ISSN: 1755-6783 Internationally Indexed Journal
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Annals of Tropical Medicine & Public Health-Special February 2018 Vol 2.2 ISSN: 1755-6783 Internationally indexed journal The journal is registered with the following abstracting partners: Baidu scholar, CNKI, EBSCO Publishing’s Electronic databased, Google Scholar, National Library, ProQuest, and African Index Medicus. It is indexed with DOAJ, EMASE, ESCI, Index Copernicus, Scimago Journal Ranking, and SCOPUS Impact factor for 2018: 2.75 Annals of Tropical Medicine & Public Health-Special Issue February 2018 Vol 2.2 Title Page The effect of an educational intervention based on SP38-18 BASNEF Model on nurses communication skills with patients in educational hospitals of Tehran in 2017 Status of heart rate variability and hemodynamic SP44-18 parameters of women-teachers according age Investigating psychiatric disorders (Axis I) in trauma SP40-18 patients admitted to three trauma centers in Tehran city Evaluation of antibacterial and anti-fungal properties SP41-18 of adding ZnO nanoparticles to tissue conditioner used in complete denture The influences of sleep disorder on cognitive functions SP42-18 of a brain of patients with type 2 diabetes The study of changes levels of liver enzymes and blood SP43-18 platelets before and 72 hours after phlebotomy Using multiplex PCR method for distinguishing the SP44-18 aflatoxigenic and non-aflatoxigenic strains of Aspergillus flavus from isolated animal feed from industrial animal husbandries Effect of photodynamic therapy with toluidine blue SP45-18 photosensitizer on nonsurgical management of peri- implant mucosal inflammation Impact of an information booklet on knowledge and SP46-18 skills of mothers with children with cerebral palsy The impact of demographic factors and professional SP47-18 quality of life on caring ability of nurses in intensive care units (ICUs) Prioritizing the factors affecting the operation and SP48-18 maintenance of medical equipment in Iran hospital based on AHP model Investigation of Crown lengthening procedure on SP49-18 dimensions of supra crystal gingival tissues Investigation of the actual costs of provided services in SP50-18 a health unit (Health House) in Kurdistan Province and proposing a model for credit allocation in the health sector Systematic review and meta-analysis of primary health SP51-18 care quality in Iran i Annals of Tropical Medicine & Public Health-Special Issue February 2018 Vol 2.2 The effect of an educational intervention based on BASNEF model on nurses communication skills with patients in educational hospitals of Tehran in 2017 Nazari, S1, Jalili Z2*, Tavakoli R3 1. MSc. Student, Department of Health Education and promotion, science and Research Branch, Islamic Azad University, Tehran, Iran 2. Associate Professor, Department of Health Education and promotion, science and Research Branch, Islamic Azad University, Tehran, Iran-corresponding author: [email protected] 3. Associate Professor, Department of Health Education and promotion, science and Research Branch, Islamic Azad University, Tehran, Iran *Corresponding author ABSTRACT Background and Aim: Effective communication is a vital element of nursing care. Nurses are the key people who are of the highest communication with patients. Nurses can inform from the demands of patients and can respond to them through establishing an effective communication. Effective communication skills in nurses lead to satisfaction of patients from nursing services, stress reduction in patients and acceleration of their treatment process. Therefore, the current study aims to determine the effect of educational intervention based on BASNEF model on communicat ion skills of nurses with patients in educational hospitals of Tehran during 2017. Material & Method: In the current controlled before & after quasi-experimental study, 96 nurses from selected educational hospitals were selected by Clustering method and were randomly divided into intervention and control groups. Data was collected from a researcher made questionnaire based on BASNEF model. The collected data was distributed into samples after checking for validity and reliability. Educational intervention was performed, after pre-test, during 3 sessions, each 45 min., for intervention group based on presentation, question and answer, group discussion and deliberation. Descriptive statistics (frequency, frequency percent, mean and standard deviation) was used for data analysis while inferential statistics (independent T-test, paired T-test, analysis of variance) was used for determining the level of significance. A statistical software, named as spss18, was used for above analyses in both intervention and con trol groups. Results: The results of the current investigation were showed that after intervention in the intervention group, the average knowledge mark, in addition to the structures of BASNEF model including attitude, subjective norms, enabling factors, behavioral intention, and behavior were obviously different from control group (p -value<0.05). It confirms the effect of education based on BASNEF model on communication skills of nurses with patients. Conclusions: Regarding the results of the current research, education of communication skills with patients based on the structures of BASNEF model can improve such skills in nurses and educational researchers will propose suitable education models to educational programmers based on these results. Keywords: BASNEF model, communication skills of nurses, patients INTRODUCTION Interpersonal communication between health care providers is the most important factor affecting the satisfaction of health care systems. The communication ability of employees of health system, especially nurses is very important. In addition, nurses are the greatest provider of health care services, who have a significant potential to influence the quality of health care. The communication topic in the nursing profession is very impo rtant, and its improvement has always been considered as a necessity in patient-centered programs and orientations (B Kermani et al. 2015). The Main factors of communication in the hospital are patients and nurses. The communication with patients is one of the key roles of nurses, which leads to improvement of health care and patient health, professional and social SP38-18 Annals of Tropical Medicine & Public Health-Special Issue February 2018 Vol 2.2 personality development of nurses. Effective communication between nurses and patients and their relatives increases the satisfaction of patients and their companions (H Mahmoudi et al. 2010). When there is not enough time to communicate effectively with the client there will be many consequences. These consequences are not only psychological and behavioral, but also include physical aspects such as improving health indicators and recovery rates (M Barati et al. 2012). Establishing the right communication is essential to nursing care and has been emphasized on many occasions. Some nurse experts consider the ability to establish proper communication as the heart of all nursing care. Unfortunately, despite the importance of communication skills and its positive effects the results of the research have shown that nurses and other health care workers have been weak in communication with patients (P Porzoor et al. 2015). Gholami et al. (2012) reported a mean score of nurses' communication skills of 116.14±9.43 and often stated them at moderate level that there is a Meaningful relationship between communication skills, age, education and position. Siyamian et al. (2013) reported the mean score of communicational skills of health care personnel at 0.42 ± 4 and at moderate level. In this study, there was a significant relationship between communication skills and marriage status. Barati et al. (2012) using the Barton J tool reported a mean score of communication skills of health care employees of 61.12 ± 8. 215 employees (69.6%) had moderate communication skills, 86 (27.8%) had good communication skills and 8 (2.6%) had poor communication skills. However, Baghiyani Moghaddam et al. (2012) reported in their study that the average score of the communication skills of the managers of the medical education departments was 58.15±4.66 and the highest mean score was in the field of feedback 21.14±2.9 in the units under study. Other studies have also reported that nurses working in educational centers have poor communication skills and often do not establish proper and appropriate communication with the patient (M Safavi et al. 2016). Although communication skills are complex behaviors, they have the ability to teach and learn (S Soltani Arabshahi et al. 2016). It seems that patient-oriented communication skills require special attention and it is necessary to take essential measures in this regard. Due to the good relationship between nurses and patients as the main core of patient care, educational programs in this field should be coordinated with clinical practice and in line with clinical work, and also effective educational methods should be used (S Sabzevariet al. 2006). Therefore, it is necessary to have an active and continuous planning for effective communication between the nurse and the patient in order to meet the needs of the patients (M Matin et al. 2006). Therefore, in order to improve the level of health care services and increase the efficiency it is recommended that effective communication skills training workshops be held at all levels of health care services (F Zarei et al. 2012). Studies have shown that one of the useful educational