د ر 3 ضوار 4 زهستاى 1333

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2 فصلناهم رپستاری دا خل ی و رجا ح ی د ر 3 ضوار 4 زهستاى 1333 آدرس سايت مجل : صاحة امتياز: دا طگا عل م پسضکی خذهات ت ذاضتی درها ی زا ذاى دا طکذ پرستاری هاهايی دارای رتبه علمی پژوهشی از يکصد و دهميه جلسه کميسيون وشريبت علوم پسشکی کشور به شمبره 100/705 مورخ 22/3/25 شمبر استبودارد بيه المللي وشري : شمبر شبپب الکتريويکي: X شمبر مج ز ارشبد اسالمي: 30/7/ /30 مدير مسئ ل ي سردبير : دکتر علی يذياى )دا طیار را وايی هطا ر ( مدير اجرايي ي جبوشيه سردبير: فتیح کرهاى سار ی )استاديار پرستاری( ام ر وشر )ييراستبری فبرسي ي اوگليسي صفح آرايي طراحي(: ضرکت فرزا گاى رادا ذيص کبرشىبس مجل : تکتن کیا یاى )کارض اس ارضذ پرستاری( کبرشىبس اجرايي ي مدير پبيگب : ه ذي رضايی اسبمی هيئت تحريريه دکتر عسيساهلل ارتاتی سرج : استاديار پرستاری دا طگا عل م پسضکی زا ذاى دکتر فاطم الحاوی: دا طیار پرستاری دا طگا ترتیت هذرس ت راى دکتر محم د ايماوی: دا طیار تیواری ای ک دکاى دا طگا عل م پسضکی زا ذاى دکتر فاطم رخشاوی: استاد آه زش ت ذاضت دا طگا عل م پسضکی ض یذ ت طتی دکتر مسع د ريدتاري: دا طیار آهار دا طگا عل م پسضکی ت راى دکتر شىگ سىذگل: دا طیار تیواری ای داخلی دا طگا عل م پسضکی زا ذاى دکتر محسه طا ري: دا طیار ش تیك پسضکی دا طگا عل م پسضکی زا ذاى دکتر عثاس عثادي: دا طیار پرستاری دا طگا عل م پسضکی تقی ال ت راى دکتر مسع د فالحی خشکىاب: دا طیار پرستاری دا طگا عل م ت سيستی ت ا ثخطی ت راى فتيح کرمان ساريي: استاديار پرستاری دا طگا عل م پسضکی زا ذاى دکتر مليح متاوت: دا طیار تیواری ای عف ی طة گرهسیری دا طگا عل م پسضکی زا ذاى دکتر عيسی محمذي: استاد پرستاری دا طگا ترتیت هذرس ت راى دکتر ز را م دي: استاديار هاهايی دا طگا عل م پسضکی زا ذاى دکتر وذا م رداد: استاديار پرستاری دا طگا عل م پسضکی ت راى فرشت وجفی: هرتی پرستاری دا طگا عل م پسضکی زا ذاى دکتر علی و يذيان: دا طیار را وايی هطا ر دا طگا عل م پسضکی زا ذاى دکتر عليرضا ويکثخت وصرآتادي: استاد پرستاری دا طگا عل م پسضکی ت راى دکتر فريثا يعق تی ويا: استاديار پرستاری دا طگا عل م پسضکی زا ذاى دکتر فريذ يغمايی: دا طیار پرستاری دا طگا آزاد اسالهی احذ ز جاى اسبمی داوران ايه شمبره: دکتر فر زاى آتص زاد ض ريذ دکتر سکی سثس اری دکتر رضا ضیغوی دکتر هسع د فالحی فتیح کرهاى سار ی دکتر رضا هسع دی دکتر ز را ه دی فرضت جفی دکتر فريثا يعق تی یا. خطک اب دکتر هحوذرضا فیر زک ی زميى م ض عي: تخصصی پرستاری حمبيت علمي ي تأميه اعتببرات مبلي مجل : هعا ت تحقیقات ف ا ری دا طگا عل م پسضکی خذهات ت ذاضتی درها ی زا ذاى تا وکاری ا جوي علوی پرستاری ايراى. استفاد از هطالة طري تا رکر ه اتع تالها ع هیتاضذ. ايي هجل در پايگا اي تر تی پايگا است ادی عل م ج اى اسالم )ISC( Magiran Iran Medex واي ضذ است. آدرس: زا دان ميدان مشب ير داوشکد پرستبری ي مبمبيي زا دان کدپستي: ijmsn@zaums.ac.ir تلفه: ومببر:

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8 4 - *3 * +- # $ % &'( + +'4d&/.( 9E(' S &'(!(,!4K " " ':!/5 I &'(!/" /V, ( 5-x!(!\_*b X. 5( T'E,.7 -. H" 7-. 9E(!4O c'r "!&'( O,M8!/' "O( ( &'( LM " /' " ( <]R, " " '^ b (, &'( ^8 " ".446! '( 9O " 8 7'4 VI O 52" 5( &'( -. H" 7-. &'( UN, l " 7 4 5( 5KS2!/5: " /#O 9: 7% O a, %4' +(4( 7 &'( "#+!/' ( (!/, 5( /7% ( c-, 4 ( 4,! +'4d&/.# ^!/5( 5 " 8 + &'( # b " ; 5(!,<'. ( N4#! 7 +&s!/;o "O( 7% b, n( &'( +'S( ( b 7'&/ 5( $% + 4F/. $/: &'( -.!/' '( 5F/ b <]R,!(? c " G4 I( 56 ' `." 5xx "( 4(. " "O $/: -. *6 " G4 c'r? L'%N, L " I!"' -&6 6 "O( " 5, &/ 56!5: p/ 5(!446 7&.4n( *& 5 7 &'( LQ 2, '( #4I c, X:4 JK, 5# ˆ'/ 067"8" " +'S"_I &'( 5&/,? ( 5S] 4I 4! 5KS2 + N!&/ ( 56 &'(.