Showing 7 results for Rafii
Tayebe Mirzaei, Fateme Oskouei, Forough Rafii, Ali Ravari,
Volume 1, Issue 1 (Winter 2015 -- 2015)
Abstract
Background: The nursing students should acquire practical and theoretical competence required for the patients' care during their 4 years of education. This involves proper use of time. The purpose of this study was to investigate how nursing students manage their time despite the academic difficulties and obstacles.
Methods: This qualitative study was carried out through grounded theory method. The study population consisted of nursing students. Twenty-one nursing students studying at undergraduate level were selected purposefully for participation in this study. The data were collected with semi-structured interview and analyzed through Strauss and Corbin method (2008). MAXQDA 10 software was employed to organize and process the data.
Results: Core variable of this study was "directing activities toward personal goals," representing in 3 behavioral patterns. The behavioral pattern of "retaliation from field" was one of the 3 patterns applied by nursing students. The properties of this pattern included "unknowingly entrance to nursing field," "stress and dissatisfaction with spending time," "nonacceptance of field," "attempt to decrease stress and obtain satisfaction," and "ignoring academic responsibilities". According to this pattern, the students spent most of their time on non-academic responsibilities while trying to overcome the stress.
Conclusion: The findings of this study recommend the necessity for revising the admission method of nursing students and informed choice of nursing field by these students.
Hamideh Azimi, Daryadokht Masroor, Hamid Haghani, Forough Rafii,
Volume 2, Issue 3 (Summer 2016 -- 2016)
Abstract
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.
Forough Rafii, Maryam Jan Amiri, Afsaneh Dehnad, Hamid Haghani,
Volume 2, Issue 4 (Autumn 2016 -- 2016)
Abstract
Background: Blood transfusion faults and its consequences are major concerns of health care systems. This study aimed to determine the effects of workshop and multimedia training methods on nurses’ knowledge and performance about blood transfusion.
Methods: It was a controlled quasi-experimental study. Sampling was conducted. Data were collected from 37 participants in three hospitals during 2016 by a three-part questionnaire consisting of nurses’ demographic information, routine blood transfusion knowledge (RBTQ) questionnaire, and Purfarzad-performance-evaluation questionnaire. Statistical analyses were conducted using SPSS V. 20.
Results: Nurses’ knowledge and performance levels in workshop and multimedia groups increased from the average to the good level. No significant differences was found between workshop and multimedia groups regarding knowledge (P = 0.474) and performance scores (P = 0.984). Results of paired T-Test showed no significant differences before and after knowledge evaluation in control group (P = 0.262), while it revealed significant differences in workshop and multimedia group so that, the knowledge scores level increased from average to good (P = 0.474). Mean (SD) performance scores in multimedia group were 70.36 (7.06) and 79.78 (0.91) before and after intervention, respectively. Therefore, before training the performance of groups was in average levels but they improved to the good levels after training (P = 0.984). Paired T-Test for workshop and multimedia groups before and after intervention revealed significant differences (P < 0.001).
Conclusion: This study showed that workshop and multimedia training methods are effective in promoting the nurses’ knowledge and performance. None of these two methods outweighed the other. One reason in this regard might be due to mutual connection between teacher and students, the possibility to ask and answer the questions, discussing in workshop method, and the possibility to repeat the concepts and regulate the pace of training based on individuals learning abilities in multimedia method.
Forough Rafii, Hamid Haghani, Farshad Heidari Beni,
Volume 3, Issue 1 (Winter 2017 -- 2017)
Abstract
Background: Chronic Obstructive Pulmonary Disease (COPD) affects different aspects of patients’ life. By awareness of the quality of life and related factors of each patient, nurses can plan for and do proper care. So the present study was performed to evaluate health-related quality of life and related factors in patients with COPD.
Methods: This study is a cross-sectional descriptive research that was performed on 141 patients with COPD in 2016 who referred to selected hospitals of Shahrekord University of Medical Sciences (Hajar Hospital and Ayatollah Kashani Hospital). Patients were selected and entered into the study through consecutive sampling method. The research tools included a demographic questionnaire and St George’s Respiratory Questionnaire. Data were analyzed by descriptive and inferential statistical tests using SPSS V. 24.
Results: Total score of health-related quality of life in patients with COPD was 43.52; the score of symptoms, activity, and impact area were 46.24 (16.51), 52.40 (16.24), and 37.39 (15.13), respectively. It was also found that the disease stage, smoking, and comorbidity are significantly related to health-related quality of life (P = 0.001, P = 0.007, P = 0.037, respectively).
