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Qorbani S, Majdabadi ZA, Nikpeyma N, Haghani S, Shahrestanaki SK, Poortaghi S. The effect of participation in support groups on retirement syndrome in older adults. BMC Geriatr 2024; 24:333. [PMID: 38609838 PMCID: PMC11010321 DOI: 10.1186/s12877-024-04923-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 03/27/2024] [Indexed: 04/14/2024] Open
Abstract
BACKGROUND Retirement and aging are phenomena that often occur simultaneously and lead to various physical and psychological changes in older adults. Retirement syndrome consists of symptoms such as feelings of emptiness, loneliness, uselessness, lack of clear understanding of future conditions and dissatisfaction with one's performance after retirement. This phenomenon requires interventions to adapt to these changes. Considering the supportive role of nurses, the formation of support groups as an effective intervention in adapting to transitional stages is emphasized. AIMS This study aims to investigate the effect of older adults' participation in support groups on retirement syndrome. METHODS This Quasi-experimental study recruited a total of 80 retired older adults meeting the inclusion criteria from three Retirement Associations (Retirement centers for social security retirees are among the institutions that have been set up by the government and this organization to provide face-to-face and offline services to social security retirees, as well as providing some facilities to this segment of the society). in Iran, Research samples were randomly assigned to two intervention and control groups. The demographic questionnaire and retirement syndrome questionnaire were completed by both groups at the beginning of the study. Then, four support group sessions lasting 60 to 90 min were held twice a week for the support group, and eight weeks after the end of the intervention, the questionnaires were completed for both groups. The data were analyzed using statistical tests in SPSS version 16. The significance level was set at p < 0.05 for all tests. RESULTS The results of the covariance analysis showed that after the intervention, the feelings of helplessness and failure (p < 0.001), feelings of older and idleness (p = 0.027), and feelings of confusion and conflict (p = 0.002) were significantly less in the support group compared to the control group. In addition, the Feeling of trying and new direction (p < 0.001) was higher after the intervention. The paired t-test results showed that in the support group, the feelings of helplessness and failure (p < 0.001), feelings of older and idleness (p = 0.004), and feelings of confusion and conflict (p < 0.001) significantly decreased after the intervention compared to before it, while the feelings of trying and new direction (p = 0.004) significantly increased. Therefore, the results showed that after the intervention, there was a statistically significant difference between the two groups in all components of the retirement syndrome. CONCLUSION The results of this study show that participation of retired older adults in support groups can significantly improve all components of retirement syndrome, leading to an improvement in their quality of life and satisfaction.
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Affiliation(s)
- Sakineh Qorbani
- Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Zahra Amrollah Majdabadi
- Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Nasrin Nikpeyma
- Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Shima Haghani
- Biostatistics Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Sahar Keyvanloo Shahrestanaki
- Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Sarieh Poortaghi
- Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
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Valieiny N, Pashaeypoor S, Poortaghi S, Sharifi F. The effects of simulated video education about falling on falling rate and fear of falling among hospitalized elderly people: a randomized clinical trial. BMC Nurs 2023; 22:351. [PMID: 37789297 PMCID: PMC10548683 DOI: 10.1186/s12912-023-01532-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Accepted: 09/25/2023] [Indexed: 10/05/2023] Open
Abstract
BACKGROUND AND AIM Management of falling and its consequences is a major challenge of elderly nursing care. An effective educational strategy is essential to prevent falling among elderly people. The aim of this study was to evaluate the effects of simulated video education (SVE) about falling on falling rate and fear of falling (FOF) among hospitalized elderly people. METHODS This randomized controlled clinical trial was conducted from May 2021 to February 2022. Participants were 132 elderly people conveniently selected from a leading hospital in Qom, Iran, and randomly allocated to an intervention and a control group through block randomization. Data collection instruments were a demographic and clinical questionnaire, a researcher-made falling rate questionnaire, and the Falls Efficacy Scale-International. Participants in the intervention group individually watched three simulated videos (fifteen minutes in total) and had access to the videos for frequent watching. Their FOF was assessed on the first day of hospitalization, hospital discharge, and one and three months after hospital discharge. The data were analyzed at a significance level of less than 0.05 using the SPSS software (v. 16.0). RESULTS Groups did not significantly differ from each other respecting baseline demographic and clinical characteristics (P > 0.05). After the intervention, falling rate in the intervention group was 46% less than the control group (incidence rate ratio = 0.5454, 95% CI = 0.307-0.968; P = 0.039). Moreover, the posttest mean score of FOF in the intervention group was significantly less than the control group (P < 0.001). CONCLUSION SVE is effective in significantly reducing falling rate and FOF. Context-based SVE is recommended to reduce falling rate and FOF among hospitalized elderly people. CLINICAL TRIAL REGISTRATION The effects of simulated video education about falling on falling rate and fear of falling among hospitalized elderly people. CLINICAL TRIAL REGISTRATION this research was registered (17/09/2021) in the https://www.irct.ir with registration number: IRCT20210910052427N1).
