Ali Hesamzadeh

Bio: Ali Hesamzadeh is an academic researcher from Mazandaran University of Medical Sciences. The author has contributed to research in topics: Leptospirosis & Family caregivers. The author has an hindex of 8, co-authored 16 publications receiving 174 citations.

Resilience training: Effects on occupational stress and resilience of critical care nurses.

Abstract: Aim Working as a nurse, by its nature, causes a high degree of stress. Nurses are exposed to the higher levels of occupational, physical, and mental stresses in critical care units than the nurses in other units of a hospital. The aim of this study was to determine the effect of training for resilience on the intensive care unit nurses' occupational stress and resilience level. Methods This study is a quasi-experimental intervention study that was done by recruiting 30 nurses who were selected from critical care units of an educational hospital in Sari City, Iran, through convenience sampling between April 2015 and February 2016. The resilience training was provided in 5 sessions of 90 to 120 minutes. The pretest-posttest approach was used in this study, and the nurses completed the Connor-Davidson Resilience Scale, and Expanded Nursing Stress Scale, before and 2 weeks after the training program. Results The mean score of the occupational stress of the participants decreased significantly after the intervention (P = .001), and the mean score of resilience increased significantly after the intervention (P = .001). Conclusion The results confirm the effectiveness of resilience training on occupational stress and resilience level of nurses working in the intensive care units.

Comparison of Elderlys "Quality of Life" Living at Homes and in Private or Public Nursing Homes

Abstract: هدف: دراین پژوهش، کیفیت زندگی و ابعاد تشکیل دهنده آن در سالمندان مقیم خانواده و سراهای خـصوصی و دولتی شهر تهران مورد بررسی قرار گرفت. روش بررسی: مطالعه حاضر در چارچوب مطالعه مقطعی از نوع تحلیلی انجام یافت. برای این منظـور تعـداد 96 سالمند در سه گروه سالمند مقیم خانواده، سالمند مقیم سرای سالمندان خصوصی و سـرای سـالمندان دولتـی در شهر تهران با توجه به معیارهای پژوهش به عنوان نمونه انتخاب شدند. برای جمـعآوری اطلاعـات از پرسـشنامه مشخصات دموگرافیک و پرسشنامه کیفیت زندگی لیپاد استفاده شد. به منظور تجزیه تحلیل اطلاعـات حاصـله از آمونهای کولموگروف ـ اسمیرنوف، آنالیز واریانس یکطرفه، آزمون تی، آزمون کروسکال والیس و آزمون کای دو استفاده شد. یافتهها: نمره کیفیت زندگی سالمندان مقیم خـانواده (57/65 (بـالاتر از کیفیـت زنـدگی سـالمندان مقـیم سـرای سالمندان دولتی(30/51 (و خصوصی(64/50 (بود. نمره ابعاد عملکرد جسمی، اجتماعی و رضـایت از زنـدگی و نیز مراقبت از خود، سالمندان مقیم خانواده با سالمندان سرای سالمندان اخـتلاف آمـاری معنـاداری نـشان دادنـد (05/0

Family caregivers' experience of activities of daily living handling in older adult with stroke: a qualitative research in the Iranian context

Abstract: Background Patients with stroke require additional support from family to live independently in the area of activities of daily living. Family members are usually the main caregivers of stroke patients. Comprehensive explanation of ADL handling from family caregivers’ view is lacking. Aim This study explores and describes family caregivers’ experiences about the strategies to handle activities of daily living (ADL) dependency of elderly patient with stroke in the Iranian context. Method A qualitative content analysis approach was conducted to analyse data. Nineteen family caregivers participated in the study from multiple physiotherapy clinics of physiotherapy in Sari (Iran) between September 2013 and May 2014. Data were generated through in-depth interviews, and content analysis method was used to analyse the data and determine themes. Findings The findings show that family caregivers manage the ADL dependency of their elderly stroke patients through seven strategies including encouraging physical movements, providing personal hygiene, nutritional consideration, facilitating religious activities, filling leisure time, and facilitating transfer and assisting in financial issues. Conclusion Family has an important role in handling of elderly stroke patients’ ADL dependency. Health practitioners can take benefit from the findings to help the stroke families play more active role in the handling ADL dependency of their patients after stroke.

