1 2676-5748 Hamadan University of Medical Sciences 1428 Nursing education and self-efficacy of Mothers Regarding Alerting signs in children Less than five Years in Arak, Iran razi tahereh shamsi mohsen khorsandi mahboobeh roozbahani nasrin ranjbaran mehdi 1 6 2016 24 1 1 8 04 10 2015 19 03 2016 Introduction: Training and consulting attachment behavior may promote bonding between mothers and infants. The aim of this study was to determine the effect of consultation in primi-parous mothers on Maternal-Fetal Attachment (MFA) in 2015 in Hamadan city, Iran. Methods: This study was a randomized clinical trial. Subjects were 110 nulliparous women in 30-32 weeks of gestational age. Participants were randomly assigned to two experimental and control groups (each group: n = 55). The collected data included demographic information as well as standard Cranley’s questionnaire information to measure the MFA. Before the consultation, questionnaires were completed by both groups. Then, four weekly group sessions during a month were conducted in the case group, while the control group only received routine care. Two weeks after the consultation, the two groups were re-examined. The averages of score changes in maternal-fetal attachment between the two groups as well as within groups were compared. Results: After consultation, there was a significant difference between case and control groups on the mean of MFA scores. The mean of MFA significantly increased in the case group (P < 0.001). However, no significant change was observed in the control group. Conclusions: Consultation of the MFA behavior can be used to promote mother-fetus relationship during prenatal care.
1486 Nursing Comparing the effects of CPR Teaching Using Two Methods, Practical with Model and film, on the Knowledge and Performance of Aid Groups in Hamadan, Iran Falahinia Gholamhossein Daneshgari Mojtaba Borzou Seyed Reza Moghimbeigi Abbas Sokoti Tahereh 1 6 2016 24 1 9 15 27 01 2016 24 02 2016 Introduction: Prompt cardiopulmonary resuscitation (CPR) by aid groups during incidents is known as a determining factor of the survival rate. This study compared the effects of CPR teaching with two methods, practical with model and film, on the knowledge and performance of aid groups. Methods: This experimental study, designed as two groups of before and after, was performed on 72 members of aid groups in Hamedan, Iran. The samples were randomly selected from both organizations and divided into two groups of 36. Before the intervention, knowledge and performance of samples were assessed by knowledge evaluation questionnaire and performance evaluation checklist. The intervention was a theoretical and practical training for group A (practical with mannequin) in groups of six. In group B (film), education was in the form of a video CD with the same content. Finally, after seven days, knowledge and performance of samples were examined. Data were analysed by statistical method and SPSS software. Results: There was no significant difference in knowledge and performance before and after the training in both groups (P < 0.05); also, there was no significant difference between knowledge and practice of the two groups (P > 0.05). Conclusions: According to the study, both methods were equally effective. However, teaching by film can have advantages such as being doable in free time, no need for presence in class, being easy to use and cost-effective. 1436 Nursing effects of Progressive Muscle Relaxation on sleep Quality in Pre-university students: A Randomized clinical Trial roozbahani tahereh norian manijeh saatchi Kiyarash moslemi azam 1 6 2016 24 1 16 23 14 10 2015 07 03 2016 Introduction: Sleep disorders are common in adolescence, as biological, psychological and social changes that arise during adolescence are associated with poor-quality sleep. Relaxation of muscles leads to peace of mind, prevents and neutralizes negative thoughts and emotions, and balances the effects of muscle strain increase on the body. This study aimed to determine the effects of progressive muscle relaxation on the sleep quality of pre-university students. Methods: In this clinical trial, 46 pre-university students from public schools of Malayer city, Iran participated. Samples were systematic randomized into two groups of progressive muscle relaxation (test) and control. In the test group, progressive muscle relaxation programs were taught and they were asked to do this once a day for a month. The sleep quality of the samples was measured using "Pittsburgh Sleep Quality Index" at the beginning and end of the intervention. Data were analyzed using SPSS version 17 and Mann-Whitney and Wilcoxon tests were used. Results: The mean score of sleep quality in the control group after one month showed a significant increase (P < 0.001) and the average score of sleep quality in the test group, after a month of PMR, had a significant reduction (P < 0.001). In addition, there was a significant difference in the sleep quality score between test and control groups (P < 0.001). Conclusions: The findings of this study showed that the progressive muscle relaxation program enhanced the sleep quality in pre-university students. 