OTHERS_CITABLE Factors Associated With Fear of Falling and Functional Independence in Older Adult Living in an Iranian Nursing Home: A Cross-Sectional Study Background: Fear of falling is common amongst older adults, especially those who live in nursing homes. This study aimed to determinate factors associated with fear of falling and functional independence in older adults living in nursing homes. Methods: This was a cross-sectional study using a convenience sampling method to enroll 200 older adults living in nursing homes from 25 senior centers in Tehran 1 and 2 districts between September 2015 and November 2015. Main outcome measurement instruments were the 16-Item falls efficacy scale international (FES-I, Persian version) and 11-Item Barthel index (BI) functional independence measure. In this study, variables were analyzed using Student’s t test and ANOVA. The Pearson coefficient correlation was used to examine the relationship between FES and BBS[g1] . A 2-tailed P value < 0.05 was considered statistically significant. Results: The participants were mostly female (51.5%) and aged over 70 (mean age 76.89±8.50 years). Of 200 seniors within the study, 60.8% experienced one or more falls during the last year. Statistically significant relationships were found between the fear of falling and functional independence (r = - 0.524; P ≤ 0.001). There was a significant relationship between fear of falling and age (P = 0.039), history of falling (P=0.002), and chronic disease (P=0.009). In addition, there was a significant relationship between functional independence and some older adults’ characteristics, including gender (P = 0.048), education level (P = 0.028), duration of living in nursing home (P=0.002), history of falling (P=0.006), and chronic disease (P=0.01). Conclusion: According to the findings, there was a high level of fear of falling in the older adults. The fear of falling in the older adults living in nursing homes is associated with age, history of falling, and chronic disease. There was a significant association between functional independence and variables of gender, education level, duration of living in nursing home, history of falling, and chronic disease.  [g1]Expand this term. http://jccnc.iums.ac.ir/article-1-75-en.pdf 2016-12-25 135 144 10.32598/jccnc.2.3.135 Fear of falling Functional independence Older adults Nursing home Farideh Bastani 1 Department of Geriatric Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran. AUTHOR Masoumeh Birjandi m.birjandi155@gmail.com 2 Department of Community Health Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran. AUTHOR Hamid Haghani 3 Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. AUTHOR Mohammad Reza Sobhan 4 Department of Orthopedics, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. AUTHOR
OTHERS_CITABLE Relationship Between Talent Management and Organizational Commitment in Midwives Working in Iran University of Medical Sciences Background: One of the important challenges to health service policy makers is conservation of human resources. Shortage of human resources in health and care sector damages quality of services. Another problem of organizations is low organizational commitment, which may result in poor performance and high costs reflecting improper use of human resources. Committed employees set the scene for growth and development of the organization. Talent management is a new management method, which have dramatically changed human capital management and overcome the weaknesses and deficits of traditional approaches. Considering the critical role of midwives in the health care of mothers and infants, devotion of high organizational commitment by midwives is important. Therefore, the present research aimed at determining the relationship between talent management and organizational commitment in midwives working in hospitals affiliated to Iran University of Medical Sciences. Methods: This research was a descriptive cross-sectional study. The statistical population comprised midwives working in hospitals affiliated to Iran University of Medical Sciences. Information was collected using Arabpour and Nikpour’s talent management researcher-made questionnaire and Allen-Meyer's organizational commitment questionnaire (24 item). Validity of the questionnaires was approved using the content validity test and their reliability was confirmed using the Crobach α coefficient method. The calculated Cronbach α coefficients for talent management and organizational commitment were 0.82 and 0.80, respectively. The obtained data were analyzed by SPSS 16. Results: Talent management score was higher than average condition with a mean score of 3.05. Dimensions of talent development (3.37) and talent conservation (2.73) had the highest and lowest mean scores, respectively. The score of organizational commitment of midwives was 101, and the affective commitment dimension had the highest mean value of 35 among others. The Pearson correlation coefficient revealed a statistically significant relationship between talent management (and its dimensions) and organizational commitment (and its dimensions) (P<0.001, r=0.48). Conclusion: Considering the positive effects of high level of commitment on conservation of employees, hospital managers can improve their commitment using new management methods to encourage talents and capabilities of their human resources.  http://jccnc.iums.ac.ir/article-1-98-en.pdf 2016-12-25 145 152 10.32598/jccnc.2.3.145 Talent management Organizational commitment Midwives Masoomeh Kheirkhah 1 Department of Midwifery, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran. AUTHOR Vahideh Akbarpouran 2 Department of Midwifery, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran. AUTHOR Hamid Haqhani haghani511@yahoo.com 3 Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. AUTHOR