Conclusion: Health-related quality of life in patients with COPD is significantly low. The stage of disease, smoking status and number of comorbidity is inversely related to the health-related quality of life. Therefore, it is better for healthcare personnel, especially nurses, to assess the health-related quality of life in patients with COPD, and thus plan for appropriate measures to improve the quality level and related factors.
Muaf Abdulla Karim, Forough Rafii, Alireza Nikbakht Nasrabadi,
Volume 3, Issue 1 (Winter 2017 -- 2017)
Abstract
Background: As members of the health care team in Intensive Care Units (ICUs), nurses play a vital role in caring for critically ill patients. The demands of caring in such an environment put the nurses under huge pressure, especially when their patients die. This qualitative study explores the feelings and experiences of Kurdish intensive care nurses providing care for dying patients in the ICU.
Methods: This qualitative study used inductive content analysis. The data were collected through in-depth semi-structured interviews with a purposive sample of 10 Kurdish registered nurses working in adult ICUs of Rezgary and Hawler Teaching hospitals (Erbil, Iraq).
Results: Three main categories, including emotional burden, encountering with obstacles, and personal growth emerged. In spite of their emotional burden and also the pressure imposed by heavy workload, the nurses’ personal growth was enhanced by the self-confidence and spiritual satisfaction they acquired by caring for ill and end stage patients and their families.
Conclusion: Nurses’ religious beliefs and their special cultural background could partly modify their negative feelings and perceptions. However, in the long run, dealing with these pressures and negative environmental and organizational inhibitors could lead to burnout. All potential sources of emotional and psychological burden in these ICUs need to be minimized by appropriate planning. Nurses’ and their special cultural background could partly modify their negative feelings and perceptions.
Sahar Mohammadi, Forough Rafii, Tahmine Salehi, Hamid Haghani,
Volume 4, Issue 2 (Spring 2018 -- 2018)
Abstract
Background: The basic and instrumental activities of daily living are prerequisites for living with a good quality of life. On the contrary, lack of movement and physical inactivity are considered as the main cause of pressure injuries. Accordingly, this study aimed to determine the relationship between the basic and instrumental activities of daily living with the risk of pressure ulcers in patients referred to educational health care centers affiliated to Iran University of Medical Sciences in 2017.
Methods: This descriptive, cross-sectional study was conducted on 200 patients referred to internal and surgical clinics of hospitals affiliated to Iran University of Medical Sciences. The sample was recruited by cluster sampling method. The study questionnaires included four sections: a demographic from, Katz Scale of Basic Activities of Daily Living (BADL), Lawton Scale of Instrumental Activities of Daily Living (IADL), and Braden pressure ulcer risk assessment scale. Data was analyzed by Independent t test, ANOVA, Pearson correlation coefficient, and Spearman correlation test using SPSS-PC V. 24.
Results: With higher dependence in performing BADL and IADL, the risk of pressure ulcer development increased (P<0.001). The relationship was even higher with regard to IADL. Dependence in all subscales of BADL and IADL was directly related to the risk of developing pressure ulcer (P<0.001).
Conclusion: The degree of dependence in BADL and IADL can be considered as one of the predictors of pressure ulcer development. It is necessary to plan appropriately to increase the independency of patients in performing such activities.
Forough Rafii, Fereshteh Javaheri Tehrani, Alireza Nikbakht Nasrabadi, Shabnam Shariatpanahi,
Volume 7, Issue 2 (Spring 2021)
Abstract
Background: Personal Knowing is an expression of self-knowledge concerning others. Besides, Personal Knowing is the most difficult as well as the most essential pattern of knowing in nursing. The current study aimed to explore how nurses apply personal knowledge in patient care.
Methods: This qualitative study was performed based on the grounded theory method. The study was performed in different hospital wards of Tehran City, Iran. The required data were generated using semi-structured interviews and clinical observations. Finally, 15 interviews and 8 sessions of observation were included in the data analysis. Strauss and Corbin’s constant comparison method (2008) was used to analyze the collected data.
Results: The obtained findings suggested that nurses use the Personal Knowing pattern in 3 forms of the therapeutic use of self, self-centering, and elimination of therapeutic communication. The therapeutic use of self was accompanied by kindness and amiability; efforts to strengthen the patients’ spirit; giving comfort and hope; humor; talking in a friendly manner, and gaining the patient’s trust and cooperation. Self-centering was characterized by establishing silence in the ward, strict enforcement of the rules, setting more rules, and developing rules for the method of care provision. Eliminating the therapeutic communication was accompanied by the referral of patients to others, avoidance, reluctance, and mechanical care.
Conclusion: The obtained findings added to the knowledge of the patterns of knowing in nursing. The therapeutic use of self leads to a positive outcome of care as well as the satisfaction of nurses and patients. However, a self-centering and eliminating therapeutic relationship will raise an inappropriate image of nursing.