1458 Midwifery The effect of Training on Maternal-fetal Attachment (MfA) in nulliparous Women: A Randomized clinical Trial Parsa Parisa p Saiedzadeh Nafiseh Roshanaii Godratalah Masoumi Seyedeh Zahra p Hamadan University of Medical Sciences Hamadan University of Medical Sciences Hamadan University of Medical Sciences Hamadan University of Medical Sciences 1 6 2016 24 1 24 30 13 12 2015 09 03 2016 Introduction: Training and consulting attachment behavior may promote bonding between mothers and infants. The aim of this study was to determine the effect of consultation in primi-parous mothers on Maternal-Fetal Attachment (MFA) in 2015 in Hamadan city, Iran. Methods: This study was a randomized clinical trial. Subjects were 110 nulliparous women in 32-30 weeks of gestational age. Participants were randomly assigned to two experimental and control groups (each group: n = 55). The collected data included demographic information as well as standard Cranley’s questionnaire information to measure the MFA. Before the consultation, questionnaires were completed by both groups. Then, four weekly group sessions during a month were conducted in the case group, while the control group only received routine care. Two weeks after the consultation, the two groups were reexamined. The averages of score changes in maternal-fetal attachment between the two groups as well as within groups were compared. Results: After consultation, there was a significant difference between case and control groups on the mean of MFA scores. The mean of MFA significantly increased in the case group (P < 0.001). However, no significant change was observed in the control group. Conclusions: Consultation of the MFA behavior can be used to promote mother-fetus relationship during prenatal care. 1481 Midwifery The effect of fetal Movement counting on self esteem and self-efficacy of Mothers: A Randomized controlled Trial Delaram Masoumeh Jafarzadeh Loabat Shams Sahand Shahrekord University of Medical Sciences Shahrekord University of Medical Sciences Shahrekord University 1 6 2016 24 1 31 38 22 01 2016 04 04 2016 Introduction: Self-esteem and self-efficacy are the main effective factors on properfunctioning sense of responsibility and roles of motherhood. Using the promotionmethods of self-esteem and self-efficacy may improve pregnancy outcomes. The aim of thisstudy was to detect the effect of counting fetal movements on self-esteem and self-efficacyof nulliparous women. Methods: In a randomized controlled trial study 200 nulliparous women participated,selected by convenience sampling, and were randomly divided into experimental andcontrol groups. In the first group, the women counted the fetal movements during 28 to37 weeks of gestation and the second group received the standard antenatal care. The selfesteemand self-efficacy of mothers were assessed and compared in 28 and 37 week in thetwo groups. Data were analyzed with SPSS 16 and P < 0.05 was considered significant. Results: There was not a significant difference in the mean scores of self-esteem in 28weeks of gestation between the two groups, but the difference was significant in 37 weeks of gestation (4.08 ± 23.31 in the experimental group and 4.60 ± 21.29 in the control group, P < 0.001). No difference was found in the mean scores of self-efficacy in 28 weeks of gestation between the two groups, but the difference was significant in 37 weeks of gestation (5.18 ± 32.06 in the intervention group and 6.56 ± 29.82 in the control group, P= 0.007). Conclusions: The women who counted the fetal movements during 28 to 37 weeks of gestation reported a better self-esteem and self-efficacy than the control group. Using this simple and useful method for improving self-esteem and self-efficacy of mothers during pregnancy is suggested to all health care providers. 1494 Nursing Head nurses’ Leadership Styles and Leadership Outcomes Sadeghi Amir samsamy tayebeh bikmoradi ali moghimbeigi abbas 1 6 2016 24 1 39 49 05 02 2016 12 04 2016 Introduction: In contemporary organizations such as hospitals, leadership effectiveness and employees' satisfaction are two important leadership outcomes. Head nurses’ leadership styles and their performance play a key role to increase their effectiveness. Choosing an appropriate leadership style by head nurses, in addition to improving their performance, enhances nurses’ job satisfaction and results in organizational goal achievement. This study aimed to determine head nurses’ leadership style, as perceived by nurses, and its relationship with leadership outcomes