جستجوی مقالات مرتبط با کلیدواژه "nursing process" در نشریات گروه "پزشکی"

The nursing process is a framework for providing effective, coordinated and organized quality care for patients. The implementation of the nursing process leads to the promotion of nursing care and coordination in the direction of providing nursing services. This study was conducted with the aim of evaluating the quality of nursing process implementation in nurses working in Shahid Beheshti Hospital, Kashan.

In this cross-sectional descriptive study, 270 nurses working in Shahid Beheshti Hospital of Kashan were included in the study by a simple random method during a period of almost 6 months (from December 2020 to May 2021) according to the inclusion criteria. A researcher-made tool was used to collect data. After an extensive review of related texts and books, an item pool including 30 items was prepared and entered the validity and reliability stage. In the validity stage, face and content validity was done by calculating CVR and CVI, 7 items were deleted or integrated, and the reliability of the tool was calculated using Cronbach's alpha coefficient of 0.94. Then, the 23-item tool was categorized into 5 general areas of cognition, diagnosis, planning, implementation and evaluation. The data were analyzed using SPSS version 24 software, at the descriptive level including mean, standard deviation and frequency. Bivariate analysis was used to discover the relationship between dependent variable and demographic variables.

The results showed that the average age of the nurses was 33 years, 68.9% were married, 62.2% were female, and 90% had a bachelor's degree. 65.2% of the nurses performed the nursing process at an average level. According to the different stages of the nursing process, 61.9% of nurses performed the recognition stage of the nursing process at a poor level, and the quality of implementation in the stages of nursing diagnosis, planning, implementation and evaluation was at an average level, respectively 45.9%, 70.7%. %, 64.4% and 62.6% were calculated

The findings showed that despite the fact that the level of good implementation of the nursing process was very low, more than 50% of the nurses implemented the different stages of the nursing process at an average level. It seems that in order to improve the quality of the nursing process, the knowledge and performance of nurses should be strengthened in the cognitive stage so that this scientific weapon can be used in providing quality nursing care and improving patient outcomes.

Cancers are the second most common cause of death in the world after cardiovascular diseases. Properly using nursing models and theories, such as Neuman Systems Theory, is a significant step in enhancing standards and the quality of patient care. This study aimed to evaluate the implementation of the nursing process in a patient with colorectal cancer.

This study was conducted on a 53-year-old female patient with colorectal cancer in 2023 at the oncology department of Shahid Beheshti Hospital in Hamadan, based on Betty Neumans Systems Theory. During data collection through interviews with the patient and her companions, interactions among five variables of the patient (physiological, psychological, social, developmental, spiritual) were examined, and stressors and resources in the intrapersonal, interpersonal, and extrapersonal domains were identified. Nursing diagnoses were established based on Betty Neuman's theory and the perceived stress by the patient at three levels of prevention (primary to tertiary) through alignment with the classification of the North American Nursing Diagnosis Association (2022-2023), and then nursing interventions were classified and implemented at these three levels of prevention

The results obtained from the study of physiological, psychological, social, developmental, spiritual, and interpersonal variables, as well as external stress factors, identified 16 potential and actual nursing diagnoses related to the type of stressor. This included 9 physiological diagnoses, 5 psychological diagnoses, 2 cultural-social diagnoses, and 2 developmental nursing diagnoses. After identification, interventions related to each diagnosis were recognized and implemented.

Designing and implementing the nursing process based on the Betty Neuman nursing model in chronic patients, especially those with colorectal cancer, can lead to an improved understanding of care needs, appropriate nursing care that is efficient and evidence-based.

Integrated teaching-learning methods have demonstrated potential in enhancing students' cognitive skills and, subsequently, the quality of patient care. This qualitative study aimed to explore the learning experiences of nursing students engaged in an integrated teaching-learning method during their clinical education in oncology nursing.

  Semi-structured interviews were conducted with 19 nursing students who had completed a clinical training program in oncology nursing using an integrated teaching-learning method. Conventional qualitative content analysis was employed to analyze the data, identifying sub-categories and categories related to students' experiences.

The analysis revealed four main categories: (1) sustained cognitive learning, (2) non-cognitive learning, (3) application of learned concepts in real-world situations, and (4) students' suggestions for improving the learning of the nursing process.

The findings suggest that an integrated teaching-learning method, implemented as a creative and student-centered approach at the bedside, effectively enhances both cognitive and non-cognitive skills, facilitating the practical application of learned concepts. To fully leverage the benefits of this method, its implementation should be expanded across clinical education units, starting in lower semesters. Simultaneously, optimizing real-world clinical education environments will further accelerate positive educational outcomes, enhancing students' cognitive and non-cognitive skills and creating a foundation for applying learned concepts in clinical practice.

