School of Nursery and Midwifery
Permanent URI for this communityhttps://dspace.tbzmed.ac.ir/handle/123456789/11
Tabriz Nursing and Midwifery Faculty, the first nursing training institute in Iran, Founded in 1917 as a scientific centre of the American Mission Hospital. This institute was training nursing students until 1971 when it merged with TABRIZ University. Also Midwifery program founded in 1966 and began to train students in midwifery major.
In 1976 the old nurse training system was revised and new academic education system replaced the previous one. It was 1996 that the faculty managed to admit nursing students in PhD program as a first one in Iran. Nowadays the faculty has got 650 students in BSc programs in all three Nursing, Midwifery and operation room technician majors. Also 298 students in MSc programs 7 majors which 5 of them are related to nursing such as (Medical-Surgical nursing, Children nursing, Psychiatric nursing, Community health nursing and Neonatal nursing) and other 2 major are related to midwifery such as (Midwifery consultant and Midwifery with 4 sub-majors named Midwifery education, Reproductive health, Community based Midwifery and Management). Also 28 students are studying in nursing PhD program in this faculty.
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Item type: Item , Development of software for drug calculation and monitoring of injection drops of injectable solution(Tabriz University of Medical Sciences, School of Nursing and Midwifery, 2024) Kramati, Mohammad; Feizollahzadeh, Hossein; Nursing Education; Hassankhani, Hadi; Haririan, HamidrezaThe present study is an applied developmental study that aims to design a tool for easier and faster monitoring and calculation of drugs in the form of mobile application, evaluation and evaluation of its effectiveness in safe prescription of drugs and self-efficacy of nurses after obtaining permission from ethics committee of Tabriz University of Medical Sciences. In the first part of the study: the design of the software will be done by the programmers engineers so that the software can access the mobile camera to identify the droplets that pass through the serum chamber and estimate the number of droplets passing in a minute and in the second part of the application pharmaceutical formulas will be defined to perform complex calculations. The software will be designed in such a way that easily medical staff, professors and even students are able to perform in clinical, laboratory and pratic environments to calculate the number of serum droplets and, if necessary, its drug calculations with minimal errors in the shortest time without any additional tools. In order to make it easier to use without any location restrictions, the software will be provided offline so that it can be used in places that do not have internet access.Item type: Item , Assessment of knowledge and attitude of nurses and nursing students towards diabetic foot care management and their practices in diabetic foot screening in educational hospitals of Tabriz in 1401(Tabriz University of Medical Sciences, School of Nursing and Midwifery, 2024) Moghadam, Aylar; Zamanzadeh, Vahid; Aghazadeh, Ahmad Mirza; Nursing Education; Lotfi, MojganAbstract Aim: Diabetes is associated with increasing mortality, disability, and increased costs. Diabetic foot and lower limb complications due to diabetes are known as chronic and dangerous complications of diabetes, significantly reducing the quality of life in affected patients and increasing the likelihood of premature death. Early diagnosis of diabetic foot problems allows for timely intervention and prevention of debilitating complications such as amputation, which requires a multidisciplinary treatment and care team. In addition, nurses play an important role in preventing diabetic foot ulcers and amputation through interventions such as patient education, screening high-risk individuals, and providing health care. It should be noted that nursing students, as future health care providers, can also play an effective role in increasing patients' knowledge and awareness and educating them. The aim of this study was to investigate the knowledge and attitudes of nurses and nursing students about diabetic foot care management and their practices in the field of diabetic foot screening. Methods: This research is a descriptive-cross-sectional study conducted in 1401. In this study, 284 nurses working in educational hospitals of Tabriz and 200 students studying at the undergraduate and graduate levels of Tabriz School of Nursing and Midwifery were randomly selected. Data collection was carried out using a four-part questionnaire including demographic and occupational characteristics, a knowledge assessment questionnaire, an attitude assessment questionnaire, and a diabetic foot screening checklist. The data were finally analyzed using SPSS 22 software. Results: the mean scores of knowledge of nurses and nursing students about diabetic foot care management were 11.41 and 11.69, respectively, which showed that about 55% of the nurses and students studied in this study had relatively good knowledge and awareness. The average scores of attitude of nurses and nursing students about diabetic foot