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Affiliation(s)
- Nasrin Valieiny
- Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Shahzad Pashaeypoor
- Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
| | - Sarieh Poortaghi
- Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Farshad Sharifi
- Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
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Nazari S, Poortaghi S, Sharifi F, Gorzin S, Afshar PF. Relationship between moral sensitivity and the quality of nursing care for the elderly with Covid-19 in Iranian hospitals. BMC Health Serv Res 2022; 22:840. [PMID: 35773700 PMCID: PMC9244299 DOI: 10.1186/s12913-022-08258-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Accepted: 06/28/2022] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND The quality of care has a significant impact on the condition of elderly patients. Many factors affect the quality of care, including ethical considerations. Ethical considerations, such as moral sensitivity, change in times of crisis. The present study was conducted to assess the relationship between moral sensitivity and the quality of nursing care for the elderly with Covid-19 in Iranian hospitals. METHODS This was a cross-sectional descriptive correlational study. The participants included 445 nurses that were selected by quota sampling method from hospitals admitting COVID-19 patients. The data were collected using the Moral Sensitivity Questionnaire (MSQ) and Quality Patient Care Scale (QUALPAC) as self-reports. We used the SPSS software v.16 for statistical analysis. RESULTS The total score of moral sensitivity and quality of care was 52.29 ± 16.44 and 2.83 ± 0.23, respectively. Moral sensitivity negatively correlates with psychological, social, and physical aspects (P < 0.05). Modifying autonomy, interpersonal orientation, and experiencing moral conflict predicted β = 0.10 of the psychosocial aspect of quality of care. Structural moral meaning and expressing benevolence predicted the changes in the physical dimension of quality of care (β = 0.02). CONCLUSION The quality of care had a significant inverse correlation with moral sensitivity. Multiple regression analysis showed that modifying autonomy, interpersonal orientation, and experiencing moral conflict could predict the psychosocial dimensions. Structuring moral meaning could predict the physical dimension. The communication aspects were not related to any of the dimensions of moral sensitivity.
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Affiliation(s)
- Shima Nazari
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Sarieh Poortaghi
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Farshad Sharifi
- Elderly Health Research Center, Endocrinology and Metabolism Population Science Institute, Tehran University of Medical Science, Tehran, Iran
| | - Shaghayegh Gorzin
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Pouya Farokhnezhad Afshar
- Department of Gerontology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Shahid Mansouri Street, Niyayesh Street, Satarkhan Avenue, Tehran, 1445613111, Iran.
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Hosseinzadeh F, Ghaderi S, Negarandeh R, Poortaghi S. The effect of participating in support groups on relocation stress syndrome in residents of a nursing home: A single-blind randomized clinical trial. NPT 2022. [DOI: 10.18502/npt.v9i2.8895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Background & Aim: Relocation stress syndrome is one of the consequences of moving someone to a nursing home; it causes unbearable feelings of loneliness, anxiety, and depression. However, it can be prevented by conducting proper and timely nursing interventions. The present study aimed to examine the effect of participation in support groups on relocation stress syndrome in residents of nursing homes.
