فهرست مطالب مرضیه محمد قصابی

Caring for aged people is an important part of professional nursing. Some researchers reported that nursing students have a negative attitude towards elderly care and do not like to choose the elderly care settings in their future career. This study aimed to assess the impact of a program of caring for the elderly people on nursing student's attitudes toward the elderly, in Kashan University of Medical Sciences. Methods & Materials: An interventional study was conducted on 59 fourth year nursing students. 32 students were in the control group and 27 ones in the intervention group. Both groups were initially pre-tested, then the intervention group were placed in a 10-day program for caring of the elderly. One day after the 10th day post test was done in both groups. Kogan’s attitude towards old people (KAOP) questionnaire was used to assess student's attitudes. Data analysis performed using independent sample t-test, paired t test, ANOVA, chi-square and Fisher exact tests in SPSS11.5 software. In the present study, 40.7% of the samples were male students and 59.3% were female. The mean scores of attitude towards elderly were not significantly different at the beginning of the study (P=0.62). The mean scores of attitude in the intervention group were 118.18 and 119.62 at baseline and at the end respectively (P=0.62). Also, the mean of attitude scores in the control group were 119.4 and 125.37 at baseline and at the end respectively (P=0.01). Elderly care program had a negative effect on the attitudes of nursing students toward the elderly. The living arrangement and the condition of the hospice perhaps had effect on how changes in the attitudes have occurred. Further studies in this area are suggested.

The care of the elderly is an important part of the tasks of a professional nurse، that may be influenced by many factors، including their attitudes toward aging. Some studies have reported that nursing students have negative attitudes towards the elderly and their care، and it seems that they are not eager to care for the elderly in their career choices. It is believed that this phenomenon greatly affects older adults. Therefore، it is proposed to create a positive attitude among nursing students، and they should therefore be exposed to the conditions of clinical care of older people. This study was conducted to determine the effect of caring of the elderly on nursing students’ attitude toward the elderliness. The study is a double-blind clinical trial with 54 participates. Sampling was done randomly. Students on their 8th semester (n=32) were assigned to the control group، and students on their 7th semester were in the intervention group (n=27). At first، all students completed a pre-test. Then، the intervention group were divided into 4 small sub-groups with 6-7 individuals، and the control groups were divided into 4 small sub-groups with 8 individuals in each. To each of the intervention sub-groups، the care of an elderly person was designated for a duration of 10 consecutive days. On the 11th day، the post- test was done. The data were analyzed by dispersion index، independent and paired t-test، ANOVA، chi-square and Fisher exact tests. Before the intervention، the positive attitude of students who participated in the care of the elderly was 51/9% which is reduced to 43% at the end of the intervention (p=0. 53). In the control group، frequency of positive attitude increased from 48/1% to 81/3%. The care program of old patients has negative effects on students'' attitude toward elderly. However، it may also be associated with other factors such as health status of the patient، the nursing home residents، and their environment.

Accurate and complete documentation of nursing reports is the precondition for evidence-based care and one of the most important duties of nurses. Besides، it has a decisive r ole in the quality of nursing care and improves the relationship with other health team members. The object of the present survey was to evaluate the structure and content of nursing reports and reasons of incorrect reporting in Kashan Shahid Behashti hospital in 2011. In this cross-sectional study، 140 nursing documents were evaluated. The records were randomly selected from the Intensive care unit، internal medicine ward، and surgery ward. A checklist designed according to the eleven principles of nursing documentation and had 38 items was used in order to evaluate the quality of nursing documentation.. In the checklist، 30 items referred the content and 8 regarded the structure of documentation. To pinpoint barriers in nursing documentation، a previously self-designed questionnaire was applied. The obtained data was analyzed using SPSS software (V: 11. 5) and statistical tests and Chi-square at the significant level P<0. 05. Among the documents 21. 4% had a favorable quality، 53. 6% had moderate quality، while the quality of 25% was weak. In the hospital mentioned، t otal content quality of nursing documents was low but that of structure was acceptable. According to nurses، nursing staff shortage، fatigue، high workload، and the documentation''s lack of impact on employment promotion and nurses'' giving priority to patients'' care rather than documentation، occupational problems، lack of knowledge of the principles of writing correct documentation، and not knowing legal consequences were the most reasons for or barriers against accurate and due documentation. The content of nursing documents was not satisfactory and requires improvement.