Showing 8 results for Ghahremani
Abolfazl Artishedar, Masoumeh Mortaghi Ghasemi, Mohammadhossein Agha Jamaat, Zeinab Ghahremani,
Volume 4, Issue 2 (3-2015)
Abstract
Background and Objectives: The population of elderly is increasing worldwide. Chronic diseases and disabilities arecommon among elderly. Attitudes of health care providers including nurses on elder people affect the quality and priorities of health and medical care. The aim of this study was to assess the attitudes of nurses working in medical-surgical wards in Zanjan hospitals toward elderly. Materials and Methods: This cross-sectional study was carried out using random sampling to recruit 110 nurses working in medical-surgical wards. Data were collected using the Kogan questionnaire and were analyzed using the T-Test and ANOVA. Results: In this study, 107 nurses (97/3%) had positive attitudes toward the elderly. The attitude scores were not significantly different in subgroups of gender, marital status, age, education, employment, work experience, job location, residency, living with an elderly, having or not having income of the elderly. Conclusion: Interventions to improve attitudes of nurses toward elderly seem to influence the quality of care provided by nurses.
Roya Mohammadi, Nasrin Jafari Varjoshani, Mitra Payami Bousari, Zeinab Ghahremani,
Volume 8, Issue 3 (12-2018)
Abstract
Background: Renal failure is a chronic disease getting more prevalent nowadays.
Objectives: Since caring for the patients is expected to result in family functioning disorders, this study was done in Zanjan Province in 2019 to determine the extent of the hemodialysis patients’ family function.
Methods: This is a descriptive study. 199 patients undergoing hemodialysis treatment were selected through the stratified random sampling method. Data collection tools included demographic information questionnaire and McMaster Family Functioning Questionnaire. The data were analyzed by Kolmogorov-Smirnov test, descriptive statistics, independent t-test and Pearson correlation coefficient in the SPSS software version 25.
Results: About half of the participants were male (52.3%), married (76.4%), the family caretaker (56.3%) and urban dwellers (70.4%), having insufficient income per month (75.4%). 52.7% of the patients under study were more than 60 years old. The age group 20-29 (six percent) had the lowest frequency in the population of the hemodialysis patients under study. Furthermore, 15.1% of the participants had no health insurance coverage and there was no social support system backing 67.3% of the participants. All dimensions of family functioning, under this study, fell within the normal range. The mean scores of family functioning dimensions were lower in terms of problem solving dimension than in other dimensions (The problem solving dimension score equaled 1.88 within the range of 0–4) and families functioned better in this respect. Furthermore, the results proved significant statistical relationship between number of family members, sufficient family income, and the distance from the hemodialysis centers and being covered by the social support system on the one hand and some dimensions of family functioning on the other hand (p<0.05).
Conclusion: Regarding the study results, the healthcare system is suggested to provide social support for the patients and their families; furthermore, education of families is recommended in order to promote favorable performance.
Nasrin Hanifi, Masoume Moqaddam, Zeinab Ghahremani,
Volume 9, Issue 1 (6-2019)
Abstract
Background: Moral courage is an important criterion in nursing for moral care. Enormous moral challenges facing students of nursing in their clinical environment require being morally courageous.
Objectives: The aim of this study is to explore factors concerning nursing students’ moral courage.
Methods: This cross-sectional study was conducted in Zanjan 2018, focusing on 208 nursing students who were selected based on convenience sampling method and time series Poisson distribution. The criteria for the sampling was the students undergoing practical training for at least three semesters and were willing to take part in this study. To collect the data, the Professional Moral Courage Scale by Sekerka et al. (2009) was used. The questionnaire evaluates moral courage on five dimensions, including moral agency, multiple values, endurance of threats, going beyond compliance, and moral goals. The range of scores was 15-105. The data were analyzed using Kruskal-Wallis and Mann-Whitney tests.
Results: Nursing students’ mean score of moral courage was 85±12.66, which showed a favorable level. The highest mean score was related to `Moral agency’ (85±12.66) followed by `Going beyond compliance’ (17.48±3.05) and the least mean score was related to `Moral goals’ (16.09±3.39). The findings of this study showed that `Moral courage’ was significantly higher among those with high average and among the natives (p=0.05).
Conclusion: Since the mean score of moral courage increased in proportion to average and nativity, the educational officials and advisors are recommended to pay attention to keeping moral courage in a favorable level and try to raise students’ educational ability, trying to admit nursing students in their own cities
Fatemeh Bahramy, Masoumeh Namadian, Mehran Nezamdiba, Zeinab Ghahremani,
Volume 10, Issue 1 (4-2020)
Abstract
Background: Diabetes is one of the major health issues worldwide and a challenge for health care providers.
Objectives: The aim of this study was to determine the status of psychological adjustment and associated factors in patients with type 2 diabetes in Zanjan University of Medical Sciences.
Methods: This descriptive cross-sectional study was carried out on 350 patients with type 2 diabetes referred to Vally-e-Asr Medical Center in Zanjan and Special Endocrinology Clinic in 2019. These patients were included in the study by the Poisson distribution method. Demographic and clinical factors questionnaires and valid Diabetes Adjustment Assessment Scale (DAAS) were used in this study. Data analysis was conducted using SPSS22 software. Also, Pearson correlation coefficient, independent t-tests, and analysis of variance were applied.
Results: The mean of total adjustment in this study was 162.79± 18.06. The highest mean of adjustment was related to advanced self-management (4.15± 0.84) and the lowest mean of adjustment was about the initial imaging of illness (3.23± 0.67). Patients' adjustment had a statistically significant relationship with hospitalization history, family history of diabetes, HbA1C level, history of physical, psychological, and social problems caused by diabetes, place of residence, marital status, education, occupation, age, duration of illness, and income.
