Showing 20 results for Abbas
Mr Ali Abbasi, Mr Hamid Asayesh, Mr Hossein Rahmani, Mr Alireza Shariati, Mr Seyyed Abedin Hosseini, Mr Ghanbar Rouhi, Mr Einollah Molaie,
Volume 8, Issue 1 (10-2011)
Abstract
Background and Objective: Caregivers of chronic renal failure are faced with Hemodialysis related problems and coping with caring responsibilities.The Caregiver Burden is The negative effect of living with these patients. The aim of this study was to determine The Burden on Cargivers from Hemodialysis Patients and related factors.
Material and Methods: In this descriptive and analytical study, 120 Caregivers of chronic renal failure patients treated by Hemodialysis Gorgon's Panje Hospital were selected via census method . The construment was a demographics chek list and Caregiver Burden scale. We did Data analysis by spss software with, independent T-test, oneway, pearson and spearman test
(p< 0.05).
Results: The majority of Caregivers (74.2%) have severe Burden. There is a direct significant correlation between total Burden and the duration,of discase and revers significant correlation between total Burden and the ability to perform patients daily life activities (p< 0.05). The caregivers with a disease endure the heavier Burden (p< 0.05). The caregivers with poor economic condition and Caregivers of with high dependenc y patients bear more Burdens
(p< 0.05).
Conclusion: According to the findings, because of high Burden on Caregivers, we recommend that designing some plans to be designed to for improve the coping strategies and control of the factors affected on Caregiver Burden to promote their health .
Mr Mahdi Sedaghat, Mr Gholamreza Vaghari, Mis Samieh Bani Hashem, Mis Pooneh Maharlooie, Mr Ebrahim Tazik, Mr Abdolhamid Angizeh, Mr Abbas Maghdami, Mr Siavash Maghsoodloo,
Volume 8, Issue 1 (10-2011)
Abstract
Background and Objective : After suffering from some diseases,car accident is the most common cause of mortality in Iran.Using safety seat belt has a considerable role in reducing the injuries. This study has been established for comparing the trend of safety belt use from 2007to 2010 in Golestan province.
Material and Methods: This population-based cross-sectional study was carried out on 3999 subjects aged 15-65,during four years,in 11 urban and rural public health centers.They were selected by stratified and cluster sampling. Interviewers recorded the data using a all of them filled demographic data sheet,and were asked whether they asked seat belt or not.We used Chi-2 test to compare the frequencies and regression logistic to estimate seat belt use odds ratio.
Results: The rate of seat belt use in the years of 2007, 2008, 2009 and 2010 were 71%, 69.8%, 74.5 and 86.4%, respectively.The difference is signficant(P<0.01) safety belt use during the four years increases by 15.4%. This increase in urban area is 19% while in rural area is 14.9%. In under 35-year-old group,the increase is 17.85% and in over 35 is 14.3% .In 2010,using seat belt in men was more than women, by 14.8%.
Conclusion: Using safety belt increased by 3.85% for each year.It,s use in urban higher that rural are,and in institutionalization to use the safety belt and a growing trend to use clear men more them women was reported.Interalization horizon in the province in reducing mortality from accidents will open of using seat belt and it,s increasing use is considerable in this Province.
Elias Bahador, Ali Abbasi,
Volume 8, Issue 2 (2-2012)
Abstract
Background and Objective : Health behaviors are undertaken to prevent from a disease or to maintain health. According to the effect of behavior patterns on the Health of community, we aimed to compare health behaviors of first and last semester students in Amirkabir and Tehran University and their relations with demographic factors.
Materials and Methods : In this descriptive -analytical study, 149 (99 first semester, 50 last) students of Tehran and Amirkabir university were recruited through stratified sampling in 2007. Data were collected by Health Behavior questionnaire and analyzed by descriptive statistics and independent t test (p≤0.05) using SPSS-16 software.
