1,721,040 research outputs found
sj-pdf-1-jrn-10.1177_17449871221077080 – Supplemental Material for Adopting mobile health applications by nurses: a scoping review
No full textSupplemental Material, sj-pdf-1-jrn-10.1177_17449871221077080 for Adopting mobile health applications by nurses: a scoping review by Soghra nezamdoust, Mohammadhiwa Abdekhoda, Fatemeh Ranjbaran, and Saber Azami-Aghdash in Journal of Research in Nursing</p
Assessing and Improving Fitness to Drive in the Elderly People: A Scoping Review of Policies and Guidelines
Get PDFBackground: This study has been conducted to analyze the processes, models, and policies to assess fitness to drive and improving driving in the elderly in the world.
Methods: The Arkesy and O’Malley frameworks were employed. Articles with at least one aspect of driving eligibility in the elderly were included. Expected data were collected using appropriate keywords from PubMed, Web of Science, Scopus, Embase, IranDoc, SID, and MagIran. Data were analyzed using the Content Analysis method.
Results: Out of 675 records, 24 papers and reports were included in the study that all of them were High-Income Countries (HICs). Among the studies that referred to the baseline age, the highest frequency was 70 yr old (4 studies). Vision assessment was the main item to judge driving fitness (mentioned in 75% of the studies). The in-person (5 studies) was the most common method of renewal. General practitioners were the principal performers to measure driving fitness (7 studies). Thirteen studies referred to the road tests as part of the driver's license renewal process. In most all reports and papers, there were policies on empowering the elderly driver, including providing safe driving tips, optional driving skills tests, holding retraining courses, etc. The most frequently supporting policies included introducing alternative transportation.
Conclusion: Most HICs have worthwhile experience in measuring and improving the fitness to drive in the elderly and enforce different laws according to social and political conditions. Utilizing these experiences by considering economic and social differences can be useful and practical for middle and low-income countries.
Evaluating the Status of Process Safety Management in Process Industries: A Systematic Review
No full textIntroduction: For years, chemical process industries have reported the unexpected release of highly hazardous liquids and gases. A disaster could not be avoided when these materials were not adequately controlled. The issue of Process Safety Management (PSM) is still being discussed in developing and developed countries. PSM was established to manage the risks of a company’s personnel, properties, products, environment, and credit risks. This study aimed to review the challenges and achievements of PSM implementation and provide recommendations for improvement.
Material and Methods: A collection of scholarly articles published from 2000 to 2023, such as Science Direct, WOS, PubMed, and Scopus, was chosen through a systematic, meticulous review. After thoroughly examining these abstracts, titles, and complete contexts, 49 articles were finally selected for inclusion in the study and classified based on different criteria, such as publication year, authors, achievements, and challenges.
Results: PSM in the United States has been chiefly studied due to the high number of chemical process industries and its presence in the form of OSHA legislation in this country. The areas of operations, audits, and resources have the most challenges in implementing PSM. On the other hand, reducing the severity of incidents in chemical processes and increasing productivity are considered the most significant achievements of PSM implementation.
Conclusion: PSM as an interdisciplinary field has improved and become more effective over the years.. However, incidents still exist, and the number can increase, considering the growth of industries’ chemical processes. Therefore, a deep look at the issues of risk-based regulations, competency, operational excellence, and learning from incidents is necessary to achieve excellence in PSM
Evidence-based care in Iran: A Systematic Review
No full textBackground and Aim: Evidence-based care is defined as combining research findings with caring skills. The current study aimed at a systematic review of obstructions, facilitators, awareness, knowledge, function, perception, and results of interventions in evidence-based care in Iran.
Materials and Methods: In the present survey different data base searching methods and manual search were applied using the key words of “evidence-based”, “evidence-based medical”, “evidence-based nursing”, “evidence-based practice”, “evidence-based care”, “evidence-based activity”, “evidence-based education”, “applying research results”, “research application”, and their combinations with the key words of “obstructions”, “facilitators”, “awareness”, “knowledge”,” function”, “perception”, and” Iran” and their English synonyms in data bases of PubMed, Medlib, Magiran, SID, CINAHL, Google Scholar, and Iranmedex to collect articles.
Results: Out of 819 articles, finally 25articls were used for this study. The most important barriers of evidence-based practice were lack of facilities, lack of time, and lack of expertise in research methods. The rate of familiarity with evidence-based practice specific terms was low (44.22%). Reference books were considered as the most important information sources. Awareness, knowledge, function, and usage of evidence-based practice was low (<50%). Main concepts of evidence-based practice from providers’ point of views were scientific and professional care, patient-oriented and considering service quality. Interventional studies had a positive effect on the improvement of evidence-based practice.
