Introduction: hospitalization of a child is one of the main causes of parent's anxiety. Regarding the importance of providing family-based care, it is necessary for nurses to support and understand parents' needs to provide them. This study aimed to determine the role of nursing support in providing the needs of hospitalized children mothers. Method: This was a descriptive cross-sectional study. 250 mothers of children hospitalized in pediatric ward of Hamadan Besat Hospital, were selected by available method in 2017. Data was collected using "nursing support from parents", "needs of children parents" and demographic characteristics questionnaire. Data was analyzed by SPSS16 using descriptive and Pearson correlation analysis. Results: The mean and standard deviation of the score of all needs was 38.9 ± 10.6. The maximum score was related to mutual trust (9.0 ± 2.8) and the minimum was related to support guidance and counseling (5.1 ± 2.1). The overall support received by mothers from nurses was 68.3 ± 16.2. Most of support was related to self-confidence (14.4 ± 3.5) and the least was emotional support (8.2 ± 2.8). There was a significant positive correlation between nurses support from parents and the total score of mothers' needs (r = 0.448, P=0.001). Conclusion: Considering the low mean and standard deviation of some nursing support areas from parents and meeting the needs of parents, it seems necessary to plan for the provision of family-based care by nurses and their support from parents to meet their needs to improve the quality of children care.
Background: Documentation of nursing care is one of the most important professional responsibilities of nurses and one of the major components of medical care and patient record documentation. Objectives: The present study was performed to determine the effect of problem, intervention, evaluation (PIE) training on the quality of nursing students' documentation. Methods: In this semi-experimental single-group study with a pretest-posttest design, a total of 28 nursing students were selected by simple random sampling. The data collection tools included a demographic questionnaire, PIE documentation form, and documentation quality checklist. First, the students were asked to write two reports using the traditional or narrative method. Then, a training workshop was organized about PIE documentation, and the students were asked to use this method and write two more reports about the same patient on two consecutive days; overall, each student presented four reports. A total of 112 reports were analyzed using descriptive statistics and paired t test in SPSS. Results: Based on the results of paired t test, there was a significant difference in the mean score of documentation quality between the pretest and posttest (P < 0.001). Also, there was a significant difference in the mean score of documentation quality between the pretest and posttest in terms of both report structure and content (P < 0.001). Conclusions: Use of PIE reporting system improves the quality of nursing documentation. Therefore, it can be a suitable alternative for the current narrative or traditional method.
Background: The coronavirus pandemic and health measures related to it have led to an increase in psychological crises. The relatively high incidence of the disease and its mortality has caused concern in society. This study aimed to determine the prevalence of Fear of the coronavirus (COVID-19) and its relationship with obsessive-compulsive disorder in patients who attended the outpatient clinic of Besat Hospital in Hamadan.Methods: In this cross-sectional descriptive study, 320 patients who attended the outpatient clinic of Besat Hospital in Hamadan were selected by random sampling method in 2021. Data were collected using the Fear of the coronavirus (COVID-19) questionnaire and obsessive-compulsive disorder scale and analyzed using Spss20 software. They were analyzed using descriptive and inferential statistics (Pearson correlation coefficient and independent t-test).Results: The mean ± SD age of the subjects was 34.14 ± 9.30 years and 65% of study subjects were women. The mean ± SD score of obsessive-compulsive disorder scale was 32.90 ± 19.87 and the mean ± SD score of fear of coronavirus was 16.82 ± 5.79. The contamination dimension of OCD had the highest score 9.04 ± 5.46 and stealing had the lowest score of 0.10 ± 0.49. The mean fear of corona in people who had a history of obsessive-compulsive disorder before the quarantine was significantly higher than those who did not have it (P = 0.002). Along with increasing fear of coronavirus score, the rate of obsessive-compulsive disorders increased except for stealing dimension (p <0.001).Conclusions: The results of the study showed that there was a moderate level of fear of corona among the study population. Also, a relatively high proportion of study subjects had a weak manifestation of OCD. It seems that two years after the beginning of the Covid-19 coronavirus pandemic, people have adapted to the conditions, and their fear of the disease is reduced.
Introduction: Lack of effective control in postoperative pain can cause sleep disturbance, decreased fluid intake and incidence of behavioral changes, such as restlessness, irritability and reduced activity and play. Therefore, this study was performed with the aim of determining the effectiveness of Around-The-Clock (ATC) analgesic administration on the quality of sleep and behavioral changes in children after surgery. Methods: In this clinical trial, 68 children, 6 to 12 years old, admitted for tonsillectomy with one parent, were selected and randomly divided to control and case groups. For the case group, an intervention was performed by the Around-The-Clock (ATC) analgesic administration training after discharge. The data collection tool was a home dairy that was completed by parents. Data were analyzed with SPSS 16 by repeated measures, post-hoc, independent t and chi-square tests. Results: According to the independent t test, there were significant differences between children of case and control groups in average sleep quality scores on the first day after discharge (P = 0.008). According to chi-square test, except for appetite (P = 0.00), no significant differences were shown between children of the two groups in the other behavioral changes. conclusions: Training of Around-The-Clock (ATC) analgesic administration in the first three days after ambulatory surgery, such as tonsillectomy, could prevent inappropriate behavioral changes in children and increase the quality of their sleep and appetite.
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