care management were 37.16 and 39.01, which approximately 49% of the nurses and students studied had a positive attitude. In the self-assessment checklist for diabetic foot screening, the average scores of nurses and nursing students were 8.17 and 8.47, which indicates the poor practice of diabetic foot screening. Conclusion: In this study, the highest level of awareness was related to diabetic foot risk factors, and paticipants need more education in other areas of diabetic foot. The overall attitude of participants in this study was reported to be positive, and 21% of students considered diabetic foot care to be time-consuming. In addition, based on the results of self-assessment of diabetic foot screening, the minority of the participants performed very well, which is very concerning and is probably related to the negative attitudes. Also, 40% of nursing students stated that they generally do not perform diabetic foot examination and evaluation, which of course requires further studies.Item type: Item , The Effect of Combined Fig-Walnut Syrup on Functional Constipation in Pregnant Women: A Randomized Controlled Trial(Tabriz University of Medical Sciences, School of Nursing and Midwifery, 2024) Valizadeh, Roghayyeh; Hajizadeh, Khadijeh; Midwifery Egocation; Mirghafourvand, Mojgan; Mohammad Alizadeh Charandabi, SakinehAbstract Background: Constipation is one of the most common gastrointestinal complaints during pregnancy. Consuming fruits and vegetables is often the first line of treatment due to their fiber content. Therefore, the purpose of the present study was to determine the effect of combined fig-walnut syrup on functional constipation (FC) and quality of life (QoL) in pregnant women. Methods: In this double-blind, randomized controlled clinical trial, 90 pregnant women with FC were randomly assigned to receive combined fig-walnut syrup, fig syrup, or placebo (n = 30 in each group) using block randomization. Participants received 15 ml of syrup once daily at night, half an hour before bedtime, for 14 days and were followed up for 2 weeks after the end of the intervention. The FC, quality of life-gravidity (QOL-GRAV), and food frequency questionnaires (FFQ) were used to collect data. The questionnaires were completed once before the intervention and then the FC questionnaire was completed once a week for four weeks and the QoL questionnaire was completed at the end of the fourth week. Kruskal-Wallis and Mann-Whitney U tests were used to compare the number of bowel movements between groups. One-way analysis of variance was used to compare the mean quality of life score before intervention and ANCOVA was used to compare it after intervention. Mann-Whitney U, Kruskal-Wallis and Fisher's exact tests were used to compare the results of secondary objectives between study groups. Results: Following the intervention, although there was no statistically significant difference in the number of defecations between the combined fig-walnut syrup group and the fig syrup group at every four weeks (First week: P = 0.016; Second week: P > 0.001; Third week: P = 0.032; Fourth week: P = 0.007). There was a statistically significant difference compared to the placebo (P < 0.05).Item type: Item , Quality of Family-Centered Education and Follow-up Program for Burn Patients in Tabriz Sina Teaching Hospital(Tabriz University of Medical Sciences, School of Nursing and Midwifery, 2024) Ahmadi, Hima; Ajodani, Fardin; Aghazadeh, Ahmad Mirza; Nursing Education; Lotfi, MojganAbstract Background: Burn injuries are a major cause of morbidity and mortality worldwide, affecting not only the patients but also their families. Family-based education and follow-up program are interventions that aim to improve the quality of life and psychosocial outcomes of patients with burns and their families. However, there is a lack of evidence on the effectiveness and feasibility of these programs in different settings and populations. This study aimed to evaluate the features of the Family-based education and follow-up program (FBEFP). method: This research is a comparative descriptive study that examines the quality of the content and process of the Family-based education and follow-up program (FBEFP) by evaluating the number of patients under follow-up, educational needs, training provided, and the quality of life for the group under follow-up through case files available in the follow-up clinic. Also, the rate of readmission and satisfaction for two groups under follow-up and without follow-up are evaluated and compared. Results: The results of this study revealed the positive impacts of the FBEFP on the patients' physical, psychological, and social outcomes and quality of life. 4.8% of the people in the follow-up group were re-admitted, while this amount was 7.2% in the group without follow-up. Although the number of readmissions was less in the non-follow-up group, statistically no significant difference was observed between the two ratios before and after follow-up. In order to evaluate satisfaction rates, In the follow-up group, 72 patients and in the non-follow-up group, 38 patients were reached. After converting these data to normal distribution, using t-test, it was determined that the difference