This study aimed to assess the impact of applying the nursing process, based on Johnson's Behavioral System Model, in patients with diabetes in Kashan city.

This case report presents the nursing process of a patient with diabetes who visited the Diabetes Association of Kashan city in 2022. Data collection occurred during the examination stage, utilizing the "Johnson's Behavioral System Model Examination Form" through observation, interviews, and physical examinations. Nursing diagnoses were categorized into stable and unstable behaviors, with care goals established to enhance and preserve stable behaviors while reducing or eliminating unstable behaviors. These goals were communicated with the patient, and nursing actions were implemented and evaluated. Data analysis was presented using a table.

The study revealed unstable behaviors in four behavioral subsystems (inefficiency, protective-aggressive, attraction, restorative, and sexual subsystems). However, these unstable behaviors diminished following planned nursing interventions.

Johnson's Behavioral Model proved effective in modifying and correcting unstable behavior. Therefore, providing care based on nursing models has the potential to enhance the quality of care and client satisfaction.

Stoma significantly influences the biological and psychosocial dimensions of individuals, creating an effective and integrated demand for self-care. The Orem Self-Care Deficit Nursing Theory provides a conceptual framework for the nursing process in this regard. Therefore, this study aims to impact the care process based on the Orem Self-Care Deficit Nursing Theory on individuals living with a stoma.

In this case report, the nursing process for an elderly individual with a stoma, who referred to the Bessat Healthcare Center in Hamedan in the year 1402, was presented based on the Orem Self-Care Deficit Nursing Theory. Utilizing the Orem assessment form and employing examination, interview, and observation methods, data were collected. According to the universal, developmental, and health-deviation self-care needs, nursing diagnoses were determined, followed by planning and goal setting. The type of nursing system was also defined based on these diagnoses and implemented accordingly. Finally, nursing interventions focused on enhancing self-care were carried out, and progress and goals were reassessed and evaluated.

Based on understanding the self-care needs of the patient, 7 nursing diagnoses were determined. Ultimately, implementing the nursing process according to the Orem Nursing Self-Care Deficit Theory led to an improvement in the quality of nursing services along with an increase in the patient's self-care performance regarding issues arising from their illness. This improvement was observed in enhancing the patient's self-care ability in terms of increased self-confidence and self-esteem, reduced risk of infection, promotion of skin integrity, increased sense of independence in the patient, enhancement and maintenance of social relationships, fluid and electrolyte balance, and increased appetite.

The Orem Nursing Self-Care Deficit Theory proved effective in identifying and comprehending the comprehensive needs of the patient, providing substantial assistance. By involving the patient in self-care, it facilitated the achievement of care goals.Therefore, it is recommended to use Orem's self-care deficiency nursing theory in order to fully identify the needs of patients.

The nursing process is a framework in which nurses determine the abilities and problems of patients and develop methods for evaluating and planning nursing care programs. One of the challenges of nursing education is the use of methods to promote learning and creative thinking skills in learners. Therefore, this study was compiled to compare two methods of flipped classroom and conceptual map and flipped classroom and traditional method for the topic of nursing process on the variables of self-regulation learning strategies and satisfaction of nursing students.

This is an interventional study. The statistical population includes all nursing students of the first semester of Mehr (teaching using traditional and flipped classroom methods) and Bahman (teaching using flipped classroom method and conceptual map) of the year 2022 of Nasibah Sari School of Nursing and Midwifery. The study tool was a two-part questionnaire (demographic information, and learning strategies questionnaire). Visual Analog Scale (VAS: Visual Analog Scale) teaching method was used to check the level of students' satisfaction. In this study, the topic of the nursing process was selected from the nursing principles and skills course, the self-regulated learning strategies questionnaire was completed by the students once before and 4 weeks after teaching. Data entry and analysis were done using SPSS version 24 software.

There was no significant difference between students' satisfaction with the flipped classroom teaching method and the traditional method (8.54±1.38) with the flipped classroom teaching method and conceptual map (7.98±1.84) (P=0.124). The t-test showed that there was no significant difference in the average of self-regulated learning strategies after implementing the two teaching methods (P=0.258). The paired t-test showed that the comparison before and after the mean of self-regulation learning strategies in the flipped class group and the traditional method showed a significant difference (P=0.013).

