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Showing 7 results for Adib-Hajbaghery
Mohsen Adib-Hajbaghery,
Volume 11, Issue 2 (Quarterly 2007)
Abstract
Background : During the past two decades, evidence based practice has been increasingly proved as a higher level of standard and quality of health care. Nurses who base their practices on scientific evidences bring their clients and organizations to a better and more cost-effective level of care. However, little is known about Iranian nurses' perception of evidence based practice so the present study was conducted to evaluate their understandings and experiences on evidence based practice. Materials and Methods: A qualitative study was carried out on 21 participants from different groups of nurses including 9 practicing nurses, 6 head nurses, 3 metrons and supervisor nurses, and 3 nursing school teachers at Kashan University of Medical Sciences. Semi-structured interviews and participant observation methods were used for data gathering. Content analysis was used to analyze the data according to the Cheevakumjorn's method. Results: Two main categories of "nature of evidence" and "the concept of evidence based nursing" emerged from the data. The participants used the term standard care as synonymous with evidence based practice. According to them, evidence based practice cares the clients based on the nurses professional knowledge as well as the patient's needs. The data related to the nature of evidence were categorized in five groups of "knowledge of patient", "environmental knowledge", learned knowledge", "practical knowledge", and "research based knowledge". However they mentioned that at present the nursing practice is not based on scientific evidences. Conclusions: Our nursing care is not based on evidence based practice and the research has little application in our current nursing practice. Evidence based nursing practice requires the access and appraisal of research evidences and their integration with clinical expertise and patients' values. Therefore, it is the responsibility of the managers and educators to identify the barriers and facilitate the process of evidence based practice and its application for the nursing staff.
Mohsen Adib-Hajbaghery, Mohammad Aghajani,
Volume 12, Issue 1 (Quarterly 2008)
Abstract
Background: Proper care for urinary catheters have a key role in prevention of urinary tract infections, however the quality of this care has rarely been studied. This study conducted on assessment the quality of catheter care in University Hospitals in Kashan. Materials and Methods: This cross-sectional study was conducted on 377 hospitalized patients in Naghavi, Shahid Beheshti and Shabih-khani hospitals of Kashan University of Medical Sciences, in 2005. The questionnaire prepared with a literature review and validated by content validity method. Data analysis performed using descriptive statistics. Results: From 377 cases, 61.8% were women and 38.2% men. Forty six patients were observed and other 331 presented their opinions about the quality of catheter care by filling out the questionnaire. Most patients were catheterized in surgical units. The main purpose of catheterization was the necessity to be in bed. In general, the quality of care was at moderate level per patient’s openion while it was weak on the base of observed cases. Patient education obtained the lowest scores. The quality of care was also at moderate level during the catheterization phase. Conclusion: The quality of catheter care was at moderate to weak level. The hospital management systems are responsible to conduct continuing education programmes to update the knowledge and skills of health care providers
Parvin Baghaei, Mitra Zandi, Zoherh Vares, Negin Masoudi Alavi, Mohsen Adib-Hajbaghery,
Volume 12, Issue 1 (Quarterly 2008)
Abstract
Background: Self care in diabetic patients is very important not only from hygienic views, but also from society’s economical aspects. The goal of this study is assessment of knowledge of diabetic patients about self-care, in those referring to Kashan Diabetes Center. Materials and Methods: This descriptive- analytic study is conducted on 300 of 1400 diabetic patients who had medical records in Kashan Diabetes Center, with the use of random sampling method. Data were collected by completion of questionnaire containing demographic information, patients’ self care (considering three aspects: observation, function and family function), Foot care and patient knowledge level. To determine the relationship between self care and studied variants statistical tests x2, T test, sideway analytic variance test, OR, and CI were used. Results: Out of 300 patients, 214 (71.3%) were women and 86 (28.7%) were men, with a diabetes duration of 10.6 ± 6.5 years. Self care situation had a meaningful relationship with the patients’ education and diabetes duration. The longer the diabetes duration, the better was the level of self care. So, even the uneducated people had a well self-care. The type of treatment and marital status had relationship only with legs self care. Conclusion: Based on the results of this study and the discrepancy in some demographic characteristics of patients with different dimension of self-care and knowledge, it is recommended that the education in diabetes center should be more practical and emphasize on behavioral changes, altering attitude, and feeling of self sufficiency.
Mohsen Adib-Hajbaghery , Hosein Akbari,
Volume 13, Issue 3 (Quaterly 2009)
Abstract
Background: Although the assessment of old age disability and its related factors can help us to plan programs to support the elderly people and prevent the disability of this group, such studies were mostly conducted in developing countries. This study was designed to evaluate the severity of disability and its related factors among the elderly population in Kashan, Iran during 2006–7. Materials and Methods: A cross-sectional analytical study was conducted on a two-stage clustered sample of 350 elderly cases in Kashan (65 years and older). The data collection tools were demographic and also WHO-DAS-II questionnaires. Chi-square, Fisher Exact test, Spearman correlation coefficient and ANCOVA were used to analyze the data. Results: Among the studied samples, 75.7% had no or low level disability and only 4.3% had sever one. A Significant relationship was observed between disability and variables such as sex, need to help, place of residency, addiction, regular physical activity, marriage, level of education, lifestyle and previous job. In addition, a positive correlation was observed between disability and sex. Among the variables studied, gender, marriage, need to help, place of residency, regular physical activity and previous job had the most significant correlation with disability. Conclusions: The severity of studied population disability was lower than that in the other countries. Considering the more prevalence of disability among females, the findings indicate the necessity of paying more attention to the elderly population, especially the female one.
