Nursing Practice Today 2018-09-01T10:28:27+0430 Dr. Reza Negarandeh Open Journal Systems Barriers and facilitators related to the health care system in spinal cord injury 2018-07-24T06:45:21+0430 Abdul-Ganiyu Fuseini* Patience Aniteye Gideon Kofi-Helegbe <p><strong>Background &amp; Aim:</strong> The majority of studies on the facilitators and barriers to functioning in spinal cord injury (SCI) focussed on physical and psychosocial barriers/facilitators, with little emphasis on barriers and facilitators related to the health care system. The purpose of the present study was to explore the barriers/facilitators in the health care system to the functioning of persons with SCI.</p><p><strong>Methods &amp; Materials:</strong> The present study was a qualitative descriptive design that was conducted at the Tamale Teaching Hospital in the Northern Region of Ghana. The study employed the purposive sampling technique with the Neurosurgical Unit of the Hospital as an outlet for the selection of the sample. Thirteen participants were interviewed using an interview guide. The sample was determined by saturation and the data was analysed using thematic analysis.</p><p><strong>Result:</strong> Treatment and management issues, health staff issues and health education issues respectively emerged as the main themes of the present study. Sub-themes such as long-term analgesic use, herbal treatment, lack of health education and high cost of treatment emerged as barriers to functioning of persons with SCI. While physiotherapy and health education were identified as facilitators to functioning, surgery emerged as both a barrier and a facilitator to functioning. </p><p><strong>Conclusion:</strong> Addressing the barriers related to the health care system on the functioning of persons with SCI and improving on the few existing facilitators to functioning would help improve the general wellbeing of persons with SCI and also assist in their adjustment to the injury.<strong></strong></p> 2018-07-13T00:00:00+0430 ##submission.copyrightStatement## Barriers of nurse-patient communication from the nurses' point of view in educational hospitals affiliated to Kurdistan University of Medical Sciences 2018-07-24T06:40:51+0430 Farasat Ardalan Mohammad-Iraj Bagheri-Saweh Mashaalah Etemadi-Sanandaji Bijan Nouri Sina Valiee* <p><strong>Background &amp; Aim</strong>: Communication with the patient is the basis for nursing practice in providing care for the patient. The aim of this study was to determine the barriers to nurse-patient communication from the viewpoint of nurses working in educational hospitals of Kurdistan University of Medical Sciences,<br /><strong>Materials and Methods</strong>: This descriptive cross-sectional study was performed on 151 of nursing staff in educational hospitals of Kurdistan University of Medical Sciences selected by convenience sampling method. Data gathering tool was a questionnaire including demographic characteristics and “barriers to nurse-patient communication” questionnaire with four-part: common barriers between nurses and patients, nurses’ barriers, patients’ barriers and environmental barriers. The data were analyzed by SPSS software ver 16. The demographic data and the barriers to nurse-patient communication were measured, using frequency, mean, and standard deviation.<br /><strong>Results</strong>: Cultural difference between nurses and patients (2.62±1.06) was the most common barriers to the nurse-patient communication. The most important barriers related to the patient included the patient's companion’s interference (3.24±0.92). Among the environmental barriers, caring for a critical patient (3.27±0.98) was the most important barriers. The most important nurses’ barriers was lack of time (3.46±0.78).<br /><strong>Conclusions</strong>: Nurses and nursing managers should work to address and remove the barriers identified in relation to the nurse-patient communication. Providing care by native and same gender nurses, absence of patients' companion, creating a quiet environment and increasing the number of nursing staff could help to overcome these barriers</p> 2018-07-13T00:00:00+0430 ##submission.copyrightStatement## The Study of regular physical activity status and perception of barriers for performing it in adolescents 2018-07-29T06:41:58+0430 Valiollah Padehban Reza Negarandeh* Nasrin Nikpeyma <p><strong>Background &amp;objectives :</strong>Regularphysicalactivity is a major aspect ofhealthy lifestyle and controlandpreventionofmanyuncontagiousdiseases.Also, perceived barrierstophysicalactivityamongvariouspopulationsaredifferent.Thisstudyaimedtodetermine the status of regular physical activityandperceptionbarriers to performing it inadolescentswho Studying in the first periodofhighschool.</p><p><strong>Methods :</strong>The study isaDescriptive-analyticalwhich has done as a cross-sectional and has used with aStratified random sampling with proportional allocation on280subjects amongthestudents boys and girlsohighschoolatthecityofBabol.For data collection, three questionnaires fordemographicstatus,physicalactivityandperceived barriers tophysicalactivityhave been used. The data analyzed by using descriptive and analytical statistical methods.