@article{ author = {yusefzadeh, ensihe and akbarzadeh, roya and khademolhoseini, seyyed mohammad and akrami, rahim}, title = {The effect of implementing evidence-based guidelines on the quality of nursing care provided to patients with angina pectoris}, abstract ={Aims: Evidence-based nursing guidelines can significantly improve the quality of nursing care. A key prerequisite for improving care quality is quality assessment. Meanwhile, a key indicator of healthcare quality is the quality of nursing care. The aim of this study was to investigate the effects of implementing evidence-based guidelines on the quality of nursing care provided to patients with angina pectoris. Methods: This pretest-posttest clinical trial was conducted in 2014 on 76 patients in Khatam Al-Anbia hospital, Gonbad-e Kavoos city, Iran. A standardized questionnaire was used for assessing the quality of nursing care standards both before and after educating evidence-based nursing guidelines. The SPSS15 was used for conducting statistical tests such as the paired- and independent-samples t and the Chi-square. Results: Before the study, the means of documentation quality in four areas of nursing diagnosis, care planning, implementation, and evaluation were respectively 0.94 (0.19), 0.63 (0.10), 11.57 (0.23), and 2.57 (0.18), and. After the study, these values increased to 3.2 (0.14), 3.52 (0.17), 15.36 (0.22), and 5.7 (0.23), respectively. The differences between the pretest and posttest readings were statistically significant (p<; 0.001). Conclusions: Given the significant effects of implementing evidence-based nursing guidelines on the quality of nursing care standards, educational managers of hospitals need to develop effective strategies for facilitating evidence-based nursing practice.}, Keywords = {}, volume = {8}, Number = {1}, pages = {1-6}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-303-en.html}, eprint = {http://jccnursing.com/article-1-303-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {akbari, ali and ravari, ali and hoseini, fatemeh}, title = {The effects of training hospital visitors on patient satisfaction: a quasi- experimental study}, abstract ={Aims: Hospitalization in coronary care unit is stressful for patients. Family members and visitors’ lack of knowledge related to their manner of behaving with their patients increases patients’ stress and dissatisfies them with visitation. This study was conducted to examine the effects of training hospital visitors on satisfaction of patients hospitalized in coronary care units. Methods This quasi-experimental study was conducted on 124 patients hospitalized in Rafsanjan coronary care unit, Rafsanjan, Iran. In the experimental group, visitors were trained in areas such as emotion and feeling management, patients’ underlying problems, equipments and devices used in coronary care units, effective visitor-patient communication, and patients’ rights during visitation. A researcher-made scale was used for assessing patients’ satisfaction with visitation both before and after the study. Study data were analyzed by using the SPSS18. Results After the study, the level of patients’ overall satisfaction with visitation in the experimental group increased significantly (p<; 0.0001). Moreover, compared with the control group, the levels of patients’ satisfaction with nursing care, visitation, and visitors’ comments and emotional reactions were significantly higher in the experimental group (p<; 0.05). Conclusions Study findings highlighted the importance of paying careful attention to visitation and visitors. Providing planned trainings to visitors can enhance patients’ satisfaction and facilitate their recovery.}, Keywords = {Patients Visitors Satisfaction Coronary care unit}, volume = {8}, Number = {1}, pages = {7-12}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-304-en.html}, eprint = {http://jccnursing.com/article-1-304-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {feyzi, hossein and khaledipaveh, behnam and hadadian, fatemeh and rezaie, mansoor and ahmadi, mojtab}, title = {Investigating the effects of Benson’s relaxation technique on quality of life among patients receiving hemodialysis}, abstract ={Aims: End-stage renal disease is a major health challenge worldwide. Patients with this disease need to receive frequent hemodialysis. The disease and hemodialysis both negatively affect patients’ quality of life. The aim of this study was to investigate the effects of Benson’s relaxation technique on quality of life among patients receiving hemodialysis. Methods: A convenience sample of 60 patients receiving hemodialysis in Imam Reza Hospital, Kermanshah, Iran, was recruited to this clinical trial. Initially, patients’ quality of life was evaluated by a disease-specific questionnaire. Then, patients were randomly allocated to either the control or the treatment groups. Patients in the treatment group were trained to perform Benson’s relaxation technique at their home on a daily basis for 60 consecutive days. Patients in the control group received no relaxation intervention. Immediately after the study, the same questionnaire was used for reevaluating patients’ quality of life. The independent-samples t-test was used for data analysis. Results: After the study, the mean scores of general and total quality of life were significantly higher than the corresponding pretest readings (p = 0.001 and 0.02, respectively). However, the mean score of specific quality of life did not change significantly after the study (p=0.2). Conclusions: Benson’s relaxation technique has positive effects on quality of life among patients receiving hemodialysis and therefore, it can be used for enhancing patients’ quality of life in hemodialysis units.