAMP13software. Results: Coordination of patient-ventilator interaction prevents intolerance (OR = 0.68, 95% IC 0.46 - 0.98; P = 0.04). Overweight andobesepatientsshowedahigherprobabilityof intolerancetononinvasiveventilationwithrespecttounderweightandnormal weight patients (OR = 0.53, 95% IC 0.34 - 0.82; P = 0.005). Patients with a higher probability of intolerance experienced a NRS level of 4/5(OR=1.76, 95% IC1.30-2.41; P&#8804;0.001)whilereceivingcontinuoustreatment(OR=1.26, 95% IC1.04-1.53; P=0.019). Patients in open-space settings experienced less intolerance (4.7 SD&#177;1.2) with respect to patients in single rooms (2.5 SD&#177;0.9). Anxious patientsdevelopedmoreintolerancethancalmandinformedpatients(OR=7.39,95% IC3.19-17.13;P&#8804;0.001) Conclusions: Compliance to non invasive ventilation depends on multiple factors, including relational aspects that aﬀect treatment success. Attention to patient comfort, pain control, and collaboration with the caregiver appear to have the most inﬂuence onpatientcompliance. Keywords: Nurses,Patients,NoninvasiveVentilation,IntensiveCareUnits,Compliance,Masks},  
Keywords = {},
volume = {11},
Number = {1}, 
pages = {1-4}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-411-en.html},  
eprint = {http://jccnursing.com/article-1-411-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Amirifar, Ahmadali and Rahimi, Abolfazl and Faizi, Fakhrudin and Siratinir, Masou},  
title = {The Psychometric Properties of Richard Campbell Sleep Questionnaire in Patients in Intensive Care Unit}, 
abstract ={Background:Patientshospitalizedincriticalcareunitsareatriskfordevelopingdiﬀerenthealthproblemssuchassleepdisorders. Detectionofsleepdisordersisveryimportantandneedstheappropriatetools.Thisstudywasaimedtodeterminethepsychometric propertiesof RichardCampbellsleepquestionnaire. Methods:Thismethodologicalstudywasconductedinthecardiacsurgeryintensivecareunit(CICU)ofMilitaryHospitalofTehran in 2016. A standard translation of the questionnaire was provided, and face and content validity of the questionnaire were qualitatively evaluated by the main users (patients) and experts, respectively. Reliability of the questionnaire was determined using Inter-raterreliabilityandinternalconsistency. Inthisstudy,100patientswhomettheinclusioncriteriawereselectedusingconveniencesamplingmethod. Onthe2ndand3rddayafterthehospitalization, qualityof theirpastnight&#8217;ssleepwasmeasuredusing thequestionnaire. Results: The face and content validity of the questionnaire were qualitatively at desired level. The reliability of the questionnaire throughinter-ratercorrelationcoeﬃcientandtheCronbach&#8217;salphavaluewere0.714(P&#60; 0.0001)and0.906,respectively. Conclusions: Accordingtotheresults,RichardCampbellsleepquestionnaireisasimplevalidatedinstrumentthatcanbeusedby healthcareproviderssuchasnursestomeasurethequalityof sleepinpatientsincardiacsurgeryintensivecareunit(CICU). Keywords: Sleep,IntensiveCareUnit,Psychometrics,RichardCampbellSleepQuestionnaire},  
Keywords = {},
volume = {11},
Number = {1}, 
pages = {1-5}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-412-en.html},  
eprint = {http://jccnursing.com/article-1-412-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {MoazamiGoudarzi, Yasser and Ghadirian, Fataneh and Vahedian, Amir and Pishgoo, Amir},  
title = {The Eﬀectof Benson Relaxation on the Anxiety of Patients under Radial Angiography: A Randomized ClinicalTrial}, 
abstract ={Background:Angiographyisthegoldstandardtestforthediagnosisofcoronaryarterydisease;however,morethan82% ofpatients have stress and anxiety before they undergo angiography, which signiﬁcantly eﬀects the diagnostic results. One of the common complicationsoftheangiographymethodthroughtheradialarteryistheoccurrenceofarterialspasmthatisseenmoreinpatients withsevereanxiety. ThecurrentresearchersbelievethatusingBensonrelaxationiseﬀectiveinreducingthepatient&#8217;sanxiety. Objectives: ThisstudywasdesignedtoevaluatetheBensonrelaxationmethodinpatientsundergoingradialangiography. Methods:Thisstudywasaclinicaltrial,whichwasperformedon60candidatepatientsundergoingcoronaryangiographybyradial methodatBaqiyatallahHospitalduringyear2017(N=60). Thesampleswererandomlyallocatedtotwogroups, interventionand control. The information gathering tools were demographic questionnaire, the Beck Anxiety Inventory (BAI), and hemodynamic variableschecklist. DataanalysiswasdonewiththeSPPSSV16softwareusingKolmogorov-Smirnovtest,Mann-Whitneytest,and paired-ttest. Results: The results showed a signiﬁcant diﬀerence between the anxiety of the patients before and after the intervention in each group(P&#60; 0.05). Thecomparisonof thetwogroupswiththepaired-ttestwasnotstatisticallysigniﬁcant. Theanxietyof patients aftertheinterventionwasdecreased,yetthisdecreasewasnotstatisticallysigniﬁcant. Conclusions: Benson&#8217;s relaxation method can be eﬀective in reducing anxiety in angiography candidate patients. Accordingly, it mayalsobeeﬀectiveinreducingtheoccurrenceof radialarteryspasm. Keywords: Anxiety,BensonRelaxation,RadialAngiography},  
Keywords = {},
volume = {11},
Number = {1}, 
pages = {1-6}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-413-en.html},  
eprint = {http://jccnursing.com/article-1-413-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Taghipour, Behzad and SivarajanFroelicher, Erika and Goudarzian, AmirHossein and HuakChan, Yiong and SharifNia, Hamid and Yaghoobzadeh, Ameneh and Haghdoost, Ali Akbar},  
title = {Clinical Manifestation of Acute Myocardial Infarction: Classiﬁed by Age and Gender}, 
