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Introduction: Contemporary advances in technology and sciences parallel to changeable patients' status make it essential to nurses to combine their skills and knowledge with evidences in order to identify patients' problems, care... more
Introduction: Contemporary advances in technology and sciences parallel to changeable patients' status make it essential to nurses to combine their skills and knowledge with evidences in order to identify patients' problems, care planning, implementation and evaluation through interaction with other health team members. Nurses must be able to make clinical decisions independently which is possible just by using research evidences in clinical practice. The purpose of this article is concept of evidence based nursing and teaching barriers and facilitators in nursing. Methods: This article is an integrative review. Different data bases such as ProQuest, Ovid, PubMed, Science Direct, Google Scholare magiran, sid were applied for collecting articles by using evidence based teaching, evidence based nursing and education as key words. At all 24 articles have been included in this review. Results: Studies show many barriers in implementation of EBN and teaching it to students. For e...
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Background One of the facets of nursing care, as a holistic profession, is cultural care. Considering the role of culture in individuals’ health behaviors, nurses are recommended to be mindful of cultural care. Since nursing educators... more
Background One of the facets of nursing care, as a holistic profession, is cultural care. Considering the role of culture in individuals’ health behaviors, nurses are recommended to be mindful of cultural care. Since nursing educators should be culturally competent to teach cultural care to students, this study aimed to determine the cultural competence of nursing educators of medical sciences universities in the 2nd regional planning in Iran. Methods The current research was a descriptive and survey study framed within Campinha-Bacote’s cultural competency model. All nursing educators of universities of medical sciences in the 2nd regional planning of Iran (Tabriz, Urmia, Ardabil, Khoy, Maragheh, Sarab, and Khalkhal) were considered as research units, and the cultural diversity questionnaire for nursing faculties (CDQNE-R) was sent to them. Out of 129 questionnaires sent, 84 were turned back. The data were analyzed by the SPSS 22 software. Results The results of this study showed t...
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Background Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of... more
Background Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. Methods The GBD 2019 comparative risk assessment framework was used to estimate cancer burden attributable to behavioural, environmental and occupational, and metabolic risk factors. A total of 82 risk-outcome pairs were included on the basis of the World Cancer Research Fund criteria. Estimated cancer deaths and disability-adjusted life-years (DALYs) in 2019 and change in these measures between 2010 and 2019 are presented. Findings Globally, in 2019, the risk factors included in this analysis accounted for 4•45 million (95% uncertainty interval 4•01-4•94) deaths and 105 million (95•0-116) DALYs for both sexes combined, representing 44•4% (41•3-48•4) of all cancer deaths and 42•0% (39•1-45•6) of all DALYs. There were 2•88 million (2•60-3•18) risk-attributable cancer deaths in males (50•6% [47•8-54•1] of all male cancer deaths) and 1•58 million (1•36-1•84) risk-attributable cancer deaths in females (36•3% [32•5-41•3] of all female cancer deaths). The leading risk factors at the most detailed level globally for risk-attributable cancer deaths and DALYs in 2019 for both sexes combined were smoking, followed by alcohol use and high BMI. Risk-attributable cancer burden varied by world region and Socio-demographic Index (SDI), with smoking, unsafe sex, and alcohol use being the three leading risk factors for risk-attributable cancer DALYs in low SDI locations in 2019, whereas DALYs in high SDI locations mirrored the top three global risk factor rankings. From 2010 to 2019, global risk-attributable cancer deaths increased by 20•4% (12•6-28•4) and DALYs by 16•8% (8•8-25•0), with the greatest percentage increase in metabolic risks (34•7% [27•9-42•8] and 33•3% [25•8-42•0]). Interpretation The leading risk factors contributing to global cancer burden in 2019 were behavioural, whereas metabolic risk factors saw the largest increases between 2010 and 2019. Reducing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide, and policies should be tailored appropriately to local cancer risk factor burden. Funding Bill & Melinda Gates Foundation.
Research Interests: Epidemiology, Nutrition, Cancer, Breast Cancer, Environmental Health, and 15 moreCancer Biology, Public Health, Health Care Management, Cancer Research, Brain cancer, Medicine, Colorectal cancer, Health and Social Care, Chronic Disease, Burden of Disease, Lancet, Community and Public Health Nursing, Global Burden of Diseases, Disease Burden, and Medical and Health Sciences
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Background There are still concerns about the effectiveness of clinical education models which are done with the aim of reducing the theoretical-practical gap in nursing. In this article, we intend to describe an innovative model to... more
Background There are still concerns about the effectiveness of clinical education models which are done with the aim of reducing the theoretical-practical gap in nursing. In this article, we intend to describe an innovative model to create an integration and structured relationship between educational and healthcare provider institutions. The basis of this work is the full-time presence of nursing teacher in the clinical settings and the development of their role to improve the education of students and nurses and the quality of nursing services. Methods This was a participatory action research. This action research was implemented in four steps of problem identification, planning, action and reflection. Interviews, focus groups and observation were used for the qualitative part. Clinical Learning Environment Inventory (CLEI), Job Satisfaction in Nursing Instrument questionnaires and Patient Satisfaction with Nursing Care Quality Questionnaire were completed before and after the stu...
