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Relationship Between Participation in Clinical Decision-making and Organizational Culture Among Nurses in Intensive Care Units of Hospitals Affiliated to Iran University of Medical Sciences 伊朗医科大学附属医院重症监护病房护士临床决策参与与组织文化的关系
Pub Date : 2022-11-01 DOI: 10.32598/ijn.35.138.3002
T. Salehi, Nahid Shojaee, H. Haghani
Background & Aims The nurse’s ability to make an effective clinical decision affects the quality of care and differentiates professional nurses from non-professional ones. Many individual and organizational factors affect clinical decision-making of nurses. This study aims to examine the relationship between participation in clinical decision-making and organizational culture of nurses in intensive care units (ICUs) of selected hospitals in Tehran, Iran Materials & Methods This is a descriptive-correlational study. Participants were 317 nurses working in the ICUs of hospitals affiliated to Iran University of Medical Sciences, who were selected with proportional stratified sampling and sequential sampling methods. The data collection tools were the clinical decision-making questionnaire of Kyalo (2008) and the organizational culture assessment instrument of Cameron and Quinn (1990). The obtained data was analyzed in SPSS statistical software, version16. Descriptive indices (Mean±SD, frequency, percentage) were used to describe the data, and Pearson’s correlation test, independent t-test, and chi-square test were used to examine the relationships between the study variables. Results Among nurses, 88.5% were female, 86.5% had a bachelor’s level, and 39.6% were working in the ICU general. Their mean age was 34.65 years, and their mean nursing experience and the work experience in the ICU was 10.38 and 7.25 years, respectively. The mean score of clinical decision-making was 70.16±11.65, which was higher than the cutoff point (>54), indicating that the participation of nurses in clinical decision-making was high. The dominant organizational culture in the current situation was the market culture. In the preferred situation, the organizational dominant culture was the clan culture. Organizational culture in the current situation had no significant relationship with clinical decision-making (P=0.13), but this relationship was significant in the preferred situation (P=0.014). Clinical decision-making in nurses with clan culture was significantly higher than in those with market culture (P=0.013). Conclusion The current organizational culture in the selected hospitals is different from their preferred organizational culture. Despite the significance of relationship between ICU nurses’ participation in clinical decision-making and organizational culture in the preferred situation, the relationship is weak. More studies are needed with a larger sample size. Considering that the clan culture is the preferred culture, planning is needed to establish the clan culture in the hospitals to increase the participation of ICU nurses in clinical decision-making.
背景与目的护士作出有效临床决策的能力影响护理质量,是区分专业护士与非专业护士的重要因素。许多个人和组织因素影响护士的临床决策。本研究旨在探讨伊朗德黑兰选定医院重症监护病房(icu)护士参与临床决策与组织文化之间的关系。材料与方法:本研究为描述性相关研究。研究对象为伊朗医科大学附属医院icu护士317名,采用比例分层抽样和顺序抽样方法。数据收集工具为Kyalo(2008)的临床决策问卷和Cameron and Quinn(1990)的组织文化评估工具。所得数据在SPSS统计软件version16中进行分析。采用描述性指标(Mean±SD、frequency、percentage)描述资料,采用Pearson相关检验、独立t检验和卡方检验检验研究变量之间的关系。结果护士中女性占88.5%,本科学历占86.5%,39.6%在ICU普通科工作。平均年龄34.65岁,平均护理经验10.38年,平均ICU工作经验7.25年。临床决策平均得分为70.16±11.65,高于分界点(>54),说明护士对临床决策的参与程度较高。在当前形势下占主导地位的组织文化是市场文化。在偏好情境下,组织主导文化为氏族文化。当前情境下的组织文化与临床决策的关系不显著(P=0.13),但在首选情境下,组织文化与临床决策的关系显著(P=0.014)。具有家族文化的护士临床决策能力显著高于具有市场文化的护士(P=0.013)。结论入选医院的组织文化现状与首选组织文化存在差异。在首选情境下,ICU护士临床决策参与与组织文化的关系虽有显著意义,但关系较弱。需要更多样本量更大的研究。考虑到宗族文化是首选文化,需要规划医院的宗族文化建设,提高ICU护士在临床决策中的参与度。
