Showing papers by "Marzieh Hasanpour published in 2012"

The Iranian parents of premature infants in NICU experience stigma of shame.

Abstract: Introduction: To explore experiences of Iranian parents with a hospitalized premature infant in Neonatal Intensive Care Unit (NICU) and examine socio-cultural factors associated with having a less than perfect infant. Methods: Purposely selected 21 participants in this study were 6 fathers, 7 mothers, 5 nurses and 3 physicians specialized in neonatology. Semi-structured in-depth interviews using inductive approach and content analysis helped obtain and analyze data by open encoding for classification and theme abstraction. Results: Findings revealed that parents of hospitalized NICU infants in Iran experienced: job and income loss; shattered confidence in parental role; challenges to family dynamics; shame as a social stigma; loss of control; overwhelmed with uncertainties; and stress induced physical and emotional problems. Conclusion: Unique and outstanding finding of this study was the social stigma of shame for parents of an NICU infant which directly explained the socio-cultural aspect of Iranian society where families place great importance on having a healthy and strong infant. Having a premature infant with anomalies is viewed as a family flaw. Physicians and nurses must focus more on communication with parents and fulfill an important role to educate, assure and comfort parents. Establishing support system for parents of NICU infants seem urgently needed to improve parent-infant bonding.

Female adolescents' experiences and perceptions regarding sexual health education in Iranian schools: A qualitative content analysis

Abstract: Background: Despite so many unmet sexual health education (SHE) needs of adolescents, socio-cultural challenges have caused this issue to be ignored in different scoieties. This study investigated Iranian female adolescents’ experiences and perceptions with respect to SHE that they received at schools , and what they really needed, expected, and preferred. Materials and Methods: In this qualitative study, seven focus group discussions (44 adolescents) and 13 individual in-depth interviews were conducted among female adolescents aged 14–18 in Mashhad and Ahvaz, Iran, to explore adolescents’ experiences and perceptions towards SHE in Iranian schools. Data were analyzed using qualitative content analysis. Results: Analyzing adolescents’ perspectives and experiences revealed their great dissatisfaction with SHE in schools. Emerged categories included: lack of obligation and priority for SHE, sexual reticence and evading, making adolescents frightened of sexual issues, inconsistency of SHE with adolescents’ needs, unqualified educators, and lack of appropriate educational materials. Conclusion: This study found some similarities between expectations of Iranian adolescents and those of adolescents from other cultures about an SHE program. Adolescents showed great abilities to appraise health services delivered for them, and so any program for sexual health promotion in adolescents ought to address adolescents’ needs, demands, and aspirations. Their contribution can provide insights for tailoring SHE programs for adolescents. Key words: Adolescents, female, Iran, qualitative research, reproductive health, sexual health education

Iranian nursing students' experiences of nursing.

Abstract: Background: The negative attitudes and behaviors of Iranian nursing students impede learning and threaten their progression and retention in nursing programs. The need to understand students’ perception and experiences of nursing provide knowledge about effectiveness of nursing education program as well as their professional identity. The purpose of this study was to discover experiences of nursing students. Materials and Methods : In a descriptive, exploratory and qualitative study, twelve senior nursing students of Isfahan University of Medical Sciences (School of Nursing and Midwifery) were participated. Data was collected via unstructured in-depth interview, and thematic analysis method was used for analyzing the data. Findings : The findings from this study revealed that the nursing students in Iran experienced altered experiences during their education program as positive and negative. Two major themes were constructed from the thematic analysis of the transcripts: professional dimensions and professional conflicts. Conclusions: Regarding the findings, positive experiences of students have leaded them to acceptance and satisfaction of nursing and negative experiences to rejection and hating of nursing and lack of adaptation with their professional roles. Therefore, it is recommended that revision and improvement in nursing education program is essential to facilitate positive experiences and remove negative experiences of nursing student’s educational environment. Key words: Perception, nursing, students, qualitative research

The relationship between organizational trust and nurse administrators' productivity in hospitals.