abstract ={Background: The purpose of the study was to evaluate clinical manifestations of acute myocardial infarction as classiﬁed by age andgender. Methods: This cross sectional study was conducted in a coronary care unit of a regional urban medical center in northern Iran (Amol). Atotalof 366patientsdiagnosedwithacutemyocardialinfarctionwererecruitedfromJanuarytoJune2013. Patientdemographicinformation,pastmedicalhistory,andcurrentsymptomdatawerecollected. Results:Multivariatelogisticanalyseswereperformedtoidentifyriskpredictorsofmyocardialinfarctionpatientsclassiﬁedbyage andgender.Riskpredictorsforolderpatientsweredyspnea,OR=1.76(95% CI1.01,3.06),weaknessoddsratio=2.35(95% CI1.31,4.21), nausea odds ratio = 1.83 (95% CI 1.04, 3.20), vomiting odds ratio = 2.48 (95% CI 1.34, 4.57), fatigue odds ratio=1.87 (95% CI 1.02, 3.39), belching, odds ratio = 2.13 (95% CI 1.08, 4.20), and hiccups odds ratio = 2.81 (95% CI 1.25, 6.30). Sub group analysis in older women patientsidentiﬁedweaknessoddsratio=3.13(95% CI1.11,8.85),andbelchingoddsratio=34.70(95% CI3.86,312.2)asriskpredictors. Amongoldermenpatients,thepredominantsymptomsweresweatingoddsratio=3.74(95% CI1.06,13.2)andvomitingoddsratio =2.54(95% CI1.10,5.91). Conclusions:Thisstudyconcludesthatolderacutemyocardialinfractionpatientsweremorelikelytohavenon-speciﬁcsymptoms. Initial assessment for acute myocardial infarction should consider the possibility of non-speciﬁc clinical manifestations, such as weaknessandbelchinginolderwomen,andsweatingandvomitinginoldermen. Keywords: MyocardialInfarction,Age,Gender,SignsandSymptoms},  
Keywords = {},
volume = {11},
Number = {1}, 
pages = {1-9}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-414-en.html},  
eprint = {http://jccnursing.com/article-1-414-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {SuparmanRustam, Junaidy and Kongsuwan, Waraporn and Kitrungrote, Lupp},  
title = {Comfort in Patients Receiving Mechanical Ventilation: A Literature}, 
abstract ={Background: Comfort in patients receiving mechanical ventilation can be disturbed for many reasons. This condition may lead tonegativeimpactsduetounmetcomfortneedsinpatientswithmechanicalventilation. Kolcaba&#8217;scomforttheorydescribedthat patients&#8217; comfortmaybeenhanced,if theneedsof comfortcanbemetinfourcontextsof comfort,includingphysical,psychospiritual, environmental, and sociocultural comfort. Therefore, there is a need to identify causative factors that may disturb comfort duringmechanicalventilationandinterventiontopromotecomfortwhilereceivingmechanicalventilation. Objective: Thisstudyaimedatreviewingtheliteratureconcerningcomfortinpatientsreceivingmechanicalventilation. Methods: A literature review was conducted by analyzing 42 scholarly papers from year 2002 to 2016. The data were searched through Scopus, ProQuest, Elsevier/Science Direct, CINAHL, and PubMed based on PICO questions with keywords; &#8216;comfort&#8217;, &#8216;discomfort&#8217;,&#8216;comfortneed&#8217; &#8216;patient&#8217;,&#8216;mechanicalventilation&#8217;,and&#8216;ventilator&#8217;. Relevantarticleswereappraisedfollowingtherecommendationof theJoannabriggsinstituteforevidence-basednursing. Results: Overall, 116 articles were retrieved and 42 articles met the inclusion criteria. The results presented comfort needs of mechanically ventilated patients in physical, psychospiritual, environmental, and sociocultural contexts, and interventions to promotecomfortduringmechanicalventilationweredividedtothefollowingthreecategories,pharmacologicalinterventions,nursingcareinterventions,andcomplementaryandalternativeinterventions. Conclusion and Recommendation: The knowledge from this literature review can be useful for nurses and other healthcare providerstodevelopqualitycomfortcareforpatientsdependentonmechanicalventilation. Keywords: Comfort,Discomfort,MechanicalVentilation,Ventilator &#160;},  
Keywords = {},
volume = {11},
Number = {2}, 
pages = {1-7}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-415-en.html},  
eprint = {http://jccnursing.com/article-1-415-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Godarzi, Zahra and Rahimi, Omolbani and Khalesi, Nasrin and Soleimani, Farin and Mohammadi, Nooredin and Shamshiri, Ahmad Rez},  
title = {Nurses’  Opinions on the Barriers to Eﬀective Implementation of Developmental Care in Neonatal Intensive Care Units}, 
abstract ={Background: Theimplementationof developmentalcareinneonatalintensivecareunit(NICU)savesneonates&#8217; energyandstabilizestheirphysiology,reducesstressinthemandtheirfamily,anddecreaseshospitalizationtimeandhealthcarecosts. Theroleof aneonatalnurseiscrucialforanappropriateandsuccessfulexecutionof developmentalcareinNICU.Thisstudywasconductedto evaluatenurses&#8217; opinionsonbarrierstoeﬀectiveimplementationof developmentalcareinNICUsof TehranUniversityof Medical Sciences. Methods: Thiswasacross-sectionalstudycarriedoutonatotalof 138nurseswhohadaminimumworkexperienceof sixmonths in NICUs. Data collecting tool was a 12-point questionnaire including questions related to 5 core measures of developmental care accordingtoCoughlin&#8217;sframeworkaswellasquestionsassociatedwithbarriersbasedonastudybyWu.Descriptiveandanalytical statisticswereusedfordataanalysis. Results: Themeanagefor138nurseswas31.76&#177;5.41years(23-49years). ThemeanworkhistoryintheNICUwas4.36&#177;3.58years. Of all nurses, 79.7% were found to be familiar with developmental care practice. Among participants, 56.4% mentioned most part of theirfamiliaritywithdevelopmentalcare; nursesmostlygainedfamiliaritywithdevelopmentalcareviainformationexchange withnurse colleagues. Themajority of participantsdescribed thatinadequatetime, inappropriate workenvironmentin termsof spaceandequipmentof NICU,andtoomanyrequestsbyparentsweremajorbarrierstodeliver5coremeasuresof developmental careinNICUs. Conclusions: Theimplementationof developmentalcarewashamperedbyseriousbarriers. Keywords: Barriers,DevelopmentalCare,NeonatalIntensiveCareUnit(NICU) &#160;},  
Keywords = {},
volume = {11},
Number = {2}, 
pages = {1-8}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-416-en.html},  
eprint = {http://jccnursing.com/article-1-416-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Motamedzadeh, Mahmood and Mahmoudi, Hosein and sEbadi, Abbas and lNehrir, Batool},  
