Mohammadreza Safavi, Hossein Mahjobipor, Mohammadali Mohammadzadeh, Azim Honarmand,
Volume 10, Issue 4 (1-2011)
Abstract
Introduction: Applying basic standards of anesthesia care is crucial. Patients’ status should be evaluated based on a standard checklist. In case of mismanagement, logical approaches must be conducted. The main objective of the present study is to develop a checklist for evaluation of implementing anesthesia care standards, and its application by observing the practice of anesthesiologists and their residents in Guilan Medical University hospitals.
Methods: At first, different stages of anesthesia from patients’ arrival to the operating room till discharge from the recovery room were determined. In every stage, standard protocols were prepared. Then, the checklist items were developed based on anesthesia reference books and the modifications made according to Guilan anesthesiologists and conditions of university hospitals. After that, the adherence of twenty anesthesiologists and residents to these protocols were insensibly observed and scored for six months. Data were analyzed and frequency distribution was presented.
Results: Rate of not-applied standards in descending orders was: 52.5% in preparation of operating room, 42.2% in pre-intubation, 40% in pre-extubation, 34.5% during maintenance of anesthesia,33.3% at discharge from the recovery room, 27.7% after intubation, 27.2% before arrival to the recovery room, 17.1% in recovery room, 13.8% at the time of intubation, 11.3% at arrival to the recovery room, 10% upon admission to the recovery room, 9% upon extubation, and 0% after extubation.
Conclusion: This study revealed the necessity of using standard checklist for anesthesia care in operating room to protect the patient and to decrease the risk of anesthesia for them. Based on the results, educational and management interventions should be designed to promote adherence to standards.
Aref Shahviren, Taghi Zavvar, Abolfazl Ghasemzadee, Fateme Hazratian,
Volume 16, Issue 0 (4-2016)
Abstract
Introduction: Blended learning is a combination of systemic and contingency approaches to learning which means that besides paying attention to the relationships between all components as a whole, the conditions of utilizing these tools to achieve the best results are especially taken into account too. The aim of this study was to explore the perspectives of Sarab health and treatment network staff on the establishment and implementation of blended learning system (face-to-face and online) based on ISO 10015 requirements.
Methods: The population of this descriptive survey included all of the health workers of Sarab health and treatment network in 2015 and the sample size was set at 265 using Morgan table. Data collection tool was a 63-item researcher-made questionnaire in the five-point Likert scale based on the requirements of ISO 10015. It measured feasibility assessment, design, implementation and evaluation of blended learning. Descriptive statistics and independent t-test were used to analyze data.
Results: The mean scores were calculated for needs assessment at 2.81±0.43, design at 2.6±0.52, implementation at 2.5±0.6, evaluation at 2.3±0.7 for the implementation of blended learning which all were less the expected mean (3) and this difference was statistically significant (t=1.4, p<0.001).
Conclusion: These results could be used as the basis of establishment and to enable strengthening of needs assessment, design, implementation and evaluation for providing appropriate infrastructure for the establishment of blended learning and making use of the benefits of both the online and face-to-face methods.
Habibolah Rezaei, Ferdowsi Rahimi, Nikoo Yamani,
Volume 18, Issue 0 (4-2018)
Abstract
Introduction: Nurses must be equipped with scientific and practical competencies and skills in teaching drug abuse prevention and control as well as addiction treatment. Thus, this study aimed to determine the educational needs of nursing students for working in addiction counseling and treatment centers.
Methods: This descriptive study was conducted in Isfahan in the 2015-16 academic year. The statistical population was comprised of faculty members of the nursing and midwifery school, physicians, nurses and the service recipients provided by addiction counseling and treatment centers. Using a three-round Delphi Technique, the data were collected by a valid and reliable researcher-made questionnaire and analyzed by means of descriptive statistics.
Results: In the first, second and third rounds of Delphi Technique, 129 (out of 140), 79 (out of 80), and 20 (out of 20) people responded to the questionnaire respectively. Of the 150 educational needs that were identified, 69 were related to the cognitive domain, 39 to the emotional domain and 42 were related to the psychomotor domain.
Conclusion: Most of the nursing students’ educational needs of nurses for working in addiction counseling and treatment centers were related to the cognitive and psychomotor domain. It is suggested that training courses be held for nursing students in relation to these needs and an educational package be developed accordingly.