}, Keywords = {}, volume = {8}, Number = {1}, pages = {13-20}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-305-en.html}, eprint = {http://jccnursing.com/article-1-305-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {shiri, hossein and nassary, zeinab and behbahani, mohamad and torabpur, masuod and sedghifard, zahr}, title = {Comparing the effects of chlorhexidine and povidone-iodine on bacterial colonization and local infection at Shaldon catheter insertion site among patients receiving hemodialysis}, abstract ={Aims: One of the commonest complications of hemodialysis is infection secondary to central venous catheterization. The aim of this study was to compare the effects of chlorhexidine and povidone-iodine (Betadine) on bacterial colonization and local infection at Shaldon catheter insertion site among patients receiving hemodialysis. Methods: This study was conducted by using a Quasi-experimental design in 2013. In total, 56 patients who had undergone central venous catheterization for receiving hemodialysis at Golestan hospital, Ahvaz, Iran, were recruited and randomly allocated to either the chlorhexidine or the Betadine groups. The catheter insertion site in the chlorhexidine and the Betadine groups was cleaned and disinfected by using chlorhexidine 4% and Betadine 10%, respectively. Groups were then compared with each other in terms of bacterial colonization and local infection at catheter insertion site. The SPSS16 was used for performing the Fisher’s exact, the Chi-square, and the independent-samples t-tests. Results: The incidence of bacterial colonization and local infection at catheter insertion site in the chlorhexidine and the Betadine groups was 3.6% and 21.5%, respectively. The Fisher’s exact test showed a significant difference between the two groups regarding bacterial colonization (P value<; 0.001). Conclusions: Chlorhexidine is more effective than Betadine in minimizing bacterial colonization and local infection at the insertion site of Shaldon catheter among patients receiving hemodialysis}, Keywords = {}, volume = {8}, Number = {1}, pages = {21-26}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-306-en.html}, eprint = {http://jccnursing.com/article-1-306-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {taheri, fatemeh and khademolhoseini, seyyed mohammad and mokhtarinouri, jamileh}, title = {Designing evidence-based nursing care guidelines for neurosurgical patients in Intensive Care Unit}, abstract ={Aims: According to the latest evidences designing and applying nursing cares standards can lead to the best results in increasing quality of care", this study is done with the aim of "designing evidence-based nursing care Guidelines for neurosurgical patients in Intensive Care Unit". Methods This evidence-based developmental study was done in neurosurgical ICU of Baqiyatallah Hospital in 2014. At first the quality of six available nursing care Guidelines was evaluated via a standard check list in three levels: good, moderate and weak. Then, the new nursing care Guidelines were designed according to the settler model, evidence-based approach and nursing process. Then their quality was evaluated again. In order to assess content validity of the guidelines through Delphi method, opinions of ten faculty members of Baqiyatallah, Mazandaran, Artesh and Shahid Beheshti Universities had been considered in three refers. Applicability of the guidelines had been assessed by focused group discussion method with the presence of ten experienced experts of Intensive Care Units. Results Quality of all 6 available Guidelines was proven to be weak. At the end 26 new evidence-based Guidelines were designed with good quality for neurosurgical patients in ICU. Conclusions Considering results of quality evaluation of the available nursing care Guidelines, designing new high quality evidence-based Guidelines is important and necessary for improving quality of nursing care in other wards. Performing these guidelines is recommended in the next studies.}, Keywords = {}, volume = {8}, Number = {1}, pages = {27-34}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-307-en.html}, eprint = {http://jccnursing.com/article-1-307-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {sheikhbardsiri, hojat and sarhadi, mahdieh and abdollahyar, asma and dastres, majid and sheikhrabari, akbar and aminizadeh, mohse}, title = {The relationship between personality traits and post-traumatic stress disorder among EMS personnel and hospital emergency staffs}, abstract ={Aims: EMS personnel and hospital emergency staffs experience many stressful situations which predispose them to post-traumatic stress disorder (PTSD). The aim of this study was to evaluate the relationship between personality traits and PTSD among EMS personnel and hospital emergency staffs in Kerman, Iran. Methods : This cross-sectional study was conducted in 2013. All 180 EMS personnel and 321 hospital emergency staffs affiliated to Afzalipour, Shafa, Bahonar, and Shahid Beheshti hospitals and the National EMS System, Kerman, Iran, were recruited by using the census method. The NEO Five-Factor Inventory and the Mississippi combat-related PTSD scale were used for data collection. The SPSS v. 19 was employed for conducting the Chi-square, the Pearson’s correlation, the independent-samples t, and the one-way analysis of variance tests. Results: EMS personnel’s PTSD was significantly correlated with personality traits of conscientiousness and neuroticism (P value <; 0.01). In the hospital emergency staffs group, PTSD was correlated with personality traits of conscientiousness, neuroticism, and openness (P value <; 0.05). The means of hospital emergency staffs and EMS personnel’s PTSD scores were 97.02±21.51 and 89.30±19.17, respectively. Conclusions: EMS personnel and hospital emergency staffs experience great levels of occupational stress and hence, are at great risk for PTSD. Both EMS personnel and hospital emergency staffs have personality traits which predispose them to PTSD. Consequently, health authorities need to implement in-service stress management programs for them and use personality traits as a condition for employing new EMS personnel and hospital emergency staffs.}, Keywords = {}, volume = {8}, Number = {1}, pages = {35-42}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-308-en.html}, eprint = {http://jccnursing.com/article-1-308-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {parvindarabad, farahvash and salehiali, habibeh and allahyari, irandokht and samadi, nasri}, title = {Nurses’ attitude towards using research results in clinical practices of ICU units in educational hospitals}, abstract ={Aims: Nowadays using research results is an important issue in nursing and it is linked to the quality improvement. Although in developed countries, professional nurses are trying to establish their practice based on research evidences, nursing care is a routine-oriented practice in Iran. Since for changing every kind of people’s behavior we need to know their attitude towards that issue, this study was conducted to determine nurses’ attitude towards using research results in clinical practices. Methods : In this descriptive study, 234 ICU nurses of educational hospitals in Ardebil Medical Sciences University have been