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引用次数: 0
Relationship Between Spiritual Intelligence and Illness-related Worries in Hospitalized Patients With Heart Failure in Mazandaran, Iran 伊朗Mazandaran地区住院心力衰竭患者精神智力与疾病相关担忧的关系
Pub Date : 2022-11-01 DOI: 10.32598/ijn.35.138.764.29
Mohamadreza Enayati, M. Mardani-Hamooleh, Marhamat Farahani Nia, S. Haghani
Background & Aims Heart failure is one of the important cardiovascular diseases, affecting 1% of people in their 50s and 10% of people in their 80s. People with heart failure, in addition to physical pain, often experience stress, anxiety, depression, and poor quality of life (QoL). Considering the importance of illness-related worries and spiritual intelligence (SI) in these people, this study aims to determine the relationship between SI and illness-related worries in people with heart failure in Mazandaran, Iran. Materials & Methods This is a descriptive-correlational study. Participants were 247 patients with heart failure admitted to Fatemeh Al-Zahra Hospital affiliated to Mazandaran University of Medical Sciences. To measure the variables, a demographic form, the spiritual intelligence scale of King & Decicco (2009), and the illness-related worries questionnaire. Descriptive statistics (No.[%], Mean±SD) and inferential statistics (Pearson correlation test, independent t-test) were used to analyze the data in SPSS software, version 16. Significance level was set at 0.05. Results The mean total scores of SI and illness-related worries were 61.20 ±16.10 and 86.70 ±19.97, respectively. Pearson correlation test results showed a negative significant relationship between illness-related worries and SI (r=-0.608, P=0.001). Cognitive independence domain of illness-related worries was strongly correlated with all SI domains, including critical existential thinking, personal meaning production, transcendental awareness, and conscious state expansion. The SI had a significant relationship with gender (P=0.001), marital status (P=0.014), economic status (P=0.002), employment status (P=0.018), education status (P=0.001), insurance coverage (P=0.001). The illness-related worries had a significant relationship with gender (P=0.001), history of diabetes (P=0.04), marital status (P=0.001), educational level (P=0.044), and insurance coverage (P=0.01). Conclusion To reduce the illness-related worries of people with heart failure, their SI should be improved using related interventions such as SI training programs.
背景与目的心衰是一种重要的心血管疾病,影响着1%的50多岁人群和10%的80多岁人群。心力衰竭患者除了身体疼痛外,还经常经历压力、焦虑、抑郁和生活质量差(QoL)。考虑到疾病相关担忧和精神智力(SI)在这些人群中的重要性,本研究旨在确定伊朗Mazandaran心力衰竭患者的SI与疾病相关担忧之间的关系。材料与方法本研究为描述性相关研究。研究对象是Mazandaran医科大学附属Fatemeh Al-Zahra医院收治的247名心力衰竭患者。测量变量,人口统计表格,King & Decicco(2009)的精神智力量表和疾病相关担忧问卷。描述性统计(编号:[%], Mean±SD),在SPSS软件16版中采用推理统计(Pearson相关检验,独立t检验)进行数据分析。显著性水平设为0.05。结果SI和疾病相关忧虑的平均总分分别为61.20±16.10分和86.70±19.97分。Pearson相关检验结果显示,疾病相关焦虑与SI呈显著负相关(r=-0.608, P=0.001)。疾病相关忧虑的认知独立域与批判性存在主义思维、个人意义产生、先验意识和意识状态扩展等所有SI域均存在强相关。SI与性别(P=0.001)、婚姻状况(P=0.014)、经济状况(P=0.002)、就业状况(P=0.018)、教育状况(P=0.001)、参保情况(P=0.001)有显著相关。与疾病相关的担忧与性别(P=0.001)、糖尿病史(P=0.04)、婚姻状况(P=0.001)、文化程度(P=0.044)、保险覆盖率(P=0.01)有显著关系。结论为减少心衰患者的疾病相关担忧,应采用相关干预措施,如心衰训练方案,改善心衰患者的心衰功能。
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引用次数: 0
Comparison of Post-traumatic Stress, Burnout, and Psychological Disorders in Nurses With and Without COVID-19 感染和未感染COVID-19的护士创伤后应激、倦怠和心理障碍的比较
Pub Date : 2022-11-01 DOI: 10.32598/ijn.35.138.2862.2
F. Bagheri Sheykhangafshe, A. Fathi-Ashtiani, Vahid Savabi Niri, Niloufar Sarlak, Mahdieh Deldari Alamdari
