Context: Workplace violence in the healthcare setting is an important issue in recent years. Aims... more Context: Workplace violence in the healthcare setting is an important issue in recent years. Aims: The aim of this study was to evaluate the frequency of violence against emergency and cardiopulmonary resuscitation (CPR) nurses and its related factors in teaching hospitals in 2019. Setting and Design: In this cross sectional study, 140 emergency and CPR nurses who worked in hospitals of the Mazandaran University of Medical Sciences randomly selected. Materials and Methods: The workplace violence in the health sector questionnaire was used. Statistical Analysis Used: Data were analyzed using the SPSS software version 20.0. Results: The mean age of the nurses was 34.48 ± 6.07 years with work experience of 10.49 ± 5.93 years. Most of them were female (n = 86; 61.4%) and married (n = 115; 82.1%). A total of 302 different types of harassment were reported during 12 months before the study including physical 55.7%, verbal/bullying 38.6%, sexual 5%, and racial 29.3%. Relatives of the patients were the main perpetrators of the violence. Association between gender and physical and sexual harassments was significant (P = 0.0001 and P = 0.043, respectively). Physical harassment was significantly associated with marital status (P = 0.044), education level (P = 0.034) and worry about workplace violence (P = 0.020). The association between racial violence with the working situation was significant (P = 0.008). Conclusion: Based on results the prevalence of workplace violence against emergency and CPR nurses is a serious problem. Future research must move from descriptive to intervention studies to provide a guideline in clinical settings.
Background: Cardiac patients are prone to experiencing constipation. The main purpose of the pres... more Background: Cardiac patients are prone to experiencing constipation. The main purpose of the present study was to assess the effect of acupressure on preventing constipation in patients with acute myocardial infarction (AMI) under primary percutaneous coronary intervention. Methods: The present randomized clinical trial was conducted on 90 patients with AMI (30 patients in each group) who were randomly allocated based on inclusion criteria. The intervention was carried out among the patients with AMI on the acupressure points SJ6, LI4, ST25, and SP6 two times a day (10 am and 6 pm) for three sequential days. Results: On the first and second days of the study, all of the patients had no defecation, and the first defecation occurred on the third day of the study. In the intervention, sham, and control groups, 93.3%, 46.7%, and 50.0% had normal defecation on the third day of the study, respectively. The results of the Chi-square test revealed significant differences among the three gro...
Background & Objectives: Hemodialysis is the most common treatment used in patients with end-stag... more Background & Objectives: Hemodialysis is the most common treatment used in patients with end-stage renal disease, and it is associated with unpleasant and fatal side effects. This study, therefore, was performed to determine the complications occurring in dialyzing patients of Fatemeh Zahra Teaching Hospital, Sari, Iran. Materials and Methods: This descriptive analytical study was conducted on 78 hemodialysis patients who were always dialyzing in the dialysis unit of Fatemeh Zahra Teaching Hospital for at least two times a week. The data collection tool was a self-designed questionnaire. Data analysis was done using descriptive statistics (mean and standard deviation) and performing t-test, ANOVA and ChiSquare tests, using SPSS version 16. Results: The most common hemodialysis complications were muscle cramps (51.28%), pruritus (41.03%), headache (32.05%), hypotension (23.08%), back pain (29.49%), chest pain (20.51%), shortness of breath (12.82%), hypertension (10.26%), nausea and v...
The predicting scoring systems help us to patients' classification in order to receive servic... more The predicting scoring systems help us to patients' classification in order to receive services and medical care. It seems one of reasons for not using these systems is unaware of staffs. The aim of this study was assessment the effect of training predicting scoring systems and applying SOFA on knowledge and attitude of nurses and specialists in ICU wards of educational hospital in Sari city.This pre-experimentalstudy was performed using a self-made questionnaireto assessknowledge andattitudes. After primary assessment, participants were trained and applied SOFA for three months. Evaluation was performedinfour stages;before training, 10 days after training, onemonth and threemonths afterSOFA application. Resultswere analyzed bySPSSsoftware, descriptive tests and repeated measurement.Results show that therewere 43(71.7%) female and mean age was 32.53±7.3 years. The average knowledge score was improved from very weak to excellent and the average attitude score was improved from mo...