selected through census method in 2013. A two-part researcher-made questionnaire was used to measure the attitude. The first part measured demographic information and the second part measured the attitude towards research. Data analysis was done by using SPSS18 statistical software and descriptive and inferential statistical tests. Results: The results indicated that 69.2 percent of the samples had positive attitude and 27.4 percent had neutral attitude and 3.4% had negative attitude towards using research results in clinical practices. There was a significant statistical relationship (p<; 0.05) between level of studying clinical articles and the working ward with the mean of attitude score. Conclusions: Most of the nurses have positive attitude towards using research results in clinical practices. Therefore designing some mechanisms for providing the conditions of using research results such as easy access to publications and introducing information resources is an effective step in implementation of research-based cares.}, Keywords = {Attitude, Nurse, Using research results, ICU}, volume = {8}, Number = {1}, pages = {43-48}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-309-en.html}, eprint = {http://jccnursing.com/article-1-309-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {gallione, chiara and dalmolin, alberto and avanzi, gian carlo}, title = {Pulmonary embolism risk assessment: application of the Revised Geneva Score in an emergency department}, abstract ={Aims: The Revised Geneva Score (RGS), a standardized Clinical Prediction Rule for Pulmonary Embolism (PE), was recently developed. We have measured its predictive accuracy, performing an external retrospective validation in a cohort of Emergency Department (ED) patients, filtered by symptomatology and not by clinical suspicion, to allow its use in nursing practice. Methods: The clinical probability of PE was assessed in 1013 consecutive patients with symptoms of “chest pain” or “shortness of breath/dyspnea”, whose clinical records were obtained during a two months period, in an Italian ED. The accuracy of RGS was analyzed by the Receiver Operating Characteristic (ROC) analyses the OR was evaluated with an analysis of the risk raw score. Results: The overall prevalence of PE was 1.09%. The prevalences of PE in the three probability categories were similar and not statistically significant. The Area under the Curve was 0.6373 (CI 0.4336-0.8409). However, the NPV was 0.993 (95% CI 0.981-0.998) and the mean score of risk was 3.36 for the 1002 not affected by PE and 5.73 for the 11 subjects with Pulmonary Embolism (p 0.0003), by exclusively assessing it on the raw score obtained. Conclusions: This study suggests that the performance of the RGS, modified in order to be applied to a nursing emergency approach, gives good results in NPV it should be also tested to assess the embolic risk by a dichotomous numerical score (rule-in/rule-out), that should be used to supplement rather than as a substitute for clinical judgement.}, Keywords = {}, volume = {8}, Number = {1}, pages = {49-58}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-310-en.html}, eprint = {http://jccnursing.com/article-1-310-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {dolatyaree, ahmad and sharififar, simintaj and zareian, armin and tadrisi, seyed davoo}, title = {Translation and validation of family satisfaction questionnaire of adult patients hospitalized in Intensive Care Units}, abstract ={Aims: A standard tool is required to investigate and determine of family satisfaction level of adult patients hospitalized in Intensive Care Units (ICUs). Since such tools havent been localized in Iran so far, the aim of this study was translation and validation of family satisfaction questionnaire (FS-ICU 34) of adult patients hospitalized in ICUs. Methods : This is a methodological study. Face and content validity process was carried out after translating English version of the tools through forward-backward translation technique, confirmed by WHO (World Health Organization), and exploratory factor analysis was conducted by investigating three hundred questionnaires completed by family members of adult patients hospitalized in ICUs of Tehran hospitals in order to investigate construct validity. Results: In exploratory factor analysis, three subscales including: satisfaction with medical staff performance (12 items), comfort (12 items) and decision making (6 items) were determined by Eigen value above one and factor load above 0.5. Cronbachs alpha in the first, the second and the third subscale were respectively achieved 0.93, 0.92 and 0.84 and Cronbachs alpha of the tools was achieved 0.95. In this study the number of the questions was decreased to thirty. Conclusions: After performing procedures of determining validity, necessary changes in the number of the questions, writing and number of the questionnaire areas were carried out and it became clear that the Persian version of the questionnaire FS-ICU 34 benefits high reliability (α= 0.95). Removing some questions due to their low scores allocated by specialists panel was done during the stages of determining validity and it was done among Iranian respondents due to cultural incompatibility. Content validity index of all the satisfaction Persian tools of family members of adult patients hospitalized in ICUs through two S-CVI/Ave and S-CVI/Universal validity methods were respectively achieved 0.97 and 0.86, which is indicating good validity of the Persian version of the tools. Also by shortening Persian version of the above tools, answering them would be easier.