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Mr Din Mohammadi, F Rafii, H Peyravi, N Mehrdad,
Volume 16, Issue 2 (6 2010)
Abstract

Background & Objective: Professional socialization is defined as the process of acquiring knowledge and skills and internalizing values, attitudes, and norms to develop professional identity. This process occurs primarily during formal education programs and continues during orientation to hospital settings. The aim of this study was to clarify professional socialization concept and to identify its attributes, antecedents and consequences in nursing context.

Methods & Materials: Rodgers&apos evolutionary method of concept analysis was used to facilitate clarification of professional socialization concept in nursing. The search, performed on scientific databases using the keywords: &apossocialization&apos, &aposprofessional socialization&apos and &aposnursing&apos, resulted in findings of a sample of 446 papers covering the period 1995 to 2009 represented the disciplines of nursing and related sciences. After applying inclusion and exclusion criteria, a total of 47 articles and four books were included in the final analysis. The process was audited by two independent experts to ensure neutrality and credibility of the study and to reduce the potentials for bias.

Results: The result of the analysis showed that professional socialization is a complex process consisting of four critical attributes: learning, being interactive, developing, and being adaptive. Comprehensive educational programs, competent role models, and provision of adequate field experiences were antecedents for these attributes. The widespread and diverse consequences of professional socialization depend on personal, situational, and organizational factors. Thus, while occurrence of socialization process generates benefits, its nonoccurrence entails severe consequences.

Conclusion: Professional socialization process is a complex, diverse, dynamic, ongoing, inevitable, and unpredictable process. This process can have both positive and negative consequences on professional development. However, negative consequences are more prominently documented in the literature. Thus, successful socialization requires establishing facilities in education and practice. The purpose of this revolutionary concept analysis was to focus on significance and how-to-apply ways of the concept in nursing. These findings not only are added to the body of knowledge, but also serve as an important impetus for further theory development and research in nursing.


Nooredin Mohammadi, Shohreh Parviz, Hamid Peyravi, Agha Fatemeh Hosseini,
Volume 18, Issue 2 (6 2012)
Abstract

Background & Aim: Endotracheal suctioning (ETS) is a common invasive nursing procedure. Hemodynamic parameters changes during and after the procedure. If appropriate strategies do not be applied during the ETS, hemodynamic changes can be significant and life threatening in critically ill patients. The purpose of this study was to assess the effect of education of endotracheal suctioning on patients&apos hemodynamic parameters.

Methods & Materials: This was a non-equivalent quasi-experimental study conducted in two critical care units in Hazarat Rasool hospital. All nurses working in these two units participated in the study in a period of two weeks. Systolic blood pressure, diastolic blood pressure and mean blood pressure of all patients who needed suctioning were measured before and after the endotracheal suctioning. We analyzed the data using the SPSS.

Results: At baseline, the systolic, diastolic and mean arterial blood pressures increased significantly (P=0.02) in the first and third minutes post-suctioning. In post-education phase, diastolic and mean arterial blood pressure increased significantly (P<0.001) in the first minute post-suctioning. In the third minute post-suctioning, systolic, diastolic and mean arterial blood pressure decreased (P=0.43).

Conclusion: The study findings showed significant changes in hemodynamic parameters after post-endotracheal suctioning. In this study, conducting endotracheal suctioning education improved the outcomes of hemodynamic parameters in patients. Educational programs can improve nursing care outcomes by preventing and minimizing hemodynamic changes during and after the suctioning in critically ill patients.



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