Mansor Dianati , Mohsen Adib-Hajbaghery , Mohsen Taghadosy, Hosain Akbari,
Volume 14, Issue 2 (Quaterly 2010)
Abstract
Background: The time spend for prehospital action and the type of seeking treatment behaviors of MI patients are important. The present study was conducted to answer seeking treatment behaviors at patients with myocardial infarction (MI) in Kashan Shahid Beheshti Hospital. Materials and Methods: A cross-sectional case study was conducted on 280 patients with MI during 2006-7. Data were gathered using a questionnaire including 7 questions related to the demographic characteristics of subjects, the time of manifestation of symptoms, the hospitalization history, the initial perception of symptoms, the patient's seeking treatment behaviors and methods using to come to the hospital. The patient's behaviors were categorized in two groups of appropriate and inappropriate. Results: From a total of 280 samples 73.8% were men (mean age: 61.37±13.34 years) and 26.4% were female (mean age: 67.21±9.97 years). The most revealed behaviors were rest (42.5%), self medication (34.3%) and calling the Emergency Medical Service (22.85%), using sublingual TNG (20.5%), respectively. Only 107 patients had appropriate seeking treatment behaviors. On the other hand, 60 patients displayed inappropriate treatment behaviors. A combination of appropriate and inappropriate seeking treatment behaviors have also reported by 113 patients. Conclusion: A considerable number of the patients with MI demonstrated inappropriate seeking treatment behavior. Public education would be helpful to reduce the prevalence of the inappropriate behaviors.
Mohsen Adib-Hajbaghery , Effat Aminoroayaei Yamini ,
Volume 14, Issue 2 (Quaterly 2010)
Abstract
Background: Professional support has frequently been mentioned as one of the basic pre-requisite for nurses' job satisfaction and, creativity and quality in nursing care. However, perception of a professional support to this job has not been studied adequately. The present study was made to clarify the concept and the process to professional support in nursing. Materials and Methods: this qualitative study was conducted using the grounded theory method during 2005-9. The research question was that of what experiences and perceptions the nurses have of the concept of professional support, 29 nurses were interviewed semi-structurally in several educational hospitals in Tehran and Kashan. Data were analyzed using Straus and Corbin's method. Results: Seven categories were emerged from data including the concept of support, feeling of being sheltrles, decreased self-confidence, decreased quality of care, avoidance, decreased professional unity and legitimate support. Participants defined professional support as any material or spiritual backing to strengthen their capabilities in nursing care. They believed that professional support increases capabilities of nurses to make clinical decisions. However, feeling to be unsupported made them to be indifferent, low in self-expression, distrusted them to their managers, powerlessness and shortcoming in conflicts. Lack of legitimate support decreases the nurses' decision-making power and made them to avoid of autonomous intervention. Nurse managers had also a sense of lacking legitimate support. Conclusions: Althogh, the professional support enable nurses to offer a good care for their clients, however, sometimes they feel left unsupported. Developing the legitimate support may decrease the nurses feeling of being unsupported.
Mohsen Adib-Hajbaghery, Akram Ansari , Esmaeil Azizi-Fini,
Volume 15, Issue 3 (Quarterly 2011)
Abstract
Background: Considering the importance of oral care in the ICU and the lack of comprehensive protocols for oral care, the present study was conducted to review the available literature on oral care and to present an evidence-based protocol for oral care in ICU patients. Materials and Methods: Fifty-four full-texts original articles, systematic reviews and meta-analysis papers on mouth care in ICU patients published from 2001 to the end of 2010 in English and indexed in the Pubmed, Ovid, Elsevier, and ProQuest databases were searched by using the relative key-words (e.g. oral care, mouth care, critical care, and intensive care) in the title or abstract and then evaluated. Results: ICU patients are prone to dental plaque and VAP due to conditions such as impaired immunological deficiency, the presence of an endotracheal tube, drug side effects, and difficulty with swallowing food and fluids. Due to the lack of a standard protocol for oral care in ICU, oral cares haven't properly done in ICU wards. Studies have shown that some oral care interventions (e.g. tooth brushing with toothpaste, brushing all surfaces of teeth, tongue and palate, and also the use of chlorhexidine solution) have largely reduced the incidence of VAP in ICU patients. Conclusion: The results revealed that the oral hygiene may reduce the incidence of VAP. Hence assessing patients, implementing mechanical and pharmaceutical interventions are important in oral care and applying the protocol presented in this study can improve the oral health of patients in the ICU.
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