between the two studied groups was highly significant. In other words, the follow-up process has had favorable results on the satisfaction of the studied people. Conclusion: The results of the study showed that the implemented Family-based education and follow-up program, despite its shortcomings such as not following up all selected patients and the small number of people followed up after discharge, had important effects such as improving the quality of life of patients, reducing educational needs and a significant increase in the level of satisfaction. Considering the importance of the above items in improving the quality of the services provided, it is important to take necessary actions to improve the implementation of this program and eliminate the shortcomings such as the lack of human resources in the follow-up department. Also, it seems that the causes of some patients' lack of interest in re-following should be investigated more carefully so that the necessary modifications or additions to the program can be made by knowing these factors.Item type: Item , Determining the relationship between remifentanil analgesia and postpartum depression and childbirth experience in women referred to Taleghani Educational and Medical Center, Tabriz(Tabriz University of Medical Sciences, School of Nursing and Midwifery, 2024) Shoorshi, Fatemeh; Mirghafourvand, Mojgan; Rezaei, Mansour; Nursing Education; Malakouti, Jamileh; Ghanbari Homayi, SolmazAbstract Background: Pain is a risk factor for postpartum depression. This study aimed to determine the relationship between remifentanil analgesia and postpartum depression, as well as the birth experience in Iranian women. Materials and Methods: This prospective cohort study was conducted on 200 mothers who underwent vaginal birth at Taleghani Hospital in Tabriz, Iran, in 2023-2024. The Edinburgh Postnatal Depression Scale and the Childbirth Experience Questionnaire were used to assess the outcomes. To compare the childbirth experience and postpartum depression between the exposure group (receiving remifentanil) and the non-exposure group, independent t-tests, and Mann-Whitney U tests were employed, respectively. Results: The mean postpartum depression score in the remifentanil analgesia group was statistically significantly lower than in the non-analgesia group (p= 0.002). The mean total childbirth experience score in the exposure group was statistically significantly higher than in the non-exposure group (p< 0.001). Additionally, a comparison of the subdomains of childbirth experience between the two groups revealed that the mean scores for own capacity (p< 0.001), perceived safety (p< 0.001), and participation (p< 0.001) were statistically significantly higher in the remifentanil group compared to the non-analgesia group. However, there was no statistically significant difference between the two groups regarding the professional support subdomain (p= 0.434). Based on the Spearman test, no statistically significant correlation was found between childbirth experience and postpartum depression in either the remifentanil analgesia or non-analgesia groups (p> 0.05). Conclusion: These findings highlight the importance of using remifentanil analgesia as a potential option for preventing postpartum depression and creating a positive childbirth experience. It is recommended that clinical trials be conducted to obtain more precise findings.Item type: Item , Attitude, needs and understanding of receiving palliative care from the point of view of children with cancer and their mothers at the Mardani Azari Educational and Treatment Center, 2023-2024(Tabriz University of Medical Sciences, School of Nursing and Midwifery, 2024) Abdolrahmany, Aynour; Rahkar Farshi, Mahni; Nursing Education; Jabraeili, MahnazAbstract: Background and Objective: One of the important aspects of care in the pediatric oncology department is palliative care. Given the increasing prevalence of cancer and the significance of improving the quality of life for children with cancer and their parents, palliative care has become a crucial topic. This type of care in children is patient-centered and family-centered, focusing on alleviating symptoms, pain, suffering, and stress caused by the illness. Therefore, this study aims to determine the attitudes, needs, and understanding of receiving palliative care from the perspective of children with cancer and their mothers at the Mardani Azari Educational and Treatment Center. Method: The present study is a descriptive-cross-sectional study involving a sample of 210 children aged 6 to 12 years with cancer who were hospitalized in the oncology department of Mardani Azari Hospital, along with their mothers. In this study, the tool developed by Levine et al. (2017) was utilized. The questions in this questionnaire examined the attitudes, care needs, and understanding of palliative care from the perspectives of children with cancer and their parents, with results reported in terms of percentages and frequencies. In the current study, the questionnaire was administered through interviews conducted by the researcher with the children and their mothers. The collected data were analyzed using SPSS software version 21 and descriptive statistics (mean, standard deviation, frequency, and percentage). Findings: The results showed that the average age of the children was 9.25 years, and 54.8 percent of them were boys. The average age of the mothers was 35.9 years. Most children had a positive attitude, while most mothers had a neutral attitude regarding supportive care. One month after the start of treatment, over 27 percent of the children believed they suffered significantly from anxiety and nervousness, and more than 30 percent of the mothers believed that the children suffered greatly from nausea, loss of appetite, and anxiety and nervousness. Over 70 percent of the children and mothers believed that the care team made significant efforts to address the children's pain, nausea, and loss of appetite. More than 50 percent of the children and mothers believed that the symptoms of pain, nausea, and loss of appetite in the children were well controlled, while over 40 percent of them believed that the children's anxiety and nervousness were not controlled at all. Result: The study results indicated that receiving palliative care during treatment is beneficial, leading to a reduction in symptom burden and an increase in the quality of life for children. The neutrality of mothers' attitudes towards palliative care likely suggests that the mothers participating in our study need better education and understanding regarding palliative care.Item type: Item , Users' Experiences of novel smoking cessation technologies: A convergent parallel mixed study(Tabriz University of Medical Sciences, School of Nursing and Midwifery, 2024) Nemati, Hossein; Mirghafourvand, Mojgan; Sarbakhsh, Parvin; Nursing Education; Sahebihagh, Mohammad hasan; Hosseinzadeh, MinaAbstract Introduction: The growing demand for safer, noninvasive treatments with fewer side effects has led to increased interest in using novel technologies for smoking cessation. A better understanding of users' experiences with these technologies can aid in their development. This study aimed to explore and define the experiences of individuals using these technologies. Methods: This parallel convergent mixed-methods study was conducted in quantitative and qualitative phases. In the quantitative phase, a descriptive study was carried out with a sample size of 400 participants. Participants were selected through stratified random sampling from individuals attending clinics utilizing non-invasive stimulation-based smoking cessation technologies. Data were collected using questionnaires on demographic and social characteristics, smoking history, smoking cessation challenges, and preferences for smart smoking cessation technologies. Descriptive statistics were used for data analysis. In the qualitative phase, 25 users of these technologies from Tehran, Tabriz, and Karaj were selected through purposive and snowball sampling. Data collection was conducted using in-depth, semi-structured individual interviews, and qualitative content analysis was performed using a conventional approach. To integrate the quantitative and qualitative data, the merging strategy and convergence model were applied. Results: The mean age at smoking initiation was 14.17 years (SD = 4.84, range: 5–32 years). On average, participants started daily smoking at 17 years old (range: 10–33 years) and continued smoking daily for an average of 22 years (range: 4–54 years), with over six quit attempts. In the qualitative phase, the category "initiation and continuation of smoking" included ten subcategories: relaxation, social and peer pressure, family problems, presence of a smoker in the family, habit, pleasure, dependency, curiosity, and lack of awareness about smoking risks. One of the main categories related to users' experiences with cessation technologies was "changes after using the technology," which comprised seven subcategories: positive physical changes, reduced cigarette cravings, greater resilience in life challenges, increased self-confidence in accomplishing tasks, reduced appeal of smoking, satisfaction with a smoke-free life, and changes in family and social relationships. Quantitative results showed that 75.5% of participants ranked fear of side effects as the primary challenge, making it the most significant concern. Qualitative data reinforced this finding, highlighting it as a major barrier to quitting. Fear of failure was reported as a key challenge by 60.5% of participants (n=242), with qualitative data indicating that this often stemmed from previous unsuccessful quit attempts. Emotional attachment to smoking was a major challenge for 32.2% of participants (n=129), demonstrating deep emotional dependence on smoking. While concern about the cost of technology use was a challenge for 19.0% of participants (n=76), qualitative data presented a different perspective, with some participants viewing the cost of quitting as an investment compared to potential future savings from not buying cigarettes. Fear of relapse was identified as a significant concern in qualitative data, emphasizing the importance of managing triggers and environments during the cessation process. Quantitative findings indicated that the highest preference was for wearable smoking cessation smartwatches, interactive mobile