Journal of Mazandaran University of Medical Sciences, 2018
Background and purpose: Sore throat and hoarseness are some postoperative complications following... more Background and purpose: Sore throat and hoarseness are some postoperative complications following endotracheal intubation and inflammation of the pharynx, larynx, and trachea. The aim of this study was to determine the effect of eucalyptus vapor on sore throat and hoarseness after tracheal extubation in patients undergoing coronary artery bypass graft (CABG). Materials and methods: In a clinical trial, 100 patients undergoing CABG were selected using convenience sampling. They were randomly divided into two groups (control and experimental). Demographic and clinical data, and the information on sore throat and hoarseness were recorded in both groups, before the intervention and after tracheal extubation. The patients in experimental group were exposed to eucalyptus vapor for about ten minutes after tracheal extubation. This was performed at 1 and 12 hours after extubation. The severity of sore throat and hoarseness was recorded in the two groups at 0, 1, 6, 12 and 24 hours after ext...
BACKGROUND Burn-specific pain anxiety and sleep disorders are common factors in burned patients t... more BACKGROUND Burn-specific pain anxiety and sleep disorders are common factors in burned patients that affect wound healing process, as well as the severity of burn pain. This study aimed to investigate the effect of foot reflexology massage on burn-specific pain anxiety and sleep condition of patients hospitalized in the burn ICU. METHOD In this randomized controlled clinical trial, 52 patients were assigned by permuted block randomization 1:1 to the intervention (n=26) and control (n=26) groups. The intervention group received 20min of foot reflexology massage during 3 days on their third, fourth and fifth days of hospitalization and 15min before changing wound dressings. Patients in the control group merely received routine care. The Burn-Specific Pain Anxiety Scale (BSPAS) was completed for three consecutive days before and after changing wound dressings, and St. Mary's Hospital Sleep Questionnaire (SMHSQ) was filled out for four consecutive days before changing wound dressings for patients in both groups. The data were analyzed by IBM SPSS 16 software, Chicago, independent t, Chi-square, Friedman, Mann-Whitney and Wilcoxon tests. FINDINGS We found no significant difference between pain-anxiety in the two groups before the intervention. The trend of different days in each groups were compared with Friedman test and showed that pain anxiety (p<0.001), sleep latency (p<0.001), duration of the last day's sleep (p<0.001) and satisfaction of the last night sleep (p<0.001) had a significant difference. In addition, Mann-Whitney test results showed that there were significant differences between the two groups at different times in terms of the above variables (p<0.05). The effect size was=0.82 for pain anxiety between group after the intervention. CONCLUSION Based on the results, foot reflexology massage can effectively reduce pain anxiety levels and improve sleep quality and quantity of patients with burn injuries; therefore, this non- pharmacological therapeutic method is recommended to be used in the burn ICUs. (Clinical trial's registration code: IRCT20110906007494N27).
Context: The lengthy process of treatment in burns units requires the patient to be hospitalized ... more Context: The lengthy process of treatment in burns units requires the patient to be hospitalized in the intensive care unit (ICU) for a few days up to several months. Aims: The present study was conducted to investigate the effect of planned family presence at the patient's bedside in BICU on the family's anxiety. Setting and Design: The present randomized controlled clinical trial was conducted on the family members of patients hospitalized in the BICU in Sari from March to May 2016. Materials and Methods: Selected through nonrandom sampling and randomly divided into a control and an intervention group (n = 30 per group). In the intervention group, one patient family member visited the patient for an hour each day from the 4th to the 8th day of admission. The control group received only the routine services of the unit, which meant keeping out all family members from the BICU. Statistical Analysis Used: The Spielberger State-Trait Anxiety questionnaire was filled out in both groups on days 3 and 8 after the intervention. The data analysis were performed using SPSS version 21 (IBM). Results: Comparing the means of the two groups after the intervention using the independent t-test showed a statistically significant difference (t = 1.51,P < 0.001). Conclusion: The regular planned presence of family members at the patient's bedside in the BICU can effectively reduce anxiety in the family members and thus improve the care procedure.
