Publications by authors named "Fahimeh Alsadat Hosseini"

7 Publications

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Attitude of nursing students following the implementation of comprehensive computer-based nursing process in medical surgical internship: a quasi-experimental study.

BMC Med Inform Decis Mak 2021 Jan 6;21(1):10. Epub 2021 Jan 6.

School of Health and Life Sciences, University of the West of Scotland, Paisley, Scotland.

Background: The nursing process is the core and the standard of practice in nursing profession. Nowadays, the use of information technology in the field of nursing processes, education and practice has been emphasized. Since nurse's attitudes towards clinical information systems are considered as an indicator of the success rate of information systems, and nurse's attitudes about the nursing process can affect their execution of the process. So the purpose of this study was to evaluate nursing students' attitudes towards the nursing process software.

Methods: In this quasi-experimental study, 160 undergraduate nursing students (terms 4-8) in Tabriz University of Medical Sciences were selected by convenience sampling. To evaluate the effectiveness of nursing process software in this study, Mazlom and Rajabpoor (IJME 14(4):312-322, 2014) a questionnaire consisting of 21 components based on a five-point Likert scale was completed by students after using the software. Data were then analyzed by SPSS 19 software.

Results: The mean score of students' attitude toward nursing process software was high (80.70 ± 5.58). The nursing students' highest scoring attitudes were respectively related to "Effectiveness of software in prioritizing patient care and problems", "Completeness of patient's electronic information compared to handwritten mode" and "Software's effectiveness in saving your time". The lowest scoring attitudes towards the software was respectively related to the "feeling of fairness in labor division", "the effectiveness of the software in determining your workload" and "the feeling of satisfaction in labor division". There was a statistically significant relationship between gender and age, and student's attitude toward nursing process software.

Conclusions: According to the results and analysis of nursing student's attitudes toward nursing process software, the use of such software would be welcomed by students. It seems that changing policies in the educational and clinical substructure of nursing in order to develop, adapt and use the nursing process software is an important responsibility for nursing authorities to consider. Providing educational and clinical technology equipment, periodic evaluation of software by stakeholders and promoting the use of this software, can be fundamental steps in operationalizing the findings of this research.
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January 2021

Nursing Student Experiences of Caring for Burned Patient: From Fearfulness to Normalization.

Invest Educ Enferm 2020 Feb;38(1)

Shiraz University of Medical Sciences, Iran,

Objectives: To describe the care experiences of students in burn units.

Methods: Qualitative research of the phenomenological descriptive type which was conducted with the participation of eight senior nursing students in Shiraz College of Nursing and Midwifery, Iran. The method used for gathering data about Student experiences in Care Services for Burn Cases was the individual semi-structured interview. The Colaizzi method was used for analysing and interpreting the data.

Results: Three main themes emerged: the attractive but stressful experience, trying to adjust and metamorphosis in attitude. Taking care of burned patients led to metamorphosis and adaptation to the requirements of burn care due to the students' improved attitudes, awareness and potentials. This finally turned the stressful nature of taking care of a burn patient into an attractive experience for them.

Conclusions: Students with little clinical experience of stressful working situations in burn units faced different challenges. Due to the specific nature of taking care of burned patients, the clinical experiences of nursing students who offer these services are unique.
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February 2020

The relationship between nursing instructors' clinical teaching behaviors and nursing students' learning in Tabriz University of Medical Sciences in 2016.

Educ Health (Abingdon) 2018 Jan-Apr;31(1):32-38

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Clinical teaching is at the core of the nursing profession. However, clinical teaching may not empower students to gain clinical competency and skills. In this context, the performance of instructors is one of the main determinants of effective clinical teaching. Therefore, the present study aimed to determine the relationship between nursing instructors' clinical teaching behaviors and students' learning.

Methods: This descriptive, correlational study was conducted with 267 nursing students selected through convenience sampling. The data were collected using the Nursing Clinical Teacher Effectiveness Inventory, developed by Knox and Morgan. The questionnaire included two parts: the extent to which nursing instructors used teaching behaviors and the effectiveness of these behaviors on students' learning. The data were entered into the SPSS statistical software, version 19, and were analyzed using descriptive and inferential statistics and the Pearson's correlation coefficient.

Results: The results showed a significant positive relationship between the extent to which nursing instructors used teaching behaviors and the effectiveness of these behaviors on students' learning (P = 0.001). In terms of the utilization of teaching behaviors, the highest average rates were related to the dimensions of interpersonal relations and teaching abilities, while the lowest average rates were found for the evaluation dimension. With regard to the effectiveness of these teaching behaviors on learning, the dimensions of teaching ability and evaluation gained the highest and lowest average rates, respectively.

Discussion: Instructors' capabilities have to be improved regarding the effective utilization of some behaviors related to evaluation, personal characteristics, and nursing competency. In this respect, the use of comprehensive teaching programs can be quite beneficial.
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December 2018

Presence: the cornerstone of spiritual needs among hospitalised patients.

Scand J Caring Sci 2019 Mar 2;33(1):67-76. Epub 2018 Aug 2.

Public Health Nursing Department, AJA University of Medical Sciences, Tehran, Iran.

Background: An important part of the spiritual needs of patients is 'presence'. The increased demand for holistic care has led to increased attention on 'presence' and its quality.

Aims And Objective: Given the importance of understanding the phenomenon of presence in order to promote the spirituality dimension among hospitalised patients, this study aimed to describe the lived experience of hospitalised patients in the context of presence.

Research Methods: This was a descriptive phenomenological qualitative study carried out on 12 admitted patients in general hospital settings. The data were collected through individual and semi-structured interviews. The Colaizzi method was used for analysing and interpreting the data, while the criteria of the Guba and Lincoln method were used to ensure the trustworthiness of these data.