Results: There is no significant relation between first semester’s physical exercises (p=0.6) and smoke cessation (p=0.07) and those of last semester’s ,but it is significant for proper nutrition pattern( p= 0.03).Health behaviors of first semester’s is better than that of last semester’s.
Conclusion: This survey shows that students have not good health behaviors therefore, we recommend designing and performing some educational programs for promoting proper health behaviors for freshmen and other students.
Peyman Akharbin, Dr Adel Zahed Babolan , Dr Abbas Naghizadeh Baghi ,
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: One of the most important motivating factors of nurses is the improvement of their work engagement. Since the job engagement can be affected by various factors including the leadership style of nurse managers and organizational learning, this study aimed to investigate the relationship between servant leadership and organizational learning and work engagement of nurses in Ardabil University of Medical Sciences.
Material and Methods: This cross-sectional study was conducted on 273 of 914 nurses working in the hospitals affiliated to Ardabil University of Medical Sciences. The sample size (N= 273) determined via Krejcie and Morgan table were asked to fill out the three questionnaires of Servant leadership style (by Gholipour et al), organizational learning (by Chiva et al) and job engagement (by Salanova and Schaufeli). The data was analyzed by SPSS-21, using descriptive statistics (data frequency tables, mean, and standard deviation) and inferential statistics (stepwise multiple regression method and Pearson correlation).
Results: The results showd that there was a positive and significant relationship between servant leadership, organizational learning, and job engagement (p≤0.01). Furthermore, servant leadership and organizational learning can predict job engagement.
Conclusion: The improvement of organizational learning and servant leadership can enhance the nurses’ job engagement.
Alam Imani Giglou , Sharareh Zeighami Mohamadi , Fatemeh Gholi, Dr Ahmad Mahdavi, Dr Mohammad Reza Torabi, Zahra Abbasi Validkandi ,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Obstructive sleep apnea (OSA) is an important risk factor for cardiovascular disorders. The aim of this study was to determine the frequency of OSA in myocardial infarction patients in the CCU of Karaj Hospitals, 2009.
Material and Methods: This cross-sectional study was conducted , via convenience sampling , on 140 acute myocardial infarction patients in two cardiac care units of Shariati and Rajaei hospital in Karaj, 2009. We assessed demographic data, history of cardiovascular risk factors, STOP-Bang questionnaire through interview, information related to the type of myocardial infarction and laboratory parameters from medical records, and also we measured anthropometric indices with balance scale and meter tap.
Results: Mean score of STOP-BANG questionnaire was 4.9 ± 1.2 in the range of 2 to 8 points and in 64% of the participants was higher than 4 points. The Score of STOP-BANG questionnaire was statistically significant considering age, smoking, hypertension, dyslipidemia, extensive infarction, BMI, waist-to-height ratio, Waist to Hip Ratio, Waist Circumference, neck circumference, cholesterol and left ventricular ejection fraction (P=0.001), sex (P=0.044), Diabetes(P=0.019), inferior infarction (P=0.006), anterior wall (P=0.048) and triglyceride levels (P=0.031).
Conclusion: OSA is common among patients with myocardial infarction and is associated with anthropometric indices, cardiovascular risk factors, the location of infarction and left ventricular ejection fraction. Thus, Screening, evaluating the symptoms of OSA and referring for counseling and treatment is necessary.
Mohammad Aryaie, Danial Bagheri, Dr Mohammad Ali Vakili , Fozieh Bakhsha, Seid Yaghub Jafari, Samane Karimi, Dr Ali Asghar Abbasi Asfajir,
Volume 12, Issue 2 (12-2015)
Abstract
Background and Objective: Musculoskeletal disorders are the most common occupational complaints bringing about increased financial burden and reduced social productivity. This study aimed to determine the prevalence of musculoskeletal disorders and their relationship with psychosocial factors in the staff of organization.