</p><p><strong>Results: </strong>Theresults showed that most ofstudents(61/1 percent) didn’t have regularphysicalactivity, and only a few(38/9 percent) had regularphysicalactivity. The most common perceived barriers tophysicalactivityofstudents in this researchhas been listed as:lackofrelativessupports (53/6 percent), to being far from sports places(35 percent), And lack of enough self-confidence (33/2 percent).</p><p><strong>Conclusions:</strong>Regardless of the importance of regular physical activity during adolescence, the results indicate that regular physical activity in the lifestyle of most young people is not present. Therefore, given the identified barriers, it is necessary to plan for the expansion of regular physical activity in this age group.<strong></strong></p><p dir="RTL"><strong> </strong></p> 2018-07-13T00:00:00+0430 ##submission.copyrightStatement## An investigation of self-medication and its correlates among community dwelling elderly population by applying health belief model 2018-08-12T12:05:06+0430 Sara Esmaelzadeh Leili Salehi* Raziyeh Esmaelpour <p><strong>Background &amp; Aim: </strong>Self- medication is defined as consuming nonprescription medicines to treat self-diagnosed disorders or symptoms. This study was carried out to examine prevalence of self-medication during three months ago and its correlates among the elderly population in Karaj-Iran by using the HBM model.</p><p><strong>Materials &amp; Methods:</strong> This cross sectional study was conducted on 189 elderlies who were covered by health care centers. The inclusion criteria were absent of cognitive disorders and being over the age of 60. The multistage sampling was used in this study. The data collection tools included: demographic characteristics and a questionnaire based on the HBM model, including knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived barriers. Statistical analysis of the data was performed using chi-square tests, Student t-tests, ANOVAs and multiple logistic regressions. Analyses were done by SPSS 19.0.</p><p><strong>Results:</strong> The prevalence of self-medication was 26.5%. The most common medicine used for self-medication was Supplements (87.30%), cold drugs (40.2%), and pain killers (39.6). There was significant correlation between self-medication and health insurance coverage (P=0.01) and chronic diseases (P=0.001).There were two predictors of self -medication behavior in our study, which were having chronic disease and perceived susceptibility with OR were 1.46(95% CI:0.71-2.40) and 0.93(95%CI:0.76-1.13), respectively.</p><p><strong>Conclusion: </strong>Due to the study results, it is suggested that an interventional program should be considered the promoting of the perceived susceptibility of the elderly population regarding self-medication and policy makers should be noted to elderly health insurance coverage.</p> 2018-07-13T00:00:00+0430 ##submission.copyrightStatement## The effects of ice pack application on pain intensity in the active phase of labor and on birth satisfaction among primiparous women 2018-09-01T10:28:27+0430 Fateme Rahimikian Shirin Shahbazi Shelir Mohammadi* Shima Haghani <p>Background &amp;Aim: Labor pain is an unpleasant experience for most women and can affect their birth satisfaction. This study investigated the effects of ice pack application on pain intensity in the active phase of labor and on birth satisfaction among primiparous women.<br />Methods &amp; Materials: This randomized controlled trial was conducted on ninety primiparous women. Participants were randomly allocated to either an intervention or a control group. In the intervention group, an ice pack was placed on the sacral area of each participant in the active phase of labor for ten minutes. This intervention was repeated every thirty minutes up to the beginning of the second stage of labor. In both groups, labor pain intensity was assessed before and every one hour after intervention onset and birth satisfaction was assessed 24 hours after delivery. Data were analyzed through the SPSS software (v. 22.0). <br />Results: Groups did not significantly differ from each other respecting participants’ demographic and clinical characteristics. Throughout the study intervention, labor pain intensity increased in both groups; however, the increase in the control group was significantly greater than the intervention group (P &lt; 0.001). Moreover, the mean score of birth satisfaction in the intervention group was slightly greater than the control group, though this difference was not statistically significant (P = 0.24).<br />Conclusion: Without any significant side effects, ice pack application can significantly reduce pain intensity during the active phase of labor. Thus, this intervention is recommended for labor pain alleviation.</p> 2018-07-13T00:00:00+0430 ##submission.copyrightStatement##