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Abstract Background Patient handoff is considered a critical measure for patient safety and continuity of care, particularly in the operating room where the patient fails to provide sufficient or appropriate information. This study aimed... more
Abstract Background Patient handoff is considered a critical measure for patient safety and continuity of care, particularly in the operating room where the patient fails to provide sufficient or appropriate information. This study aimed to assess the quality of change of shift handoffs between surgical teams during surgery. Methods This cross-sectional descriptive study evaluated the quality of scrub and circular handoffs regarding duration, process, information deletion, and satisfaction with handoffs. The quality of handoff process was further assessed in six main dimensions, namely environment, process organization, communication skill, content, clinical judgment, and professionalism using CEX instrument. The information omission items of handoffs were evaluated using a guideline proposed by Association of Surgical Technologists (AST) and the SWITCH Shift Change Checklist. The surgical team's satisfaction was measured using a revised version of the clinical change-of-shift survey used in Petrovic's study. Results In this study, 66 handoffs were observed and assessed. Information omission in surgical reports was 16.81% (SD = 15.31, Min = 0, Max = 76.5) between two circular persons and 19.55% (SD = 12.32, Min = 0, Max = 65) between two scrub persons. According to a nine-point scoring scale, the mean score of handoff process quality was 5.40 between two circular and 6.17 between two scrubs. The mean duration of shift change was 62 (SD =15) seconds between two circular persons and 93 (SD=21) seconds between two scrubs. The surgical team's satisfaction with handoffs was 67.5%. Conclusion This study revealed the necessity of a structured method for handoffs among the surgical team at the change-of-shift time during surgery. The data presented in this study would contribute to developing such a framework.
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Abstract. The accuracy and consistency of snow depth measurements depend on the measuring device and the conditions of the site and snowpack in which it is being used. This study compares collocated snow depth measurements from a... more
Abstract. The accuracy and consistency of snow depth measurements depend on the measuring device and the conditions of the site and snowpack in which it is being used. This study compares collocated snow depth measurements from a magnaprobe automatic snow depth probe and a Federal snow tube, then uses these measurements to validate snow depth maps from an unpiloted aerial system (UAS) with an integrated Light Detection and Ranging (lidar) sensor. We conducted three snow depth sampling campaigns from December 2020 to February 2021 that included 39 open field, coniferous, mixed, and deciduous forest sampling sites in Durham, New Hampshire, United States. Average snow depths were between 9 and 15 cm. For all sampling campaigns and land cover types, the magnaprobe snow depth measurements were consistently deeper than the snow tube. There was a 12 % average difference between the magnaprobe (14.9 cm) and snow tube (13.2 cm) average snow depths with a greater difference in the forest than...
Objectives: Healthy aging is a natural human right and emotion regulation is an important factor in improving mental health promotion in different developmental ages. This study aims to compare emotion regulation in older and younger... more
Objectives: Healthy aging is a natural human right and emotion regulation is an important factor in improving mental health promotion in different developmental ages. This study aims to compare emotion regulation in older and younger adults. Methods & Materials: This is a causal-comparative study. The study population includes all older and younger adults in Tehran in 2019. Of these, 235 were selected using a convenience sampling method. They completed Difficulties in Emotion Regulation Scale (DERS), Emotion Regulation Questionnaire (ERQ), Mentalized Affectivity Scale (MAS), and Emotion Regulation of Others and Self (ERO and ERS) questionnaires. Data analysis was performed using multivariate analysis of variance, independent t-test, and paired t-test in SPSS v. 20 software. Results: The scores of DERS (F= 17.08, P<0.001), ERQ (F= 16.07, P<0.001), and ERS (t = -12.2, P= 0.35) were significantly higher in older adults than younger adults, while there was no significant differenc...