(Received 23 Sep ,2008; Accepted 3 Dec ,2008) AbstractBackground and Purpose: Competency is a com... more (Received 23 Sep ,2008; Accepted 3 Dec ,2008) AbstractBackground and Purpose: Competency is a complicated and an ambiguous concept. It is also a challenging subject in the health care arena, which is significant in different aspects of nursing, such as education, clinic and management. There are ambiguities about it, thus, in this article, researchers conducted analysis of this concept. Materials and methods: This research is a concept analysis by the hybrid method. This model has three steps. In literature review stage, 475 related articles exist in databases up to September 2007 were analyzed and evaluated. As to the importance of educational system in the training of nursing courses, 5 educators were interviewed in the field work stage. After listening to tapes, results were Tran scripted and content analysis was done. In the last stage, holistic analysis was carried out.Results: Best definition and properties of competency was selected based on literature reviews. In the field w...
Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 2015
Low back pain (LBP) is a major public health problem and the most common cause of workers' di... more Low back pain (LBP) is a major public health problem and the most common cause of workers' disability, resulting in substantial economic burden in terms of workers' compensation and medical costs. Sitting is a recognized potential risk factor for developing LBP. Therefore, eliminating risk factors associated with working conditions and individual work capacity may be beneficial in preventing LBP in sitting workers. The purpose of this prospective cross-sectional study is to investigate the prevalence of LBP and examine risk factors that contribute to the development of LBP in sitting workers at an electronics manufacturing company. A cross-sectional survey was administered to all subjects to assess the prevalence of LBP persisting for at least 48 h during the recent week. Data on demographic characteristics and potential risk factors for LBP were collected at routine annual check-ups. Patients with LBP completed the Roland-Morris Disability Questionnaire (RDQ), which provide...
Abstract: Spiritual Well-Being is one of the influencing factors on quality of life. The current ... more Abstract: Spiritual Well-Being is one of the influencing factors on quality of life. The current study has been carried out to assess the relationship between quality of life and Spiritual Well-Being among elderly living at homes. A descriptive- analytical study was conducted on 200 community dwelling elderly in north of Iran. Data was collected using Demographic, quality of life and Spiritual Well-Being questionnaires. The average quality of life and Spiritual Well-Being were 53.52 ± 19.38 and 94.40±14.03, respectively. The Pearson correlation coefficient showed a significant positive association between Spiritual Well-Being scores and quality of life of the elderly (P=0.003, r=0.21). In addition, all aspects of quality of life had significant relationship with the Spiritual Well-Being, except the physical functioning and general health domains. Therefore, it is crucial for health care providers to notice to the importance of spiritual aspects of life in elderly and attempt to impr...
Journal of Rafsanjan University of Medical Sciences, 2016
Background and Objectives: The dangerous events caused by medication errors are one of the main c... more Background and Objectives: The dangerous events caused by medication errors are one of the main challenges faced in critical care units. The present study was conducted to determine the frequency of non-injectable medication administration errors and their causes in nurses of cardiac critical care units in Mazandaran province. Materials and Methods: The present cross-sectional study was conducted in the critical care units (CCUs and cardiac surgery intensive care units) of 12 teaching hospitals. Of the total of 240 nurses working in these departments, 192 participated in the present study. The data collection tools used in this study included 3 questionnaires. The data obtained were analyzed by using descriptive statistics such as absolute frequency, relative frequency, mean and standard deviation. Results: The nurses reported 145 non-injectable medication administration errors. The most common non-injectable medication error pertained to administering the wrong dose (n=56 and 38.6%...