The findings showed that despite the lack of statistical difference, students' satisfaction with the flipped classroom teaching method and the traditional method was higher. The average of self-regulation learning strategies in the flipped classroom and traditional method group was higher than the flipped classroom and conceptual map method group, and the previous comparison and then the mean of self-regulation learning strategies in the flipped class group and the traditional method showed a significant difference. It is suggested to conduct research with a larger sample size and in higher semesters

The knowledge and attitude of nurses are among the main factors in the application of the nursing process and its implementation in the patient care. Thus, this study was conducted to investigate the knowledge and attitude of nurses regarding the nursing process in the emergency departments (8 centers) of Tabriz University of Medical Sciences.

This descriptive research was conducted in the Emergency Departments of Medical and Educational centers of Tabriz University of Medical Sciences. Two hundred and sixty-three emergency nurses were included in the study. Sampling was done by census method and nurses completed the electronic questionnaire of knowledge and attitude toward the nursing process. Finally, the data was analyzed using SPSS v22.

 The results show that the overall mean score of attitude toward the nursing process is 50.33, and the overall mean score of awareness towards the nursing process is 24.19; both of them are at the average range. Also, the results show a statistically significant relationship between the nurses' age and the nurses' experience with their knowledge (p=0.016).

According to the results of the study, it can be concluded that although the nurses' level of knowledge and attitude about the nursing process was average, they accepted the nursing process as a care framework. Investigating the items of the questionnaire showed that the nursing process implementation is time-consuming and also is mainly written. Therefore, it is possible to empower and encourage nurses to use the nursing process quickly by using the necessary training and eliminating unnecessary tasks.

Hyperglycemia can increase anxiety, depression, and stress in patients with type 1 diabetes, and as a result, poor control of the disease and a decrease in the patient's quality of life. The present study aimed to present the nursing process of an adolescent with hyperglycemia based on King's goal achievement model.

In the present case study, the research sample was a teenage client with frequent hyperglycemia who had visited the hospital several times and was hospitalized. For this purpose, sample selection was performed by available sampling from the research community (i.e., teenagers hospitalized in Hamedan Children's Department with hyperglycemia diagnosis). Data collection was performed through the client's file, interview, and observation of the client, family, doctor, and nurse. The nursing process, according to King's goal achievement model, started after the patient accepted the researcher's request on the last day of hospitalization. The stages of the nursing process(i.e., examination, diagnosis of nursing, determination of common goals and prioritization, transaction based on client's preferences, and evaluation of the degree of achievement of goals by the client by comparing before and after in the range of -2 to +2) were performed in the form of qualitative analysis.

The result pointed out that diabetic adolescents did not have a proper understanding of the factors affecting the stability of blood sugar levels in the normal range. Nonetheless, they found the necessary preparation to interact with the nurse by implementing the nursing process and understanding the conditions affecting hyperglycemia. The findings led to 4 nursing diagnoses and 12 care goals. In the evaluation, it was found that after the implementation of the nursing process, the adolescent client was able to experience the stability of the blood sugar level within the normal range.

The nursing process, according to King's model, was able to stabilize the blood sugar level in the normal range in the patient under study. Therefore, it is possible to suggest the nursing process according to King's model in adolescents with type 1 diabetes in order to maintain the blood sugar level in the normal range.

Leukemia and its treatment is a long process and requires adherence to self-care behaviors. Orem's self-care deficit nursing model provides a framework for the nursing process in this direction, therefore this study aims to apply The nursing process based on Orem's self-care deficit model was performed on a patient with acute myeloid leukemia.

In this case report, the nursing process of a client suffering from acute myeloid leukemia, referred to Beheshti Hospital in Hamadan city in 1401, based on the Orem's self-care deficit model, was presented. Data collection was done by using Orem evaluation form and by examination, interview, and observation methods. Based on the general self-care needs, development, and deviation from the patient's health, nursing diagnoses were determined, then planning and setting goals were done and the type of nursing system used was determined. Finally, nursing actions were performed based on promoting self-care, and the achievement of the patient's goals and progress was evaluated as a factor of self-care.

Based on the recognition of the patient's self-care needs, ten nursing diagnoses were determined, and finally, the implementation of the nursing process based on the Orem model led to an increase in the quality of nursing services along with an increase in the patient's self-care performance regarding the problems caused by his illness, so that improving the patient's self-care ability in relation to pain control, reducing Risk of infection, control of bleeding and improvement of sleep, reduction of fear and dependence, an increase of motivation and self-confidence and sense of independence was observed in the patient.

Orem's self-care deficit model greatly helped to identify and comprehensively understand the patient's needs and facilitated the achievement of care goals by involving the patient in self-care.