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BACKGROUND AND OBJECTIVE: Clinical decision-making is fundamental for professional nurses, which establishes professional identity. Given the importance of clinical decision-making for perioperative nurses, this study aimed to investigate... more
BACKGROUND AND OBJECTIVE: Clinical decision-making is fundamental for professional nurses, which establishes professional identity. Given the importance of clinical decision-making for perioperative nurses, this study aimed to investigate nurses' experience and their clinical decision-making skill in operating theatre based on Benner's novice to expert model. METHODS: This cross-sectional study was performed in 186 perioperative nurses working in university hospitals in Tabriz, Iran, 2014. The data were collected using a demographic form and the Clinical Decision Making in Nursing Scale (CDMNS) (Jenkins, 1985), and then were analyzed. This tool includes 40 items and four sub-scales of 1) search for alternatives or options, 2) canvassing of objectives and values, 3) evaluation and reevaluation of consequences, and 4) search for information and unbiased assimilation of new information. The highest and lowest possible scores are 40 and 200, with higher scores showing higher cli...
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In Iran, home healthcare (HHC) is provided in a diverse socio-cultural context. Health professionals’ inadequate knowledge of the socio-cultural factors of the society can lead to poor quality HHC. Even so, the ways these factors... more
In Iran, home healthcare (HHC) is provided in a diverse socio-cultural context. Health professionals’ inadequate knowledge of the socio-cultural factors of the society can lead to poor quality HHC. Even so, the ways these factors influence HHC remain unclear. This study aimed to explore the effects of cultural factors and social changes on HHC in Iran. This qualitative study which follows a conventional content analysis approach was conducted in Tabriz, Iran. Eighteen individuals including nurses, home health directors, physicians, policy-makers, patients, and their families participated in the study. Participants were selected using purposive sampling. Data collection involved focus group discussion (FGD) and 16 semi-structured in-depth interviews. In order to analyze the data, Graneheim and Lundman’s techniques were used and data collection continued until saturation was reached. Five main themes emerged from the data analysis including cultural diversity issues, society’s underst...
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There is a high rate of changes and innovation in the educational technology field due to its relationship to the dynamic sciences. Changes and innovation are not only on hardware but on software as well. So definition of
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The image of nursing is closely related to the identity and role of the nurse, cultural background, clinical practice, job satisfaction and quality of care. One of the longterm challenges of the nursing profession is the general public... more
The image of nursing is closely related to the identity and role of the nurse, cultural background, clinical practice, job satisfaction and quality of care. One of the longterm challenges of the nursing profession is the general public image of this profession. The image is the assumption and perception that the general public has about a person and a profession or organization (Farsi et al., 2010). A positive public image has a great effect on attracting social and environmental support. Negative public stereotypes of nursing lead to feelings of frustration and confusion about selfimage and social identity and can create a repressive environment for the profession (Kaur Pushpinder & Rawat, 2017). In Iran, more than 100 years have passed since the academic training of nursing. In 1916, the first nursing school in Iran was established in Tabriz, which remained the only nursing programme in Iran until 1935, after which the government established four nursing schools in major cities. D...
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Objective: Handoff without a structured format is prone to the omission of information and could be a potential risk to patient safety. We sought to determine the effect of a structured checklist on the quality of intraoperative change of... more
Objective: Handoff without a structured format is prone to the omission of information and could be a potential risk to patient safety. We sought to determine the effect of a structured checklist on the quality of intraoperative change of shift handoff between scrubs and circulating.Methods: We conducted a pre-post control intervention study on operating room wards of two teaching hospitals from February to November 2020. This research was conducted in three stages as follows: assessing the current situation (as a group before the intervention), performing the intervention and evaluating the effect of using a checklist on handoff quality after the intervention in two groups: with and without checklist. We examined the quality of handoff between scrub and circular personnel in terms of handoff duration and quality, omission of information as well as changes in personnel satisfaction. Data were analyzed using SPSS software version 26.Results: A total of 120 handoffs were observed and ...
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The Three Gorges Dam Area is mountainous and perennially rainy.It is hard to get traditionally optical remote sensing images of this area.Radar would not be affected by Rainy weather.The data from RADARSAT with LANDSAT TM and DEM as... more
The Three Gorges Dam Area is mountainous and perennially rainy.It is hard to get traditionally optical remote sensing images of this area.Radar would not be affected by Rainy weather.The data from RADARSAT with LANDSAT TM and DEM as references are used to gain the water extension and water surface area data of The Three Gorges Reservoir in June 2003 and October 2006.After Completion of the second phase water storage,The Three Gorges Reservoir has a water surface area of 672.42 km2 which is 213.36 km2 more than the data of the first time phase water storage.It has important mean to power generation,shipping,irrigation,water supply and economic development of The Three Gorges Dam Area.