title = {Nursing Care Quality in the Cardiac Care Unit: A Cross-Sectional Study}, 
abstract ={Background: Healthcareisinevitablyassociatedwithanincreasedriskof patientsafety. Duetothecomplexityof attitudeof care, thesafetycultureandthecareof patientsplayamajorroleinsafecare. Objectives: Thepresentstudyaimedtoassessthequalityof safenursingcareintheCardiacCareUnit. Methods: ThisisadescriptivestudyconductedintheCardiacCareUnitof BaqiyatallahHospitalin2018. Allnursingstaﬀworking inthecardiaccareunitcomprisedthesampleof thestudy.SafenursingcarewasmeasuredusingatooldesignedbyRashvandetal. in2015. DatawereanalyzedbySPSSversion21. ThisstudywasapprovedbytheethicscommitteeinBMSU. Results: Theresultsshowedthatthemajorityof theresearchsample(55%)wasmalewithanaverageageof 42.85&#177;9.66yearsand aworkingexperienceof 19.05&#177;8.4years. Themeanscoreof theethicaldimensionwas17.47&#177;1.92. Conclusions:Theresultsof thisresearchcanbeusedineducationalplanningattheundergraduatelevelof nursingtoeducatethe students from the beginning of education, especially in the ﬁrst semester, regarding patient safety, in particular, ethics, and safe care,inordertomakeiteasiertouseinthefutureandtoreducetheneedforin-servicetrainingprograms. Thisdevelopssafecare inhealthcaresettings. Keywords: Quality,SafeCare,Nursing &#160;},  
Keywords = {},
volume = {11},
Number = {2}, 
pages = {1-5}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-417-en.html},  
eprint = {http://jccnursing.com/article-1-417-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Zare, Hamed and Heravi-Karimooi, Majideh and Rejeh, Nahid and SharifNia, Hamid and NooriMajelan, Nader},  
title = {The Eﬀectof Thermal Therapy on Uremic Pruritus in Hemodialysis Patients}, 
abstract ={},  
Keywords = {},
volume = {11},
Number = {2}, 
pages = {1-7}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-418-en.html},  
eprint = {http://jccnursing.com/article-1-418-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Ghasemi, Mahbobeh and Rejeh, Nahid and Heravi-Karimooi, Majideh and DavoodTadrisi, Seyed and SamadyKia, Parvaneh},  
title = {The Eﬀectiveness of Foot Reﬂexology in the Severity of Restless Legs Syndrome in Female Patients Undergoing Dialysis: A Randomized Controlled Trial}, 
abstract ={},  
Keywords = {},
volume = {11},
Number = {2}, 
pages = {1-6}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-419-en.html},  
eprint = {http://jccnursing.com/article-1-419-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Momeni, Elahe and Alidostishahraki, Katayoun and Taebi, Mozghan and Hoseini, Mehdi and Dehesh, Tani},  
title = {Eﬀectiveness of Group Psychological Counseling on the Pregnancy Anxiety and Fear of Vaginal Delivery in the Pregnant Women: A Quasi-Experimental Study}, 
abstract ={Background: In obstetrics, pregnancy and childbirth are the basis for psychological and biological crises and are associated with a high prevalence of anxiety disorders. This study aimed to investigate the effectiveness of group psychological counseling on the level of pregnancy anxiety and fear of vaginal delivery in pregnant women. Methods: This Quasi-experimental study was done in 2016 on 96 pregnant women (selected via multistage cluster sampling) that had low to medium levels of anxiety and had an average of 28 or higher fear scores from birth labor. The intervention group treated with 5 sessions of group psychological counseling pre-test and post-test were completed by each of the two groups. Independent and paired t-tests were used for analyzing. Results: Results showed that the psychological counseling could reduce situational and trait anxiety in the intervention group (P &#60; 0.001). Inthecontrolgroup,trait(P=0.007)andsituationalanxiety(P=0.004)wereincreased. Thedifferenceof situationalandtrait anxiety between two groups was significant (P &#60; 0.001). Regarding the fear of childbirth in the intervention group, psychological counseling reduced fear of childbirth significantly (P &#60; 0.001). Fear of childbirth showed a slight increase in the control group, and it difference score in two groups was significant (P &#60; 0.001). Conclusions: According to results, psychological counseling was effective in reducing pregnancy anxiety and fear of childbirth. Therefore, it is recommended that the findings were considered by nurses and other medical staffs to improve the health status of pregnant women. Keywords: Psychology, Pregnancy, Anxiety, Vaginal Delivery &#160;},  
Keywords = {},
volume = {11},
Number = {2}, 
pages = {1-6}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-420-en.html},  
eprint = {http://jccnursing.com/article-1-420-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Heidaranlu, Esmail and Pourebrahimi, Mohammad and Rashidi, Masume and AghdasiMehrabad, Nahid and Zarbizadeh, Arman and Eftekhari, Kosar and Mollahadi, Mohsen and MoradiFaradonbeh, Mortez},  
title = {Evaluation of Atrial Fibrillation and Premature Ventricular Contractions due to Magnesium Sulfate Administration after Open Heart Surgery}, 
abstract ={},  
Keywords = {},
volume = {11},
Number = {2}, 
pages = {1-7}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-421-en.html},  
eprint = {http://jccnursing.com/article-1-421-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Saiednejad, Zahra and MirbagherAjorpaz, Neda and Aghajani, Mohamm},  
title = {Application of Empowerment Program on Self-Efficacy of Patients
Under Hemodialysis: A Clinical Randomized Controlled Trial}, 