Material and Methods: In this cross-sectional study, 675 staff of the organizations in Gorgan where selected via cluster & stratified sampling. The instruments Nordic standard questionnaire and job content including areas of job demands, decision latitude, job nature, social interaction with managers and colleagues. We analyzed the data by independent t-test, chi-square test and logistic regression (P&le0.05).
Results: Seventy-seven of participants (11.4%) suffer from neck pain, 39 (5.8%) from shoulder pain and 97 (14.4%) from back pain. Multivariate logistic regression showed a significant relationship between neck pain and the support given by supervisor and Colleagues. Respectively, Freedom of decision-making and support are the most common factors associated with shoulder and back pain.
Conclusion: Based on the results, the support of supervisor & Colleagues and the freedom of decision are the risk factors associated with musculoskeletal disorders.
Seyed Hamid Seyed Bagheri, Hadi Khoshab, Hossein Rafiee, Abbas Abbaszadeh, Fariba Borhani,
Volume 13, Issue 1 (6-2016)
Abstract
Background: Participation of nurses in research studies is a requirement of achieving evidence-based nursing, but studies in this regard are limited. This study aimed to determine the viewpoints of nurses regarding the facilitating factors and obstacles of participating in research and utilization of its results in clinical practice.
Methods: This descriptive study was done in 2013 at teaching hospitals affiliated to Kerman University of Medical Sciences. Study subjects included 210 clinical nurses with at least a bachelor's degree who were selected by stratified random sampling method. Data collection tools included a researcher-made 3-section questionnaire. The first section consisted demographic information and the second and third sections contained 21 questions each that evaluated the motivational factors and obstacles of research, respectively. Data were analyzed using descriptive statistics (mean and standard deviation).
Results: Of all the participants, 87.6% were female with average age of 38.08 ± 4.93 years. Regarding the research facilitating factors, the highest score was given to the intrinsic interest for knowledge acquisition and increased practical work ability. In this section, the lowest scores were given to interaction with other colleagues and the existence of competitive conditions. In terms of the research obstacles, the highest scores were reported for problems at work including staff shortages and high workloads, while the lowest scores were reported for low self-confidence and lack of interest and unwillingness to do research.
Conclusion: The results of this study can provide information for nursing policymakers to establish measures that constructively motivate nurses to do research and utilize its results by the managers.
Kobra Mirzakhani , Talat Khadivzadeh, Abbas Ebadi , Farhad Faridhosseini,
Volume 17, Issue 0 (Supplementary 2020)
Abstract
Background: Mothers with high risk pregnancies, in addition to medical problems, experience behavioral, and emotional problems. One of the problems mothers with high risk pregnancies encounter is the effect of high risk pregnancy conditions on their marital relationships. Therefore, caregivers' attention to mothers with high-risk pregnancies and counseling in this regard is necessary in order to lessen the care of mothers. It is recommended to focus on preventing sexual intercourse in high risk pregnancies. Therefore, the researchers conducted a qualitative study to understand and experience mothers with high risk pregnancies of marital relationships during pregnancy.
Methods: In this study, through a qualitative content analysis, data was collected via interviews. The research population including all mothers with high risk pregnancies were collected by sampling method. The research area was the public and private hospitals in Mashhad. Completing the legal and ethical steps and approving the plan, the researcher introduced himself to the ethics committee of Mashhad University of Medical Sciences and also to the participants. In addition, they presented the purpose of the research to the participants and obtained the written informed consent form. Subsequently, with a semi-structured, isolated face-to-face interview with contributors, they discovered the feelings, perceptions, and thoughts of contributors. The interviews were completely recorded by an MP3 Player device after getting permission of the participants. Data analysis was carried out simultaneously with data collection, in a conventional way of content analysis, based on the approach of Graneheim, Lundman (2004), and MAXQDA1 software used to manage the data.
Results: 12 pregnant women with high risk pregnancy were saturated. Interviews lasted between 45 and 75 minutes. 1000 codes were obtained. The resultant subcategories included: distance in marital relationships, damaged sexual relations, sexual dysfunction in high-risk pregnancies, and values priority in high risk pregnancies. The final theme extracted is "marital and sexual relations are considered as the missing ring in high risk pregnancies."