in the educational-treatment centers of Hamadan University of Medical Sciences, Hamadan, Iran. Methods: In this descriptive-analytical research performed in 2015, the research population was all the nurses in educational-treatment centers of Hamadan University of Medical Sciences (n = 950). Using stratified proportional random sampling, 360 nurses were chosen as the research sample. The research instrument was Multifactor Leadership Questionnaire (MLQ), developed by Bass and Avolio. Results: The results demonstrated that head nurses applied a combination of three leadership styles: transformational, transactional, and laissez-fair. The result of multiple regression analysis showed that inspirational motivation, idealized influence, individual consideration and laissez-fair leadership accounted for 85% of the variance of leadership effectiveness. Individual consideration, idealized influence, management-by-exception active, management-by-exception passive and contingent reward accounted for 74% of variance of nurses’ job satisfaction. Conclusions: The results of this study revealed that there was a significant statistical relationship between head nurses’ leadership styles and their leadership effectiveness and nurses’ job 1504 Nursing Communication Skills and Its Related Factors in Guilans Teaching Hospitals' Nurses 94 Safavi Mahboobeh ghasemipenchah somayeh Fesharaki Mohammad Esmaeilpour Bandboni Mohammad MSC Student in nursing , Faculty of Nursing and Midwifery, Islamic Azad University of Medical Sciences Branch, Tehran, Iran ( corresponding author). Guilan University of Medical Sciences 1 6 2016 24 1 50 57 03 03 2016 05 05 2016 Introduction: Effective communication is a vital component of efficient nursing care. This study was conducted to assess the communication skills of nurses those working in Guilans’ teaching hospitals and some of related demographic factors. Methods: This cross-sectional analytical study was carried on 210 nurses those working in teaching hospitals of Guilan University of Medical Sciences in 2015. Nurses were selected through randomized sampling method. They asked to complete the communication skills questionnaire of Burton G (1990). Data was analyzed with SPSS version 21 by using descriptive and analytical statistics tests such as; Spearman, Mann-Whitney U, and kruskal wallis at significant level of P < 0.05. Results: The mean score of total communication skills was calculated 60.66 ± 6.45. The mean score of verbal skill, listening skill, and so feedback skill were calculated in order to 21.58 ± 3.18, 18.71 ± 2.91, and so 20.36 ± 2.57 with respectively. Communication skills was significantly related with demographic variables such as age, marital status, past work experience, workplace, and so type of employment (P < 0.05). Conclusions: Communication skills of nurses in this study were calculated in moderate level, because of importance of communication to health care provider, all of managers should design appropriate training programs to improve communication skills. 1463 Midwifery TThe Effect of Education of Pregnant Women's Bill of Rights to Midwives, on Satisfaction of the Women Referred to Labor Unit of Imam Reza hospital Masoumi Seyedeh Zahra Niazi Ziba Bakht Rafat Roshanaei Ghodratollah 1 6 2016 24 1 58 67 27 02 2016 20 04 2016 Introduction: Health is the basic human rights and pregnant women are among the most vulnerable groups in terms of health. Respecting to the rights is an important issue in health care quality and the strategy is to achieve greater satisfaction. The present study aimed to evaluate the effect of Training of Bill of rights of pregnant women to midwives, on satisfaction of the pregnant women. Methods: This is a quasi-experimental study, 176 pregnant women before the intervention for 13 midwives and 155 pregnant women after the intervention were studied by convenience sampling in order to assess the satisfaction of respect for the Bill of rights of pregnant women. Data were collected by a researcher-made questionnaire with both of the physical and emotional realm. This study was performed in Imam Reza Hospital in1394. Data analysis was performed using Spss16. Results: The mean age of the sample was 26 years and 94.8% of them had diploma or less. The relationship between education and labor phase, with satisfaction of the pregnant women was not statistically significant. The overall satisfaction between the experimental and control groups was not significantly different, But there was a significant difference in training of midwives and pregnant women in the realm of mental satisfaction (P < 0.05). Conclusion: Personnel training is a way to increase the respect of rights of users and their satisfaction but achieving these goals will require a lot of mechanisms such as providing appropriate infrastructure and improving working conditions for staff.