Background & Aims Coronavirus disease 2019 (COVID-19) caused many psychological and social problems in people around the world, especially nurses. The present study aims to investigate and compare post-traumatic stress disorder (PTSD), burnout, and psychological disorders in nurses with and without COVID-19. Materials & Methods This is a causal-comparative study. The study population includes all male and female nurses of non-government hospitals in Tehran from July to September 2021. Of these, 220 nurses (110 without COVID-19 infection and 110 with COVID-19) voluntarily participated in the study. The questionnaires were the Mississippi Scale for Combat-Related Post-Traumatic Stress Disorder, the Maslach Burnout Inventory, and the Depression, Anxiety, Stress Scale. Finally, data analysis was performed using multivariate and univariate analysis of variance in SPSS software, version 16. Results There was a significant difference between the two groups in terms of PTSD, burnout, and psychological disorders (P<0.05). Nurses with COVID-19 had higher scores in PTSD (F=96.38, P<0.001), emotional exhaustion (P<0.001, F=12.45), depersonalization (F=15.49, P<0.001), depression (F=92.97, P<0.001), anxiety (F=37.94, P<0.001) and stress (F=47.6, P<0.001). The nurses with no COVID-19 had higher score in personal accomplishment. Conclusion Nurses who were infected with COVID-19 had lower psychological health compared to non-infected nurses. For this purpose, it is necessary to take measures to identify and provide psychological treatments to improve the mental health of vulnerable nurses.
背景与目的2019冠状病毒病(COVID-19)给世界各地的人们,特别是护士带来了许多心理和社会问题。本研究旨在调查和比较感染和未感染COVID-19的护士的创伤后应激障碍(PTSD)、倦怠和心理障碍。材料与方法本研究为因果对比研究。研究人群包括2021年7月至9月在德黑兰非政府医院工作的所有男女护士。其中,220名护士(110名未感染COVID-19, 110名感染COVID-19)自愿参加了研究。问卷为密西西比战争相关创伤后应激障碍量表、马斯拉克倦怠量表和抑郁、焦虑、压力量表。最后,在SPSS软件16版中使用多元方差分析和单变量方差分析进行数据分析。结果两组在PTSD、倦怠、心理障碍方面差异有统计学意义(P<0.05)。感染COVID-19的护士在PTSD (F=96.38, P<0.001)、情绪耗竭(P<0.001, F=12.45)、人格解体(F=15.49, P<0.001)、抑郁(F=92.97, P<0.001)、焦虑(F=37.94, P<0.001)、压力(F=47.6, P<0.001)方面得分较高。未感染新冠肺炎的护士个人成就感得分较高。结论感染新冠肺炎的护士心理健康状况低于未感染的护士。为此,有必要采取措施识别和提供心理治疗,以改善弱势护士的心理健康状况。
{"title":"Comparison of Post-traumatic Stress, Burnout, and Psychological Disorders in Nurses With and Without COVID-19","authors":"F. Bagheri Sheykhangafshe, A. Fathi-Ashtiani, Vahid Savabi Niri, Niloufar Sarlak, Mahdieh Deldari Alamdari","doi":"10.32598/ijn.35.138.2862.2","DOIUrl":"https://doi.org/10.32598/ijn.35.138.2862.2","url":null,"abstract":"Background & Aims Coronavirus disease 2019 (COVID-19) caused many psychological and social problems in people around the world, especially nurses. The present study aims to investigate and compare post-traumatic stress disorder (PTSD), burnout, and psychological disorders in nurses with and without COVID-19. Materials & Methods This is a causal-comparative study. The study population includes all male and female nurses of non-government hospitals in Tehran from July to September 2021. Of these, 220 nurses (110 without COVID-19 infection and 110 with COVID-19) voluntarily participated in the study. The questionnaires were the Mississippi Scale for Combat-Related Post-Traumatic Stress Disorder, the Maslach Burnout Inventory, and the Depression, Anxiety, Stress Scale. Finally, data analysis was performed using multivariate and univariate analysis of variance in SPSS software, version 16. Results There was a significant difference between the two groups in terms of PTSD, burnout, and psychological disorders (P<0.05). Nurses with COVID-19 had higher scores in PTSD (F=96.38, P<0.001), emotional exhaustion (P<0.001, F=12.45), depersonalization (F=15.49, P<0.001), depression (F=92.97, P<0.001), anxiety (F=37.94, P<0.001) and stress (F=47.6, P<0.001). The nurses with no COVID-19 had higher score in personal accomplishment. Conclusion Nurses who were infected with COVID-19 had lower psychological health compared to non-infected nurses. For this purpose, it is necessary to take measures to identify and provide psychological treatments to improve the mental health of vulnerable nurses.