Methods & Materials: In this single-blind randomized clinical trial, 32 elderly residents of Kahrizak nursing home were randomly assigned to control and intervention groups. The intervention included holding support groups. Demographic information questionnaires, the short form of Geriatric Depression Scale (15-GDS), Geriatric Anxiety Scale (GAS), and the short form of University of California, Los Angeles, UCLA loneliness scale (ULS-8) were used to collect data. The data were then analyzed using statistical tests in SPSS software version 16.
Results: There was no statistically significant difference between the mean scores of loneliness, depression, and anxiety between the two groups in the pre-test (p> 0.05). The results of the ANCOVA test to compare the mean scores of loneliness, depression, and anxiety in the post-test with controlling pre-test scores revealed that the intervention was effective on depression (p<0.001) and anxiety (p= 0.003), but it had no effects on loneliness (p= 0.156).
Conclusion: The development and implementation of support group programs for the elderly in a nursing home could improve the outcomes of relocation stress syndrome in terms of depression and anxiety. Nonetheless, it had no effects on the outcome of loneliness. Therefore, it is recommended to implement this intervention for the elderly in a nursing home if the cost-benefit analysis is positive.
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Pakyar N, Poortaghi S, Pashaeypoor S, Sharifi F. Effect of educational program based on theory of planned behavior on osteoporosis preventive behaviors: a randomized clinical trial. BMC Musculoskelet Disord 2021; 22:980. [PMID: 34814893 PMCID: PMC8611908 DOI: 10.1186/s12891-021-04861-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Accepted: 11/11/2021] [Indexed: 12/13/2022] Open
Abstract
Background The prevalence of chronic diseases is increasing worldwide. Implementing educational programs is an important step in prevention of chronic diseases in the community setting. This study was conducted to assess the effect of educational program based on the Theory of Planned Behavior (TPB) on the osteoporosis preventive behaviors in middle-aged individuals. Methods A randomized clinical trial was conducted on 64 middle-aged individuals presenting to primary care centers. A researcher-made questionnaire developed according to “a guide for compiling and analyzing the questionnaire based on TPB” was used for data collection. Random block sampling was applied to assign participants to control and intervention groups after ensuring the validity and reliability. An educational program on osteoporosis prevention was conducted in six educational sessions based on the TPB constructs for the intervention group in primary care centers. Control group received routine education about lifestyle changes including osteoporosis by primary care centers. Eight weeks after the intervention, the questionnaires were completed again and the data were analyzed using the SPSS V16 software. Results Independent t-test found no significant difference in the mean score of knowledge, osteoporosis preventive behavior, attitude, subjective norms, perceived behavioral control and behavioral intention between intervention and control groups before intervention (p > 0.05). After the intervention, however, a significant difference was found in the mean score of knowledge, attitude, subjective norms, perceived behavioral control and behavioral intention between the cases in intervention and control groups (P < 0.05). In addition, based on repeated measurement ANOVA, the intervention had a significant effect on knowledge, preventive behaviors, attitude, subjective norms, perceived behavioral control, and behavioral intention (P < 0.05). Conclusions The results of the present study showed that implementation of an educational intervention based on the Theory of Planned Behavior significantly increased the knowledge along with all constructs of TPB in osteoporosis preventive behaviors. Trial registration This study was registered in the Iranian Registry of Clinical Trials IRCT2017081735647N2 (11/10/2017).
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Affiliation(s)
- Nasim Pakyar
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Sarieh Poortaghi
- Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
| | - Shahzad Pashaeypoor
- Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Farshad Sharifi
- Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
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Negarandeh R, Poortaghi S, Shayan SJ. Prevalence and patterns of self-medication with antibiotics among visitors of central polyclinic of Kabul, Afghanistan. Journal of Pharmaceutical Health Services Research 2021. [DOI: 10.1093/jphsr/rmaa015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Objectives
Self-medication with antibiotics is a common public health problem worldwide. It is the main driving factor for the development of microbial resistance. The world is facing the challenge of losing effective antibiotics. The study aim is to determine the prevalence and related factors of self-medication with antibiotics among visitors of a clinic in Kabul, Afghanistan.
