- Es-hagh Ildarabadi BSN, MSN, Ph.D. Associate Professor and faculty member of Esfarayen School of Medical Sciences, Emam Reza street, Esfarayen, Iranedit
The present study aimed to identify predictive factors for mortality among elderly individuals infected with COVID-19. Methods and Materials: This historical cohort study was conducted from July to December 2021 in the specialized... more
The present study aimed to identify predictive factors for mortality among elderly individuals infected with COVID-19. Methods and Materials: This historical cohort study was conducted from July to December 2021 in the specialized departments for COVID-19 patients at one of the hospitals in Mashhad, Iran. Data were collected from the medical records of 404 elderly patients. Sampling was conducted using the convenience sampling method. Data were gathered through a demographic and clinical checklist developed by the researcher. Univariate and multivariate Cox regression were used to analyze the data. Results: The mortality rate among elderly individuals was 25% (n = 101). Multiple regression analysis revealed significant associations between mortality and age (hazard ratio [HR] = 0.58, 95% confidence interval [CI]: 0.38, 0.88; P = 0.011), level of consciousness (HR = 0.31, 95% CI: 0.19, 0.50; P < 0.001), and SpO 2 (HR = 0.58, 95% CI: 0.37, 0.92; P = 0.022). The probability of survival after the 19 th day of hospitalization was 50%. Conclusions: Determining predictors of death allows for early identification of elderly individuals at risk and enables the health-care team to provide more effective care, ultimately saving the lives of elderly individuals by allocating appropriate facilities and equipment.
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BACKGROUND: Self-care training is one of the strategies used to control diabetes. There is some ambiguity about the appropriate method for educating middle-aged and older adults about self-care. AIM: This study aimed to compare the... more
BACKGROUND: Self-care training is one of the strategies used to control diabetes. There is some ambiguity about the appropriate method for educating middle-aged and older adults about self-care. AIM: This study aimed to compare the effects of face-to-face and online training on self-care levels in middle-aged and older adults with type 2 diabetes. MATERIAL AND METHODS: In a randomised clinical trial, 84 middle-aged and older adults with type 2 diabetes who had been referred to the Diabetes Clinic of Esfarayen in Iran, were evaluated. Patients who meet the inclusion criteria were randomly assigned into two groups. Diabetes self-care education (DSCE) was provided using a face-to-face training method in one group and using online training method in the other group. The summary of diabetes self-care activities (SDSCA) questionnaire was completed at baseline and 1 month after training. RESULTS: The mean and standard deviation of self-care scores before and 1 month after training were 43....
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Incivility among nursing students is a common academic problem. Knowing the causes of students' incivility will enable the faculty members and academic institutions to select correct strategies to deal with this problem. This study... more
Incivility among nursing students is a common academic problem. Knowing the causes of students' incivility will enable the faculty members and academic institutions to select correct strategies to deal with this problem. This study was conducted to explore the causes of incivility among nursing students from both educators' and students' points of view. gThis qualitative content analysis study was applied in order to explore experiences and insights of 17 nursing lecturers and 9 nursing students who were selected through purposeful sampling and interviewed on the causes of incivility. Participants were selected among students and lecturers of nursing schools in Khorasan Razavi. The inclusion criteria for the students were having passed one educational term and for the lecturers having one year experience of teaching respectively. Data gathering was done using deep semi-structured interviews starting from March 2014 to March 2015. Three main categories extracted from the ...
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TNF-α and LPA promote synergistic expression of myofibroblasts: role of the transactivation of EGFR. Yoo et al. BMC Gastroenterology 2013, 13:90
Research Interests: Assessment, Cameroon, Development, Curriculum, Children, and 15 moreCoping Styles, Adolescence, AIDS, Background, Attitude, Connectivity, Adult, Adults, Adherence, Depressive Symptoms, Drug Utilization, Cost utility analysis, Contractility, Attention deficit hyperactivity disorder, and Drug Expenditures
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Background: Incivility or challenging behaviors in the scientific environment are so harmful that they cannot be neglected. Therefore, these behaviors should be addressed promptly and effectively. The aim of this study was to identify... more
Background: Incivility or challenging behaviors in the scientific environment are so harmful that they cannot be neglected. Therefore, these behaviors should be addressed promptly and effectively. The aim of this study was to identify challenging behaviors from other behaviors and evaluate the severity of these behaviors from the viewpoint of university professors in medical students. Methods: This descriptive cross-sectional study was performed on a sample of 110 faculty members in Faculty of Medicine of Mashhad University of Medical Sciences. To identify challenging behaviors from other behaviors, the majority (>50%) was considered. Also, to determine the challenging intensity of each behavior, behaviors that had higher scores were regarded as very high challenging behaviors. Results: Based on the review of external and internal resources and the viewpoints of professors,32 behaviors were prepared in the form of a checklist for the faculty members to identify the challenge and ...