abstract ={Background: End-stage renal patients conformed to a variety of physical and psychological problems. Self-efficacy is regarded as an essential component to achieve a desirable condition in these patients. The aim of this study was determined the effectiveness of empowerment program based on the BASNEF model on the self-efficacy of patients under hemodialysis. Methods: The present study was a randomized, single-blind, parallel, controlled clinical trial that was performed on 60 patients who referred to the Hemodialysis Centre of Kashan University of Medical Sciences, Iran. Participants were assigned to two groups based on block randomization allocation. The intervention group (n = 30) received 8 sessions of empowerment program and the control group (n = 30) received the routine cares for 4 weeks. Data were collected by a Sherer&#8217;s general self-efficacy questionnaire at baseline and end of study and analyzed using Chi-square, independent and paired t-test in SPSS 13v. Results: The study was completed by 58 participants. However, as the analysis was based on an intention-to treat approach, all 60 patients were included in the final analysis. Comparison of the two groups showed that the total scores of the self-efficacy were increased after intervention (65.86 &#177; 16.42 vs 50.3 &#177; 18.02, t = 3.24, P &#60; 0.002). In addition, significant difference was observed between the mean score of self-efficacy in the intervention group prior to and after the empowerment program (P &#60; 0.0001), while no significant change was observed in the control group, before and after the study (P = 0.17). No harms and side effects associated with intervention were in the groups. Conclusions: The empowerment program was effective on self-efficacy of patients with end-stage renal diseases undergoing hemodialysis. Therefore, it is recommended that this program be used to increase self-efficacy in medical settings. Keywords: Behavioral Model, Empowerment, Self-Efficacy, Hemodialysis},  
Keywords = {},
volume = {11},
Number = {3}, 
pages = {1-9}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-422-en.html},  
eprint = {http://jccnursing.com/article-1-422-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {SafaeiNezhad, Arezoo and Akrami, Forouzan and Kharaghani, Roghieh and Rastegari, Leil},  
title = {Maternal, Fetal, and Delivery Risk Factors for Stillbirth: A
Population-Based Study}, 
abstract ={Background: One of the most important indices of health planning and policymaking in every country is the distribution and leading causes of mortality. Objectives: This study was conducted to determine the prevalence of stillbirth and it&#8217;s maternal, fetal, and delivery risk factors in Zanjan province during 2014 - 2015. Methods: Thestudywasdescriptive-analyticalresearch. Theelectronicbirthregistrationform, whichisusedtocollectdeliverydata in Iran, was used for data collection. Data were analyzed using descriptive, univariate, and multivariate regression tests. Results: The incidence of stillbirth was 10 per 1000 births and consistent with the country&#8217;s rate. There was a significant correlation between stillbirth and gestational age, birth weight, anomalies, vaginal delivery, outside hospital delivery, delivery complications, episiotomy, and labor induction and augmentation. Conclusions: It seems that changing modifiable factors such as the place of delivery, type of delivery, and labor interventions can prevent stillbirth more effectively. Keywords: Prevalence, Risk Factors, Stillbirth, Zanjan},  
Keywords = {},
volume = {11},
Number = {3}, 
pages = {1-6}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-423-en.html},  
eprint = {http://jccnursing.com/article-1-423-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Sepahvand, Elham and Baghernezhad, Ahmadreza and Adeli, Mahi},  
title = {Comparison of the Glasgow Coma Scale with Full Outline of
Unresponsiveness in Predicting In-Hospital Mortality of Patients with
Cerebrovascular Accident in Intensive Care Units}, 
abstract ={Background: Full Outline of Unresponsiveness (FOUR) scale is a strong predictor of hospital patients&#8217; mortality, survival rate, and prognosis. Objectives: The aim of this study was to compare FOUR and GCS scores in predicting in-hospital mortality in cerebrovascular accident (CVA) patients admitted to intensive care units. Methods: A total of 197 CVA patients were enrolled in this prospective study. Each patient was evaluated with FOUR and GCS. The area under the ROC curve was determined for in-hospital mortality outcomes. Results: The mean age of the patients was 71.00 &#177; 12.68 years, and 64% were male and 36% were female. The sensitivity of FOUR and GCS was 94.12% and 90.59% respectively. The area under the ROC curve was 0.841 for FOUR scale and 0.815 for GCS. Conclusions: Theresultsof ourstudyshowedthatFOURscaleisafunctionaltoolforevaluatingandpredictingin-hospitalmortality in CVA patients, and it enjoys high sensitivity and specificity. However, further studies are warranted. Keywords: Cerebrovascular Accident, FOUR Score, GCS, Intensive Care Unit},  
Keywords = {},
volume = {11},
Number = {3}, 
pages = {1-5}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-424-en.html},  
eprint = {http://jccnursing.com/article-1-424-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Abolfathi, Nafiseh and Dalvandi, Asghar and Rahgoi, Abolfazl and Rahgozar, Mehdi},  
title = {The Effect of Training Based on the Self-Efficacy Model on the Quality of Life of Patients with Stroke}, 