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BACKGROUND AND OBJECTIVE: Clinical decision-making is fundamental for professional nurses, which establishes professional identity. Given the importance of clinical decision-making for perioperative nurses, this study aimed to investigate... more
BACKGROUND AND OBJECTIVE: Clinical decision-making is fundamental for professional nurses, which establishes professional identity. Given the importance of clinical decision-making for perioperative nurses, this study aimed to investigate nurses’ experience and their clinical decision-making skill in operating theatre based on Benner's novice to expert model. METHODS: This cross-sectional study was performed in 186 perioperative nurses working in university hospitals in Tabriz, Iran, 2014. The data were collected using a demographic form and the Clinical Decision Making in Nursing Scale (CDMNS) (Jenkins, 1985), and then were analyzed. This tool includes 40 items and four sub-scales of 1) search for alternatives or options, 2) canvassing of objectives and values, 3) evaluation and reevaluation of consequences, and 4) search for information and unbiased assimilation of new information. The highest and lowest possible scores are 40 and 200, with higher scores showing higher clinica...
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Background: The purpose of this study is to examine personality traits in renal patients undergoing haemodialysis (HD) and its connection to depression, anxiety, and life quality. In this study we also aim to propose an intervention for... more
Background: The purpose of this study is to examine personality traits in renal patients undergoing haemodialysis (HD) and its connection to depression, anxiety, and life quality. In this study we also aim to propose an intervention for treatment and prevention of these personality traits. Methods: This cross-sectional study was performed on 70 patients affected by chronic renal failure undergoing haemodialysis treatment. Patients were selected based on an accessible sample. Required data were gathered through questioners: Hospital Anxiety and Depression, NEO-FFL, and SF-36 Health Survey. Results: Based on the results obtained from this study 47.1% of patients undergoing HD treatment fall into the abnormal category according to the rate of depression. There is a positive meaningful correlation between conscientiousness and agreeableness and a negative correlation between extroversion, anxiety, and depression in life quality of renal patients. Conclusion: With respect to the correlat...
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Introduction: Burn injury is a devastating experience which affe cts a person's essence. Nursing researchers who study diseases based on patients' v iew will be able to better understand the effect of injuries or illnesses on self... more
Introduction: Burn injury is a devastating experience which affe cts a person's essence. Nursing researchers who study diseases based on patients' v iew will be able to better understand the effect of injuries or illnesses on self integrity. Therefore, this study was conducted with the aim of investiga ting burn patients' experiences regarding life after suf fering a burn injury. Method: This qualitative study was carried out using quali tative content analysis and in-depth, unstructured interviews with 15 burn survivors in S a Hospital of Tabriz, Iran. Results: During the qualitative content analysis process, t he theme of "self-disruption" as the essence of the participants' experience was extracted based on the following subcategories: A) Attack on selfintegrity (pathogenic power of burn, aggressive nat ure of burn); B) Threat and disturbance (life, livi ng, social, and value threatening); C) Matrix of self ( mental, emotional, demographic, and environme...
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Introduction: Ethical climate is an important factor in hospitals. Because of stressful conditions and necessity of people collaboration in the operating room, it seems that ethical climate of this part differs from other sections of the... more
Introduction: Ethical climate is an important factor in hospitals. Because of stressful conditions and necessity of people collaboration in the operating room, it seems that ethical climate of this part differs from other sections of the hospital. Due to lack of researches at this context, present study was performed with the aim of evaluating operating rooms ethical climate in the view of staff and students of this field in teaching hospitals of Tabriz University of medical sciences. Method: All of operating room students and staff in teaching hospitals of Tabriz University of medical sciences were entered into this descriptive study. In addition to demographic characteristics form, the Olson hospital ethical climate survey was used to collect information. Results: At this study 78% of staff and 61.4% of students were female. Mean score of age in operating room staff was 34.54 and in students was 20.87. Also, most of the students (64.9%) and staff (58.1%) had negative viewpoint to ...
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The climate of clinical settings is one of the effective factors on the quality of clinical education and students' attitude toward their field of study. This research aims to determine the relationship between the ethical climate of... more
The climate of clinical settings is one of the effective factors on the quality of clinical education and students' attitude toward their field of study. This research aims to determine the relationship between the ethical climate of operating rooms and the students’ attitude toward their field of study in hospitals of Tabriz University of Medical Sciences. All medical students in the operating rooms of Tabriz University of Medical Sciences in their second semester during the academic year 2013 2014 were entered into this analytic study. In addition to the demographic questionnaire, Olson’s Hospital Ethical Climate Survey and a student attitude questionnaire were used to collect the information. Data were analyzed by the SPSS 18 software using descriptive and analytical statistics methods including chi-square test and Spearman's ordinal correlation coefficient. Most of the students were female (61.4%) and single (86.8%) and the mean of their age was 20.87 ± 1.54. Additionall...