Chronic kidney failure is one of the diseases that affect the quality of life of people today. Peritoneal dialysis is one of the treatments for chronic kidney failure. Education is an important part of the care program that helps the patient to play an important role in the treatment process. The aim of this study was to evaluate the needs of patients undergoing peritoneal dialysis, which is based on nursing diagnoses, nursing interventions and the results obtained during the nursing process. Then, according to the needs of patients, a self-care educational program was developed.

The present study is a descriptive study that was performed on 74 patients referred to peritoneal dialysis wards of 5 medical centers. Demographic-clinical information was collected through patients' medical records and educational needs through face-to-face and telephone interviews with patients undergoing peritoneal dialysis. The training needs were determined based on the nursing diagnoses of the International Association of North America, and finally the self-care program was developed through nursing interventions related to common diagnoses and their expected outcomes. Data were analyzed by SPSS software version 26.

Among the 20 nursing diagnoses presented in NANDA in patients undergoing peritoneal dialysis, 5 diagnoses including: water and electrolyte disorders, infection, constipation, sleep disorders, and skin integrity disorders are the most common. Self-care was developed to meet these needs.

Nursing profession and field, as a scientific field, needs a scientific basis of which nursing models were and still are. One of the prominent models in nursing is Orem's self-care model. Therefore, this study was conducted with the aim of applying the nursing process based on the Orem self-care model in patients with tibia fractures.

In this case study, the nursing process of a patient with tibia fracture admitted to Ba'ath Hospital in Hamedan city in 2019 was presented. In the stage of nursing research and recognition, data collection was done based on the "Orem self-care model survey form". Nursing diagnoses were compiled and care goals were determined and nursing measures were taken to achieve the goals. Data analysis was presented using a table.

The findings showed that cases of self-care deficiencies and patient self-care needs decreased after nursing measures based on the Orem self-care model. The findings led to 7 nursing diagnoses and 42 care goals.

Using Orem's self-care model as a framework for diagnosis, choosing the appropriate action and evaluating the results was very useful. It is suggested that nursing theories be applied in all departments and on different patients.

Burn is one of the most debilitating type of trauma. Preparing the patient to find the optimal way to deal with the disease as well as maintaining independence and happiness in life is an essential part of the treatment process for burn patients. The aim of this study was to apply the Callista Roy's adaptation model in the care of burn patients.

This study was a case study that was conducted with the participation of a burn patient hospitalized in the burn ward of Besat Hospital in Hamedan city in 2022. Data were collected using observation, interview and patient documentation and were analyzed in four dimensions, based on the steps of the nursing process in Roy's adaptation model.

The results of the study showed that the patient had compatible and incompatible behaviors in physiological dimensions, adaptation of self-perception, role playing, independence and dependence. However, after nursing care based on Roy's adaptation model, some of these incompatible behaviors decreased. Also, based on the information obtained from the Hospital Anxiety and Depression Scale (HADS), the application of the Roy's adaptation model reduced the patient's anxiety and depression in three stages. So that the overall score of the anxiety and depression questionnaire in the second and third time compared to the first time of completing the questionnaire decreased by 67% and 68%, respectively.

According to the results of the present study, the implementation of the nursing care program based on the Roy adaptation model can be effective on physical and psychological adaptation and reduction of incompatible behaviors in patients with burn injuries.

The nursing process as a framework for nursing care is an important tool for practicing nursing knowledge that increases the quality of nursing care. Issues such as beliefs and attitudes affect the implementation of the nursing process. This study aimed to determine the attitude of nursing students about the nursing process in Kashmar Nursing School in 2020.

This descriptive cross-sectional study was performed on 96 nursing students. Collecting data was done by the census. Data collection tools included the Demographic Information Questionnaire and Bowman Nursing Process Attitude Questionnaire (1983). The validity of the instrument was confirmed by the open translation method and its reliability was confirmed by using Cronbach's alpha coefficient of 0/83. Descriptive statistics and Kruskal-Wallis and Mann-Whitney U tests were used to analyze the data.

The mean and standard deviation of the total attitude of students was 67.07±9.61, which indicates their positive attitude towards the nursing process. There was no statistically significant relationship between attitude score and age, gender, marital status and work experience in nursing (p> 0.05); But there was a statistically significant relationship between attitude score and interest in the nursing field (p= 0.02).

Based on the results, most students have a positive attitude towards the nursing process. Students with more interest in the nursing field also have a more positive attitude towards the nursing process. Therefore, it is recommended to use active educational methods to teach the nursing process in academic settings and hospital internships to develop theory and practice.