OTHERS_CITABLE Evaluation of Death Anxiety in Elderly Patients With Cancer Undergoing Chemotherapy Background: Aging population and prevalence of diseases like cancer among them have affected general health of the elderly, so that one of the influential factors on health components of elderly patients with cancer is death anxiety, which has important consequences in them. Methods: In this cross-sectional (descriptive correlational) study, 130 elderly patients with cancer undergoing chemotherapy were recruited by convenience sampling method. To collect information, demographic information form and Templer’s death anxiety inventory were used. To analyze the data, descriptive statistics, statistical tests were used through SPSS 21. Results: The results showed that 42.3% of the old people had high death anxiety. The mean (SD) score of death anxiety was found 6.85 (2.7) which was at the desirable level. In this study, death anxiety of old people had significant relationship with variables of age (P<0.001), marital status (P<0.012), education level (P<0.001), cancer type (P<0.023), period of suffering from cancer (P<0.018), and other comorbid diseases (P<0.001). So that old people with lower age, higher level of education, married, lower period of cancer, and without underlying diseases, had lower death anxiety. Conclusion: The results of this study can be a basis for better understanding of educational, consultation, and supporting needs regarding coping with anxiety and its management (based on the culture of the community) in this group of elderly patients with cancer. http://jccnc.iums.ac.ir/article-1-88-en.pdf 2017-01-18 153 160 10.32598/jccnc.2.3.153 Aging Cancer Death anxiety Farideh Bastani faridehbastani@yahoo.com 1 Department of Geriatric Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran. AUTHOR Fattaneh Farnood fataneh_farnood@yahoo.com 2 Department of Geriatric Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran. AUTHOR Hamid Haqhani haghani511@yahoo.com 3 Department of Biostatistics, School of Health, Iran University of Medical Sciences, Tehran, Iran. AUTHOR
OTHERS_CITABLE Kurdish Maternity Nurses’ Perspectives About Human Dignity Background: Ethical standards of nursing profession emphasize that taking care of patients, showing respectful behavior, and preserving patients’ human dignity are important nursing priorities. Furthermore, since time immemorial, humanistic thinkers have always paid close attention to the issues of humanity and human dignity. Despite the emphasis of nursing texts on the importance of preserving the patients’ human dignity, this concept has seldom been considered by nursing scholars, and very few clinical studies have focused on it. To explore the nurses’ perspectives about human dignity in Hawler Maternity Hospital, Kurdistan, Iran. Methods: A qualitative content analysis design was used to analyze the study data. After using a purposive sampling method, 10 Kurdish nurses who worked in Hawler Maternity Hospital were recruited for the study. Then, semi-structured interviews were carried out to collect data. Data analysis was done through conventional content analysis. This research was approved by the Ethics Committee of College of Nursing, Hawler Medical University. Results: Through the data analysis, three main themes emerged: 1) mothers’ deprivation of basic health care services, 2) women’s right to have sympathetic care, and 3) negligence of the mothers’ human rights from different aspects. Conclusion: Based on participants’ opinions, respecting mothers’ human dignity means establishing a sympathetic relationship with them. Furthermore, institutionalization of human dignity and value in humans’ nature is one of the crucial care factors. http://jccnc.iums.ac.ir/article-1-100-en.pdf 2016-12-25 161 168 10.32598/jccnc.2.3.161 Content analysis Maternity nurse Human dignity. Tiran Jamil Piro tirandarvan@yahoo.com 1 Department of Midwifery, College of Nursing, Hawler Medical University, Erbil, Iraq. AUTHOR
OTHERS_CITABLE Effect of Aerobic Exercise on Blood Pressure of Patients With Type 2 Diabetes: A Randomized Controlled Trial Background: Hypertension is one of the prevalent and dangerous complications of diabetes mellitus. As it is difficult to control hypertension, the necessity of using new techniques such as non-pharmaceutical methods and complementary therapy increased. This study aimed to determine the effect of aerobic exercise on the blood pressure of patients with type 2 diabetes. Methods: This study was a quasi-experimental randomized trial conducted on 67 volunteered patients with type 2 diabetes. The participants were randomly assigned to aerobic exercise (n=33) and control (n=34) groups. The exercise group walked 30 minutes, 3 days a week for 8 consecutive weeks. Systolic and diastolic blood pressure of the samples were measured before and after the intervention. The data were analyzed by descriptive statistics, the Kolmogorov-Smirnov test, paired t test, Independent t test, and Chi-square test using SPSS (v. 16). P value less than 0.05 was considered significant.  Results: The difference between the systolic and diastolic blood pressure of the groups before the intervention was not significant (P>0.05). After the intervention, there was no significant difference in terms of systolic and diastolic blood pressure of the exercise group compared with the baseline (P>0.05). No significant difference was determined between groups in terms of systolic and diastolic blood pressure after the intervention (P>0.05). Conclusion: According to the findings, 8 weeks of aerobic exercise (walking) did not reduce systolic and diastolic blood pressure in patients with type 2 diabetes. http://jccnc.iums.ac.ir/article-1-87-en.pdf 2016-12-22 169 176 10.32598/jccnc.2.3.169 Aerobic exercise Walking Blood pressure Diabetes Hamideh Azimi 1 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. AUTHOR Daryadokht Masroor 2 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. AUTHOR Hamid Haghani 3 Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. AUTHOR Forough Rafii rafiee.f@iums.ac.ir 4 Nursing Care Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran AUTHOR
