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Documentation is one of the most important nursing functions that one third of their time are spent for them. Since documentation is recording all of cares delivered to patient, the result of the care and patient response to treatment, and all that has been done does show in documentation. The present research is the semi-experimental study with purpose of determining effect of continuing education on quality of nursing records. The samples consist of nursing personnels of medical-surgical units that responsible for documenting of nursing records Gorgan teaching hospital. Prior to and after education, the content and structure of records were evaluated, scored and mean of scores were comparated by a check-list analysis of findings indicated significant differences between mean of scores prior to and after education (P<0.001). The results showed that we can use continual education for promotion of nursing record quality.

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Background & Objective: Anxiety and assertiveness lead to disorder achievement, destroying intelligence and learning abilities, decreasing thinking attention and declining talents. It causes damage to individuals, family and community. Several therapeutic procedures suggested such as drug therapy for solving anxiety and increasing assertiveness, one of none drug therapy (Behavioral therapy) is assertive training. In respect of contradiction of any results in the field of assertive training, we decided to design and carry out the present study. Materials & Methods: In study of field trial, first, we distributed overt and latent Spilberger’s anxiety questionnaire and Gambrilrichy’s assertive questionnaire among all nursing student’s of nursing and midwifery department of Nassibeh in Sari by sensus, and a number of 60 students with anxiety ranging were from moderate to sever with low assertiveness were selected, after matching than on the bases of sex, degree of interesting, course of study the degree, anxiety and assertiveness, they are divided in case and control group equally. For case group, assertive training performed during 6 weeks, once in a week for half an hour and no training is considered for control group. Degree of anxiety and assertiveness of nursing students in control and case group assessed and compaired by the use of couple T-test. Results: Couple T-test’s presented that decrease of overt and latent anxiety of nursing students in case group pre and post assertiveness training was significant (Latent anxiety, T=7.68, overt anxiety, T=4.97, P<0.05) on the bases couple T-test, increase of assertiveness degree in control group in pre and post assertive training was significant compairing to control group (T=-9.93, P<0.05). Conclusion: Regarding that increasing anxiety and decreasing assertiveness has undesirable effect on job performance, individual achievement and ability and with respecting to usefulness of assertive training procedure in decreasing anxiety and increasing assertiveness, it is suggested that assertive training is used as an on therapeutic procedure for decreasing anxiety and increasing assertiveness for nursing students.

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Background & Objective: Burnout is a syndrom that emerges by mental fatigue and loss of competency. Inappropriate pysical Environment and Professional Equipment may be caused Burnout in nursing. Therefore this study accomplished by object of determination of relationship between Burnout and physical Environment and professional equipments. Materials & Methods: This is a descriptive –analytical corrolational study. The environment of study was medical sciences hospitals and samples were nursing emploees in 1383-84. The research tools were two questionnaire including Maslach Burnout Inventory (MBI) consisted of three partsincluding: Emotional exhaustion, depersonalization and personal achivement. the next, was pysical Environment and Professional Equipments questionnaire. Results: Total participants were 272 nurses that43.8% of them had high level of emotional exhaustion, also there were a significant relationship between emotional exhaustion, dpersonalization and physical environment (p ? 0.05). In adition, there were a significant relationship between severity of emotional exhaustion and dpersonalization with professional equipments (p?0.05). There were a reversed relationship between burnout and professional equipments desirability. Conclusion: This study indicated that most of the samples had high emotional exhaustion and there were relationship with physical environment and professional equipments. Also there were a reversed relationship between burnout and professional equipments desirability.

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Background & Objective: Job satisfaction is the one of factors that affected by leadership style of managers and can effect on health organization practice. The aim of this study was to determine relation between leadership styles of nursing managers and rate of nursing employees' job satisfaction.

 

Materials & Methods: This cross-sectional study was done on 720 nursing employees of Gorgan Medical teaching centers during 2006. Leadership style and job satisfaction were main variables of study. Data gathering tools were questionnaire of demographic characters, job satisfaction and standardized Bark's leadership style. Gathered data were analyzed by c², Mann-Whitney and ANOVA statistical tests.

 

Results: The most of participants (74.3%) were women, nurses (86.6%) with the mean age of 32.7±7.32 years. The rate of satisfaction in the most of nursing employees (79.8%) was low and moderate. 63.2% of participates believed that their nursing managers had transactional leadership style and 34.9% of them said nursing managers apply transformational leadership method. Data analysis showed that nursing managers have transactional leadership, had higher job satisfaction rate (88.01 V.S 86.36). This difference was not significant.

 

Conclusion: This study showed that, there is not statistical relation between leadership styles of nursing managers and rate of nursing employees' job satisfaction.

