Journal of Multidisciplinary Care
Volume:3 Issue: 3, 2014

Damaged nurses’ professional identity is caused dissatisfaction for nursing students in learning environment. Then، their behavioral disorders will be weak clinic care function، motivation decrease، a little attempting for learning in nursing care and a low pleasure in learning environment. The aim of this study was to explore the effects of professional identity on nursing students’ clinical learning. In this analytic-discriptive study، a purposive sample of 25 nursing students was selected from the Faculty of Nursing and Midwifery of Tehran and Shahid Beheshti Universities. Data were collected using the semi- structured interview method. Study data were analyzed by employing the conventional qualitative content analysis approach. The current findings fell into one main theme entitled damaged professional identity. This theme consisted of two categories: ‘trampled individual and social status’ and ‘nurses’ inability to make their voices heard’. Nursing educators and managers can use the study findings to develop strategies for promoting students professional identity and clinical learning using damaged professional identity model.

Patient education as one of the pillars of clinical governance has a special importance in all patients including burn victims. This study employed a model of organizational culture in order to optimize the institutionalization of patient's education for anxiety and increasing burned patient's satisfaction. In this clinical trial quasi experimental study, 80 burned hospitalized patients were included in the intervention group and control group. First, the intervention was consisted of sessions based on Organizational Culture Improvement Model of Patient Education in order to institutionalize patient education for nurses and nurse managers in dimensions of the effective communication process, cooperative decision making, goal setting, planning, implementing and recording, supervision and control, and incentive increasing. Findings showed that the means of situational anxiety in the control group and intervention group were 47.12±4.40 and 45.55±4.86, respectively before the intervention which was not be statistically significance. But the mean of situational anxiety were 43.70±5.36 and 38.45±4.08 in the control and intervention groups respectively after the intervention which showed statistical significance (P=0.002). The means of satisfaction in control and intervention groups before the intervention were 18.82±5.76 and 20.75±4.22 respectively which reached to 21.02±6.56 and 26.75±4.51 respectively after the intervention, that showed a significant increase in satisfaction of education in intervention group (P=0.001). This model represents the results of a strategy to improve patient education through the promotion of academic skills and motivation of nurses increasing of the system's commitment on and responsibility for optimized implementation of patient education. So, applying this model will play an important role in the patient's health.

Triage is the most important practice of emergency nurse. Success in this function establish nurse's situation in this ward. This study was an attempt to evaluate the effect of triage education based on stabilization model on nurse's satisfaction in emergency. In this clinical trial quasi experimental study, 34 male nurses who were responsible for triage in the emergency department of selected military hospital in 2013 entered in the study and their job satisfaction recorded before intervention. Triage training did by using teaching aids tools, such as slides and pamphlet, also face to face training with the Presence of the researcher for one week. Then, satisfaction of all nurses was evaluated after intervention. Nurse's job satisfaction increased after intervention based on stabilization model. Nurse's satisfaction before intervention was 68.00±13.00 and after intervention, increased 71.44±11.80 (P≤0.05). Significant difference was between satisfaction, marriage and work history. Triage education considers as an effective factor on the nurse's job satisfaction. Therefore, triage education emphasizes for emergency nurses in their specific field.

Gastrointestinal diseases are common disorders for which endoscopy is one of the most important diagnostic procedures and due to the invasive nature of these procedures can cause fear and anxiety in patients.. Stress before an endoscopy procedure will lead to reducing the trend of patients and increasing the endoscopy time. This study was aimed to evaluate the effect of nursing interventions on anxiety and some vital signs in patients undergoing endoscopy. This clinical trial semi-experimental study was carried out with participation of 80 patients undergoing endoscopy referred to Ayatollah Taleghani hospital of Urmia in 2012. Samples were selected by convenient sampling and allocated randomly to either experimental (n=40) or control groups (n=40). The experimental group received nursing interventions before endoscopy and endoscopy day. Anxiety level, blood pressure and pulse rate were measured in both groups before intervention and on endoscopy day (immediately before the procedure). The results showed that the two groups were homogeneous in terms of demographic variables and there was not a significant difference between two groups (P>0.05). The mean score of anxiety, blood pressure and pulse rate in intervention group decreased after nursing interventions and immediately before endoscopy and this difference was statistically significant (P=0.01). Nursing interventions for patients undergoing endoscopy can reduce their anxiety before performing this procedure. So, this method can be used as a non-pharmacological method for reducing anxiety in patients before performing invasive procedures.

