scholarly journals Iranian nurses’ perspective of barriers to sexual counseling for patients with myocardial infarction

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Parvin Mangolian Shahrbabaki ◽  
Roghayeh Mehdipour-Rabori ◽  
Tayyebeh Gazestani ◽  
Mansooreh Azzizadeh Forouzi

Abstract Background Sexual counseling is an essential part of cardiac rehabilitation. This study aimed to investigate Iranian nurses’ perceptions of barriers to sexual counseling for patients with myocardial infarction. Methods This cross-sectional study included 169 nurses who worked in CCUs, Post CCUs, and cardiac surgery wards of teaching hospitals in southeastern Iran. The barriers to providing sexual counseling inventory was used to assess sexual counseling barriers for patients with myocardial infarction. SPSS 19 was used to analyze the data. The significance level was 0.05. This study lasted from November 2019 to March 2020. Results The results showed that the highest mean scores for patient-related barriers were related to the patient’s religion and belief (2.83 ± 0.52) and embarrassment (2.82 ± 0.52 %). The highest scores for nurse-related barriers were related to nurse’s discomfort in discussing sexual issues (2.67 ± 0.62), a lack of experience in sexual counseling (2.62 ± 0.65), and sexual hesitation in advising patients (2.57 ± 0.7). The highest mean scores for organizational barriers were a lack of managerial attention and support for counseling (2.67 ± 0.66) and a lack of proper supervision system (2.62 ± 0.72). Conclusions Religion/beliefs, embarrassment and a lack of managerial attention and support for counseling were the most important barriers in the organizational, nursing and patient domains. Since sexuality is a significant issue in most cultures and religions, particularly in Islamic countries, health care professionals should work to change the attitudes of patients towards sexuality through sexual health education and counseling to meet patients’ needs and improve their sexual health.

Author(s):  
Tayyebeh Gazestani ◽  
Parvin Mangolian Shahrbabaki ◽  
Roghayeh Mehdipour Rabori ◽  
Mansooreh Azzizadeh Forouzi

Background & Aim: One of the main concerns in patients with myocardial infarction is that there is no return to sexual activities. Sexual counseling is an interaction between patient and nurse that requires appropriate performance, responsibility, and confidence. The present study aimed to determine nurses' performance, responsibility, and confidence in sexual counseling of myocardial infarction patients. Methods & Materials: This descriptive/analytical cross-sectional study was carried out on 180 nurses from the cardiac care unit (CCU) at the hospitals located in southeastern Iran in 2018. Sampling was performed with the census method; and the data collection tool was a demographic information form and questionnaire, involving nurses' performance, responsibility, and confidence in sexual counseling of cardiac patients. Information was analyzed using SPSS software (ver.18) through descriptive and inferential statistics, including t-test, ANOVA, and Pearson correlation coefficient. The significance level was considered as 0.05. Results: The mean of total performance scores in the nurses was 14.54 ± 4.4, indicating the average performance of nurses in the sexual counseling of myocardial infarction patients. The total mean score of responsibility was 14.32±2.7, indicating their average responsibility in sexual consultation. The total mean score of confidence was 12.86±2.35, indicating their average confidence in the sexual counseling of cardiac patients. Conclusion: The present research showed that nurses’ performance and confidence were not high or acceptable in the sexual counseling of patients with a myocardial infarction, which can lead to some dangerous events such as recurrent myocardial infarction or sudden death. Thus, holding some workshops or training related to the sexual counseling of the patients can assist nurses to be better in this case.


2021 ◽  
Author(s):  
Parvin Mangolian Shahrbabaki ◽  
Roghayeh Mehdipour Rabori ◽  
Tayyebeh Gazestani ◽  
Mansooreh Azzizadeh Forouzi

Abstract Background: Sexual counseling is an important component of cardiac rehabilitation that. This study aimed to investigate Iranian nurses’ perspective of barriers to sexual counseling for patients with myocardial infarction. Methods: This cross-sectional study was performed on 169 nurses. Instruments included demographic characteristics and barriers to providing sexual counseling. Results: The strongest barrier was related to patients’ religion, and belief (2.83 ± 0.52) and embarrassment (2.82 ± 0.52%), the nurses are not comfortable discussing sexual issues (2.67 ± 0.62), lack of experience in the field of sexual counseling (2.62 ± 0.65), and sexual hesitation in advising patients (2.57 ± 0.7). About organizational barriers, the highest mean scores were related to the lack of support from managers (2.67 ± 0.66) and the lack of a proper supervision system (2.62 ± 0.72). Conclusion: patient-related barriers were the most common barriers rooted in the culture dominant in society regarding sex issues. Therefore, it should be cultured through continuing education and the mass media so as not to be perceived as a taboo in health care settings. Health professionals should be change the attitudes of patients towards sexuality through sexual health education and counseling to meet patients' needs and improve their sexual health.