Conclusions: Sexual and marital relationships and marital status are neglected in high risk pregnancies, which in turn causes mothers to experience negative emotions, therefore consultation with mother’s .should be considered.
Raheleh Babazadeh, Syeed Abbas Mosavi, Khadigeh Mirzaii Najmabadi, Mohhamad Shariati,
Volume 17, Issue 0 (Supplementary 2020)
Abstract
Background: Because of the importance of adolescence, the priority of reproductive health in the world is adolescent reproductive health. What distinguishes this age from other phases of life is the emergence of fertility. Sexual ability, especially among this age group, is a matter of great significance. In fact, today's adolescents, like their peers at all times, are sexually active, with the difference that they are exposed to more sexual stimuli comparing to the past. Moreover, through promoting views about pro-individuality, freedom, opposite-sex friendship, and even establishing advanced relationships are encouraged more than ever. Hence, adolescents face unique reproductive health challenges. The purpose of this study was to discover the views of mothers of adolescent girls about sexual education for adolescent girls.
Methods: In this qualitative study, data were collected through 4 focus group discussions with 26 mothers who had at least one adolescent girl between the ages of 14 -19, not married, living with parents, and attending public schools of Mashhad in 2016. The sampling method, given that the interviews were conducted at the adolescent girls' school, was designed to purposely select schools in a way that encompassed all three high, low, and medium economic and social situations of city dwellers. The number of participants in the focus group sessions ranged from 6 to 8 and the duration of each session was between 60 to 90 minutes. All focus groups were recorded using two digital recorders and field notes with the consent of the interviewees. Having been transcribed, the data were coded and categorized using the conventional content analysis method with the Grunheim and Lundman approach and using MAXQDA10 software.
Results: Data were collected in four main categories: Self-study over time- Sexual education is a moral deviation factor- The need to increase mothers' sexual literacy- and School and family participation
Conclusions: Most participants` mothers emphasized the need for adolescent girls' sexual education and believed that this should be done with the participation of schools and families. However, they disagreed with the exact time of initiation into teaching. Some of the mothers believed that the best time for initiation to teaching is the time of marriage, and others, considering the prevailing conditions in the community, especially easy access to Internet, surmise that the sexual education should begin during adolescence and before marriage, however, they though that pre-marriage sexual education should initiate according to certain criteria, in this regard, they emphasized the school's involvement which, in turn, needs the government appropriate policies.
Abbasiah Abbasiah, Asrial Asrial, Damris Muhammad, Ummi Kalsum,
Volume 19, Issue 1 (1-2022)
Abstract
Background: Public awareness and knowledge about tuberculosis (TB) are still limited, which increases the risk of TB spread among vulnerable individuals. This systematic review aimed to identify effectiveness of self-screening in reducing TB transmission among family members of TB patients.
Methods: This systematic review was carried out on articles published between 2008 and 2021. The articles were retrieved from various databases including Scopus, Wiley Online Library, Cochrane Library, PubMed, and Google Scholar using the following keywords: Self-screening OR screening OR early detection AND TB OR pulmonary TB AND vulnerable OR susceptible AND group OR people OR high-risk Group. All quantitative studies on household or community based self-screening for TB were included in the study.
Results: Nine eligible articles were subjected to qualitative analysis. Early detection of TB transmission could be done through tuberculosis counselling and household screening, including self-screening for TB household contacts.
Conclusion: The management of self-screening of household contacts of TB patients is very important for reducing TB spread.
Razieh Talebi, Mahnaz Modanloo, Fatemeh Heydari , Neda Mehrdad, Abbasali Keshtkar, Homeira Khoddam,
Volume 19, Issue 1 (1-2022)
Abstract
Background: Despite the expansion of knowledge of neonatal pain assessment and management, there is still a considerable gap between nurses' clinical practices in Iran and available evidence. The aim of this study was to develop an evidence-based protocol for neonatal pain management and to evaluate its effectiveness on nurses' clinical practice.
