Introduction: Of the most important health indices in countries are deaths of children and pregnant females, which can provide health services at the right time to prevent their deaths. Objective:The purpose of this study was to develop a curriculum for professional health care providers (Nurse, Midwife, and practical nurses) to prepare for the provision of health care services for mothers and newborns in disasters. Materials and Methods:This research was an applied research and in terms of the research method, a quantitative research with delphi method, which was carried out at the AJA university of Medical Sciences in 2017, was conducted.In the first stage, the proposed curriculum was developed by referring to domestic and international sources and based on the results of the need assessment. In the second step, in order to determine the desirability of the offered curriculum, a Delphi method was used in two rounds. The statistical sample of this study was 12 experts in this field, who were sampled with Targeted and snowball selection. In this study, the consensus was more than 90% of the criteria agreed by experts.Results: Based on the need assessment from Armed Healthcare Provider in Tehran, a curriculum for maternity and newborn health care in disasters was developed based on the six-step Kern process. Discussion and Conclusion:The curriculum developed in this study has functional quality and can play a decisive role in raising the level of knowledge of army health care providers in providing services to mothers and newborns in disasters.
Introduction: Clinical training is the most important part of nursing education. Improvement of education quality requires continuous investigation of present conditions and identification of advantages and disadvantages. In this regard, opinions of instructors and students, as educational elements, may be effective in future plans. Objectives:This study was performed with the goal of obtaining opinions of instructors and students for improving the level of clinical education and reflecting the outcome to educational authorities. Material and Method:This cross-sectional study was performed on 117 students studying in the final year of their study and 22 faculty members of army nursing staff. The participants were selected through census sampling. The data collection tool was a self-made questionnaire. The validity confirmation and the reliability of available samples were approved and SPSS 16 software was used for data analysis.Results: Significant differences were observed between the viewpoints of instructors and students, regarding education structure and the role of instructors in the field (P< 0.05). No significant relationship was observed between equipment and facility, and individual potency in the field. Discussion and Conclusion:Although the viewpoints of instructors and students regarding the effect of field training for obtaining skills were positive, improvement in the quality of field clinical education requires consideration and attention of authorities. Increase of number of instructors in the field of training, establishment of regular sessions with students, attraction of cooperation of physicians and other staff of hospital for cooperation, supply of welfare facilities and equipment's for clinical environment, review of tools and processes of clinical assessment may be helpful.
Introduction: Medication, especially injection drugs are one of the complex situations and high-risk medications in clinical processes that nurses face. Risk management is one of the recommended method to identify and prevent adverse events from drug errors. The purpose of this study was to evaluate the impact of risk management programs on Preparation of electrolyte concentration skills by nursing staff. Materials and methods:In this experimental study, 50 nurses working in emergency departments that were involved in the process of medication, were selected through census in 2014, then randomly divided into control and test groups. The control group received the routine of the hospital and in the experimental group risk management program was implemented. Preparation of electrolyte concentration skills was examined by valid and reliable researcher check list. Data were collected in pre and post-test with SPSS software, version 21 descriptive and inferential statistics were analyzed.Results: nurses' skill in preparing the condensed electrolyte, before the intervention and control groups, was respectively 96.16±3.2 and 17.17±0.2, and in two weeks after the implementation of risk management programs was respectively 27.27±8.1 and 83.17±2.2. In the pre-test, independent t test, a significant difference was observed between the two groups in the nursing skills (P>0.05). While in the post-test, significant differences in scores between the experimental and control groups were nursing skills (P<0.001). Paired t-test, before and after the intervention, the experimental group showed a significant difference (P<0.001). Discussion and Conclusion:The results showed the effectiveness of the risk management program. Implementation of risk management programs as a way to improve nurses' skills in preparing the condensed electrolytes is recommended.
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