Methods
A cross-sectional questionnaire-based survey on a sample of 384 consecutively selected visitors of the Central Polyclinic of Kabul, Afghanistan, was conducted.
Key findings
Approximately 34.9% of the sample self-medicated with antibiotics in the past 12 months. Amoxicillin was the most common antibiotic used for self-medication. The sore throat was a common health problem, and previous experience was the source of recommendation for self-medication. The most common reasons for self-medication with antibiotics were cost-saving, previous experience and lack of time.
Conclusions
Self-medication with antibiotics was prevalent among visitors to the clinic. Patterns of self-medication with antibiotics indicate the inappropriate practice of medicines. Pharmacists, friends and family approve the self-medication with antibiotics.
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Affiliation(s)
- Reza Negarandeh
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Sarieh Poortaghi
- Department of Community Health Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Shah Jahan Shayan
- Tehran University of Medical Sciences, International Campus, Tehran, Iran
- Department of Fundamentals of Nursing, School of Nursing and Midwifery, Kabul University of Medical Sciences, Kabul, Afghanistan
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Poortaghi S, Shahmari M, Ghobadi A. Exploring nursing managers' perceptions of nursing workforce management during the outbreak of COVID-19: a content analysis study. BMC Nurs 2021; 20:27. [PMID: 33514351 PMCID: PMC7844784 DOI: 10.1186/s12912-021-00546-x] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 01/24/2021] [Indexed: 12/20/2022] Open
Abstract
Background The COVID-19 pandemic is a serious threat to public health worldwide. Therefore, a coordinated global response is needed to prepare health care systems to face this unprecedented challenge. Proper human resource management can increase nurses’ productivity and quality of care. Therefore, the present study aims to explore the nursing managers’ perception of nursing workforce management during the outbreak of COVID-19. Methods This is a qualitative study with conventional content analysis using Granheim and Landman approach. In this study, 15 nursing managers were selected by purposeful sampling method. Data were collected using in-depth semi-structured interviews. Ethical considerations were applied to all stages of the study. In this study, MAXQDA software version 10 was used to help manage the data. Results 66% of the participants (10/5) were female. The mean age of participants was 44 years, mean work experience of 19 years, and mean management experience of 9 years. Three categories and seven sub-categories emerged from the data analysis: 1) management of workforce recruitment (volunteer workforces, non-volunteer workforces), 2) management of workforce arrangement (flexible work schedule, rearrangement of the workforce), and 3) management of workforce retention (preventive measures, motivational measures, and psychological support). Conclusion Management in critical situations requires the use of flexible and situational management principles to recruit, arrange and retain workforce, and also to compensate for the lack of manpower. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-021-00546-x.
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Affiliation(s)
- Sarieh Poortaghi
- PhD of Nursing Education, Tehran University of Medical Sciences, School of Nursing and Midwifery, Community Health Nursing Department, Tehran, Iran
| | - Mehraban Shahmari
- School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran
| | - Akram Ghobadi
- School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran. .,PhD student in Nursing, School of Nursing and Midwifery, Tehran University of Medical Science; Lecturer, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
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Poortaghi S, Salsali M, Ebadi A, Pourgholamamiji N. Accreditation of nursing clinical services: Development of an appraisal tool. Nurs Open 2020; 7:1338-1345. [PMID: 32802354 PMCID: PMC7424456 DOI: 10.1002/nop2.505] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Revised: 04/04/2020] [Accepted: 04/10/2020] [Indexed: 11/06/2022] Open
Abstract
Aim This study aimed to determine comprehensive and applicable indicators for assessing the quality of nursing clinical services. Design Methodological research. Methods The checklist was designed in three phases (conceptualization, item generation and item reduction). In the first phase, a qualitative study using conventional content analysis was performed to clarify the concept of accreditation of clinical nursing services. In the second phase, using the views of experts was obtained in phase 1 and then by a review of the literature, related items were extracted, and item pool was formed. In the last phase, validity and reliability of the checklist were examined. Result Based on three phases (Conceptualization, Item Generation and Item Reduction), the accreditation indicators of clinical nursing services were extracted in three dimensions including structure, process and outcome at two levels of organizational (including structural and outcome indicators) and individual performance appraisal (process indicators) in 19 main categories.