}, Keywords = {}, volume = {8}, Number = {2}, pages = {59-68}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-311-en.html}, eprint = {http://jccnursing.com/article-1-311-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {manzari, zahrasadat and shahrakimoghaddam, elham and heshmatinabavi, fatemeh and mazloom, seyed reza and khaleghi, ebrahim}, title = {The effects of teaching by using standardized patients on critical care nurses’ clinical decision making}, abstract ={Aims: Patients’ unstable clinical conditions require critical care nurses to be competent decision makers. Standardized patient is a new teaching strategy which can enhance nurses’ decision making ability. The purpose of this study was to examine the effects of teaching by using standardized patients on critical care nurses’ decision making ability. Methods: This two-group pretest-posttest quasi-experimental study was conducted in 2014. The study setting was Shahid Kamyab and Imam Reza Hospitals, Mashhad, Iran. These two hospitals were randomly allocated to either control or experimental groups. Then, several intensive care units were randomly selected from each hospital. Nurses were recruited from the selected units. In total, 58 nurses were studied. The study intervention consisted of educations about clinical decision making. Educations in the control and the experimental groups were provided by using the lecture and the standardized patient strategies, respectively. Nurses’ clinical decision making ability was evaluated both before and 45 days after the study intervention by employing the Participation Decision Activity Questionnaire. The study data were analyzed by using the SPSS16 the statistical tests of paired- and independent-samples t, Chi-square, Mann-Whitney, and Wilcoxon. Results: Before the intervention, the means of the three steps of decision making in the experimental group (32.1±10.2, 33.4±9.3, and 32.1±9.7, respectively) did not differ significantly from the control group (31.1±7.8, 32.2±6.4, and 31.4±6.5 respectively). However, after the study, the differences between these groups regarding the means of the three steps of decision making were statistically significant (p<; 0.001). Moreover, in the experimental group, the pretest-posttest mean differences of the three steps of decision making (17.6±7.9, 18.07±7.5, and 19.1±8.1, respectively) were significantly higher than the control group (3.8±4.2, 4.0±2.9, and 5.6±3.5, respectively p<; 0.001). Conclusions: Teaching through standardized patients can significantly enhance nurses’ clinical decision making ability. This strategy can be used for developing in-service continuing education programs and improving nurses’ clinical decision making ability.}, Keywords = {}, volume = {8}, Number = {2}, pages = {69-78}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-312-en.html}, eprint = {http://jccnursing.com/article-1-312-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {epstein, carol diane and haghenbeck, karen toby and madalone, jo}, title = {Tissue Oxygenation in Postoperative Patients: A Pilot Study}, abstract ={Abstract Aims: In the absence of a gold standard for the clinical diagnosis of shock, clinicians traditionally rely on measurements of vital signs, arterial oxygen saturation of hemoglobin (SaO2), serum lactate, and arterial base deficit. Yet values derived from these measurements may remain relatively normal during the early stages of shock while the patient’s condition is indeed deteriorating, and the evolution from mild to severe shock can be subtle or extremely rapid. Tissue oxygen saturation (StO2) monitoring is a noninvasive technology that has been reported to function as an early warning sign of tissue hypoxia, as systemic blood flow is redistributed to critical organs, primarily in patients with hemorrhagic and traumatic shock, but also in patients with septic shock and in those undergoing cardiac surgery. This pilot study examined the strength of the relationship between initial postoperative StO2 values and the development of complications in adult patients. Methods: This observational, prospective study was carried out in a convenience sample of 31 hemodynamically stable, postoperative adults admitted to the Post-Anesthesia Care Unit (PACU) and Cardiothoracic Care Intensive Care Unit (CTICU) at a 643-bed Level I trauma medical center in the Northeastern region of the United States during 2012. Institutional Review Board approval was obtained from the university and the medical center. Patients were approached in the preoperative holding area, the study was explained, and patients were shown the equipment that would be used in the study. After the patient had been admitted to either the PACU or CTICU, the investigators waited until the bedside nurse performed an initial assessment of hemodynamic stability. Following calibration of the InSpectra monitor, the StO2 probe was placed adhesively on the thenar eminence of the patient’s hand. The StO2 data was monitored continuously, downloaded to a laptop computer, and recorded manually every 15 minutes for at least 2 hours. Results: The first, last, and average StO2 values were, respectively: 80.71%+9.16 80.94%+7.07 and, 80.56% +7.18. However, the mean minimum values of the first, last, and average StO2 values were, respectively: 55%, 67%, and 65%. When minimum StO2 values were tested for differences in the incidence of postoperative complications, there was a significant difference (x=76.9+7.44, range 59-92 Chi Sq, df 18, p=0.020). Conclusions: While postoperative patients maintained a stable level of StO2 values during their early recovery, a case report illustrates that sudden drops in StO2 values may be sensitive to the detection of the potential for complications.}, Keywords = {Spectroscopy, Near-Infrared, Tissue oxygen saturation}, volume = {8}, Number = {2}, pages = {79-88}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-313-en.html}, eprint = {http://jccnursing.com/article-1-313-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {hakim, ashrafalsadat}, title = {Assessing nurses performance in endotracheal tube suctioning in Neonatal Intensive Care Units}, abstract ={Aims : One of the most important nursing interventions for the patients using endotracheal tube is on time and accurate discharge of respiratory tract secretions. Improving nurses’ performance in taking care of the newborns with endotracheal tube is an important factor in reducing side effects of frequent suctioning and acceleration in patients’ improvement. This study has been done in order to “assess nurses performance in endotracheal tube suctioning in Neonatal Intensive Care Units (NICU)”. Methods: It is a descriptive-cross sectional study. 48 nurses working in NICU of the training hospitals affiliated to Ahvaz Medical Sciences University were chosen through census method in 2014. A questionnaire was prepared to assess nurses performance before, during and after endotracheal tube suctioning and to compare their performance according to suctioning standard procedure the questionnaire was consisted of demographic information and a standard checklist regarding endotracheal tube suctioning. Data analysis was done through using descriptive statistical test and SPSS 19 software. Results: 83.4 percent of the workers were women and 16.6 percent were men and they were 26-35 years old. 54.1 percent had attended intensive care in service-training. 