abstract ={Background: Stroke is one of the major causes of inability in adults and the elderly. The chronic complications and the problems resulting from this disease have significant effects on the quality of life of these patients and result in diminished self-efficacy of the affected individuals. The present research was conducted with the aim of determining the effect of self-efficacy training on the quality of life and self-efficacy of patients with stroke. Methods: This is a quasi-experimental study with a control group. The study population included ischemic stroke patients among which, a sample of 80 people were chosen according to the inclusion criteria through a convenience sampling method. They were then assigned randomly into intervention and control groups (40 subjects each). For the intervention group, a training program based on the self-efficacy model was presented in five sessions, but in the control group, only routine hospital cares were provided. In order to collect data, the stroke-specific quality of life scale, whose validity and reliability were measured and confirmed, was used. The data were analyzed by SPSS 16 at descriptive and analytical statistical levels (independent t test, paired t test, and analysis of variance). Results: The findings indicated that there was no significant difference in the quality of life between the two groups before the training (P &#62; 0.005). However, following the training, a significant difference was observed in the quality of life of patients with stroke between the intervention and control groups (P &#60; 0.005). The results of this research indicated that the quality of life and its components in stroke patients had a greater mean value following training in the intervention group than in the control group. Conclusions: Implementing self-efficacy training programs can result in the enhanced quality of life and self-efficacy among patients with stroke. Since the promotion of self-efficacy in patients with chronic disease is important, it is suggested that educational programs are also held for other patients with chronic diseases. Keywords: Patients, Stroke, Quality of Life, Self-Efficacy},  
Keywords = {},
volume = {11},
Number = {3}, 
pages = {1-10}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-425-en.html},  
eprint = {http://jccnursing.com/article-1-425-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Kamali, Ali and Mashayekhi, Fatemeh},  
title = {Effect of Training on Knowledge and Attitude of Nurses Toward Pain
Management: A Quasi-Experimental Study}, 
abstract ={Abstract Background: Pain is an interesting sign of life. It is a wonderful phenomenon that often serves to save man&#8217;s life. Pain management is one of the most important aspects of patient care and nurses play a crucial role in this regard. Therefore, it is very important that caregivers have sufficient knowledge of pain management. Objectives: The aim of this study was to survey the effect of training on knowledge and attitude toward pain management among nurses working in hospitals affiliated to Jiroft University of Medical Sciences in south of Iran. Methods: This was a quasi-experimental study. Results: A significant difference was found between knowledge and attitude scores obtained before and after training on pain management (P = 0.000). Scores showed a significant increase after training in terms of knowledge and attitude toward pain management among nurses. Conclusions: Results showed that training had a significant effect on nurses&#8217; knowledge and attitude toward pain management; therefore, it is necessary for them to receive continuous training on how to manage pain. Keywords: Education, Knowledge, Attitude, Nurses, Pain Management},  
Keywords = {},
volume = {11},
Number = {3}, 
pages = {1-7}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-426-en.html},  
eprint = {http://jccnursing.com/article-1-426-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Poornazari, Mahdi and Mohammadi, Somayeh and Roshanzadeh, Mostafa and Tajabadi, Ali},  
title = {Comparison of Enteral and Parenteral Nutrition in Patients Admitted to the ICU: A Narrative Review Study}, 
abstract ={Context: Nutrition support is part of the standard care in the intensive care unit. There is a paradox in the use of enteral and parenteral nutrition methods in ICU patients. Objectives: The aim of this study was to compare the effects of enteral and parenteral nutrition methods in patients admitted to the ICU. Data Sources: This article is a narrative review. A total of 619 articles, were extracted during the years of 2000 - 2018, on nutrition methods in ICU patients, with keywords enteral nutrition, parenteral nutrition, and nutrition in critical patients in databases of internal (SID, Iran Medex, Medlib) and external publications (PubMed, Scopus, Web of Science, Google Scholar); finally, 19 articles were analyzed. Results: Enteral administration reduced the associated infectious morbidity, hospitalization time, mortality, costs, non-infectious complications, multiple organ failure, systemic infections, local septic complications, and the need for surgery. It also causes early returning of intestinal movements, faster preoperative weight gain, easier fluid and electrolyte management, reduction of hyper metabolic responses, more complete nutrition, preservation of the gastrointestinal mucosa, and the ability to complete the program by the patient. Parenteral nutrition increases infectious complications, hyperglycemia, coagulation disorders and duration of hospital stay, as well as effects on invasive ventilation. Conclusions: Enteral nutrition is safer and less complicated. By improving the awareness of careers through education, patients can be improved faster. Keywords: Enteral Nutrition, Intensive Care Unit, Parenteral Nutrition},  
Keywords = {},
volume = {11},
Number = {3}, 
pages = {1-8}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-427-en.html},  
eprint = {http://jccnursing.com/article-1-427-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Kashani, Ehsan and MonadiZiarat, Hadiseh and Tajabadi, Ali},  
title = {Critiqueof theGlasgowComaScale(GCS)}, 
abstract ={},  
Keywords = {},
volume = {11},
Number = {3}, 
pages = {1-2}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-428-en.html},  
eprint = {http://jccnursing.com/article-1-428-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Javanmardnejad, somaye and Heravi-Karimooi, Majideh and Rejeh, Nahid and SharifNia, Hami},  
title = {Happiness in Nurses Working in the Emergency Department of the Hospitals of Ilam University of Medical Sciences in 2019}, 
