Aim and objectives Defining the components of emotional competence in caring for older people in Iranian hospitals. Background People of older age are the largest recipients of healthcare services in hospitals. Thus, it is essential to establish what characteristics of emotional competence are required for nursing older people. Design This qualitative descriptive‐exploratory study was conducted in Iran from September 2015 to April 2016. Methods Semi‐structured interviews were conducted with 25 participants (nine nurses, 12 nurse managers, four clinical instructors), chosen by purposive and snowball sampling based on saturation. Data were analysed by content analysis method. Results Qualitative content analysis identified two core categories and seven subcategories from the data: (a) Individual emotional competence with five subcategories of positive attitude, spiritual maturity, emotional self‐control, adherence to professional ethics and creativity and innovation, and (b) social emotional competence with two subcategories of relationship management and compassionate care. Conclusion Emotional competence was identified as one of the main components of nursing skills when caring for older people. Gerontological nurses should demonstrate emotional competence in caring for older people and include a positive attitude, spiritual maturity, emotional self‐control, adherence to professional ethics, creativity in care, successful relationship management and compassionate care in their practice. Implications for practice These findings can be used to guide development of emotional competencies for nursing older people.
Background: Many nurses working in hospitals are not prepared to provide appropriate care for older people. This qualitative study aimed to identify factors influencing the development of gerontological nursing competence in Iranian hospitals. Method: Twenty-six participants (nine nurses, 12 nurse managers, four clinical instructors, one physician) who worked in four teaching hospitals and nursing schools were interviewed by semistructured interview method. Conventional content analysis was used. Results: Two main categories emerged from the data: (a) management factors with the subcategories of meritocracy in elderly nursing, leadership style of nursing managers, educational system, the quality of working life, and performance management; (b) organizational factors with the subcategories of organizational learning, and organizational support. Conclusion: These findings can help nurse managers and clinical instructors identify, develop, and implement strategies for further development of gerontological nursing competence. [ J Contin Educ Nurs. 2019;50(3):127–133.]
Background: Different studies have shown that health level, performance statutes and quality of life in chronic patients are less than the expected level especially in patients with diabetes. Objectives: The aim of this study was to investigate the effects of a self-care program with a multimedia software support on quality of life in patients with diabetes type II. Patients and Methods: This study was a randomized controlled clinical trial in which 60 patients who had been referred to the diabetes clinic of Arak city were randomly divided to experimental (n = 30) and control (n = 30) groups. Diabetes Quality of Life Brief Clinical Inventory was used for determining the quality of life. Data were collected before and two months after the intervention for both groups. An educational program with equal content was conducted for both the experimental group (self-care program with multimedia software support in two sessions) and control group (lecture and presentation with PowerPoint in one session). Data analysis was made by the SPSS 16 software. Results: There were no significant differences between the two groups in mean scores of quality of life before the intervention (P = 0.97) while after the intervention, the difference between the two groups was significant (P = 0.029). Applying the self-care program with software support improved quality of life of the experimental group after the intervention (P < 0.0001) while there was no significant difference in mean score of quality of life in the control group after eight weeks (P = 0.051). Conclusions: According to the results of this study, the examined method is a simple, cheap, effective and attractive intervention program for patients with diabetes.
Introduction: Education is the most effective and economical part of diabetes treatment. The purpose of this study was to investigate the effect of a training program with multimedia software on the knowledge and self-care behaviors of patients with type 2 diabetes. Methods: This study was a randomized controlled clinical trial in which 60 patients referred to diabetes clinic at Arak city were divided randomly into experimental (n=30) and control (n=30) groups. The instruments for collecting data were "Summary of Diabetes self-care activities questionnaire" and "knowledge of self-care in patients with diabetes". Data were collected before and 2 months after the intervention in the both groups. Educational program with equal content was applied for both experimental group (self-care program with multimedia software support) & control group (lecture and presentation with PowerPoint). Data analysis was done using SPSS Ver.13. Results: Implementation of the self-care program with multimedia software support resulted in improvements in patients’ self-care behaviors in the experimental group, whereas these behaviors had not significant changes in the control group after eight weeks. There was a significant difference in the mean score of knowledge in both the experiment and control groups before and after the intervention. Conclusion: Considering beneficial effects of training program with multimedia software support on the knowledge and self-care behaviors and the importance of this issue, suggested that the patients preferably provide terms of use of educational software for themselves.
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