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128508679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Death Anxiety and Demoralization in Patients With Acute Myocardial Infarction Admitted to Post Cardiac Care Units of Iran University of Medical Sciences in 2021 伊朗医科大学心内科2021年收治急性心肌梗死患者的死亡焦虑和情绪低落
Pub Date : 2022-11-01 DOI: 10.32598/ijn.35.138.3060
Soheil Rahimi, M. Inanlou, T. Najafi Ghezeljeh, H. Haghani
Background & Aims It is essential to pay attention to the psychological complications after a heart attack in line with other physiological complications. The proximity of these patients to death has caused death anxiety, which can weaken their morale. This study aims to determine death anxiety and demoralization in patients with acute myocardial infarction admitted to post-cardiac care units of the Iran University of Medical Sciences in 2021. Materials & Methods The present study is a descriptive cross-sectional study that was performed on 206 patients with myocardial infarction admitted to the educational-medical centers of Iran University of Medical Sciences in the first half of 2021. Data collection tools included the demographic profile form, Templer death anxiety questionnaire, and Kissane demoralization. Data were analyzed using SPSS software, version 20 and Pearson correlation coefficient, independent t test, and analysis of variance. Results Most patients in the study were male, married, and self-employed with a mean age of 57.97±12.49 years. The mean score of death anxiety in patients with myocardial infarction was 6.26±1.62 (moderate). Most patients (43.7%) had moderate death anxiety. The mean score of demoralization syndrome was 11.88±5.34 (severe). Most patients (60.7%) had severe demoralization syndrome. Conclusion The death anxiety of patients after myocardial infarction was moderate and their demoralization syndrome was severe, therefore it is necessary to pay attention to them and recognize the factors affecting nurses working in intensive care units and recommend being included in the training of care for these patients.
背景与目的心脏病发作后的心理并发症与其他生理并发症一样重要。这些病人与死亡的接近导致了死亡焦虑,这可能会削弱他们的士气。本研究旨在确定2021年入住伊朗医科大学心后护理病房的急性心肌梗死患者的死亡焦虑和士气低落。材料与方法本研究是一项描述性横断面研究,对2021年上半年伊朗医科大学教育医学中心收治的206例心肌梗死患者进行研究。数据收集工具包括人口统计资料表、Templer死亡焦虑问卷和Kissane士气低落。数据分析采用SPSS软件、version 20、Pearson相关系数、独立t检验、方差分析。结果本组患者以男性、已婚、个体户为主,平均年龄57.97±12.49岁。心肌梗死患者死亡焦虑平均评分为6.26±1.62(中度)。大多数患者(43.7%)有中度死亡焦虑。士气低落综合征平均评分为11.88±5.34分(重度)。大多数患者(60.7%)有严重的士气低落综合征。结论心肌梗死后患者死亡焦虑程度中等,士气低落综合征严重,应引起重视,认识重症监护病房护士的影响因素,并建议将其纳入重症监护患者的护理培训。
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引用次数: 0
The Components of Nursing Error Reporting in Selected Hospitals Affiliated to Tehran University of Medical Sciences in 2020 2020年德黑兰医科大学附属医院护理差错报告的组成部分
Pub Date : 2022-11-01 DOI: 10.32598/ijn.35.138.3023.2
A. Ghobadi, F. Hajibabaee, Hormat Sadat Emamzadeh Ghasemi, A. Hajrajabi, Parastoo Aryamloo