abstract ={Background and Aim: Happiness is considered to be one of the basic excitements and thrills of human beings. Happiness actually leads to a positive attitude towards life, positive self-concept, mental health and emotional balance, better educational and job performance, and as a results, better decision-making. The aim of this study was to determine the amount of happiness in nurses working in the emergency department of the hospitals of Ilam University of Medical Sciences. Methods: This study was an analytical descriptive research. The population included 225 nurses working in the emergency department of the hospitals of Ilam University of Medical Sciences in 2019 which were selected by census method. Data was collected using the Demographic Information Questionnaire and Oxford Happiness Questionnaire. Data was analyzed using spss-24 and by Pearson correlation, Anova and t-test. Results: The average age of the participants was 30.44 &#177;6.64 and the average work experience6 was 6.49&#177;6.19. The mean of happiness in nurses was 67.43&#177; 17.28. The statistical relationship between age and happiness was significantly negative (P= ‒0.333). There were significant relationships between happiness and gender, degree of education, marital status, employment status and monthly earnings. This is while no significant relationship was observed between happiness, enough money and shift schedules. &#160;The highest scores were obtained in the dimension of self-concept with an average of 18.23 &#177; 4.98 and the lowest score was seen in the dimension of gusto with an average of 4.56 &#177; 1.66. Conclusion: According to the findings of the present study it can be concluded that happiness has been reported in a good level within most nurses. Moreover, other studies can be conducted to investigate the factors causing happiness in order to facilitate the development of happiness. &#160; Keywords: Happiness, Nurses, Emergency Department},  
Keywords = {Happiness, Nurses, Emergency Department},
volume = {11},
Number = {4}, 
pages = {1-8}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-435-en.html},  
eprint = {http://jccnursing.com/article-1-435-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Ejadi, Abozar and Rejeh, Nahid and Heravi-Karimooi, Majideh and Tadrisi, Seyed Davoo},  
title = {Examining the Level of Self-efficacy and its Related Factors in Patients with Angina Pectoris Disease Referring to Selected Hospitals in Tehran During 2018}, 
abstract ={Background and Aim: Among all the different types of cardiovascular diseases, the angina pectoris disease has been considered to be the most prevalent. In order to promote the health status of those who are struggling with this disease, different factors such as self-efficacy can be considered. However, the results of previous research in regards to the factors of self-efficacy of angina pectoris patients is extremely diverse. The aim of the present study was to determine the level of self-efficacy and its related factors in patients with angina pectoris disease referring to the selected hospitals of Tehran in 2018. Methods: This cross-sectional descriptive-analytic study was performed on 270 patients with angina pectoris disease referring to the selected hospitals in Tehran who were selected using the convenient sampling method. Data collection was conducted through an interview using a two-part questioner: demographic information and self-efficacy Sullivan scale in patients with angina pectoris. The statistical analysis of data using descriptive and analytical statistics was performed in SPSS software version 20. Results: The range of self-efficacy score in patients was 0 to 52 with a mean score of 31.07&#177;17.7. Therefore, 39% of patients had a moderate level of self-efficacy. The highest score was related to the dimension of &#8220;maintain function&#8221; (11.54&#177;3.85) and the lowest score was related to the &#8220;control symptoms&#8221;(9.57&#177;3.35). The results of the chi-square test revealed no significant relationship between age, sex, marital status, situation, with level of self-efficacy. This is while it showed a significant relationship between education level (P= 0.001), employment status (P= 0.001), economic situation (P= 0.007), duration of having the disease (P= 0.02), kind of disease (P= 0.009), with the level of self-efficacy in patients with angina pectoris disease. Conclusion: Considering the fact that patients with angina pectoris disease did not have high levels of self-efficacy, it is recommended that the factors affecting self-efficacy in the examined patients be further investigated.&#160; Finally, necessary steps should be taken in order to deal with these factors. &#160; Keywords: Angina Pectoris, Cardiovascular Diseases, Coronary Artery Disease, Self-efficacy},  
Keywords = {Angina Pectoris, Cardiovascular Diseases, Coronary Artery Disease, Self-efficacy},
volume = {11},
Number = {4}, 
pages = {9-16}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-436-en.html},  
eprint = {http://jccnursing.com/article-1-436-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Fallahpour, Sajedeh and Nasiri, Mahboobeh and Fotokian, Zahra and JannatAlipour, Zahra and Hajiabadi, Mahmou},  
title = {The Effect of Telephone Follow up (Tele-nursing) on Fatigue in the Elderly Undergoing Hemodialysis}, 