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The prevalence of diabetes has been on a growing trend worldwide; accordingly, it has increased from 4.5% in 1980 to 8.5% in 2014 (1). The aim of controlling diabetes is to achieve a hemoglobin a1c (HbA1c) level of lower than 7%. However,... more
The prevalence of diabetes has been on a growing trend worldwide; accordingly, it has increased from 4.5% in 1980 to 8.5% in 2014 (1). The aim of controlling diabetes is to achieve a hemoglobin a1c (HbA1c) level of lower than 7%. However, this target cannot be fulfilled in almost 50% of the diabetic patients. Poor blood glucose control is a risk factor for the complications associated with diabetes mellitus (2, 3). Oral hypoglycemic drugs are typically used to control this disease. In case of failure in achieving the normal blood glucose level, another oral drug or insulin may be required (4(. According to the literature, only 20% of the diabetic patients are interested in insulin initiation. Furthermore, insulin initiation in these patients is challenging for the health care providers (5). The barriers to insulin initiation can be categorized in terms of their relationship with the health care providers and patient. According to the previous studies, the barriers related to the hea...
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Purpose: This study aimed to explore the experiences of nursing students being trained to perform vaccinations. Methods: The grounded theory method was applied to gather information through semi-structured interviews. The participants... more
Purpose: This study aimed to explore the experiences of nursing students being trained to perform vaccinations. Methods: The grounded theory method was applied to gather information through semi-structured interviews. The participants included 14 undergraduate nursing students in their fifth and eighth semesters of study in a nursing school in Iran. The information was analyzed according to Strauss and Corbin’s method of grounded theory. Results: A core category of experiential learning was identified, and the following eight subcategories were extracted: students’ enthusiasm, vaccination sensitivity, stress, proper educational environment, absence of prerequisites, students’ responsibility for learning, providing services, and learning outcomes. Conclusion: The vaccination training of nursing students was found to be in an acceptable state. However, some barriers to effective learning were identified. As such, the results of this study may provide empirical support for attempts to ...
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Purpose: Healthcare staff educate nursing students during their clerkships at community health nursing programs. Their teaching methods play an important role in nursing students’ acquisition of competencies; however, these methods have... more
Purpose: Healthcare staff educate nursing students during their clerkships at community health nursing programs. Their teaching methods play an important role in nursing students’ acquisition of competencies; however, these methods have not been studied thoroughly. Thus, this study aims to describe, interpret, and understand the experiences of healthcare staff’s teaching methods in clerkships at a community health nursing program. Methods: This study was conducted using purposeful sampling and semi-structured interviews with 13 members of the staff of three urban healthcare centers in Iran. The data were analyzed through qualitative content analysis and thematic analysis. Results: Multiplicity of teaching was identified as the main category of teaching method, and the five subcategories were teaching through lecture, demonstration, doing, visits and field trips, and readiness. The most common method used by the healthcare staff was lecturing. Conclusion: The healthcare staff used mu...
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Comprehensive studies on community health nursing education have not been performed In Iran and nursing graduates have limited ability to provide health care outside the hospital. However, education policy makers require a thorough... more
Comprehensive studies on community health nursing education have not been performed In Iran and nursing graduates have limited ability to provide health care outside the hospital. However, education policy makers require a thorough understanding of nursing education for training of professional nurses. The aim of the present study is to review the existing challenges of community health nursing education in undergraduate curriculum, and explore its dimension. In this review study, some medical resources including nursing index, nursing consult, Proquest, Scopus, Elsevier, Pub Med, SID, Iranmedex, Magiran and Medlib were used in order to cover all associated studies. Searching articles from 1991 to 2012 was performed by using key words: Undergraduate nursing education, community health, and review studies separately and in combination. Inadequate productivity weakness of holistic and community-oriented attitude of nursing students, non-applicability and poor training methods are the biggest problems in community health nursing education. Education of community health nursing is of poor quality and absence of educational models and appropriate practical programs challenge its progress against major barriers. The findings of this study have provided compelling evidences for authorities involved in nursing education. We believe that the desirable change would be possible by considering the experiences of students; teachers and employees involved in community health nursing, a process providing better understandings and directives for nursing education policy makers.
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The performance of the community health nurse depends on a combination of scientific and practical competencies acquired by educational experiences during the nursing course. Curriculum planners of nursing education need to understand... more
The performance of the community health nurse depends on a combination of scientific and practical competencies acquired by educational experiences during the nursing course. Curriculum planners of nursing education need to understand nursing education to train professional and community-oriented nurses. The aim of this article is to explore the experiences of nursing students during their community health nursing clinical clerkship courses. A grounded theory approach was used to conduct this study. Twelve nursing students, 13 health-care staff members, and 10 nursing instructors were interviewed individually in 2011-2012. The interviews were tape-recorded and later transcribed verbatim. The transcriptions were analyzed using the method of Strauss and Corbin. AMBIVALENCE OF MOTIVATION WAS THE MAIN CATEGORY AND INCLUDED FIVE SUBCATEGORIES: Professional identity, educational atmosphere, educational management, motivation-based approaches, and inadequate productivity. This paper presen...
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Introduction: AIDS is a special viral infection for which there is no suitable treatment available. Therefore, prevention is the most important priority. Because one way of HIV transmission is through body injury with sharp contaminated... more
Introduction: AIDS is a special viral infection for which there is no suitable treatment available. Therefore, prevention is the most important priority. Because one way of HIV transmission is through body injury with sharp contaminated instruments, and barbers usually use ...