Background & Aims Error is considered as a part of reality and an integral part of human life. Error reporting is defined as a strategic indicator for error prevention. Nursing managers use management measures and strategies to create an climate in the workplace that nurses increase the rate of reporting errors. The purpose of this study was to determine of the components of nursing errors reporting in selected hospitals of Tehran University of Medical Sciences in 2020. Materials & Methods This research is a descriptive study. The research population includes nurses working in selected hospitals of Tehran University of Medical Sciences. The number of samples was determined using the cochran formula, 336 were determined. Samples were selected by relative stratified random sampling method in July 2020.The tools used in the present study include Made Questionnaire the components of nursing errors reporting. Content validity of both questionnaires was confirmed by content validity method based on the view of 10 faculty members in the field of nursing care and nursing management. Cronbach's alpha coefficient for the components of nursing errors reporting questionnaire (0.78) were measured. Data were analyzed using descriptive analysis and inferential tests such as Kolmogorov-Smirnov, Cramer's v and Mann-Whitney U using SPSS software, version 16. Results According to the results,the mean scores of nursing errors were 80.3% and 32.64% of nurses revealed errors after observing them. Despite the positive nurses’ attitudes toward nursing errors reporting,"fear" and "Managerial barriers" is the most prominent barrier contributing to underreporting. There were significant relationships between nursing errors reporting and hospital ward type, education, nursing error experience, errors reporting method and job experience(P˂0.001). Conclusion Based on the results of the study, creating an anonymous, effective and efficient system for reporting and recording nursing errors, in order to prevent errors, is a necessity in nursing management. Managers have a systematic perspective to identify the factors affecting the occurrence of errors along with their positive reaction and supportive behaviors to the reported errors of nurses can create a culture of fearless learning at the department and organization level and overcome Barriers to reporting nursing errors.
背景与目的错误被认为是现实的一部分,是人类生活不可分割的一部分。错误报告被定义为错误预防的战略指标。护理管理人员使用管理措施和策略在工作场所创造一种氛围,使护士增加报告错误率。本研究的目的是确定2020年德黑兰医科大学选定医院护理差错报告的组成部分。材料与方法本研究为描述性研究。研究对象包括在德黑兰医科大学选定医院工作的护士。用科克伦公式确定样本数量,共确定336个。样本于2020年7月采用相对分层随机抽样方法选取。本研究使用的工具包括制作问卷作为护理差错报告的组成部分。采用内容效度法对10名护理及护理管理专业教师的观点进行内容效度验证。测量护理差错报告问卷各组成部分的Cronbach's alpha系数(0.78)。数据分析采用描述性分析和Kolmogorov-Smirnov、Cramer's v和Mann-Whitney U等推理检验,使用SPSS软件,版本16。结果护理差错平均得分为80.3%,32.64%的护士在观察后发现了护理差错。尽管护士对护理差错报告的态度是积极的,但“恐惧”和“管理障碍”是导致低报的最主要障碍。护理差错报告与医院病房类型、学历、护理差错经历、差错报告方法和工作经验有显著相关(P小于0.001)。结论根据研究结果,建立一个匿名、有效、高效的护理差错报告和记录系统,是预防护理差错发生的必要措施。管理者从系统的角度来识别影响差错发生的因素,并对护士报告的差错做出积极的反应和支持行为,可以在部门和组织层面创造一种无畏学习的文化,克服报告护理差错的障碍。
{"title":"The Components of Nursing Error Reporting in Selected Hospitals Affiliated to Tehran University of Medical Sciences in 2020","authors":"A. Ghobadi, F. Hajibabaee, Hormat Sadat Emamzadeh Ghasemi, A. Hajrajabi, Parastoo Aryamloo","doi":"10.32598/ijn.35.138.3023.2","DOIUrl":"https://doi.org/10.32598/ijn.35.138.3023.2","url":null,"abstract":"Background & Aims Error is considered as a part of reality and an integral part of human life. Error reporting is defined as a strategic indicator for error prevention. Nursing managers use management measures and strategies to create an climate in the workplace that nurses increase the rate of reporting errors. The purpose of this study was to determine of the components of nursing errors reporting in selected hospitals of Tehran University of Medical Sciences in 2020. Materials & Methods This research is a descriptive study. The research population includes