2015 ◽  
Vol 36 (2) ◽  
pp. 97-105 ◽  
Author(s):  
Simone Mourão Abud ◽  
Maria Aparecida Munhoz Gaíva

OBJECTIVE: The aim was to analyse the input of growth and development data in the Child Health Handbook. METHOD: This is a cross-sectional study conducted in Cuiabá, Brazil, on August 13, 2011, with the application of a questionnaire and direct observation of 950 handbooks. We included children under one year of age who resided in Cuiabá, accompanied by their mothers or guardians who were in possession of the handbook. Data were analyzed by calculating the prevalence ratio (PR) and Chi-Square test, with a significance level set at 5%. The project was approved by the Ethics Committee under Opinion No. 882/2010. RESULTS: Of the analyzed handbooks, 95.4% of the development data and 79.6% of the data in the growth charts were incomplete or missing. CONCLUSION: The low rate of growth and development data input in the handbooks reveals the need to create awareness among the population, health care professionals and managers on the importance of handbooks, and the need to invest in training and the empowerment of professionals in relation to its proper use.


2008 ◽  
Vol 7 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Judith E. Arnetz ◽  
Anna T. Höglund ◽  
Bengt B. Arnetz ◽  
Ulrika Winblad

Background: Healthcare legislation in several nations now dictates the responsibility of health care professionals to involve patients in decisions concerning care and treatment. However, few studies have examined the impact of patient involvement on the work of health care professionals. A better understanding of staff views and behaviour might enhance patient involvement. Aim: The aim of this study was to develop and validate a questionnaire for measuring views and behaviour regarding patient involvement among physicians and nursing staff caring for patients with myocardial infarction. Methods: Focus groups among cardiology staff provided the basis for the construction of the questionnaire. Questionnaire validity and reliability were evaluated in a small pilot study and a larger cross-sectional study among cardiology staff at twelve Swedish hospitals. Results: The questionnaire demonstrated good validity and reliability, with two factors measuring staff views and four measuring behaviour. Conclusion: The questionnaire appears to be a useful tool for evaluating the perceptions and behaviour of physicians and nursing staff regarding patient involvement in myocardial infarction care. Use of this questionnaire may provide insight regarding areas of staff–patient interaction that need improvement, as well as implications of patient involvement for the work of each professional group on cardiology wards.


2018 ◽  
Vol 12 (2) ◽  
pp. 303
Author(s):  
Paula Knoch Mendonça ◽  
Marisa Dias Rolan Loureiro ◽  
Marcos Antonio Ferreira Júnior ◽  
Albert Schiaveto de Souza

RESUMOObjetivo: descrever a frequência e os fatores de risco para o desenvolvimento de lesões por pressão em clientes de Centros de Terapia Intensiva. Método: estudo quantitativo, transversal, realizado em uma amostra de 104 clientes de uma população de 936 sujeitos de dois hospitais públicos de ensino, atendidos entre os meses de março a junho de 2016. Os dados foram coletados com uso de um formulário de observação baseado em diretrizes nacionais e internacionais, e a análise estatística descritiva foi realizada com adoção de um nível de significância de 5%. Os resultados são apresentados em tabelas em valores absolutos e relativos, e cálculos para verificação de associação entre as variáveis. Resultados: dentre as variáveis estudadas, a idade foi igual ou maior a 60 anos, a presença de hipertermia e de pele edemaciada foram as que apresentaram significância estatística com a ocorrência de LP. Conclusão: os fatores de risco identificados como significativos para a ocorrência de LP podem ser prevenidos, portanto, o envolvimento da equipe de enfermagem é fundamental na prevenção dessas lesões. Descritores: Lesão por Pressão; Segurança do Paciente; Unidades de Terapia Intensiva; Enfermagem; Assistência à Saúde; Cuidados Críticos.ABSTRACT Objective: to describe the frequency and risk factors for development of pressure injuries (PIs) in clients of Intensive Care Centers. Method: quantitative, cross-sectional study of a sample of 104 clients from a population of 936 subjects from two public teaching hospitals assisted between March and June 2016. Data were collected using an observation form based on national and international guidelines, and descriptive statistical analysis was performed with a significance level of 5%. The results are presented as absolute and relative values, in tables, and the association between variables was calculated. Results: among the studied variables, age equal to or greater than 60 years, presence of hyperthermia and presence of swollen skin were the ones that had statistically significant effect on the occurrence of PIs. Conclusion: the risk factors identified as significant for the occurrence of PI can be prevented and, thus, the involvement of the nursing team is fundamental to prevent these lesions. Descriptors: Pressure Injury; Patient safety; Intensive Care Units; Nursing; Health Care; Critical Care.RESUMEN Objetivo: describir la frecuencia y los factores de riesgo para el desarrollo de lesiones por presión en clientes de Centros de Terapia Intensiva. Método: estudio cuantitativo, transversal, realizado en una muestra de 104 clientes de una población de 936 sujetos de dos hospitales públicos de enseñanza, atendidos entre los meses de marzo a junio de 2016. Los datos fueron recogidos con el uso de un formulario de observación basado en directrices nacionales e internacionales, y el análisis estadística descriptiva fue realizada con adopción de un nivel de significancia de 5%. Los resultados son presentados en planillas en valores absolutos y relativos, y cálculos para verificación de asociación entre las variables. Resultados: entre las variables estudiadas, la edad fue igual o mayor a 60 años, la presencia de hipertermia y de piel con edema fueron las que presentaron significancia estadística con la ocurrencia de LP. Conclusión: los factores de riesgo identificados como significativos para la ocurrencia de LP pueden ser prevenidos, por lo tanto, el envolvimiento del equipo de enfermería es fundamental en la prevención de esas lesiones. Descriptores: Úlcera por Presión; Seguridad del Paciente; Unidades de Cuidados Intensivos; Enfermería; Atención de Salud; Cuidados Críticos.