Methods: The present study will be based on the Johns Hopkins nursing evidence-based practice (JHNEBP) model and the three stages of practice question and project planning, evidence, and translation (PET). In this way, after forming an interprofessional team, clinical practice questions will be defined, and the main stakeholders will be identified. Then, the types, levels, and quality of evidence will be assessed to summarize their final strength using the proposed tools of the model, and finally, recommendations will be developed. In the translation phase, the recommendations will be implemented during a stepped wedge cluster randomized trial, and its implications for nursing practices in the management of pain in hospitalized neonates will be evaluated.
Results: The results of this study will lead to the production of an operational and applicable protocol in the management of pain in hospitalized neonates. It can provide the basis for improving the clinical practice of nurses and subsequently improving the quality of neonatal care.
Conclusion: One of the strengths of this study is the use of an interprofessional team approach, considering the clients' priorities, and the improvement of organizational culture in order to endeavor for knowledge translation and change in clinical practice.
Mohammad Mahboubi , Akram Salamat , Ali Ebrazeh , Sara Sayar, Zahra Abbasi , Marjan Mardani Hamooleh ,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Nurses may be threatened with professional moral courage while providing care to patients with Covid-19. The present study aimed to evaluate the professional moral courage of nurses caring for patients with Covid-19.
Methods: This study was a cross-sectional study. In this study, 200 nurses working in COVID wards participated by convenience sampling method. Data collection tools were personal profile forms and valid and reliable tool of professional moral courage. Data were analyzed using descriptive statistics and inferential statistics (ANOVA And T-TEST) under SPSS software version 16.
Results: The overall score of nurses' professional moral courage was 56.25±7.02. Other findings of the study indicated that among the personal characteristics of nurses, professional moral courage and organizational position (P = 0.005) and nursing work experience in the COVID ward (P = 0.003) had a statistically significant relationship.
Conclusion: Considering the average state of moral courage and the fact that the average score of supervisors is lower than that of nurses, it is obligatory for nursing managers to plan for the promotion of professional moral courage of nurses to face future crises. The most important of these actions can be holding educational workshops with ethical themes for nurses and students so that they can obtain professional moral courage in their profession in more desirable way.
Masoumeh Abbasi Shavazi , Manoj Sharma, Tayebeh Mokhtari Sorkhani ,
Volume 21, Issue 3 (10-2024)
Abstract
The total fertility rate has declined in certain countries, dropping below the replacement level. The attitudes and desires of some families regarding having children have also shifted. To cultivate positive societal views on childbearing, there is a need for updated educational initiatives, such as a multi-theory model. Although the multi-theory model has been used in various contexts to facilitate health behavior change, with its effectiveness validated in predicting and influencing behaviors, there has been no documented use of this model in the context of fertility, either in Iran or globally. Developing fertility encouragement programs requires cultural sensitivity and attention to accepted social norms and customs, which can enhance program efficacy. We believe the Multi-Theory Model can be effective and useful in encouraging couples to increase fertility.
Seyedmohammad Mirhosseini, Ali Abbasi, Anahita Divani, Fateme Askarinezhad, Soheila Hasanpournamaghi, Samuel Grimwood , Ali Montazeri, Hossein Ebrahimi,
Volume 22, Issue 1 (3-2025)
Abstract
Background: Family caregivers of cancer patients encounter numerous challenges while providing care, and self-efficacy is a key factor in alleviating these negative effects. This study aimed to investigate the psychometric properties of the Persian version of the Caregiver Self-Efficacy Scale (CSES) among caregivers of cancer patients.