& ], 18 &/ "!- 5KS2./(! I( " /O a " " Q ' LM8 7: 4/ &'( 56 ' O VI /' + +'[, LB " #O VI (N, u-, &'( ( 4(. (,M8 7& 5!( ( V!52( +'4F!.(!( +(4(.4( 5!\_ V (. I' ZK: b ( + " 7!"s " /&/ &'(!( ( V l s 5KS2 a " ( X E /6 N 3&6 \_ b " 5, <8 " " &I LM &, 5( 5, &'( &M " w( /O +'[, "O( /( (.( L"^ LKS2 ;# 5 : + '[,.# X: 7% 7& " 3&6 4 5( ( V!''!&'( <'. Z DE!/' & p8( '( 7'4 " 9O VI 7: " 5 J 17!( ' +(4(.;# - Š 5(!: ( \_ " ZK: b ( %4, &'( ^8 " &I LM 5( 5, " b 56 7 '( 52( + Hines.( <]R, ': " &F 52(( *6 b " 7 4: " " &I!-%(" O&'(!/'"O( 6&, ( 10 U VI ( 6&, ( X 7-. b (. Z '#*&'(!4K" " &I ( 5( 01' / b &'( l " UN, 5KS2 +!/5: b 4K *6b &'( l" 5(N, ( 4(.& TE References 1. World Health Organization. Noncommunicable diseases country profiles Geneva, Switzerland: World Health Organization; Gersh BJ, Sliwa K, Mayosi BM, Yusuf S. Novel therapeutic concepts: the epidemic of cardiovascular disease in the developing world: global implications. Eur Heart J 2010; 31(6): Kristofferzon ML, Lofmark R, Carlsson M. Striving for balance in daily life: experiences of Swedish women and men shortly after a myocardial infarction. J Clin Nurs 2007; 16(2): Cullinane JP, Plowright CI. Patients' and relatives' experiences of transfer from intensive care unit to wards. Nurs Crit Care 2013; 18(6): Shih FJ, Meleis AI, Yu PJ, Hu WY, Lou MF, Huang GS. Taiwanese patients' concerns and coping strategies: transition to cardiac surgery. Heart Lung 1998; 27(2): Llenore E, Ogle KR. Nurse-patient communication in the intensive care unit: a review of the literature. Aust Crit Care 1999; 12(4): Frank C, Asp M, Dahlberg K. Patient participation in emergency care - a phenomenographic study based on patients' lived experience. Int Emerg Nurs 2009; 17(1): Afrasyabifar A, Hasani P, Fallahi Khoshknab M, Yaghmaie F. Analysis of myocardial infarction patients' experiences of Iranian elders. Salmand Iran J Ageing 2008; 3(9-10): [Persian]. 9. France N, Kearney B, Myatt S, Byers DJ. Creating a healing environment: Nurse-to-nurse caring in the critical care unit. The International Journal for Human Caring 2011; 15(1): Hines ME. Holistic presence at the bedside: challenges and rewards. Beginnings 2010; 30(4): 3, Dossey BM, Keegan L. Holistic nursing: A Handbook for practice. Sudbury, MA: Jones & Bartlett Publishers, p Williams AM, Irurita VF. Therapeutic and nontherapeutic interpersonal interactions: the patient's perspective. J Clin Nurs 2004; 13(7):

9 Iseminger K, Levitt F, Kirk L. Healing during existential moments: the "art" of nursing presence. Nurs Clin North Am 2009; 44(4): Finfgeld-Connett D. Meta-synthesis of presence in nursing. J Adv Nurs 2006; 55(6): Kutash M, Northrop L. Family members' experiences of the intensive care unit waiting room. J Adv Nurs 2007; 60(4): Badir A, Sepit D. Family presence during CPR: a study of the experiences and opinions of Turkish critical care nurses. Int J Nurs Stud 2007; 44(1): Jouybari L, Oskouie F, Ahmadi F. Comfort of hospitalized patients: A missed concept. Iran J Nurs 2006; 19(47): [Persian]. 18. Molazem Z, Ahmadi F, Mohammadi E, Bolandparvaz SH. Nursing presence: Essential element of caring of patients' perceptions. Iran J Med Ethics Hist Med 2010; 3(3): [Persian]. 