52.1 percent of the nurses had 5 years or less working experiences in ICUs. 64.6 percent had good performance and 35.4 percent had medium to poor performance . Conclusions : According to the results of the present study, most of the nurses working in ICUs had good performance regarding endotracheal tube suctioning. So it is necessary to consider in-service training regarding correct and appropriate endotracheal tube suctioning for those who did not have good performance too, since lack of appropriate performance of endotracheal tube suctioning by a small number of nurses might be dangerous for the patients hospitalized in ICUs.}, Keywords = {}, volume = {8}, Number = {2}, pages = {89-94}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-314-en.html}, eprint = {http://jccnursing.com/article-1-314-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {sepahvand, elham and daneshmandi, mohammad and jalali, rostam and mirzaei, maryam}, title = {The correlation between restless leg syndrome and sleep disorders among hospitalized patients with acute coronary syndrome}, abstract ={Aims: Restless leg syndrome is a sensorimotor disorder characterized by restlessness and irritability in legs mainly during nighttime immobility. It can occur secondary to cardiovascular disease. The aim of this study was to examine the correlation of restless leg syndrome with sleep disorders among hospitalized patients with acute coronary syndrome. Methods: This descriptive-analytical study was conducted in 2012. A random sample of 221 patients with acute coronary syndrome was drawn from the coronary care unit of Imam Ali Hospital, Kermanshah, Iran. Sleep disorders and restless leg syndrome were evaluated by using the researcher-made Cardiac Patients’ Sleep Disorders Inventory. The SPSS16 was used for data management and analysis. Results: The mean of participants’ age and the prevalence of restless leg syndrome among them were 61.27 years and 65.1%, respectively. Most of the patients (61.5%) were male. The prevalence of restless leg syndrome among patients with and without sleep disorders was 70.8% and 20%, respectively. Restless leg syndrome was significantly correlated with sleep disorders (p<; 0.001). Conclusions: Restless leg syndrome is rather prevalent among cardiac patients. However, it usually remains undiagnosed and untreated. Consequently, performing diagnostic screening tests for identifying cardiac patients with this syndrome as well as implementing interventions such as muscular relaxation, massage, and sleep promotion techniques for managing it are recommended.}, Keywords = {}, volume = {8}, Number = {2}, pages = {95-102}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-315-en.html}, eprint = {http://jccnursing.com/article-1-315-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {naderiravesh, nadereh and bahadoram, somayeh and shiri, hossain and zoharianbohi, sima and khodakarim, soheyla and hasanianlangroudi, farzaneh}, title = {Examining the correlation of adherence to warfarin therapy with demographic characteristic}, abstract ={Aims : Warfarin is the most commonly prescribed medication for preventing stroke and thromboembolism in the United States. Numerous demographic and medical factors can affect the success of warfarin therapy. The most determining factor in the success of warfarin therapy is patients’ adherence to the treatments. This study was conducted to examine “the correlation between adherence to warfarin therapy and demographic characteristics among patients referring to warfarin clinics”. Methods : In this cross-sectional descriptive study, a purposive sample of 400 patients receiving warfarin was recruited in 2013 from two warfarin clinics located in Tehran, Iran. A demographic questionnaire, the Morisky Medication Adherence Questionnaire, the International Normalized Ratio test, and the number of attendance at warfarin clinics were used for data collection. Study data were analyzed by using the SPSS software v. 19.0, the Mann-Whitney and the Chi-square tests, and the measures of descriptive statistics. Results: Based on the scores of the Morisky questionnaire, 57.8% of participants had adherence to warfarin therapy. The INR value of 73.5% of the participants was in the therapeutic range and 38% of them had attended warfarin clinics regularly. Only 27.8% of the participants met all the three criteria of adherence to warfarin therapy. Warfarin adherence was significantly correlated with educational status (p<; 0.0001), household members (p=0.041), employment (p<; 0.0001), house area (p=0.0120, and income (p=0.002). Conclusions : Adherence to warfarin therapy is a multi-factorial behavior which is affected by factors such as educational, financial, familial, and employment status. Nurses need to take these factors into account when developing care plans and educational programs for patients in order to enhance patients’ adherence to warfarin therapy.}, Keywords = {Warfarin, Medication adherence, Demographic factors}, volume = {8}, Number = {2}, pages = {103-108}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-316-en.html}, eprint = {http://jccnursing.com/article-1-316-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {ebrahimi, hossein and sadeghi, mahdi and khatibi, mohammadrez}, title = {The relationship between quality of life with dialysis efficacy and laboratory parameters in Shahroud’ hemodialysis patients}, abstract ={Aims: Identifying and modifying factors such as inadequate dialysis and consequently disability and mortality that may influence hemodialysis patients quality of life can cause more appropriate level of health in these patients. This study is done with the aim of "determining relationship of quality of life with dialysis adequacy and laboratory parameters in hemodialysis patients". Methods: In this cross-sectional study, 99 hemodialysis patients were investigated through convenient sampling in 2013. The tools of the study included: quality of life questionnaire specialized to dialysis patients, KT/V for determining dialysis adequacy and albumin, Hemoglobin, Fasting Blood Sugar (FBS), creatinine, Bilirubin, Potassium, Sodium, Calcium and Phosphorus laboratory parameters. After collecting data, the relationship between them was determined. SPSS16 software, Pearson correlation and ANOVA statistical tests were used for data analysis. Results: Quality of life and dialysis adequacy of the subjects of the study were not in an appropriate level. There was a significant difference (p<; 0.05) between quality of life and dialysis adequacy. Also there was a significant statistical correlation between the score of quality of life and albumin, hemoglobin, bilirubin, creatinine, potassium, calcium and phosphorus parameters (P<; 0.05). But there was no significant correlation between FBS and Sodium with the score of quality of life. Conclusions: More appropriate level of quality of life can be achieved for these patients through planning and implementing nursing interventions regarding increase of dialysis adequacy and improvement of some parameters.