Results: The experience of hospitalised patients concerning 'presence' appeared in the form of three main themes: 'multidimensional connection', 'receiving support' and 'dignity'. During hospitalisation, patients need to experience effective connection with the transcendent and individuals, and receive various types of comprehensive support, such that their and others' dignity is preserved. Patients considered that 'presence' was beyond 'being' and able to provide them with comfort.

Conclusions: Patients' need is very important in the field of presence. In the social and religious context of Iran, in which both supernatural and human aspects of presence are emphasised, it seems that healthcare teams, health authorities and policymakers must provide an appropriate supportive environment in terms of providing a healing presence in its different dimensions.
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March 2019

Patients' perception of dignity in Iranian general hospital settings.

Nurs Ethics 2019 Sep 7;26(6):1777-1790. Epub 2018 May 7.

Department of Public Health Nursing, AJA University of Medical Sciences, Tehran, Iran.

Background: Dignified care is one of the main objectives of holistic care. Furthermore, paying attention to dignity as one of the fundamental rights of patients is extremely important. However, in many cases, the dignity of hospitalized patients is not considered. Dignity is an abstract concept, and comprehensive studies of the dignity of Iranian patients hospitalized in general hospital settings are limited.

Objective: The aim of this study was to explore the concept of dignity from the perspective of patients hospitalized in general hospital settings in Iran.

Research Design: This study takes a qualitative approach. Data were gathered using individual, semi-structured interviews. Qualitative content analysis was the method used to analyse and interpret the data. The criteria suggested by Guba and Lincoln were used ensure the trustworthiness of the study.

Participants And Research Context: A total of 14 hospitalized patients in general hospital settings in Shiraz participated in this study.

Ethical Considerations: The Research Ethics Committee of the Shiraz University of Medical Sciences approved the protocol of the study and the ethical principles were followed throughout.

Findings: The findings of this study revealed four main themes - 'respectful atmosphere', 'patient privacy', 'preservation of authority' and 'receiving attention' - and 10 categories.

Discussion: Patients need to be hospitalized in a respectable environment in which their privacy is preserved and paid attention, providing them with sufficient authority in terms of medical decisions and their life-related issues. The dignity of hospitalized patients will be preserved under these conditions.

Conclusion: Patients hospitalized in general hospital settings need to retain their dignity. This can contribute to the optimal therapeutic outcomes for them. Therefore, it is suggested that a cultural, professional and institutional background, in which all components of the patient's dignity are protected and emphasized, should be provided.
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September 2019

Practice of Iranian Adolescents with Hemophilia in Prevention of Complications of Hemophilia.

Indian J Palliat Care 2015 Sep-Dec;21(3):328-37

Department of Medical-Surgical Nursing, Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Prerequisite for management of a chronic disease involves knowledge about its complications and their prevention. Hemophilia in adolescents influences all the aspects of their lives and thier performance.

Objectives: The present study aimed to determine the performance of Iranian hemophilic adolescents in prevention of disease complications.

Patients And Methods: In this descriptive-analytical study, 108 adolescents with hemophilia were selected through convenience sampling. Their performance in preventing the complications of hemophilia was evaluated by sending a semi-structured questionnaire to their addresses throughout Iran. Then, the data was analysed using the Statistical Package for Social Sciences (SPSS) software (v. 13) and descriptive and interferential statistics were used.

Results: Overall, 32.1% of the participants controlled bleeding during the 1(st) hour. Inaccessibility of coagulation products was mainly responsible for inhibiting timely and proper bleeding control. In order to relieve bleeding associated pain, only 39.0% of the adolescents used analgesics. On the other hand, 19.8% of the subjects used nonpharmacological methods to relieve pain. The majority of the adolescents did not participate in sport activities (65.4%) others allocated less than 5 hours a week to physical activities (70.5%). In addition, the participants did not have favorable dietary patterns, exercise habits, and dental care. The results showed a significant relationship between the adolescents' preventive practice with coagulation disorders and utilization of pharmacological pain relief methods. Also, significant relationships were found between severity of the disease; participating in physical activities, number of hours of physical activities; and disease complications.

Conclusions: Iranian adolescents did not exhibit favorable practices towards complication prevention.
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November 2015

Coping methods to stress among patients on hemodialysis and peritoneal dialysis.

Saudi J Kidney Dis Transpl 2015 Mar;26(2):255-62

Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

Dialysis patients need to deal and cope with various aspects of their disease. Identifying the adaptation methods provides valuable information for planning specific treatment and medical care delivery and improving the performance of medical teams. The present study aims to evaluate the coping strategies to stress among patients undergoing hemodialysis (HD) and peritoneal dialysis (PD) at the Imam Reza Educational-Medical Hospital, Tabriz, West Azarbaijan, Iran. This descriptive and analytical study was conducted on 70 patients in the year 2012. The subjects were selected through census method and simple random sampling method. Data were collected using a customized questionnaire and consisted of demographic information and the Jalowiec Coping Scale (JCS) through a structured interview. Descriptive and inferential statistics were used to analyze the data in SPSS (version 13). The mean score of frequency of use of the coping strategy as "sometimes used" for the HD patients was 70.94 ± 18.91 and also for PD patients as "seldom used" was 58.70 ± 12.66. The mean score of helpfulness of coping strategies in the HD group was 49.57 ± 19.42 as "slightly helpful", whereas in the PD group it was 37.21 ± 14.38 as "slightly helpful" Furthermore, both groups used the emotion-oriented coping styles more frequently than the problem-oriented methods. HD patients used coping methods more frequently than the PD patients. The majority of patients used emotion-oriented coping strategies to deal with stress factors. Use of educational, counseling and supportive programs to assist in coping techniques can facilitate the coping process with stress factors in dialysis patients.
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March 2015