Methods: This methodological study employed a cross-sectional design involving 382 family caregivers of cancer patients in a teaching hospital in Iran, in 2024. The CSES was translated into Persian using the forward-backward procedure. The initial translation was assessed for face and content validity through both quantitative and qualitative methods. Construct validity was evaluated using exploratory and confirmatory factor analysis. Discriminant validity was examined using the Heterotrait–Monotrait (HTMT) ratio. Reliability was assessed by evaluating internal consistency using Cronbach's alpha and Mcdonald's omega, and stability was measured using intraclass correlation coefficients (ICCs).
Results: In this study, 53.7% of the participants were male, and the caregivers' mean age was 42.52 ± 11.83 years. Scale-level content validity index was reported 0.97 by expert panel during content validity stage. During the exploratory factor analysis, one item was excluded, leaving seven items were categorized into two factors: caregiver self-management and patient challenges. These factors collectively accounted for 43.9% of the variance in self-efficacy. Confirmatory factor analysis confirmed the adequacy of the model derived from the exploratory factor analysis (RMSEA = 0.05, GFI = 0.947, and CFI = 0.906). The factors demonstrated discriminant validity. Cronbach's alpha values for the patient challenges and caregiver self-management factors were 0.802 and 0.798, respectively. In addition, the ICC for these two factors was reported to be 0.830 and 0.802, respectively.
Conclusion: The Persian adaptation of the CSES demonstrates satisfactory validity and reliability for assessing the self-efficacy of family caregivers of cancer patients in Iran.
Masoumeh Rostami , Abbas Ebadi , Hamid Sharif-Nia , Fidan Shabani , Reza Ghanei Gheshlagh ,
Volume 22, Issue 2 (6-2025)
Abstract
Background: Some men use a nuanced set of attitudes, behaviors, and beliefs referred to as “invisible violence” to exert control over women. Although these behaviors are culturally accepted, they remain risk factors for intimate partner violence. Early detection of invisible violence can prevent domestic violence and its negative consequences. Therefore, this study aimed to evaluate the psychometric properties of the Persian version of the Questionnaire for the Invisible Violence Against Women (Q-IVAW).
Methods: This cross-sectional study was conducted on 520 married women who were referred to health centers in Western Iran (Asadabad) in 2023. Sampling was performed using a convenience sampling method. After forward-backward translation, face, content, and construct validity (through exploratory and confirmatory factor analysis) were conducted. Internal consistency was assessed using Cronbach's alpha and McDonald's omega coefficients and stability was assessed using a test-retest. The data were analyzed using SPSS version 16 and Amos version 26 software.
Results: In the exploratory factor analysis, four factors, including ‘utilitarian-benevolent sexist behaviors’, ‘crisis sexist behaviors’, ‘coercive sexist behaviors’, and ‘ambivalent sexist behaviors’, were extracted using the maximum likelihood method and Promax rotation. Cronbach's alpha for the four factors was 0.803, 0.724, 0.733, and 0.704, respectively. These factors account for 47.17% of the total variance. In confirmatory factor analysis, the final model demonstrated a good fit (CMIN/DF = 2.140, GFI = 0.952, AGFI = 0.932, NFI = 0.924, IFI = 0.958, CFI = 0.958, RMSEA = 0.047).
Conclusion: The Persian version of the Q-IVAW has acceptable psychometric properties and can be used to measure invisible violence in Iranian women.
Fatemeh Aramideh , Sepideh Mohammadi , Abbas Shamsalinia , Omolhoda Kaveh ,
Volume 22, Issue 3 (9-2025)
Abstract
Background: Given the anxiety experienced by patients awaiting diabetic foot ulcer surgery, evidence supporting the efficacy of preoperative art therapy can be clinically valuable. However, evidence on the effectiveness of digital coloring, a modern and accessible form of art therapy, remains limited. This study aimed to investigate the effects of digital coloring on state-trait anxiety levels and pulse rate in elderly patients scheduled for diabetic foot ulcer surgery.