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Background: The aims of the research that formed the basis of the current study are as follows: Determining methods that are used by teachers for giving feedback in clinical settings. Determining types of feedback, teachers give to their... more
Background: The aims of the research that formed the basis of the current study are as follows: Determining methods that are used by teachers for giving feedback in clinical settings. Determining types of feedback, teachers give to their students in clinical settings. Determining barriers of giving feedback and its important teachers’ experience in clinical settings. Methods: This applied research was a cross-sectional study that involved 131 medical clinical teachers. Using resources in the library and on the web, we developed a questionnaire comprising two parts: the first part of the questionnaire focused on assessing the methods and types of giving feedback used by the participants (a total of 25 items); the second part focused on determining barriers that teachers experience when giving feedback in clinical setting (8 items). Responses to each question were on a Likert Scale. The validity of the questionnaire was determined using content validity index (CVI) measures, and was c...
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1 Department of Nursing, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran 2 Department of Medical-Surgical Nursing, Evidence-Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences,... more
1 Department of Nursing, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran 2 Department of Medical-Surgical Nursing, Evidence-Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran 3 Department of Biostatistics and Epidemiology, Health Sciences Research Center, Cancer Research Center, Mashhad University of Medical Sciences, Mashhad, Iran 4 Department of Nursing, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran
Background/Purpose: Consideration of mental health status together with levels of happiness in elderly patients undergoing hemodialysis is among issues disregarded in health systems even though this age group is likely to suffer from... more
Background/Purpose: Consideration of mental health status together
with levels of happiness in elderly patients undergoing hemodialysis
is among issues disregarded in health systems even though this age
group is likely to suffer from numerous mental disorders induced by
physical problems. This study aimed to determine the effectiveness of
group reminiscence therapy (GRT) on Mental Health Status and Levels of
Happiness among Elderly Patients on Hemodialysis.
Methods: This clinical trial study was conducted on 60 elderly patients
undergoing hemodialysis from 1 February 2019 to 30 August 2019.
The sampling method was simple random allocation. The intervention
was then implemented through structured GRT for the patients in the
experimental group within eight sessions, twice a week. The control
group, however, did not receive any interventions. SPSS Version 18.0 was
used to analyze the data.
Results: The results revealed that the difference between mean scores of
mental health status between both experimental and control groups was
significant following the implementation of GRT (p=0.02), so the mean
scores in the experimental group (30.76±8.07) had reduced after the
given intervention compared with that in the control group (37.13±6.28).
The mean scores of levels of happiness had also significantly increased in
the experimental group following GRT (114.4±7.98) compared with that
before it (93.03±19.97) (p ≤0.02).
Conclusion: It was concluded that implementation of GRT could have a
positive effect on mental health status and levels of happiness in elderly
and adult patients aged ≥50 years under going hemodialysis.
with levels of happiness in elderly patients undergoing hemodialysis
is among issues disregarded in health systems even though this age
group is likely to suffer from numerous mental disorders induced by
physical problems. This study aimed to determine the effectiveness of
group reminiscence therapy (GRT) on Mental Health Status and Levels of
Happiness among Elderly Patients on Hemodialysis.
Methods: This clinical trial study was conducted on 60 elderly patients
undergoing hemodialysis from 1 February 2019 to 30 August 2019.
The sampling method was simple random allocation. The intervention
was then implemented through structured GRT for the patients in the
experimental group within eight sessions, twice a week. The control
group, however, did not receive any interventions. SPSS Version 18.0 was
used to analyze the data.
Results: The results revealed that the difference between mean scores of
mental health status between both experimental and control groups was
significant following the implementation of GRT (p=0.02), so the mean
scores in the experimental group (30.76±8.07) had reduced after the
given intervention compared with that in the control group (37.13±6.28).
The mean scores of levels of happiness had also significantly increased in
the experimental group following GRT (114.4±7.98) compared with that
before it (93.03±19.97) (p ≤0.02).
Conclusion: It was concluded that implementation of GRT could have a
positive effect on mental health status and levels of happiness in elderly
and adult patients aged ≥50 years under going hemodialysis.
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The performance of the community health nurse depends on a combination of scientific and practical competencies acquired by educational experiences during the nursing course. Curriculum planners of nursing education need to understand... more
The performance of the community health nurse depends on a combination of scientific and practical competencies acquired by educational experiences during the nursing course. Curriculum planners of nursing education need to understand nursing education to train professional and community-oriented nurses. The aim of this article is to explore the experiences of nursing students during their community health nursing clinical clerkship courses. A grounded theory approach was used to conduct this study. Twelve nursing students, 13 health-care staff members, and 10 nursing instructors were interviewed individually in 2011-2012. The interviews were tape-recorded and later transcribed verbatim. The transcriptions were analyzed using the method of Strauss and Corbin. AMBIVALENCE OF MOTIVATION WAS THE MAIN CATEGORY AND INCLUDED FIVE SUBCATEGORIES: Professional identity, educational atmosphere, educational management, motivation-based approaches, and inadequate productivity. This paper presen...