applications, and the use of intelligent smoking cessation technologies. In the qualitative phase, eight subcategories were identified: high effectiveness and efficiency, better management of the quitting process, personalized technologies, safe and side-effect-free technologies, attractive and innovative designs, scientific basis, mobile applications, and smart monitoring devices for smoking cessation. By merging the quantitative and qualitative results, it was concluded that users primarily seek wearable technologies and interactive mobile applications for smoking cessation. Conclusion: The integration of quantitative and qualitative data indicates that smoking behavior among participants is influenced by a complex interaction of social, familial, psychological, and environmental factors. Findings from this study suggest that non-invasive stimulation technologies can positively impact reducing cravings and urges, increasing resistance to smoking triggers, and modifying smoking behaviors. These technologies can be used as effective tools alongside other treatments to enhance outcomes and support coping mechanisms for managing cravings and withdrawal symptoms. The study’s findings can assist developers of smoking cessation technologies design and improving their tools based on user needs and preferences to enhance effectiveness and acceptability.Item type: Item , The correlation of attachment , receiving family centered care and needs of mothers of children with chronic physical diseases in, Mardani Azari Children's(Tabriz University of Medical Sciences, School of Nursing and Midwifery, 2024) Memari, Hossein; Namdar Areshtanab, Hossein; Nursing Education; Arshadi Bostanabad, MohammadAbstract Background: Chronic illnesses in children cause anxiety in mothers and may disrupt the mother-child relationship. Also, hospitalization of a child in hospitals creates many needs for mothers, which despite years of strengthening family care, mothers' needs are still not widely understood, which can ultimately increase the stress and patients' mothers' exposure to chronic illnesses and cause. Disruption in relationships between medical staff, especially nurses and mothers. This relationship turmoil and the stress and anxiety that exist can affect mothers' attachment. This study was conducted to determine the relationship between attachment, receipt of family care, and the needs of mothers of children with chronic physical illness. Methods: In this descriptive correlational study, 173 mothers of hospitalized children with chronic physical illnesses who were selected from all inpatient wards of Mardani Azari Children's Hospital in Tabriz from August 2023 to January 2024 participated. Data collection was done using questionnaires on demographic information, Postnatal Attachment Scale(MPAS), Measure of Processes of Care 20-item(MPOC-20), and Needs of parents of hospitalized children questionnaire(NPQ), and data analysis was done using SPSS 21 software using descriptive statistics, Pearson correlation, independent t-test, ANOVA test, and Tukey's post hoc test. Results: According to the results, the level of attachment of mothers (10/73) and their met needs (33/62) are higher than average and the level of family-centered care provided (36/70) is lower than average. Also, there is a weak positive significant correlation between the quality of attachment and needs (P = 0.03, r = 0.22), a weak positive significant correlation between the total attachment score and the receipt of family-centered care (P = 0.01, r = 0.19), and a moderate positive significant correlation between mothers' needs and the receipt of family-centered care (P < 0.001, r = 0.63), but there was no statistically significant relationship between the total attachment score and mothers' needs (P = 0.14, r = 0.11). Conclusions: Based on the results of the present study, family-centered care has an impact on the level of attachment of mothers to children with chronic physical illnesses and meeting the mothers' needs as much as possible, and meeting the mothers' needs also has an impact on the quality of attachment.Item type: Item , Exploring Fathers' Attitudes and Self-Efficacy in Supporting Breastfeeding and Their Impact on Mothers' Empowerment(Tabriz University of Medical Sciences, School of Nursing and Midwifery, 2024) Hergholi, Mina; Zahedi, Hamideh; Nursing Education; Hosseinzadeh, Mina; Sahebihagh, Mohammad hasanAbtract Introduction: The importance of fathers' roles in breastfeeding has been increasingly emphasized today. Fathers' perspectives on breastfeeding are powerful determinants of mothers' initiation and continuation of breastfeeding. This study aims to determine fathers' attitudes towards breastfeeding and their self-efficacy in supporting breastfeeding, as well as the relationship between these factors and mothers' breastfeeding empowerment. Methods: In this descriptive cross-sectional study, couples with infants under six months old who visited primary health centers in Tabriz, Iran, from March to September 2024 participated. Participants were selected using the cluster random sampling method. Data were collected through demographic questionnaires, fathers' attitudes toward breastfeeding, paternal self-efficacy