Nurse resilience: A concept analysis

Abstract: Nurse resilience is attracting increasing attention in research and practice. Possession of a high level of resilience is cited as being crucial for nurses to succeed professionally and manage workplace stressors. There is no agreed definition of nurse resilience. A concept analysis was undertaken to examine nurse resilience using a priori selected analysis framework. This concept analysis aims to systematically analyse resilience as it relates to nurses and establish a working definition of nurse resilience. Sixty-nine papers met the search criteria for inclusion. Key attributes of nurse resilience were social support, self-efficacy, work-life balance/self-care, humour, optimism, and being realistic. Resilience enables nurses to positively adapt to stressors and adversity. It is a complex and dynamic process which varies over time and context and embodies both individual attributes and external resources. Sustaining nurse resilience requires action and engagement from both individuals and organizations.

Experiences of male patients and wife-caregivers in the first year post-discharge following minor stroke: A descriptive qualitative study

Abstract: Background Most patients with minor stroke are discharged directly home from acute care, under the assumption that little will be required in the way of adaptation and adjustment because informal caregivers will manage the stroke recovery process. We explored male patients with minor stroke and their wife-caregivers' perceptions of factors affecting quality of life and caregiver strain encountered during the first year post-discharge. Methods Data were obtained from responses to two open-ended questions, part of quality of life and caregiver strain scales administered to participants in a larger descriptive study. Conventional content analysis was used to assess narrative accounts of living with minor stroke provided by 26 male patients and their wife-caregivers over a period of 1-year post-discharge. Results Two major themes that emerged from these data were 'being vulnerable' and 'realization'. Subthemes that arose within the vulnerability theme included changes to patients' masculine image and wife-caregivers' assumption of a hyper-vigilance role. In terms of 'realization' patients and their wife-caregivers shared 'loss' as well as 'changing self and relationships'. Patients in this study focused primarily on their physical recovery and their perceptions of necessary changes. Wife-caregivers were actively involved in managing the day-to-day demands that stroke placed on individual, family and social roles. Conclusions We conclude that patients and wife-caregivers expend considerable time and energy reestablishing control of their lives following minor stroke in an attempt to incorporate changes to self and their relationship into the fabric of their lives.

Ethical climate in nursing environment: A scoping review.

Abstract: Background:In the past two decades, interest in the concept of ethical climate and in its research has increased in healthcare. Ethical climate is viewed as a type of organizational work climate, a...

Living with incurable oesophageal cancer. A phenomenological hermeneutical interpretation of patient stories

Abstract: Purpose: The study explores how patients diagnosed with incurable oesophageal cancer experience living with the illness, and provides insight into and an understanding of the patients’ situation, reality and phenomena in their life world. Method: The method takes a phenomenological-hermeneutic approach, inspired by the French philosopher Paul Ricoeur’s narrative theory on mimesis as the structure and process of the method, and Ricoeur’s theory of interpretation for the analysis of patient stories. The stories materialise from narrative interviews, and the phenomena of the patients’ life world results in an analysis of these stories. Results: Through the analysis of the narrative interviews, phenomena of the patients’ life world appear which are described in themes such as debut of the illness, denial, the person’s own suspicion, existential turning point, despair, hope, the body, affirmation of irrevocable illness, acknowledgement of dying, life phenomena, relations and feeling of independence. The understanding of the patients’ experiences is augmented and improved through a discussion of the themes in a philosophical perspective, drawing upon theoretical and philosophical viewpoints of Kierkegaard, Logstrup, Merleau-Ponty, Ricoeur, Benner & Wrubel, and on empirical research. Conclusions: Based on the phenomena in the ill person’s life world brought about by analysis, it seems that incurably ill oesophageal cancer patients find themselves in a complex life situation, in which they need more than an objective estimate and fulfilment of need from hospital service. Our study illustrates some perspectives on the life situation of the incurably ill, which will contribute to the improved development of supportive care in nursing.