Context: Workplace violence in the healthcare setting is an important issue in recent years. Aims... more Context: Workplace violence in the healthcare setting is an important issue in recent years. Aims: The aim of this study was to evaluate the frequency of violence against emergency and cardiopulmonary resuscitation (CPR) nurses and its related factors in teaching hospitals in 2019. Setting and Design: In this cross sectional study, 140 emergency and CPR nurses who worked in hospitals of the Mazandaran University of Medical Sciences randomly selected. Materials and Methods: The workplace violence in the health sector questionnaire was used. Statistical Analysis Used: Data were analyzed using the SPSS software version 20.0. Results: The mean age of the nurses was 34.48 ± 6.07 years with work experience of 10.49 ± 5.93 years. Most of them were female (n = 86; 61.4%) and married (n = 115; 82.1%). A total of 302 different types of harassment were reported during 12 months before the study including physical 55.7%, verbal/bullying 38.6%, sexual 5%, and racial 29.3%. Relatives of the patients were the main perpetrators of the violence. Association between gender and physical and sexual harassments was significant (P = 0.0001 and P = 0.043, respectively). Physical harassment was significantly associated with marital status (P = 0.044), education level (P = 0.034) and worry about workplace violence (P = 0.020). The association between racial violence with the working situation was significant (P = 0.008). Conclusion: Based on results the prevalence of workplace violence against emergency and CPR nurses is a serious problem. Future research must move from descriptive to intervention studies to provide a guideline in clinical settings.
Background: Cardiac patients are prone to experiencing constipation. The main purpose of the pres... more Background: Cardiac patients are prone to experiencing constipation. The main purpose of the present study was to assess the effect of acupressure on preventing constipation in patients with acute myocardial infarction (AMI) under primary percutaneous coronary intervention. Methods: The present randomized clinical trial was conducted on 90 patients with AMI (30 patients in each group) who were randomly allocated based on inclusion criteria. The intervention was carried out among the patients with AMI on the acupressure points SJ6, LI4, ST25, and SP6 two times a day (10 am and 6 pm) for three sequential days. Results: On the first and second days of the study, all of the patients had no defecation, and the first defecation occurred on the third day of the study. In the intervention, sham, and control groups, 93.3%, 46.7%, and 50.0% had normal defecation on the third day of the study, respectively. The results of the Chi-square test revealed significant differences among the three gro...
Background & Objectives: Hemodialysis is the most common treatment used in patients with end-stag... more Background & Objectives: Hemodialysis is the most common treatment used in patients with end-stage renal disease, and it is associated with unpleasant and fatal side effects. This study, therefore, was performed to determine the complications occurring in dialyzing patients of Fatemeh Zahra Teaching Hospital, Sari, Iran. Materials and Methods: This descriptive analytical study was conducted on 78 hemodialysis patients who were always dialyzing in the dialysis unit of Fatemeh Zahra Teaching Hospital for at least two times a week. The data collection tool was a self-designed questionnaire. Data analysis was done using descriptive statistics (mean and standard deviation) and performing t-test, ANOVA and ChiSquare tests, using SPSS version 16. Results: The most common hemodialysis complications were muscle cramps (51.28%), pruritus (41.03%), headache (32.05%), hypotension (23.08%), back pain (29.49%), chest pain (20.51%), shortness of breath (12.82%), hypertension (10.26%), nausea and v...
The predicting scoring systems help us to patients' classification in order to receive servic... more The predicting scoring systems help us to patients' classification in order to receive services and medical care. It seems one of reasons for not using these systems is unaware of staffs. The aim of this study was assessment the effect of training predicting scoring systems and applying SOFA on knowledge and attitude of nurses and specialists in ICU wards of educational hospital in Sari city.This pre-experimentalstudy was performed using a self-made questionnaireto assessknowledge andattitudes. After primary assessment, participants were trained and applied SOFA for three months. Evaluation was performedinfour stages;before training, 10 days after training, onemonth and threemonths afterSOFA application. Resultswere analyzed bySPSSsoftware, descriptive tests and repeated measurement.Results show that therewere 43(71.7%) female and mean age was 32.53±7.3 years. The average knowledge score was improved from very weak to excellent and the average attitude score was improved from mo...