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Affiliation(s)
- Sarieh Poortaghi
- Department of Community Health NursingSchool of Nursing & MidwiferyTehran University of Medical SciencesTehranIran
| | - Mahvash Salsali
- School of Nursing & MidwiferyTehran University of Medical SciencesTehranIran
| | - Abbas Ebadi
- Behavioral Sciences Research CenterLife Style InstituteBaqiyatallah University of Medical SciencesTehranIran
| | - Nima Pourgholamamiji
- Nursing Care Research Center (NCRC)School of Nursing and MidwiferyIran University of Medical SciencesTehranIran
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Poortaghi S, Ebadi A, Salsali M, Raiesifar A, Davoudi N, Pourgholamamiji N. Significant influencing factors and practical solutions in improvement of clinical nursing services: a Delphi study. BMC Health Serv Res 2019; 20:3. [PMID: 31892335 PMCID: PMC6937807 DOI: 10.1186/s12913-019-4781-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2019] [Accepted: 11/26/2019] [Indexed: 11/21/2022] Open
Abstract
Background Clinical services evaluation with specific indicators are very helpful to identify improvable points. This study was conducted to analyze the factors affecting the quality of clinical nursing services and offer practical solutions for accreditation of clinical nursing services. Methods The present study was conducted using Delphi method with two rounds. At the beginning of the study a questionnaire was prepared using results of another project (clinical nursing services audit). This questionnaire was sent to 47 nursing and accreditation professionals. After the first round, causes and solutions were categorized. Then participants were asked to comment on the significance of each strategy on the prepared questionnaire. Results In the first round of Delphi in response to the question about the main causes and solutions of low quality of nursing clinical services, 394 causes and 212 solutions were mentioned by the participants. In the second round, considering moralists and specialization in the selection of nursing managers, staffing according to workload and attendance in comprehensive exam after graduation and before entering clinical fields attained the most importance. Conclusion Mismatch of human resources with workload and lack of clarity with regard to duties have maximum correlation with poor quality of care. Organizational structure and communication program categories gained the highest and lowest importance respectively. This information could be used by nursing managers and policy makers to plan programs in order to improve the quality of clinical nursing services.
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Affiliation(s)
- Sarieh Poortaghi
- Department of Community Health Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Abbas Ebadi
- Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.,Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mahvash Salsali
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Afsaneh Raiesifar
- School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran. .,Clinical Research Develpment Unit, Mostafa Khomeini Hospital, Ilam University of Medical Sciences, Ilam, Iran.
| | - Nayyereh Davoudi
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nima Pourgholamamiji
- Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
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Raiesifar A, Parvizy S, Bozorgzad P, Poortaghi S, Davoudi N, Masoumi M. Nursing: An evolutionary concept analysis. NPT 2019. [DOI: 10.18502/npt.v6i1.388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Background & Aim: More clarification of the concept of nursing helps to review policies, standards, codes of ethics, professional values and nursing roles. The purpose of this study was to analyze nursing concept using Rodgers evolutionary method.
Materials & Methods: With employing a rigorous evolutionary concept analysis approach, the concept of nursing was examined. After an extensive search, about 6706 articles were found; 43 articles and 6 related books published in English from 1980 were reviewed vigorously. Then data about the nursing concept was analyzed using evolutionary concept analysis approach.
Results: The definition of attributes, antecedents, as well as consequences of nursing was performed through concept analysis. Core attributes (the goal of nursing, nursing scope, dimensions, practice and interventions, roles, audience, and professional values) were studied. The antecedents of nursing include getting a degree and nursing qualification, standards, and ethical codes. In addition, it led to health promotion. Care was an interchangeable concept of nursing. Missed and individualized nursing care, advanced nursing practice, holism and health improvement were obtained as nursing related concepts.