OTHERS_CITABLE Family-Centered Education and Self-care Behaviors of Patients With Chronic Heart Failure Background: As for high prevalence and incidence of heart failure, it can impose huge health, economic, and social burden on society. Education and self-care are important aspects of management in patients with heart failure, which can control the disease complications. This study aimed to investigate the effect of family-centered education approach on self-care behaviors of the patients with heart failure. Methods: This research is a randomized clinical trial. The study has been conducted on 72 patients with heart failure hospitalized in Shahid Rajai cardiovascular, medical, and research center, Tehran, Iran, in 2015. Patients were randomly assigned into the intervention (family-centered) and control groups. The self-care behaviors were measured before and two months after intervention using questionnaires of the self-care behaviors. Data analysis was done using paired t test and independent t test by SPSS. Results: Before intervention, mean (SD) values of self-care scores were 23.88 (4.71) and 21.50 (3.30) in the control and family-centered groups, respectively, with no statistically significant difference between two groups (P= 0.064). Two months after the intervention, mean (SD) values of self-care scores in control and intervention groups were 22.94 (4.71) and 42.31 (4.60), respectively. Statistical analysis showed that self-care behaviors in the family-centered group had a significant increase compared to the control group (P < 0.001). Conclusion: Education with family-centered approach has a positive impact on the self-care behavior of patients with heart failure. With regard to our culture and the importance of family, it is suggested that this approach be used in addition to other training methods to improve self-care behaviors in patients with chronic diseases such as heart failure. http://jccnc.iums.ac.ir/article-1-77-en.pdf 2016-12-22 177 184 10.32598/jccnc.2.3.177 Chronic heart failure Self-care Education Family-centered approach Alice Khachian 1 School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. AUTHOR Mahnaz Seyedoshohadaee 2 School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. AUTHOR Hamid Haghani 3 Department of Statistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. AUTHOR Freshteh Aghamohammadi fa4768@yahoo.com 4 Department of Internal Surgery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. AUTHOR
OTHERS_CITABLE Review Paper: The Bed Incline and Prevention of Ventilator-Associated Pneumonia Background: Ventilator-Associated Pneumonia (VAP) is the most common nosocomial (hospital acquired) infection among patients undergoing mechanical ventilation. It increases mortality rate, duration of mechanical intubated ventilation, and hospitalization in the Intensive Care Units (ICUs). This review study aims to determine the proper gradient of a hospital bed in preventing VAP in patients hospitalized in ICUs. Methods: In this study, research articles published from 1999 to 2016 were searched in PubMed, Science Direct, SID, and library sources, using keywords of “ventilator-associated pneumonia” and “elevated bed incline” and their corresponding terms in the Persian language. Results: Results of the review showed that limited studies have been conducted on comparing the different inclines of bed and their effects on preventing VAP. Also, the available studies had methodological limitations or hospital staff failed to keep the patient in the same bed incline which was under the study for prolonged duration. Based on 19 reviewed studies, the incidence of VAP, hospital costs, mortality rate, and duration of mechanical ventilation in patients whose beds were inclined at 45 degrees or 30-45 degrees were significantly lower compared to patients reclining in the supine position. Although, in most conducted studies there were no consensus over a suitable bed incline in prevention of VAP and bedsore. Conclusion: Raising the incline of bed can play a role in lowering the incidence of VAP, mortality rate, hospital costs and duration of mechanical ventilation. However, the proper gradient is not definite and requires studies with proper methodology in this regard. http://jccnc.iums.ac.ir/article-1-97-en.pdf 2017-01-25 185 198 10.32598/jccnc.2.3.185 Ventilator-associated pneumonia Elevated head of bed Pressure ulcer Intensive care unit Tahereh Najafi Ghezeljeh taherehpaniz@yahoo.com 1 Department of Intensive Care and Blood Circulation Technology, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran AUTHOR Leila Kalhor leila.kalhor22@gmail.com 2 Department of Intensive Care and Blood Circulation Technology, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran AUTHOR