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Background and Objective: Occurrence of nursing error is important issue in patients safety. This study was done to determine the role of workload, sleep, mental health and individual factors in occurrence of nursing errors. Materials and Methods: This descriptive study was done on 268 nurses who employed in hospitals of Tehran University during 2011. Data were collected by demographical information questionnaire along with work environment conditions, Global Sleep Assessment Questionnaire (GSAQ), Pittsburgh Sleep Symptom Questionnaire (PSSQ) and Mental Health Inventory (MHI-28). Results: Sleep distruptions (OR=3.260, P<0.002), sleep behaviors (OR=2.946, P<0.003), psychological distress (OR=2.530, P<0.006), psychological well-being (OR=0.775, P<0.002), and work overload (OR=5.240, P<0.009) significantly able to predict occurrence of nursing errors (P<0.05). Conclusion: Work overload, sleep distruptions, sleep behaviors, psychological distress and psychological well-being cooperatively were resulting in occurrence of nursing errors.

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Background and Objective: Musculoskeletal disorder is a professional disease which is due to undesirable work condition and is a disturbing factor of health and welfare in societies. This study was carried out to determine the prevalence of musculoskeletal disorders in nurses and its relationship with the knowledge of ergonomic and environmental factors in north of Iran. Methods: This descriptive-analytic study was carried out on 110 nursing staff in Razi and Imam Khomeini hospitals in north of Iran. Questionnaire of the rate of awareness measurement, general questionnaire of musculoskeletal diseases (Nordik), the questionnaires of the health status and the study relationships between some factors in work place were filled out for each nurse. Results: Prevalence of the pain in neck, back, low back, shoulder, knee, thing pain, arm, leg among nurses was 50%, 49%, 58%, 44.9%, 47.3%, 32.7%, 36.4% and 56.4%, respectively. The condition of work place including air filtration (23.6%), light (22.7%) and air condition (4.5%) was not well. Chair (31%) and work table (34%) for work condition and body position of nurses was unsuitable. There was a significant relationship between low back pain and age and time of working per week of nurses (P<0.05). Nurses knowledge in the filed ergonomy was 77% and 22.2% of nurses trained in body condition during work. 60% of nurses were not trained for correct patient transportation and relocation. Conclusion: Nurses suffered more from pain in low back, knee, neck and legs. Training of nurses for patient transportation and body position during working in hospital is essential.

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Background and Objective: Coronary disease is the most common life-threatening among chronic diseases. Coronary angiography is one of the most important diagnostic procedures that have complications similar to other invasive procedures. This study was performed to determine the effect of changing sandbag weight on complications of femoral artery catheterization and patient comfort.
Methods: This single-blind clinical trial was performed on 140 patients who were referred to Amir Al-Mo'menin Kordkoy hospital in northern Iran. Patients were randomly assigned into four groups consisting 35 patients. After angiography, sandbags with different weights (control group, first intervention, and second intervention, third intervention with weights of 4, 3.5, 3 and 2.3 kg) were placed on the angiography site for 6 hours. Bleeding, hematoma, pain and comfort of patients were recorded and compared immediately, 2, 4, 6, 8 and 24 hours after angiography.
Results: Bleeding and hematoma were not observed in any of the patients. There was a significant difference in pain and patients comfort between groups (P<0.05). The third intervention group had the lowest pain and highest comfort at 6 and 8 hours after angiography. Also, the control group had the highest pain and the lowest comfort.
Conclusion: Reducing sandbag weight leads to decrease back pain and improves patient comfort without increasing vascular complications.

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Background and Objective: Loneliness is one of the problems experienced by the aging population, and the lack of social communication plays a major role in the emergence of loneliness. This study was conducted to determine the effects of telenursing on the loneliness of the elderly.
Methods: This field trial was conducted on 100 elderly people over 60 years of age who were selected by convenience sampling from the clients of Gonabad (Iran) community health centers during 2017. The elderly participants were randomly assigned to 2 groups of 50 people, intervention and control. Then, the demographic information questionnaire, the Informant Questionnaire for Cognitive Decline in the Elderly, and Dehshiri et al.'s Loneliness Scale were completed. The intervention group received face-to-face training by the researcher for 2 hours. There was no intervention for the control group, and the elderly received routine care from the family health unit. After the face-to-face meeting, phone calls were made by the researcher to the intervention group for 12 weeks. One month after the end of the intervention, the questionnaires were completed again by the two groups and evaluated and compared.
Results: The mean (standard deviation) score of loneliness was 60.82±21.07 and 57.48±18.76 before the intervention in the intervention and control groups, respectively, and this value after the intervention was 35.06±14.20 and 61.40±18.72, respectively, in the intervention and control groups. After the intervention, a statistically significant difference was found in terms of a reduction in the loneliness score of the elderly in the intervention group compared to the control group (P<0.05).
Conclusion: This study showed that telenursing was effective in reducing the loneliness of the elderly.