Hemodialysis is a factor that affects the quality of life and spiritual wellbeing in kidney patients. On the other hand, improving the adequacy of dialysis is the main factor for reducing complications and mortality in dialysis patients. This study was conducted to investigate the relationship between Hemodialysis adequacy and quality of life and spiritual wellbeing in hemodialysis patients. In this correlational - analytical study, 72 hemodialysis patients were selected using convenience sampling on the patients under treatment in Imam Hossein hospital in Shahroud, 2012. Data were collected using spiritual health and quality of life questionnaires. Laboratory parameters were used to assess the adequacy of dialysis. The level of mental health (68.1%) and quality of life (86%) of the patients were in the moderate range. Also, the majority of adequacy of dialysis patients (65%>) was good. The dimensions of physical functioning, quality of life (P<0.05) and role limitation among life study aspects (P<0.05) showed a significant correlation with indices of dialysis adequacy. Moreover, Significant correlation between the existence of health (P<0.05) with adequacy of dialysis parameters were observed among life study aspects. The results of this study emphasized on the importance of the hemodialysis adequacy as variable affecting on spiritual well-being and QOL in hemodialysis patients. Therefore, intervention to improve dialysis adequacy to enhance the quality of life and spiritual well-being of patients is recommended.

Self-esteem is the main and basic factor in social and emotional adjustment and affects all aspects of life such as individual activities. Given the high prevalence of burnout among nurses, the aim of this study was to determine the relationship between self-esteem and burnout among nurses in educational hospitals of Ahvaz. In this descriptive - analytical study, 300 nurses working in Burn, Emergency Wards and ICU of educational hospitals of Ahvaz, 2013, were selected by census method. Data were collected by demographic, Maslach Burnout Inventory and Cooper- Smith inventory of self- esteem, and then they were analyzed. In this study, 248 nurses (82.7%) were female. The mean age of nurses was (30.76 ±4.92) years. The mean self-esteem scores of nurses were (81.91±28.74). The results showed that most nurses had moderate levels of burnout in all dimensions, except the intensity of emotional exhaustion and depersonalization. The only significant correlation was found between self-esteem and frequency of personal accomplishment (r=-0.105, P=0.035). Correlation was found between self-esteem and other aspects of burnout, but this association was not statistically significant (P>0.05). Regarding the relationship between self-esteem and frequency of personal accomplishment, and also moderate to low level of self-esteem and moderate to high levels of burnout in nurses, taking measures to enhance self-esteem of nurses is essential.

Many changes happen in women during pregnancy. It can damage them emotionally and physically. This can change the quality of life for women, and affects their fetus. Therefore, this research was aimed to design and perform the quality of life and its dimensions in pregnant women to improve necessary parts in Farokhshahr. This research was a cross-sectional descriptive analytic study, and evaluated the quality of life in pregnant women referred to health centers in Farokhshahr. 170 pregnant women were selected with systematic way. The different dimensions of health situation for samples measured and calculated using a translated version questionnaire about quality of life related to health. The mean score of quality of life in the different dimensions of health situation was higher than moderate rate, and the total score of quality of life calculated (66.48±15.57). Between age and physical function (-0.283), physical limitation (-0.156), pain (-0.240) and the total score of quality of life (-0.226) was a significant and inversely relationship (P<0.05). Also, there was a significant and inversely relationship between pregnant age with social function (-0.173), physical function (-0.299), pain (-0.182) and the total score of quality of life (-0.193) was (P<0.05). The mean score for quality of life during pregnancy with two times and unwanted pregnancy was less than once pregnancies and wanted pregnancy (P<0.05). Regard to the moderate obtained quality of life in pregnant women in this study, It is Vulnerable to perform some procedures to promote the quality of life in this group.

In recent years, the need to revise current methods and using new methods of education and evaluation has been seriously considered. Aim of this study was comparing nursing student's satisfaction towards using portfolio and routine education and evaluation methods in clinical training. In this clinical trial study, all of 6th semester nursing students of Jundishapour University of Medical Sciences of Ahvaz have been classified into 4 groups according to the department planning. They have been selected by the portfolio and routine method to course of apprenticeship. They have been trained with a routine method in a setting and with portfolio method in another setting and then they have been evaluated. Then, the level of satisfaction of two above-mentioned educational methods has been tested by satisfaction questionnaire made by researcher which had verified reliability and validity. In cases which were similarity of existing subjects in education method and evaluation sheets with encountered clinical experiences, making interest and motivating for students partnership in learning, making motivation for using the books and other scientific resources, helping to find deficiencies and their compensating during apprenticeship, being the alignment of subjects in portfolio method with educational objectives, and learning degree, the rate of satisfaction in portfolio method was higher and significant (P<0.01). The score average of satisfaction in portfolio method (29.83±2.25) was higher than common method (27.89±3.06), and was significant (P<0.01). More satisfaction of students in some aspects of portfolio method shows the advantages of this new method and can use it as a combined training-evaluation student-centered method.