Conclusion: Recognition of main attributes boundaries and professional differences in health care context prevents perplexity in nursing and leads to professional development and self-confidence.
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Taghdisi MH, Poortaghi S, Suri-J V, Dehdari T, Gojazadeh M, Kheiri M. Self-assessment of health promoting Hospital's activities in the largest heart Hospital of Northwest Iran. BMC Health Serv Res 2018; 18:572. [PMID: 30029652 PMCID: PMC6053750 DOI: 10.1186/s12913-018-3378-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2018] [Accepted: 07/10/2018] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND Health Promoting Hospitals are among the major health promoters of the society. To acquire Health Promoting Hospital (HPH) status, a hospital must self-assess to know their inadequacies and then lay the foundation for improvements. This study has been performed with the aim of assessing readiness of the largest heart hospital of northwestern Iran regarding the HPH standards. METHODS This cross-sectional study was conducted through the participation of 270 administrative and clinical staff of the largest heart hospital of northwestern Iran. Data were gathered using self-assessment tool for health promoting hospitals including demographics and the HPH standards. HPH standards' dimensions were Management policy, Patient assessment, Patient information and intervention, Promoting a healthy workplace, and Continuity and cooperation. Analysis was performed by SPSS v. 16 with a significance level of 0.05. RESULTS The participants included clinical (67.4%) and administrative (32.6%) staff. Among the HPH standards, the lowest score belonged to the management policy (1.44 ± 0.53) and the highest one to the patient information and intervention (1.72 ± 0.47). The average score of compliance with the HPH standards was 1.60 ± 0.40 which shows moderate progress of the hospital towards the HPH standards. CONCLUSION Regarding the moderate situation of the hospital in HPH standards and the low score of the management policy, the studied hospital should enforce the standards, especially in the management policy. Also, there is a need for health promotion programs in all three levels of prevention with the participation of the staff and the patients as much as possible.
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Affiliation(s)
- M.-H. Taghdisi
- Health Education and Promotion Department, Faculty of Health, Iran University of Medical Sciences, Tehran, Iran
| | - S. Poortaghi
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - V. Suri-J
- School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - T. Dehdari
- Health Education and Promotion Department, Faculty of Health, Iran University of Medical Sciences, Tehran, Iran
| | - M. Gojazadeh
- Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - M. Kheiri
- Faculty of Health, International Campus, Iran University of Medical Sciences, Second floor, school of health, Iran University of Medical Sciences, Hemmat highway, Next to Milad Tower, Tehran, Postal Code 14665-1579 Iran
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Shamsalinia A, Ghaffari F, Dehghan-Nayeri N, Poortaghi S. The Life Process of Children Who Survived the Manjil Earthquake: A Decaying or Renewing Process. PLoS Curr 2017; 9:ecurrents.dis.dd88534c0ab58b02d225709b77c861a0. [PMID: 28480126 PMCID: PMC5400464 DOI: 10.1371/currents.dis.dd88534c0ab58b02d225709b77c861a0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Among earthquake survivors, children are more vulnerable than other age groups due to their exposure to harrowing scenes of devastation as well as their drastically new living situations that result from an earthquake disaster. The life process of children survivors undergoes many different changes that are affected by a wide range of factors. Understanding the life process of these children may lead to effective outcomes and interventions. In addition, observing children survivors establishes knowledge and understanding of the challenges that correspond with earthquake disasters. Further, observing this group may be further effective in decision-making and establishing types of assistance in similar circumstances. OBJECTIVES This study was done to explain the life process of children who survived the earthquake of Manjil in northern side of Iran. Methods: This qualitative study is based on the grounded theory approach. The sampling involved purposive interviews with 12 children who survived the Manjil earthquake and were under 12 years of age at the time of the earthquake. The initial interviews were followed by continuous comparative analysis, and thus the sampling process adopted a theoretical trend. In