}, Keywords = {}, volume = {8}, Number = {2}, pages = {109-116}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-317-en.html}, eprint = {http://jccnursing.com/article-1-317-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {godarzi, zahra and rahimi, omolbani and khalesi, nasrin and soleimani, farin and mohammadi, nooredin and shamshiri, ahmad rez}, title = {The rate of developmental care delivery in neonatal intensive care unit}, abstract ={Aims: The delivery of developmental care in neonatal intensive care units helps save neonates’ energy, maintains their physiologic stability, reduces their and their families’ stress, shortens their hospital stay, and cuts healthcare costs. This study was undertaken to determine the rate of developmental care delivery in neonatal intensive care units. Methods: This cross-sectional descriptive study was conducted in 2012–2013. We used the census method and recruited 138 critical care nurses from neonatal intensive care units of nine teaching hospitals affiliated to Tehran University of Medical Sciences, Tehran, Iran. The data collection tool was a questionnaire developed by using the findings of a study conducted by Coughlin et al. (2009). Data analysis was carried out with SPSS v. 20.0 and by using descriptive statistics measures and inferential statistics tests such as the independent-samples t. Results: The rates of delivering the five dimensions of developmental care were as follows: Daily routine care: 79.46% Protected sleep: 65.43% Provision of a healthy environment: 65.27% Family-centered care: 63.32% and Pain and stress assessment and management: 66.53%. The total rate of developmental care delivery was 66.53%. Conclusions: Developmental care delivery is not a common practice in neonatal intensive care units. Consequently, more efforts are needed for enhancing the rate of delivering developmental care. Strategies such as educating families and neonatal critical care nurses, developing and enforcing developmental care guidelines by public health authorities, and supervising care measures can enhance the rate and the quality of developmental care delivery.}, Keywords = {}, volume = {8}, Number = {2}, pages = {117-124}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-318-en.html}, eprint = {http://jccnursing.com/article-1-318-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {}, title = {Profile of Issue}, abstract ={}, Keywords = {}, volume = {8}, Number = {3}, pages = {0-0}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-319-en.html}, eprint = {http://jccnursing.com/article-1-319-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {makinian, maral and mirzaei, tayebeh and ravari, ali}, title = {The effects of head and face massage on delirium among elderly women hospitalized in coronary care units}, abstract ={Aims: There are few studies in the area of managing delirium by using complementary therapies. The aim of this study was “to investigate the effects of face and head massage on delirium among elderly women hospitalized in coronary care units”. Methods: This was a clinical trial study. Eighty eight elderly women with delirium were randomly allocated to either the control or the experimental groups. Women in the experimental group received fifteen-minute face and head massage therapy. Study data were collected and analyzed by using the NEECHAM confusion scale and the SPSS18, respectively. Results: Before the study intervention, the means of total delirium score in the experimental and the control groups were 8.8 and 9.5, respectively. There was no significant difference between the study groups regarding the pretest total delirium score. However, after the study intervention, the mean total delirium score in the experimental group was significantly higher than that of the control group (17.6 vs. 16.7 p=0.03). Conclusions: Face and head massage therapy can reduce delirium severity therefore, using it in adjacent to pharmacological interventions is recommended.}, Keywords = {Massage therapy, Delirium, Elderly people, Coronary care}, volume = {8}, Number = {3}, pages = {125-132}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-320-en.html}, eprint = {http://jccnursing.com/article-1-320-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {azami, hiva and khaledipaveh, behnam and rezaei, mansoor and samadzadeh, soheil}, title = {The impacts of short-term foot massage on mean arterial pressure of neurosurgical patients hospitalized in intensive care units}, abstract ={Aims: Short term foot massage helps regulate the vital signs of patients who are hospitalized for long periods of time in intensive care units. The purpose of this study was “to examine the immediate impacts of short-term foot massage on mean arterial pressure among neurosurgical patients hospitalized in intensive care units”. Methods: This quasi-experimental study was conducted in 2013 on 78 patients who had been conveniently recruited from the intensive care units of Imam Reza (PBUH) Hospital, Kermanshah, Iran. Patients were equally and randomly assigned to the experimental and the control groups. Study data were collected by using a demographic questionnaire and a blood pressure data sheet which were completed through observation, interviewing, and physiologic measurement. Mean arterial blood pressure was measured both five and one minutes before the intervention. Then, the feet of each patient in the experimental group were massaged for five minutes and mean arterial pressure was re-measured one and five minutes afterward. The SPSS16 was used for calculating the measures of descriptive statistics and conducting the paired- and the independent-samples t tests. Results: In the experimental group, mean arterial blood pressure decreased significantly both one minute (93.23±14.16 p=0.005) and five minutes (89.76±13.66 p<; 0.005) after the study intervention. However, within-group comparison revealed that means arterial blood pressure did not change significantly in the control group after the intervention. Conclusions: Foot massage is effective in decreasing mean arterial pressure and giving patients a sense of calmness.