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Atefeh Vaezi, Azam Dabirian, Malihe Ameri, Dr Amir Kavosi,
Volume 10, Issue 2 (10-2013)
Abstract

Background and objective:‌ Contribution is the main element in inter-professional relationship ‌between the nurse and physician, requiring collaborative relationship and sharing information‌ to‌ reach‌ a common‌ therapeutic‌ goal.‌ the‌ collaboration between the nurse and physician in clinical decision-making is a necessity for high-quality care in hospitals.‌This study aimed to determine‌ nurses' perspective about collaboration in clinical decision-‌making.
Material and Methods: This descriptive study was conducted on the nurses selected by convenience sampling and inclusion criteria in state, private and social well-fare hospitals, 2011. The data was collected by a questionnaire including demographic and nurse-physician collaboration questions, whose validity and reliability were evaluated by content validity and test re-test. Descriptive statistics such as frequency mean and standard deviation was used.
Results: The results showed that the samples (76.5%) were females, aged between 30 and 39.5(58.3%), BSc of nursing (93.5%), contract employment (53.8%) and 5-9 year record of services (50%). The viewpoint of the nurses about collaboration in decision-making was moderate (70.8%), good (7.5%) and weak (14%).
Conclusion: Based on the results, a few nurses are satisfied their collaboration with physician in decision-making. It seems that the nurse-physician contribution in therapeutic procedure got the highest point, and absence of opportunity in giving comment got the lowest score.
Hossein Rahmani Anaraki , Mehri Farhange Ranjbar , Ali Kavosi, Hossein Nasiri, Ali Reza Shariati,
Volume 11, Issue 2 (11-2014)
Abstract

Background and Objective: Heparin Products are used largely due to the positive effects of the treatment. Since bruising and pain are thier unpleasant consequences following injection, we aimed at determining the effect of local cold on occurrence of pain and bruising at the injection site of subcutaneous enoxaparin sodium. 
Material and Methods: This experimental study was conducted on 36 patients allocated randomly to case and control groups in Panje Azar teaching center in Groan, 2012. In control group, routine subcutaneous injection of enoxaparin ,without local cold, in 10 seconds was performed while in case group , local cold was applied for five minutes before routine subcutaneous injection. The data was collected via a researcher-made check-list consisting of demographic part and the section for recording the extent of bruising and pain intensity. The Extent of bruising was measured by using clear flexible ruler within 24-48-72 hours and pain intensity by visual analog scale (VAS) immediately after injection. Data was analyzed by SPSS- 16 using descriptive and inferential statistics. 
Results: Results indicated that the mean of pain intensity in control (3.86±2.75) and case group (3.05±1.71) was not significantly different (P=0.148) and it is true for the extent of bruising in 24- 48-72 hours, no significant difference between two groups. 
Conclusion: Regarding the results, cold application before injection is not effective in reducing pain intensity and the size of the bruising.


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