Methods: This quasi-experimental study employed a pre-test–post-test design with intervention and control groups. The study was conducted from January 2023 to July 2024 at a referral teaching hospital in Amol, Iran. The participants were selectively assigned to either an intervention group (n=30) or a control group (n=30) via purposive sampling. Both groups received standard preoperative care, but one hour before the scheduled surgery, the intervention group received a one-session digital coloring. Data were collected using a demographic questionnaire and the State-Trait Anxiety Inventory (STAI Form Y-1). The variables were assessed at baseline and immediately after the coloring session in both study groups. An analysis of covariance (ANCOVA) was conducted to compare post-intervention state anxiety between the intervention and control groups, while controlling for pre-intervention anxiety levels. Data analysis in SPSS v25 employed χ², Fisher’s exact, paired, and independent t-tests, with significance set at p <0.05.
Results: Both study groups were homogeneous in terms of gender, age, and education level. Baseline anxiety (p=0.43) and pulse rate (p=0.12) were similar between groups. Post-intervention results revealed a clinically meaningful reduction in the intervention group (43.20±3.70) versus controls (50.33±6.18), with a significant between-group difference (p<0.001, d=1.42). The between-group difference in pulse rate was also significant (p=0.002), with a large effect size (Cohen’s d=0.87).
Conclusion: Our findings suggest that the digital coloring intervention may be associated with reductions in state anxiety and pulse rate among elderly patients awaiting diabetic foot ulcer surgery. Given that this intervention is simple, inexpensive, and easily accessible, we recommend its use to alleviate state anxiety in clinical settings that typically provoke anxiety, such as during diagnostic procedures.
Abbas Ebadi, Hadis Ashrafizadeh, Leila Khanali Mojen, Somayeh Mirzaie, Zeynab Kazemzadeh, Parastoo Ariamloo, Maryam Rassouli, Jeannine M. Brant ,
Volume 22, Issue 3 (9-2025)
Abstract
Background: Iran’s health system continues to face challenges in nursing care quality, highlighting the need to improve nursing-sensitive indicators. This pilot study evaluated the feasibility of implementing the Magnet Hospital Recognition Program to enhance nursing care quality in six Iranian university-affiliated hospitals.
Methods: An action research design was carried out from 2022 to 2024 in six hospitals selected by predefined inclusion criteria. The study comprised three stages. In stage one, investigators used a validated gap-analysis questionnaire to assess existing nursing service processes across five Magnet dimensions and developed targeted improvement plans. Stage two involved implementing interventions, including specialized training courses, development of a nursing management portal and managerial dashboard, compilation of care indicators, facilitation of advanced qualification licensing for nurses, and establishment of a collaborative research committee with the nursing faculty. In the third stage, program monitoring was conducted through quarterly field visits and progress reports. All data were collected via the gap-analysis tool.
Results: At baseline (Stage one), all centers scored zero in most Magnet dimensions, prompting the design of specific improvement programs. During stage two, organizational overview initiatives empowered managers and updated the nursing management portal. Empirical outcomes advanced through training in the nursing process, pain and wound management, patient satisfaction measurement, and structured patient education and follow-up. Transformational leadership efforts delivered a managerial information dashboard and systematic indicator tracking. Structural empowerment was achieved via professional qualification programs, and innovation was fostered through a joint research committee and human-resource planning. Stage three monitoring revealed that most pilot hospitals had progressed to level 1 (Planning and development) and a minority to level 2 (Full implementation), demonstrating measurable advancement toward Magnet standards.
Conclusion: The Deputy of Nursing’s “Outstanding Hospital” initiative successfully piloted Magnet-based improvements, notably enhancing patient satisfaction and standard adoption. Continued focus on evidence-based practice, professional growth, and the integration of telenursing is recommended for broader implementation.