}, Keywords = {}, volume = {8}, Number = {3}, pages = {133-142}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-321-en.html}, eprint = {http://jccnursing.com/article-1-321-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {karimi, vahideh and hanifi, nasrin and bahraminejad, nasrin and faghihzadeh, soghrat}, title = {The effects of the family-centered orientation program on satisfaction with healthcare services among patients with coronary artery disease}, abstract ={Aims: Hospitalization in critical care units is associated with anxiety for patients and family members due to encountering unfamiliar and strange equipments and procedures. Such anxiety and unfamiliarity can bring patients dissatisfaction. This study was conducted “to examine the effects of the Family-Centered Orientation Program on satisfaction with healthcare services among patients with coronary artery disease”. Methods: A convenience sample of 80 patients with coronary artery disease was recruited to this clinical trial study from the coronary care unit of a teaching hospital affiliated to Zanjan University of Medical Sciences, Zanjan, Iran. Patients were randomly allocated to the control and the experimental groups. The Family-Centered Orientation Program was implemented for patients in the experimental group. Patient satisfaction with care services was evaluated at the time of hospital discharge by using the Patient Satisfaction Scale. Study data were analyzed by employing the SPSS17 software as well as the Kolmogorov-Smirnov, the independent-samples t, and the Fisher’s exact tests. Results: After the study, the level of satisfaction with care services in the experimental group was significantly higher than the control group (p<; 0.0001). Conclusion: Family-Centered Orientation Program is effective in enhancing patient satisfaction. Using this program for improving care quality and enhancing patient satisfaction is recommended. Conclusions: Conclusion: Family-Centered Orientation Program is effective in enhancing patient satisfaction. Using this program for improving care quality and enhancing patient satisfaction is recommended.}, Keywords = {}, volume = {8}, Number = {3}, pages = {143-148}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-322-en.html}, eprint = {http://jccnursing.com/article-1-322-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {heydari, heshmatolah and novinmehr, naser and kamran, aziz}, title = {Investigating the causes and the consequences of hospitalization in intensive care units}, abstract ={Aims: The demand for hospitalization in intensive care units is increasing. The purpose of this study was “to investigate the causes and the consequences of hospitalization in the intensive care units”. Methods: All patients hospitalized from July 20, 2010 to July 20, 2011 in Shohaday-e Ashayer Hospital, Khorramabad, Iran, were recruited to this observational descriptive-analytic study by using the census technique. The data collection instruments were the Sequential Organ Failure Assessment (SOFA) scoring and a demographic questionnaire whose validity and reliability had been confirmed. Study data were analyzed by using the SPSS v. 19.0. Results: The most common cause of hospitalization in intensive care units was traffic accidents (42.2%). About 62.2% of the study participants developed hospital-acquired complications, chiefly pneumonia (24%). Mortality rate among the study participants was 29.13%. There was a significant correlation between the length of hospital stay and the rate of hospital-acquired complications. Conclusions: The rate of hospitalization in intensive care units can be reduced through adopting strategies for preventing traffic accidents and brain strokes. Moreover, the rates of mortality and hospital-acquired complications can be decreased by shortening patients’ stay in intensive care units.}, Keywords = {}, volume = {8}, Number = {3}, pages = {149-156}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-323-en.html}, eprint = {http://jccnursing.com/article-1-323-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {moeini, mahin and momeni, tahereh and musarezaie, amir and sharifi, somayeh}, title = {Nurses’ spiritual well-being and their perspectives on barriers to providing spiritual care}, abstract ={Aims: Spiritual well-being has been recently considered as one of the main aspects of human life. Nurses’ competence in providing spiritual care is directly related to their spiritual well-being and their awareness of spirituality. This study sought “to assess coronary care nurses’ spiritual well-being and their perspectives on barriers to providing spiritual care”. Methods: This descriptive-correlational study was conducted in 2013. The study setting was all hospitals with coronary care units affiliated to Isfahan University of Medical Sciences, Isfahan, Iran. All 88 nurses practicing in the study setting were recruited through the census method. Participants were invited to complete the Paloutzian and Ellison’s standardized Spiritual Well-being Scale and the researcher-made valid and reliable Barriers to Spiritual Care Delivery Questionnaire. The study data were analyzed by conducting the Chi-square, the Pearson and the Spearman correlation, and the independent-samples t tests as well as regression analysis in SPSS18. Results: Most of the study participants were female (87.5%) and worked in rotational shifts (86.4%). The mean of participants’ age was 38.76±5.92 years. Participants’ mean score of spiritual well-being was 90.06±14.88. This finding denotes that the level of nurses’ spiritual well-being was higher than moderate. Moreover, nurses’ spiritual well-being was negatively correlated with barriers to spiritual care delivery (r=0.35 and p=0.001). Conclusions: The most important barriers to spiritual care delivery are nurses’ greater involvement in alleviating patients’ physical problems, their own preoccupations and personal problems, and lack of educational programs and workshops in the area of spiritual care. Healthcare authorities need to adopt strategies for improving nurses’ spiritual well-being and lowering barriers to spiritual care delivery.