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The electrocardiogram (ECG) is a widespread diagnostic tool in healthcare and supports the diagnosis of cardiovascular disorders. Deep learning methods are a successful and popular technique to detect indications of disorders from an ECG... more
The electrocardiogram (ECG) is a widespread diagnostic tool in healthcare and supports the diagnosis of cardiovascular disorders. Deep learning methods are a successful and popular technique to detect indications of disorders from an ECG signal. However, there are open questions around the robustness of these methods to various factors, including physiological ECG noise. In this study, we generate clean and noisy versions of an ECG dataset before applying symmetric projection attractor reconstruction (SPAR) and scalogram image transformations. A convolutional neural network is used to classify these image transforms. For the clean ECG dataset, F1 scores for SPAR attractor and scalogram transforms were 0.70 and 0.79, respectively. Scores decreased by less than 0.05 for the noisy ECG datasets. Notably, when the network trained on clean data was used to classify the noisy datasets, performance decreases of up to 0.18 in F1 scores were seen. However, when the network trained on the nois...
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Background Reintegrating to society is a significant challenge during burn survivors’ rehabilitation. Aim This study aims to describe what Iranian female survivors from unintentional severe burns experience as enablers and barriers of... more
Background Reintegrating to society is a significant challenge during burn survivors’ rehabilitation. Aim This study aims to describe what Iranian female survivors from unintentional severe burns experience as enablers and barriers of social reintegration (SR). Methods Fourteen adult female burn survivors whose burns were unintentional participated in this qualitative study. Data were gathered through semi-structured face-to-face or telephone interviews and analyzed using inductive content analysis. Results Thirteen subcategories and six categories were emerged. Categories and subcategories of enablers content area were as follows: positive impact of society on SR (normal treatment of society, instrumental support), positive impact of family on SR (magnifying personal abilities assets, empathy and emotional support), and positive impact of personal characteristics on SR (coping with others stares, right to have a normal social life). Categories and subcategories of Barriers content ...
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Changes in society’s needs have increased individuals’ desire to be independent and receive health care at home. Home health care (HHC) is one of the main components of realizing these ambitions. However, there is a serious concern about... more
Changes in society’s needs have increased individuals’ desire to be independent and receive health care at home. Home health care (HHC) is one of the main components of realizing these ambitions. However, there is a serious concern about the state of development of the HHC industry in Iran and the quality of its services. This study aims to explore the barriers to the development of HHC in Iran. This qualitative study with a conventional content analysis approach was conducted in Tabriz, Iran, from October 2019 to March 2020. Twenty-one key stakeholders including nurses, home health directors, physicians, policy-makers, patients, and their families participated in the study. Participants were selected using purposive sampling. Data were collected using a focus group discussion (FGD) and 18 semi-structured in-depth interviews and analyzed using Graneheim and Lundman’s techniques. Data collection continued until saturation was reached. Three main themes emerged from the analysis: qual...
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Objective Handover without a structured format is prone to the omission of information and could be a potential risk to patient safety. We sought to determine the effect of a structured checklist on the quality of intraoperative change of... more
Objective Handover without a structured format is prone to the omission of information and could be a potential risk to patient safety. We sought to determine the effect of a structured checklist on the quality of intraoperative change of shift handover between scrubs and circulars. Methods We conducted a control intervention study on operating room wards of two teaching hospitals from 20 Feb to 21 Nov 2020. This research was conducted in three stages as follows: assessing the current situation (as a group before the intervention), performing the intervention and evaluating the effect of using a checklist on handover quality after the intervention in two groups: with and without checklist. We examined the quality of handover between scrub and circular personnel in terms of handover duration and quality, omission of information and improvement in OR staff satisfaction. Results A total of 120 handovers were observed and evaluated. After intervention in the group using the checklist, t...
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Pressure injuries are considered a common and costly problem in the care of patients. Prevention and identification of risk factors for pressure injuries are very important due to the high cost of treatment and the adverse consequences of... more
Pressure injuries are considered a common and costly problem in the care of patients. Prevention and identification of risk factors for pressure injuries are very important due to the high cost of treatment and the adverse consequences of pressure injuries. This study aimed to assess the prevalence of pressure injuries and its risk factors in clinical settings of affiliated to Tabriz University of Medical Sciences.