19. MacKinnon K, McIntyre M, Quance M. The meaning of the nurse's presence during childbirth. J Obstet Gynecol Neonatal Nurs 2005; 34(1): Krippendorff K. Content analysis: an introduction to its methodology. New York, NY: SAGE Publications; Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005; 15(9): Lincoln YS. Naturalistic inquiry. New York, NY: SAGE Publications; Zamanzadeh V, Azimzadeh R, Rahmani A, Valizadeh L. Oncology patients' and professional nurses' perceptions of important nurse caring behaviors. BMC Nursing 2010; 9: Verhaeghe S, Defloor T, van Zuuren F, Duijnstee M, Grypdonck M. The needs and experiences of family members of adult patients in an intensive care unit: a review of the literature. J Clin Nurs 2005; 14(4): Hawley MP. Nurse comforting strategies: perceptions of emergency department patients. Clin Nurs Res 2000; 9(4): Welch D, Wellard S. The phenomenon of presence within contemporary nursing practice: a literature review. Aust J Holist Nurs 2005; 12(1):

10 4 - *3 * +- # $ % &'( Healing presence: Experiences and perceptions of cardiac intensive care patients concerning the nurse presence Vida Shafipour 1 1. Assistant Professor, Department of Medical-Surgical Nursing, Mazandaran University of Medical Sciences, Sari, Iran. Medical - Surgical Nursing Journal, 2015; 3(4): Original Article ABSTRACT Correspondence: Vida Shafipour Mazandaran University of Medical Sciences shafivida@yahoo.com Rrceived: 28/6/2014 Accepted: 22/10/2014 Background and Objective: Presence is an essential aspect of any nursing care situation and is provided by considering the overall needs of the patients and lead to their comfort and health. Heart disease is a stressful experience for many patients that are associated with unwanted fear that can create a lot of needs and tension. Nurse can recognize and solve the caring needs of patients through an effective presence. Therefore, this study was conducted aimed to explain the experiences and perceptions of cardiac intensive care patients concerning the nurse presence. Materials and Method: This study was conducted with a qualitative, conventional content analysis approach. The participants were 15 cardiac patients which were selected through purposive sampling. Data collection was performed by unstructured interviews. Data collection continued until data saturation. Continuous analysis of data was performed simultaneously with data collection and through a comparative method. Results: From data analysis three main themes emerged including "Patient's comfort with continuous monitoring of the nurse with the sub-themes; (ongoing watch, attention and follow-up the provided care); humanistic and responsibly relationship of the nurse with the sub-themes; (committed and respectful encounter of nurse, Patience and empathy), and understanding the nurse supporting with the sub-themes; (receiving the necessary information and education, and easy access to the nurse). Conclusion: The real presence of nurses is source of comfort and provides the patients needs. So it is recommended that the clinical nurses and managers with relying on these findings design the caring activities so that the nurses presence act as a facilitated factor in recovery process of patients. Keywords: Nurse presence, nursing care, patients experiences, content analysis, qualitative study Please cite this article as: Shafipour V. Healing presence: Experiences and perceptions of cardiac intensive care patients concerning the nurse presence. Medical - Surgical Nursing Journal 2015; 3(4):