Conclusion: In this study, patients had an acceptable adjustment. Because adjustment varies among individuals and is influenced by demographic, clinical, and social factors, it is recommended that diabetic caregivers include individual-oriented diabetes education and promotion of adjustment to the disease in their program.
Masomeh Ahmadi, Mojghan Sadat Aghvamy, Zeinab Ghahremani,
Volume 12, Issue 1 (3-2022)
Abstract
Background: The importance of clinical competency in nurses indicates the necessity of evaluating this criterion for nurses working in Covid-19 and non-Covid-19 departments.
Objectives: Comparison of clinical competency in nurses working in Covid-19 and non-Covid-19 departments of university hospitals in Zanjan city in 2020.
Methods: Following a convenient sampling method, this cross-sectional study recruited 220 registered nurses working at hospitals affiliated to the Zanjan University of Medical Sciences with at least six months of work experience. Data were collected using a demographic information form and competency inventory for registered nurses (CIRN). Mann Whitney U test was used to compare study groups.
Results:: There was a significant difference between nurses working in Covid-19 and non-Covid-19 departments concerning clinical competency, so that those in Covid-19 departments were more competent (p-value=0.001).
Conclusion: The observed difference requires more attention and particular interventions, including promoting teamwork, engaging staff in decision-making processes, job supports, reducing conflicts and role ambiguities, and increasing control over employment-related events
Zeinab Ghahremani, Masoume Moqaddam, Masoumeh Asgari, Seyyed Meisam Ebrahimi, Kourosh Amini,
Volume 12, Issue 4 (9-2022)
Abstract
Background: Clinical environments are one of the most effective areas for acquiring the clinical skills of nursing students.
Objectives: This study aimed to evaluate and compare the actual and preferential clinical learning environments.
Methods: This cross-sectional study was conducted from March 1, 2019, to February 6, 2020 in Zanjan province. Samples included 380 nursing students who had the experience of one semester of internship were entered the study by stratified random sampling. Data collection tools were the Demographic Profile Questionnaire and Clinical Learning Environment Inventory (CLEI). The range of CLEI scores in both actual and preference learning environments is equal to 42-168. We analyzed data using SPSS software, version 22.0. We used descriptive and inferential statistics included independent t-test and one-way ANOVA to analyze the data. A significance level of 0.05 was considered.
Results: The mean (SD) score of the actual clinical learning environment was 109.50(12.25), and the preferred learning environment was 131.08 (14.54). The difference between the two variables was statistically significant (t=22.39, P<0.001). There was a difference in the mean of some dimensions of the nursing students' preference and actual forms of clinical learning environment based on educational grade, different internships.
Conclusion: There is a significant difference between the actual learning environment and students' expectations. This finding emphasizes the need for attention by managers and decision-makers in nursing education to change and improve the clinical learning environment.
Zahra Hajikhani, Soheila Rabie Siahkali, Zeinab Ghahremani,
Volume 13, Issue 2 (3-2023)
Abstract
Background: Identifying and meeting the psycho-social needs of family members of patients admitted to the intensive care unit (ICU) is an undeniable necessity and priority for nurses.
Objectives: The present study was conducted to determine the effect of a need-based educational program on anxiety and depression of families of patients admitted to the ICU.
Methods: In this quasi-experimental study, a telephone-supported need-based educational program was conducted on 88 family members of patients admitted to the ICU wards of educational hospitals in the city of Zanjan. A demographic information questionnaire, the Hospital Anxiety and Depression Scale (HADS), and the Critical Care Family Needs Inventory (CCFNI) were used to collect data. Data were analyzed using SPSS 26 software and the Wilcoxon statistical test.
Results: The findings indicated that the majority of the investigated patients were male (51.1%) and married (89.8%), with the mean age of 50.3±15 years. Most of the investigated family members were the patients’ spouses, with the mean age of 46.2±10.7 years, and had a diploma and university education (71.6%). The needs of family members included the need for assurance (3.24±0.5), the need for proximity (3.22±0.55), the need for information (3.11±0.49), the need for comfort (2.52±0.67), and the need for support (2.16±0.68), respectively. The levels of anxiety and depression significantly reduced after the intervention (P<0.0001).
Conclusion: Based on the study results, it is recommended to use a need-based educational program to reduce anxiety and depression of family members of patients admitted to the ICU.
Maryam Nouri, Nasrin Jafari Varjoshani, Zeinab Ghahremani, Farzane Ahmadi,
Volume 13, Issue 2 (3-2023)
Abstract
Background: Breast cancer is still a major health concern, causing stress not only for the patients but also for their caregivers.
Objectives: The aim of the present study was to determine the effect of virtual training on the care burden of caregivers to patients with breast cancer.
Methods: This clinical trial was conducted on 80 caregivers of patients with breast cancer referred to the Mehraneh Clinic of Zanjan, Iran, in 2022. The participants were chosen by convenience sampling and randomly divided into the experimental and control groups using the block randomization method. A demographic information questionnaire along with the Zarit care burden questionnaire were used to collect data. The care burden of caregivers was determined before, immediately after, and one month after the intervention. The data were analyzed in SPSS 26 software using descriptive and inferential statistics (the independent t-test, Chi-square test, Mann-Whitney test, Fisher’s exact test, and a marginal model for longitudinal data).
Results: According to the results, the mean (SD) age of the caregivers was 42.20 (11.54) years, of whom 60% were male. Based on the longitudinal marginal model, no significant difference in care burden was observed between the two groups immediately after the intervention (P=0.077); however, this difference was statistically significant one month after the intervention (P<0.001).
Conclusion: According to the findings, the virtual training intervention reduced the care burden of caregivers of patients with breast cancer in the long term. Therefore, providing training related to care burden reduction through cyberspace and social media can be suggested as a suitable and available method.