Abbas Abbaszadeh ,
Volume 22, Issue 4 (12-2025)
Abstract
Sakineh Nazari, Zohreh Abbasi, Mohammad Jalal Abbasi- Shavazi, Abbas Ebadi, Seyedeh Mahboobeh Rezaeean, Zohreh Keshavarz,
Volume 23, Issue 1 (3-2026)
Abstract
Background: Assessing fertility levels is considered one of the most critical indicators in population forecasting and reproductive health research. Therefore, this qualitative study was conducted to explore women’s and experts’ perspectives on childbearing, including the views of healthcare professionals, university faculty members, and sociologists, regarding factors influencing childbearing.
Methods: This qualitative study was conducted in 2025 in North Khorasan Province, Iran. Participants were selected through purposive sampling and included three groups: women with two or fewer children (n = 35), women with more than two children (n = 16), and experts in the field of childbearing (n = 13). Data were collected through in-depth individual interviews and analyzed using MAXQDA 10 software according to conventional content analysis procedures.
Results: Analysis of the participants’ narratives identified four main themes influencing the decision to have more than two children: “gaining power, passive social acceptance, inefficiency of educational and health approaches, and a specific lifestyle pattern.” In contrast, rethinking the value of children and reconsidering fertility emerged as key factors influencing the decision to have fewer than two children.
Conclusion: The findings indicate that fertility preferences are shaped by a complex interplay of social and personal factors. While empowerment, passive social acceptance, ineffective educational and health strategies, and lifestyle considerations tend to promote larger family sizes, reassessment of the value of children and fertility considerations support smaller family choices. These results highlight the need for tailored reproductive health policies and context-sensitive educational interventions to support informed decision-making and balanced population strategies.
Arifa Iran, Shima Sadat Aghahosseini , Rukhsana Nazli, Saifullah Abbas , Farnaz Ahsan ,
Volume 23, Issue 2 (6-2026)
Abstract
Background: Pain is a prevalent and distressing symptom among intensive care unit (ICU) patients, and inadequate management may lead to serious complications and adverse outcomes. Roy’s Adaptation Model provides a structured nursing framework for improving patient adaptation and health outcomes. This study aimed to evaluate the effect of the Roy Adaptation Model on pain levels in ICU patients.
Methods: This quasi-experimental study was conducted in 2026 among 100 patients admitted to the ICU in Pakistan. Two comparable ICU wards were randomly assigned to the intervention or control group before participant recruitment. Eligible patients were then consecutively enrolled and assigned to the study groups according to the ICU ward to which they were routinely admitted. Outcome assessors were blinded to group allocation. Patients in the intervention group received care based on the Roy Adaptation Model for 7 days, whereas those in the control group received routine care. Data were collected using the Behavioral Pain Scale (BPS). Data were analyzed using SPSS software version 26. Descriptive statistics (Mean, standard deviation, frequency, and percentage) and inferential statistics (Independent t-test and ANOVA) were applied. A p-value of less than 0.05 was considered statistically significant.
Results: Pain scores decreased over the seven-day follow-up period in both groups; however, the reduction was significantly greater in the intervention group than in the control group. For daytime pain, repeated-measures ANOVA showed significant effects of group (F = 16.84, P < 0.001, ηp² = 0.147), time (F = 6.54, P < 0.001, ηp² = 0.063), and the time × group interaction (F = 4.72, P < 0.001, ηp² = 0.046). Similar findings were observed for nighttime pain, with significant effects of group (F = 18.32, P < 0.001, ηp² = 0.157), time (F = 6.87, P < 0.001, ηp² = 0.066), and the time × group interaction (F = 4.15, P < 0.001, ηp² = 0.040). Independent samples t-tests showed no significant between-group differences during the first two days and nights (P > 0.05); however, pain scores were significantly lower in the intervention group from day 3 to day 7 and from night 3 to night 7 (P < 0.05).
Conclusion: The findings suggest that Roy’s Adaptation Model may contribute to pain reduction among ICU patients, supporting the potential value of theory-based nursing care in critical care settings. Incorporating this model into routine ICU practice may enhance pain management and facilitate patient adaptation.