Conclusion: Weak knowledge, weak attitude, and time shortage .are among the most significant barriers of evidence-based care in Iran. These problems require more accurate planning and more favorable policies on the part of medical science authorities
Cardiovascular patients’ experiences of living with pacemaker: Qualitative study
No full textBACKGROUND: A pacemaker implantation is considered major life event for cardiovascular patients, so they will probably have very interesting experiences of living with this device. The aim of this study was to explore the experiences of cardiovascular patients living with the pacemaker. METHODS: In this qualitative study, 27 patients were chosen through purposive sampling to achieve data saturation, and their experiences were examined using semi-structured interviews. The patients’ statements were recorded with their consent and analyzed using content analysis method. RESULTS: Participants’ experiences included three main themes: “Problems and limitations,” “feeling and dealing with pacemaker”, and “sources of comfort” and 10 sub-themes including: physical problems, financial problems, social problems, the first encounter, the feeling of living with the pacemaker, how to cope with pacemaker, satisfaction with pacemaker, good family support, hospital and hospital staff performance, and role of religious beliefs. CONCLUSION: Planning to solve social problems, identifying and changing feelings of patients using pacemakers, reinforcing the resources of comfort especially family support seem to be necessary steps for improving quality of life and impact of using pacemaker. </p
Crisis Management Aspects of Bam Catastrophic Earthquake: Review Article
Get PDFBackground: Bam earthquake was the most catastrophic natural disasters in recent years. The aim of this study was to review different aspects of crisis management during and after the catastrophic earthquake in Bam City, Iran.Methods: Data needed for this systematic review were collected through searching PubMed, EMBASE and SID databases, for the period from 2003 to 2011. Keywords included earthquake, Iran and Bam earthquake. The data were summarized and were analyzed using Content Analysis.Results: Out of 422 articles, 25 articles were included in the study. Crisis Management aspects and existing pitfalls were classified into seven categories including planning and organization, human resource management, management of logistics, international humanitarian aids, field performance of the military and security forces, health and medical service provision, and information management. Positive aspects and major pitfalls of crisis management have been introduced in all the mentioned categories. Conclusion: The available evidence indicated poor crisis management during Bam earthquake that resulted in aggravating the losses as well as diminishing the effect of interventions. Thus, concerning the importance of different aspects of the crisis management and the high prevalence of disasters in Iran, the observed vulnerability in disaster management process should be addressed
مروری نظاممند بر مطالعات انجام گرفته در زمینه اسبدرمانی (Hippotherapy) و گزارش توصیفی نتایج آنها
No full textچکیده
مقدمه: اسب درمانی یکی از روشهای توانبخشی میباشد که در سالهای اخیر کاربرد زیادی یافته است. هدف مطالعه حاضر جمع بندی مطالعات و گزارش توصیفی نتایج اسب درمانی در درمان و توانبخشی ناتوانی ها و معلولیت ها میباشد.
مواد و روشها: این مطالعه از نوع مطالعات مروری نظاممند میباشد. اطلاعات مورد نیاز از طریق جستجو در پایگاههای دادهای: PubMed ، Medline، ,Cinahl , Web of knowledge , Science Directو SIDبا استفاده از کلیدواژههای hippotherapy، Equine- assisted therapy, Horseback riding, Horse riding , Therapeutic riding, و اسب درمانی جمعآوری گردید. بازه زمانی جمعآوری مقالات بین سالهای 2012 – 1990 انتخاب گردید و در نهایت تعداد 35 مقاله وارد مطالعه گردید. مقالات انتخاب شده به طور کامل مورد مطالعه قرار گرفته و نتایج با استفاده از (Extraction table) استخراج، خلاصهسازی و گزارش گردید.
یافتهها: میانگین تعداد نمونهها برای هر مطالعه برابر با 5/22 نفر بود. میانگین مدت زمان مداخله برای هر مطالعه نیز برابر با 16/13 هفته بود. بیشترین گروه سنی مورد مطالعه کودکان بودند و بیشترین ناتوانی بررسی شده نیز فلج نخاعی بود. در 33 مطالعه (حدود94%) نتایج مطالعات نشان دهنده تاثیر مثبت و اثربخش اسب درمانی بود.
نتیجهگیری: بر اساس نتایج مطالعات بررسی شده اسب درمانی تاثیر مثبتی در توانبخشی داشته و این اثربخشی در مواردی مانند فلج نخاعی، ثبات سر و اندامهای فوقانی، مالتیپل اسکلروسیز، ناتوانیهای فیزیکی و ... مشاهده میشود. با این وجود مطالعات صورت گرفته در این زمینه محدود بوده و نمیتوان با این تعداد نتیجهگیری کرد و نیاز به انجام مطالعات بیشتر در این زمینه میباشد.
کلیدواژهها: اسب درمانی، روشهای توانبخشی، مروری نظاممند، گزارش توصیفی، ناتوانی و مصدومی
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