in supporting breastfeeding, and mothers' breastfeeding empowerment. Data analysis was performed using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (Pearson correlation coefficient, independent t-test, one-way ANOVA, and general linear model) using SPSS version 16. Results: The findings of this study indicate that 3.7% of fathers had a positive attitude towards breastfeeding, while 0.8% held a positive view towards formula feeding, and 95.4% had a neutral attitude. The mean (standard deviation) of paternal self-efficacy in supporting breastfeeding was 49.26 (7.62) within a range of 14 to 70, and the mean (standard deviation) of mothers' breastfeeding empowerment was 143.31 (11.87) within a range of 37 to 185. The findings indicated that mothers who had attended breastfeeding education classes had a breastfeeding empowerment score that was 3.95 units lower (B = -3.956, p = 0.029) compared to those who had not attended such classes. Additionally, mothers with primary education demonstrated a breastfeeding empowerment score that was 7.79 units lower (B = -7.796, p = 0.043) than mothers with university education. Mothers who were housewife showed a breastfeeding empowerment score that was 7.14 units higher (P = 0.031, B = 7.141) compared to working mothers, and mothers who had experienced a miscarriage had a breastfeeding empowerment score that was 3.34 units higher (P = 0.030, B = 3.340) than those who had not experienced a miscarriage. Furthermore, for each unit increase in paternal self-efficacy regarding breastfeeding support (P = 0.015, B=0.251), mothers' breastfeeding empowerment increased by 0.25 units. Conclusions: The findings of this study demonstrate that paternal self-efficacy in supporting mothers during breastfeeding, along with several other variables, is a significant determinant of mothers' breastfeeding empowerment. Therefore, educating and raising awareness among fathers about breastfeeding can improve their attitudes and, as a result, enhance mothers' empowerment in this area. These results highlight the need for greater attention to the role of fathers in breastfeeding education and support programs. By actively involving fathers, we can create a more supportive environment for breastfeeding, ultimately benefiting both mothers and infants.Item type: Item , Living a calling and its relationship with creating a job and maintaining the patient's dignity from the point of view of nurses working in the emergency department of Tabriz Faculty of Medical Sciences in 1403."(Tabriz University of Medical Sciences, School of Nursing and Midwifery, 2024) najibi rad, Milad; Feizollahzadeh, Hossein; Nursing Education; Shabanloei, RezaAbstract Background and purpose: The emergency department is considered a special situation due to the referral of patients with different conditions, and emergency nurses must be able to do their job in the best way possible in the current stressful conditions and always fight against these stressful conditions in order to save the patient's life. On the one hand, calling and vocation as an inner call to make an effort without limits to preserve the patient's survival and job crafting as a factor for improving and updating nursing performance can be one of the effective factors. On the other hand, maintaining the dignity and status of the patient in emergency departments is considered one of the important factors in maintaining the professional mission of nurses. The aim of this study is to investigate the relationship between job crafting, calling and vocation and dignity in the emergency departments of hospitals under the supervision of Tabriz University of Medical Sciences. Method: This research, which is a descriptive-correlational study, was distributed among 172 nurses working in the emergency department of hospitals affiliated with Tabriz Medical Sciences in Tabriz city after calculating the number of questionnaires required to be filled out. The results were entered into the SPSS v.24 software and then, using ANOVA and TuKey tests, demographic information, mean and frequency, differences between variables, and finally the relationship between them were examined. It should be noted that the questionnaires included personal information, a job re-creation questionnaire, a professional mission, and dignity. Results: According to the results, the number of employed women was higher than that of men, singles were higher than married, and most of the employed had a bachelor's degree. The overall mean score from the Living a calling questionnaire was 83.68±16.84, job crafting was 47.33±11.48, and finally the total mean score for the dignity was 99.62±18.82. The ANOVA test showed a significant difference for all three variables among hospitals. The Pearson test showed a significant relationship between these three variables (Pv<0.05). Conclusion: By examining the results, a significant relationship was showed between all three variables. It seems that, considering this position, more measures can be taken to create appropriate opportunities in the workplace and create a basis for nurses' career development, in order to maintain and enhance nurses' satisfaction, and ultimately improve the quality of services provided to patients.