11 Medical & Surgical Nursing Journal Vol. 3, No. 4, 2015 Owned and Published by: Zahedan University of Medical Sciences and Health Services, Nursing and Midwifery School ISSN: X Online ISNN: Ministry of Health and Medical Education License No: 19191/90, Chairman & Editor-in-Chief: Ali Navidian, PhD (Associate Professor of Family Counseling) Executive Manager and Successor as Editor-in-Chief: Fatihe Kermansaravi, MSc (Assistant Professor of Nursing) Copy edit, Layout edit and Design: Farzanegan Radandish Co. Journal Coordinator: Toktam Kianian (MSc of Nursing) Journal manager & Executive coordinator: Mahdiye Rezaei Editorial Board Alhani F. (PhD), Associate Professor of Nursing, Tarbiat Modares Tehran. Arbabi-Sarjoo AA. (PhD), Assistant Professor of Nursing, Zahedan University of Medical Sciences. Ebadi A. (PhD), Associate Professor of Nursing, Baqiyatallah University of Medical Sciences. Fallahi Khoshknab M. (PhD), Associate Professor of Nursing, University of Social Welfare and Rehabilitation. Imani M. (MD), Associate Professor of Pediatrics Diseases, Zahedan University of Medical Sciences. Kermansaravi F. (MSc), Assistant Professor of Nursing, Zahedan University of Medical Sciences. Metanat M. (MD), Associate Professor of Infectious Diseases, Zahedan University of Medical Sciences. Mehrdad N. (PhD), Assistant Professor of Nursing, Tehran University of Medical Sciences. Mohammadi I. (PhD), Professor of Nursing, Tarbiat Modares Tehran. Moodi Z. (PhD), Assistant Professor of Midwifery, Zahedan University of Medical Sciences. Najafi F. (MSc), Instructor of Nursing, Zahedan University of Medical Sciences. Navidian A. (PhD), Associate Professor of Family Counseling, Zahedan University of Medical Sciences. Nikbakht Nasrabadi AR. (PhD), Professor of Nursing, Tehran University of Medical Sciences. Rakhshani F. (PhD), Professor of Health Education, Zahedan University of Medical Sciences Roodbari M. (PhD), Associate Professor of Statistic, Tehran University of Medical Sciences. Sanadgol H. (MD), Associate Professor of Internal Medicine, Zahedan University of Medical Sciences. Taheri M. (PhD), Associate Professor of Medical Genetic, Zahedan University of Medical Sciences. Yaghmaei F. (PhD), Associate professor of nursing, Islamic Azad university Zanjan branch. Yaghoobinia F. (PhD), Assistant Professor of Nursing, Zahedan University of Medical Sciences. The referee of this edition Atashzade Shourideh F. (PhD), Falahi Khoshknab M. (PhD), Firozkohi MR. (PhD), Kerman Saravi F, Masoudi R. (PhD), Modi Z. (PhD), Najafi F, Sabzevari S. (PhD), Yaghoobinia F. (PhD), Zeighami R. (PhD). Background and Fields: Nursing Funded By: Undersecretary for Research at Zahedan University of Medical Sciences with Cooperative by Iranian Nursing Association. Reprinting of this publication is subject to citing the references, and all rights reserved. This journal is indexed in Islamic World Science Citation (ISC), Iran Medex and Magiran. Address: Medical & Surgical Nursing Journal, Mashahir Square, Zahedan Nursing and Midwifery University. P.O. Box: Tel: fax: ,

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