the end, by the formation of categories and the central variable of the study, interviews were conducted with 16 subjects and sufficient data was provided. Data was collected through face-to-face, in-depth interviews using an interview guide. In order to enrich the categories formed in data analysis, we had also 6 telephone interviews with the same participants in order to complete missed needed information. Data collection began in 2015 and continued up until 2016. Data was analysed using the Strauss-Corbin approach. RESULTS The life process of children earthquake survivors consists of 'unexpected encounter', 'transient relief activities' and 'long-lasting consequences'. The central variable of this study is 'the dark shadow of pain and the light shadow of life expectancy'. The life experience of this group of children is immersed in painful memories and varies under different conditions. DISCUSSION AND CONCLUSION According to the results of this study, one of the factors affecting the lives of children earthquake survivors which could threaten their health is providing non-specific and transient services. Training relief staff to consider the specific needs of these children at the time of the rescue operation could contribute to improving their health level in various aspects. Considering the effective and comprehensive rehabilitation program in Disaster Management by policymakers can prevent permanent complications caused by earthquakes. Planning and taking action to identify misbehaviours in this group of children as well as raising public awareness, particularly for parents, on how to manage the outcomes of natural disasters are some of the most significant public health priorities. Providing public mental health services for parents and children who survive an earthquake helps to address potential psychological problems in this group of survivors.
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Affiliation(s)
- Abbas Shamsalinia
- School of Nursing and Midwifery, Ramsar Nursing Care Research Center, Babol University of Medical Sciences, Mazandaran, Iran
| | - Fatemeh Ghaffari
- Assistant Professor in Nursing, Babol University of Medical Sciences, Mazandaran, Iran
| | - Nahid Dehghan-Nayeri
- School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Sarieh Poortaghi
- Department of Community Health Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Davoudi N, Dehghan Nayeri N, Raiesifar A, Poortaghi S, Ahmadian S. Theoretical Sampling: A Narrative Review. Nurs Midwifery Stud 2016. [DOI: 10.17795/nmsjournal38284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Poortaghi S, Raiesifar A, Bozorgzad P, Golzari SEJ, Parvizy S, Rafii F. Evolutionary concept analysis of health seeking behavior in nursing: a systematic review. BMC Health Serv Res 2015; 15:523. [PMID: 26613729 PMCID: PMC4662038 DOI: 10.1186/s12913-015-1181-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2014] [Accepted: 11/18/2015] [Indexed: 11/01/2022] Open
Abstract
BACKGROUND Although the research in health seeking behavior has been evolving, its concept remains ambiguous. Concept clarification, as a central basis of developing knowledge, plays an undeniable role in the formation of nursing sciences. As the initial step toward the development of theories and theoretical models, concept analysis is broadly used through which the goals can be used and tested. The aim of this study was to report an analysis of the concept of "health seeking behavior". METHOD Employing a rigorous evolutionary concept analysis approach, the concept of health seeking behavior was examined for its implications, use, and significance in the discipline of nursing between 2000 and 2012. After applying inclusion and exclusion criteria, a total of 40 articles and 3 books were selected for the final analysis. RESULTS The definition of attributes, antecedents, and consequences of health seeking behavior was performed through concept analysis. Core attributes (interactional, processing, intellectual, active, decision making based and measurable) were studied. The antecedents of concept were categorized as social, cultural, economic, disease pattern and issues related to health services. Health-seeking behavior resulted in health promotion and disease risk reduction. In addition, it led to predicting the future probable burden of the diseases, facilitation of the health status, early diagnosis, complete and effective treatment, and complication control. CONCLUSION Health-seeking behavior, as a multi-dimensional concept, relies on time and context. An awareness of health-seeking behavior attributes antecedents and consequences results in promoting the status, importance and application of this concept in the nursing profession.