Journal of Mazandaran University of Medical Sciences, 2018
Background and purpose: Sore throat and hoarseness are some postoperative complications following... more Background and purpose: Sore throat and hoarseness are some postoperative complications following endotracheal intubation and inflammation of the pharynx, larynx, and trachea. The aim of this study was to determine the effect of eucalyptus vapor on sore throat and hoarseness after tracheal extubation in patients undergoing coronary artery bypass graft (CABG). Materials and methods: In a clinical trial, 100 patients undergoing CABG were selected using convenience sampling. They were randomly divided into two groups (control and experimental). Demographic and clinical data, and the information on sore throat and hoarseness were recorded in both groups, before the intervention and after tracheal extubation. The patients in experimental group were exposed to eucalyptus vapor for about ten minutes after tracheal extubation. This was performed at 1 and 12 hours after extubation. The severity of sore throat and hoarseness was recorded in the two groups at 0, 1, 6, 12 and 24 hours after ext...
BACKGROUND Burn-specific pain anxiety and sleep disorders are common factors in burned patients t... more BACKGROUND Burn-specific pain anxiety and sleep disorders are common factors in burned patients that affect wound healing process, as well as the severity of burn pain. This study aimed to investigate the effect of foot reflexology massage on burn-specific pain anxiety and sleep condition of patients hospitalized in the burn ICU. METHOD In this randomized controlled clinical trial, 52 patients were assigned by permuted block randomization 1:1 to the intervention (n=26) and control (n=26) groups. The intervention group received 20min of foot reflexology massage during 3 days on their third, fourth and fifth days of hospitalization and 15min before changing wound dressings. Patients in the control group merely received routine care. The Burn-Specific Pain Anxiety Scale (BSPAS) was completed for three consecutive days before and after changing wound dressings, and St. Mary's Hospital Sleep Questionnaire (SMHSQ) was filled out for four consecutive days before changing wound dressings for patients in both groups. The data were analyzed by IBM SPSS 16 software, Chicago, independent t, Chi-square, Friedman, Mann-Whitney and Wilcoxon tests. FINDINGS We found no significant difference between pain-anxiety in the two groups before the intervention. The trend of different days in each groups were compared with Friedman test and showed that pain anxiety (p<0.001), sleep latency (p<0.001), duration of the last day's sleep (p<0.001) and satisfaction of the last night sleep (p<0.001) had a significant difference. In addition, Mann-Whitney test results showed that there were significant differences between the two groups at different times in terms of the above variables (p<0.05). The effect size was=0.82 for pain anxiety between group after the intervention. CONCLUSION Based on the results, foot reflexology massage can effectively reduce pain anxiety levels and improve sleep quality and quantity of patients with burn injuries; therefore, this non- pharmacological therapeutic method is recommended to be used in the burn ICUs. (Clinical trial's registration code: IRCT20110906007494N27).
Context: The lengthy process of treatment in burns units requires the patient to be hospitalized ... more Context: The lengthy process of treatment in burns units requires the patient to be hospitalized in the intensive care unit (ICU) for a few days up to several months. Aims: The present study was conducted to investigate the effect of planned family presence at the patient's bedside in BICU on the family's anxiety. Setting and Design: The present randomized controlled clinical trial was conducted on the family members of patients hospitalized in the BICU in Sari from March to May 2016. Materials and Methods: Selected through nonrandom sampling and randomly divided into a control and an intervention group (n = 30 per group). In the intervention group, one patient family member visited the patient for an hour each day from the 4th to the 8th day of admission. The control group received only the routine services of the unit, which meant keeping out all family members from the BICU. Statistical Analysis Used: The Spielberger State-Trait Anxiety questionnaire was filled out in both groups on days 3 and 8 after the intervention. The data analysis were performed using SPSS version 21 (IBM). Results: Comparing the means of the two groups after the intervention using the independent t-test showed a statistically significant difference (t = 1.51,P < 0.001). Conclusion: The regular planned presence of family members at the patient's bedside in the BICU can effectively reduce anxiety in the family members and thus improve the care procedure.