Abstract: Context: Management of health care organizations based on employee's mutual trust will increase the improvement in functions and tasks. Aims: The present study was performed to investigate the relationship between organizational trust and the nurse administrators' productivity in educational health centers of in the Health-Education Centers of Isfahan University of Medical Sciences. Settings and Design: This research was a descriptive and correlational study. Methods and Material: The population included all nurse administrators'. In this research, 165 nurses were selected through random sampling method. Data collection instruments were organizational trust questionnaire based on Robbin's model and productivity questionnaire based on Hersy and Blanchard's model. Validity of these questionnaires was determined through content validity and theirs reliability was calculated through Cronbach's alpha. Statistical analysis used: The data analysis was done using the SPSS (18) statistical software. Results: The indicators of organizational trust such as loyalty, competence, honesty, stability were more than average level but explicitness indicator was at average level. The components of productivity such as ability, job knowledge, environmental compatibility, performance feedback and validity were more than average level but motivation factor was at average level and organizational support was less than average level. There was a Significant multiple correlations between organizational trust and productivity. Beta coefficients among organizational trust and productivity were significant and no autocorrelation existed and regression model was significant. Conclusions: Committed employees, timely performing of tasks and developing sense of responsibility among employees can enhance production and productivity in the health care organizations. Key-words: Trust, Nurse Administrators, Hospitals

Impact of exercise on affective responses in female adolescents with type I diabetes.

Abstract: Background: Adolescent is a time of profound biologic, intellectual, psychological, and socioeconomic change that they will face a crisis. Therefore, compatibility may be exposed to many hazards, such as depression, anxiety, and other emotional problems. Nevertheless, a planned regular exercise enhances physical and mental health of adolescent female with diabetes. The aim of this study was to determine the effect of exercise on emotional reactions of female adolescents with type I diabetes. Materials and Methods: This study was a quasi-experimental research conducted in Endocrine and Metabolism Research Centre. A total of 72 patients were randomly allocated in the two groups. The intervention group did aerobic exercise for 45 minutes, while the control group did not aerobic exercise. Data were collected using a Symptom Checklist (SCL)-90 questionnaire. Data were analyzed and using descriptive and inferential statistics methods and SPSS software. Results: The results showed that the mean score for physical symptoms, depression, obsession–compulsion, interpersonal sensitivity, aggression, phobia, paranoid ideation, psychosis, and anxiety in the test group significantly decreased after intervention than before intervention. The average score in the control group did not differ. The average total score of emotional reactions in the test group after the intervention decreased before the intervention significantly ( P = 0.001). However, in the control group, the mean scores did not differ (P = 0.97). Conclusion: The findings showed that regular exercise is effective on affective responses of adolescent females with type I diabetes.

The effect of exercise on affective responses in female adolescents with type 1 diabetes

Abstract: Adolescent is a time of profound biologic, intellectual, psychological, ‎and socioeconomic change that he will face a crisis. So compatibility may be ‎exposed to many hazards, such as depression, anxiety and other emotional ‎problems. But a planned regular exercise enhances physical and mental health ‎of adolescent female with diabetes. The aim of this study was to determine the effect of exercise on emotional ‎reactions of female adolescents with Type I diabetes.‎ This study was a quasi-experimental research conducted in Endocrine and ‎Metabolism Research center. A total of 72 patients who were randomly allocated ‎in two groups. The intervention group did aerobic exercise for 45 minutes. ‎Whereas control group did not aerobic exercise. Data were collected using a ‎SCL-90 questionnaire.‎ Data were analyzed and using descriptive and inferential statistics methods and ‎SPSS software. ‎ The result showed the mean score for physical symptoms, depression, ‎obsession-compulsion, interpersonal sensitivity, aggression, phobia, paranoid ‎ideation, psychosis and anxiety in the experimental group after intervention than ‎before intervention significantly reduced. The average score in the control group ‎did not differ. The average total score of emotional reactions in the test group ‎after the intervention than before intervention significantly decreased (p = 0 / ‎‎001). But in control groups, the mean scores did not differ (p = 0 / 97).‎ The findings showed that having regular exercise is effective on emotional ‎reactions of adolescent females with type 1 diabetes.‎ Key-words: Aerobic exercise- affective symptoms- female adolescents - ‎type 1 diabetes mellitus.‎