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Affiliation(s)
- Sarieh Poortaghi
- School of Nursing & Midwifery, Tehran University of Medical Sciences, East Nosratst, TohidSq, 1419733171, Tehran, Iran.
| | - Afsaneh Raiesifar
- School of Nursing & Midwifery, Tehran University of Medical Sciences, East Nosratst, TohidSq, 1419733171, Tehran, Iran.
| | - Parisa Bozorgzad
- School of Nursing & Midwifery, Tehran University of Medical Sciences, East Nosratst, TohidSq, 1419733171, Tehran, Iran.
| | - Samad E J Golzari
- Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
- Students' Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Soroor Parvizy
- Department of Pediatric Nursing, Nursing and Midwifery Faculty, Iran University of Medical Sciences, Tehran, Iran.
- Centre for educational Research in Medical Sciences (CERMS), Iran University of Medical Sciences, Tehran, Iran.
| | - Forough Rafii
- Center for Nursing Care Research, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran.
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Poortaghi S, Salsali M, Ebadi A, Rahnavard Z, Maleki F. Findings From a Nursing Care Audit Based on the Nursing Process: A Descriptive Study. Nurs Midwifery Stud 2015; 4:e30181. [PMID: 26576448 PMCID: PMC4644610 DOI: 10.17795/nmsjournal30181] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2015] [Revised: 06/29/2015] [Accepted: 07/01/2015] [Indexed: 11/25/2022] Open
Abstract
Background: Although using the nursing process improves nursing care quality, few studies have evaluated nursing performance in accordance with nursing process steps either nationally or internationally. Objectives: This study aimed to audit nursing care based on a nursing process model. Patients and Methods: This was a cross-sectional descriptive study in which a nursing audit checklist was designed and validated for assessing nurses’ compliance with nursing process. A total of 300 nurses from various clinical settings of Tehran university of medical sciences were selected. Data were analyzed using descriptive and inferential statistics, including frequencies, Pearson correlation coefficient and independent samples t-tests. Results: The compliance rate of nursing process indicators was 79.71 ± 0.87. Mean compliance scores did not significantly differ by education level and gender. However, overall compliance scores were correlated with nurses’ age (r = 0.26, P = 0.001) and work experience (r = 0.273, P = 0.001). Conclusions: Nursing process indicators can be used to audit nursing care. Such audits can be used as quality assurance tools.
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Affiliation(s)
- Sarieh Poortaghi
- Department of Community Health Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IR Iran
| | - Mahvash Salsali
- Department of International Affairs Deputy, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IR Iran
| | - Abbas Ebadi
- Behavioral Sciences Research Center (BSRC), Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
| | - Zahra Rahnavard
- Department of Community Health Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IR Iran
| | - Farzaneh Maleki
- Department of Community Health Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IR Iran
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Poortaghi S, Atri SB, Safayian A, Baghernia A. General health improves with home-based cardiac rehabilitation program. Saudi Med J 2011; 32:407-411. [PMID: 21484002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023] Open
Abstract
OBJECTIVE To determine whether continuing cardiac rehabilitation programs at home has positive effects on psychological and general health of the participants' in comparison with the control group. METHODS This randomized controlled trial was conducted in Tabriz Shahid Madani rehabilitation center, Tabriz, Iran between February 2009 and January 2010. Eighty patients referred to the rehabilitation center were randomly divided into case and control groups. Both groups received routine cardiac rehabilitation program in the rehabilitation center. In addition, the case group received education and practical training in various rehabilitation measures along with home visits of a community health nurse in follow-up period. General Health Questionnaire (GHQ-28) was used to assess psychological and general health between the 2 groups at baseline and on follow-up period. Collected data from the GHQ-28 were analyzed using Minitab software and repeated measurement analysis model. RESULTS In this study, 75% (n=60) of participants were male and 25% (n=20) were female with an age range of 57.41+/- 1.01 years (mean+/- SE). The results showed statistical significant difference in general health (p=0.000) between the 2 groups and in different measurements (p=0.000). CONCLUSION Home-based cardiac rehabilitation has a positive effect on patients' general health, thus referring patients who suffer from heart diseases is recommended.
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Affiliation(s)
- Sarieh Poortaghi
- Nurshing Education, Alzahra Research Center, Alzahra Hospital, South Artesh St, Baghshomal Crossing, PO Box 5138665793, Tabriz, Iran.
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