abstract ={Background and Aim: Fatigue is one of the most common complications in hemodialysis patients, which affects their physical, psychological, emotional and cognitive status. The aim of this study was to investigate the effect of tele-nursing on fatigue in the elderly undergoing hemodialysis. Method: This quasi-experimental study was performed on 60 elderly patients undergoing hemodialysis. Samples were firstly selected by available sampling method according to sample characteristics and were then randomly divided into two groups of test and control. The data were collected by Fatigue Questionnaire in two stages before and after the intervention. Data were analyzed by SPSS software version 24 using descriptive and analytical statistical tests. Results: The mean age of participants was 73.43 &#177; 7.87 years. According to the findings, 76.7% of the control group and 70% of the test group had severe fatigue before intervention. This amount reached 43.3% in the control group and zero in the test group after the intervention. The mean of the fatigue score before the intervention in the test and control group was 7.39 &#177; 0.96 and 7.64 &#177; 1.79, respectively. After the intervention was carried this score changed to 3.15 &#177; 1.26 and 6.25 &#177;1.25. Based on t-test, there was a significant difference between the mean of fatigue scores in the elderly patients undergoing hemodialysis before and after the intervention in the test and control groups (p&#60;0/05). Conclusion: Tele- nursing has been effective in reducing the amount and severity of fatigue in the elderly undergoing hemodialysis. Therefore, it is recommended that nurses use this method as a non-drug intervention to reduce fatigue in the elderly undergoing hemodialysis. &#160; Keywords: Elderly, Tele- nursing, Fatigue, Hemodialysis},  
Keywords = {Elderly, Tele- nursing, Fatigue, Hemodialysis},
volume = {11},
Number = {4}, 
pages = {17-26}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-437-en.html},  
eprint = {http://jccnursing.com/article-1-437-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Sharafi, Simin and Hajiabadi, Fatameh and Razi, Mahdiyeh and Bahrami, Mahnaz},  
title = {The Effect of Simultaneously Using Earplug and Eye mask on Quality of Sleep in Intensive Care Unit Patients: A Randomized Clinical Trial Study}, 
abstract ={Background and Aim: One of the most important problems of patients admitted to intensive care units (ICU) is their sleep quality. In these units, there are various visual and auditory discomfort factors that can negatively affect the outcome of the patient&#39;s treatment. The purpose of this study was to determine the effect of simultaneously using earplug and eye mask on the quality of sleep in hospitalized patients in the ICU. Method: This study was performed on 73 patients who had been admitted to the ICU of Ghaem Hospital and Imam Reza Hospital in 2016 in Mashhad. Patients were randomly assigned to control (n = 37) and test (n = 36) groups. The test group used an earplug and an eye mask during their night&#39;s sleep. Patients&#39; sleep quality was assessed by using Voran-Schneider-Halper&#39;s questionnaire. Data were analyzed using SPSS16 software. Results: Independent t-test and Mann whitney U showed that before and after the intervention stage, no significant difference was observed between the test and control groups regarding the mean score of sleep quality. However, the results of Wilcoxon test showed a significant difference in the quality of sleep score in both groups before and after intervention (p &#60;0.001). Conclusion: In this study, simultaneous use of earplug and eye mask was effective in improving the quality of sleep in patients admitted to the ICU. Therefore, this technique can be used as a simple, low-cost, and effective method in helping patients to prevent complications from sleep disorders. &#160; Keywords: Sleep quality, Earplugs, eye mask, Intensive care unit, patient},  
Keywords = {Sleep quality, Earplugs, eye mask, Intensive care unit, patient},
volume = {11},
Number = {4}, 
pages = {27-34}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-439-en.html},  
eprint = {http://jccnursing.com/article-1-439-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Godarzi, Mansoreh and Sarhangy, Forogh and MokhtariNouri, Jamileh and SeyedAmouzegarZavareh, Seyed Mohammadrez},  
title = {The Effectiveness of Neonatal Cardiopulmonary Resuscitation Training by Educare Method on Nurses and Midwives\' Knowledge and Performance}, 
abstract ={Background and Aim: Considering the importance and necessity of neonatal resuscitation training, one of the introduced methods is Educare. The Educare consists of six sections for learning skills. By using this method,&#160; the need and necessity of learning, behavioral and particular goals, practical training, supervisions, using the reminder tool, the opportunity to practice and repeat practically, and evaluating skills can be explained. Therefore, this study has aimed to investigate the effectiveness of neonatal cardiopulmonary resuscitation training by Educare method on nurses and midwives&#39; knowledge and performance. Methods: The present study was a quasi-experiment research without a control group. It was carried out on thirty nurses and midwives of the Neonatal Intensive Care Units (NICU) and labor and maternity wards who were selected based on convenience and purpose-based sampling in Baqiyatallah Hospital in 2018.&#160; The training was carried out by conducting a two-day neonatal resuscitation workshop. The effectiveness of neonatal resuscitation training was tested in three stages of before, immediately after and two months after training by using a researcher made questionnaire and checklist after validity and reliability confirmation. The data was analyzed using descriptive statistics, paired t-test and repeated measures variance analysis by spss25 software. Results: The mean and standard deviation of knowledge and performance scores were 51.93 (SD=6/6) and -129/14(SD=34/97) before and after training, respectively. The mean and standard deviation of knowledge and performance scores were 64/53 (SD=2/36) and-25/7(SD=19/01) immediately after training respectively. Also, the mean and standard deviation of knowledge and performance scores were 59.73(SD=3/42) and -68/7(SD=28/2) two weeks after training, respectively. Findings reveal that there is a significant difference between the mean and standard deviation of&#160;&#160; knowledge and performance scores before and immediately after and two months after training (p &#60;0.05). Knowledge and performance scores immediately increased after&#160;&#160; training compared to pre training and&#160;&#160; also two months after training. Conclusion: To conclude, it can be stated that the Educare method was effective on the level of knowledge and performance of nurses and midwives. Findings also showed that resuscitation training is extremely necessary both at regular intervals and continuously. Therefore, it is recommended that authorities and educational managers use this new method to improve the level of clinical staff&#8217; knowledge and performance related to the neonatal at regular intervals. &#160; Keywords: Educare, Neonatal Resuscitation, Training, Knowledge, Performance},  