2020 ◽  
Vol 1 (1) ◽  
pp. 57-63
Author(s):  
Silke Heuse ◽  
Cathrin Dietze ◽  
Daniel Fodor ◽  
Edgar Voltmer

Background: Future health-care professionals face stress both during education and in later professional life. Next to educational trainings, many students are forced to assume part-time employment. Objective: Applying the Job Demands-Resources Model to the educational context, we investigate which role part-time employment plays next to health-care professional students’ education-specific demands and resources in the prediction of perceived stress. Method: In this cross-sectional study, data from N = 161 health-care students were analysed, testing moderation models. Results: Education-specific demands were associated with higher and education-specific resources with lower amounts of perceived stress. Part-time employment functioned as moderator, i.e. demands were less associated with stress experiences in students who were employed part-time. Conclusion: Identifying part-time employment as a resource rather than a demand illustrates the need to understand students’ individual influences on stress. Both educators and students will benefit from reflecting these resources to support students’ stress management.


2020 ◽  
Vol 9 (3) ◽  
pp. 207-211
Author(s):  
Sidra Sarwar ◽  
Sara Khalid ◽  
Tahir Mahmood ◽  
Hadeeqa Jabeen ◽  
Shahid Imran

Background: Musculoskeletal disorders are not only becoming prevalent among health care professionals in our country but are affecting their health and performance adversely. They are caused by poor ergonomics and awkward posture during work activities. The purpose of this study was to determine the frequency of neck and upper limb musculoskeletal disorders in dentists of Lahore, Pakistan. Material and Methods: This cross-sectional study was conducted during October 2017 to March 2018. The data was collected using convenient sampling technique from 162 Dentists including 52 males and 110 females of Children hospital Lahore, Punjab Dental hospital and Fatima Memorial Hospital, Lahore. Data was collected by using Mangalore Questionnaire for identification of musculoskeletal disorders. Descriptive analysis of the data was done using SPSS version 22.0. Results: Of 162 dentists, 115 (71%) suffered from musculoskeletal disorders. Shoulder was the most commonly affected region (30.9%) followed by neck (25.9%), arm (6.2%), wrist (4.3%), elbow (3.1%) and forearm (0.6%). Pain (45.7%) was found to be the most common complaint followed by muscle weakness (20.4%), paraesthesia (3.7%) and swelling (1.2%). Conclusions: It was concluded that majority of the dentists were suffering from musculoskeletal disorders with shoulder as the most affected region and pain as the most frequent complaint. Key words: Dentists, Musculoskeletal disorders, Neck pain, Upper extremity


2020 ◽  
Vol 15 (2) ◽  
pp. 105-110
Author(s):  
Haile Kassahun ◽  
Dugessa Tesfaye

Background: Disposal of pharmaceutical waste among patients is a global challenge especially in developing countries like Ethiopia. Improper medication disposal can lead to health problems and environmental contaminations. Therefore, the present study aimed to assess disposal practices of unused medications among patients in public health centers of Dessie town, Northeast Ethiopia. Methods: A descriptive cross-sectional study was conducted among 263 patients in four public health centers of Dessie town, Ethiopia from March to June, 2019. Face-to-face interviews using structured questionnaires were used to collect data from each study subject. Results: The majority of the respondents, 224 (85.17%) had unused medications at their home during the study period. The most commonly reported disposal method in the present study was flushing down into a toilet 66 (25.09%). None of the respondents practiced returning unused medications to Pharmacy. Moreover, 85 (32.31%) of the respondents reported never disposing their medications and believed that it is acceptable to store medications at home for future use. Conclusion: In the present study, there was a high practice of keeping medications at home and most of the disposal practices were not recommended methods. In addition, most of the respondents did not get advice from pharmacists and other health care professionals on how to dispose off unused medications. Hence, there is a need for proper education and guidance of patients regarding disposal practices of unused medications.


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