}, Keywords = {Spiritual well-being, Barriers, Spiritual care, Nurse}, volume = {8}, Number = {3}, pages = {159-166}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-324-en.html}, eprint = {http://jccnursing.com/article-1-324-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {pirineghabadi, fatemeh and nourian, manijeh and shirinabadifarahani, azam and pourhoseingholi, mohamad amin and atashzadehshoorideh, forooz}, title = {Auditing phototherapy-related nursing care in neonatal general and intensive care units}, abstract ={Aims: Jaundice is among the most prevalent problems among neonates which can have toxic effects on the brain and cause serious complications. The commonest treatment for neonatal jaundice is phototherapy. Providing phototherapy by using clinical standards can enhance its effectiveness and safety, reduce its duration, shorten hospital stay, and minimize phototherapy-related complications. The aim of this study was ‘to evaluate the accordance of phototherapy-related nursing care services with the current standards”. Methods: In this descriptive study, 120 phototherapy-related care delivery episodes were selected in 2013through time and event sampling and were observed and assessed by using a checklist. The checklist had been developed based on a literature review and the current standards. The validity of the checklist was established through content validity assessment and its reliability was confirmed by an inter-rater interclass correlation coefficient of 0.78. Study data were gathered through observing and documenting phototherapy-related care services provided in the neonatal care wards and neonatal intensive care units of four hospitals affiliated to Shahid Beheshti University of Medical Sciences, Tehran, Iran. The data were reported by using the measures of descriptive statistics which had been calculated by using the SPSS21. Results: The accordance of phototherapy-related nursing care services with the current standards in the study setting was moderate (58.7%). Conclusions: Phototherapy-related care services are way below the standards. This can be related to factors such as care providers’ inattentiveness, educational shortcomings, inadequate clinical supervision, limited equipment and facilities, and nurses’ lack of knowledge about the importance and the outcomes of accurate phototherapy-related care services.}, Keywords = {}, volume = {8}, Number = {3}, pages = {167-172}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-325-en.html}, eprint = {http://jccnursing.com/article-1-325-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {moradimajd, parisa and asadinoughabi, ahmad ali and zolfaghri, mitra and mehran, abbas}, title = {Physical restraint use in intensive care units}, abstract ={Aims: Most patients hospitalized in intensive care units suffer from restlessness, confusion, and delirium. Physical restraint seems to be the only acceptable measure for ensuring patients’ own and others’ safety in certain cases in which other interventions are not applicable or useful. The aim of this study was “to evaluate the application of physical restraint standards in intensive care units”. Methods: This was a cross-sectional descriptive study. A convenient sample of 120 physically restrained patients was recruited from the intensive care units of selected hospitals of Tehran University of Medical Sciences, Tehran, Iran. The data collection tool was an observational checklist for physical restraint standards. The SPSS16 was used for calculating the measures of descriptive statistics and conducting statistical tests. Results: Most of the participating patients were male (65.8%), aged 50–60 years (62.5%), and had a Glasgow Coma Scale score of less than 8. The Fisher’s exact test revealed a significant difference among the studied intensive care units and also among the three phases of using restraint (i.e. before, during, and after restraint use) regarding the rate of applying restraint standards (p≤0.001). Moreover, restraint standards were minimally applied in the study setting. Conclusions: Educating nurses—as the first decision makers for restraint use—and familiarizing them with restraint-related clinical guidelines are crucial.}, Keywords = {Physical restraint, Patient safety, and Intensive care unit}, volume = {8}, Number = {3}, pages = {173-178}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-326-en.html}, eprint = {http://jccnursing.com/article-1-326-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} } @article{ author = {nabavian, majedeh and nourian, manizhe and rassouli, maryam and zayeri, faree}, title = {Auditing Nursing cares Regarding Neonate of diabetic mother}, abstract ={Aims: Nursing cares regarding Neonate of diabetic mother, is a key factor in increasing of chance of life of this neonates. In this field nurses have many challenges. The aim of this study was “to investigate nursing care conformity rate with existing standards, regarding neonate of diabetic mother in maternity, operation room, neonatal and neonatal intensive care”. Methods: In this descriptive study (Auditing), 400 nursing care regarding to neonate of diabetic mother were observed in 2014. Research society and research samples included nursing cares regards neonate of diabetic mother that were in operation room, maternity, neonatal and neonatal intensive care units at Babol university of medical sciences selected hospitals, research samples were collected by 1 observer in day, night and evening shifts. Data collected using 3 checklists included standard cares regarding to neonate of diabetic mother, which was developed according to reviewing literatures and existing standards. Content validity and inter rater coefficient reliability (ICC=0.95 in neonatal, NICU and operation room wards, in maternity ICC=0.98) were calculated for checklists. Data collection method was observation and recording items of checklists. Sampling was in two methods: Event sampling and time sampling which last 4 months. Data were considered by descriptive methods. Results: conformity rate of nursing cares regarding to neonate of diabetic mother in Neonatal and NICU wards of selected hospitals 85.1%, maternity 79% and operation room 62.6% were evaluated. Conclusion: Nursing cares regarding neonate of diabetic mother in operation room and maternity are far from standards, which can attribute to lack of familiarity of health providers with standards nursing cares and lack of training.}, Keywords = {Auditing, Nursing cares, infant of diabetic mother}, volume = {8}, Number = {3}, pages = {179-186}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-327-en.html}, eprint = {http://jccnursing.com/article-1-327-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2015} }