(Received 23 Sep ,2008; Accepted 3 Dec ,2008) AbstractBackground and Purpose: Competency is a com... more (Received 23 Sep ,2008; Accepted 3 Dec ,2008) AbstractBackground and Purpose: Competency is a complicated and an ambiguous concept. It is also a challenging subject in the health care arena, which is significant in different aspects of nursing, such as education, clinic and management. There are ambiguities about it, thus, in this article, researchers conducted analysis of this concept. Materials and methods: This research is a concept analysis by the hybrid method. This model has three steps. In literature review stage, 475 related articles exist in databases up to September 2007 were analyzed and evaluated. As to the importance of educational system in the training of nursing courses, 5 educators were interviewed in the field work stage. After listening to tapes, results were Tran scripted and content analysis was done. In the last stage, holistic analysis was carried out.Results: Best definition and properties of competency was selected based on literature reviews. In the field w...
Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 2015
Low back pain (LBP) is a major public health problem and the most common cause of workers' di... more Low back pain (LBP) is a major public health problem and the most common cause of workers' disability, resulting in substantial economic burden in terms of workers' compensation and medical costs. Sitting is a recognized potential risk factor for developing LBP. Therefore, eliminating risk factors associated with working conditions and individual work capacity may be beneficial in preventing LBP in sitting workers. The purpose of this prospective cross-sectional study is to investigate the prevalence of LBP and examine risk factors that contribute to the development of LBP in sitting workers at an electronics manufacturing company. A cross-sectional survey was administered to all subjects to assess the prevalence of LBP persisting for at least 48 h during the recent week. Data on demographic characteristics and potential risk factors for LBP were collected at routine annual check-ups. Patients with LBP completed the Roland-Morris Disability Questionnaire (RDQ), which provide...
Abstract: Spiritual Well-Being is one of the influencing factors on quality of life. The current ... more Abstract: Spiritual Well-Being is one of the influencing factors on quality of life. The current study has been carried out to assess the relationship between quality of life and Spiritual Well-Being among elderly living at homes. A descriptive- analytical study was conducted on 200 community dwelling elderly in north of Iran. Data was collected using Demographic, quality of life and Spiritual Well-Being questionnaires. The average quality of life and Spiritual Well-Being were 53.52 ± 19.38 and 94.40±14.03, respectively. The Pearson correlation coefficient showed a significant positive association between Spiritual Well-Being scores and quality of life of the elderly (P=0.003, r=0.21). In addition, all aspects of quality of life had significant relationship with the Spiritual Well-Being, except the physical functioning and general health domains. Therefore, it is crucial for health care providers to notice to the importance of spiritual aspects of life in elderly and attempt to impr...
Journal of Rafsanjan University of Medical Sciences, 2016
Background and Objectives: The dangerous events caused by medication errors are one of the main c... more Background and Objectives: The dangerous events caused by medication errors are one of the main challenges faced in critical care units. The present study was conducted to determine the frequency of non-injectable medication administration errors and their causes in nurses of cardiac critical care units in Mazandaran province. Materials and Methods: The present cross-sectional study was conducted in the critical care units (CCUs and cardiac surgery intensive care units) of 12 teaching hospitals. Of the total of 240 nurses working in these departments, 192 participated in the present study. The data collection tools used in this study included 3 questionnaires. The data obtained were analyzed by using descriptive statistics such as absolute frequency, relative frequency, mean and standard deviation. Results: The nurses reported 145 non-injectable medication administration errors. The most common non-injectable medication error pertained to administering the wrong dose (n=56 and 38.6%...
Uploads
Papers by Masoumeh Bagheri- Nesami