Keywords = {Educare, Neonatal Resuscitation, Training, Knowledge, Performance},
volume = {11},
Number = {4}, 
pages = {35-43}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-440-en.html},  
eprint = {http://jccnursing.com/article-1-440-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {Nasorollahi, Maryam Sadat and Rejeh, Nahid and Heravi-Karimooi, Majideh and Sarlak, Alirez},  
title = {Examining the Effect of Humidifier Therapy on Hoarseness and Coughing Following Endotracheal Extubation in the Elderly after Undergoing Coronary Artery Bypass Surgery}, 
abstract ={Background and Aim: Hoarseness and coughing are common complications following endotracheal extubation. It has been stated that humidifier therapy has anti-inflammatory properties. Therefore, the present study has been conducted in order to determine the effect of humidifier therapy on hoarseness and coughing following endotracheal extubation in the elderly undergoing coronary artery bypass surgery. Methods: In a clinical trial, 80 elderly patients undergoing coronary artery bypass surgery were selected using convenience sampling. They were randomly divided into two control and experimental groups. The elderly patients in the experimental group were exposed to humidifier therapy after tracheal extubation. The control group received routine care. The intensity of cough and hoarseness were measured in both groups, after tracheal extubation. The severity of cough and hoarseness were recorded in both groups immediately after intervention, 6, 12, 18, and 24 hours after extubation. For analyzing the data, U Mann Whitney, chi-squared and independent t-tests were performed using SPSS version 21. Results: The effect of reducing the severity of coughing by humidifier therapy is -0.51% (P=0.001). Actually, humidifier therapy can reduce the probability of not coughing by 0.6% (P=0.001). Also, the effect of reducing hoarseness with humidifier therapy is -0.51%. Humidifier therapy can reduce the possibility of not hoarsening by 0.5%. Conclusions: The findings of the present study reveal that humidifier therapy can decrease cough and hoarseness in the elderly patients after Endotracheal Extubation. &#160; Keywords: Endotracheal Extubation, Humidifier Therapy,, Hoarseness, Cough, Elderly, &#160;Coronary Artery Bypass Surgery},  
Keywords = {Endotracheal Extubation, Humidifier Therapy,, Hoarseness, Cough, Elderly,  Coronary Artery Bypass Surgery},
volume = {11},
Number = {4}, 
pages = {44-52}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-441-en.html},  
eprint = {http://jccnursing.com/article-1-441-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

@article{ 
author = {JarahianMohammady, Mahboubeh and Sedighi, Asieh and Khaleghdoost, Tahereh and KazemNejad, Ehsan and Javadi-Pashaki, Nazil},  
title = {Relationship between Nurses’ Subjective Workload and Occupational Cognitive Failure in Intensive Care Units}, 
abstract ={Background and aim: The subjective workload is a significant stressor in nursing profession and the stress can lead to cognitive problems and occupational cognitive failure. However, the relationship between subjective workload and cognitive failure is ambigious. Therefore, this study was conducted to determine the relationship between nurses&#8217; Subjective workload and occupational cognitive failure in intensive care units. Methods: This analytical cross-sectional research was conducted on 176 nurses working in intensive care units of Rasht medical centers in 2017. Samples were selected using census method. The data collection tools consisted of personal and occupational data, standard questionnaires for subjective workload (NASA-TLX) and occupational cognitive failure (OCFQ). The data analysis was performed by the software of SPSS 21 and descriptive and inferential statistic tests of Mann-Whitney and Kruskal-Wallis, Spearman correlation. Results: The majority of samples were female (93.2%) with a mean age of 35.85 &#177; 7.8, married (71%) and undergraduate (92.2%), ICU (71%), Formal employment (64.2%) with an average work record of 12.21 &#177; 7. 06 years (86.9%). Mean score and standard deviation for subjective workload was 59.95 &#177; 16.41 and for occupational cognitive failure 70.31 &#177; 17.06. There was a significant positive correlation between occupational cognitive failure and subjective workload (r = 0.272, p &#60;0.001). Conclusion: Considering the relationship between subjective workload and cognitive failure, the patient&#39;s safety and eventually the quality of care may be improved by designing strategies to reduce the subjective workload and considering its related factors in the planning of human resources employed in intensive care units. &#160; Keywords: Intensive care units, Nursing staff, Workload},  
Keywords = {Intensive care units, Nursing staff, Workload},
volume = {11},
Number = {4}, 
pages = {53-61}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-442-en.html},  
eprint = {http://jccnursing.com/article-1-442-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2018}  
}