nurses working in selected hospitals of Tehran University of Medical Sciences. The number of samples was determined using the cochran formula, 336 were determined. Samples were selected by relative stratified random sampling method in July 2020.The tools used in the present study include Made Questionnaire the components of nursing errors reporting. Content validity of both questionnaires was confirmed by content validity method based on the view of 10 faculty members in the field of nursing care and nursing management. Cronbach's alpha coefficient for the components of nursing errors reporting questionnaire (0.78) were measured. Data were analyzed using descriptive analysis and inferential tests such as Kolmogorov-Smirnov, Cramer's v and Mann-Whitney U using SPSS software, version 16. Results According to the results,the mean scores of nursing errors were 80.3% and 32.64% of nurses revealed errors after observing them. Despite the positive nurses’ attitudes toward nursing errors reporting,\"fear\" and \"Managerial barriers\" is the most prominent barrier contributing to underreporting. There were significant relationships between nursing errors reporting and hospital ward type, education, nursing error experience, errors reporting method and job experience(P˂0.001). Conclusion Based on the results of the study, creating an anonymous, effective and efficient system for reporting and recording nursing errors, in order to prevent errors, is a necessity in nursing management. Managers have a systematic perspective to identify the factors affecting the occurrence of errors along with their positive reaction and supportive behaviors to the reported errors of nurses can create a culture of fearless learning at the department and organization level and overcome Barriers to reporting nursing errors.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121714629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Persian Version of Quality Patient Care Scale: A Letter to the Editor 波斯语版优质病人护理量表:致编辑的一封信
Pub Date : 2022-11-01 DOI: 10.32598/ijn.35.138.2462.9
Amir Hossein Gholami, A. Sadeghi, A. Khalili, H. Gharaee
Nursing is an independent discipline and a branch of medical sciences. Its mission is to provide the necessary health, treatment and rehabilitation services at the highest level to ensure, maintain or improve the health of society. Davis et al. (2005) emphasized the importance of measuring patient care quality. In their study, a standard questionnaire named quality patient care scale (QUALPAC) was used to measure the quality of patient care. This tool has been used since 1975 in different countries. Different studies have used this questionnaire with 68 items. The Persian version of this tool was validated in Iran by Khoshkho et al. Based on their results, the Persian version has 72 items rated on a five-option Likert scale. Different versions of QUALPAC been used in various studies conducted in Iran, and its reason is not clear. For example, in the study by Heydari and et al., the 65-item version of QUALPAC was used, with no reference was provided for the applied version.
护理学是一门独立的学科,是医学的一个分支。其使命是在最高水平上提供必要的保健、治疗和康复服务,以确保、维持或改善社会健康。Davis等人(2005)强调了衡量病人护理质量的重要性。在他们的研究中,使用了一份名为质量病人护理量表(QUALPAC)的标准问卷来衡量病人护理质量。自1975年以来,这一工具已在不同国家使用。不同的研究使用了这个有68个项目的问卷。该工具的波斯语版本在伊朗由Khoshkho等人验证。根据他们的结果,波斯语版本有72个项目,按照五个选项的李克特量表进行评分。在伊朗进行的各种研究中使用了不同版本的QUALPAC,其原因尚不清楚。如Heydari等人的研究使用的是65项版本的QUALPAC,没有提供应用版本的参考。
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引用次数: 0
The Effect of Regular Exercise Program on the Pain of the Elderly in Knee Osteoarthritis 规律运动计划对老年人膝骨关节炎疼痛的影响
Pub Date : 2022-09-01 DOI: 10.32598/ijn.35.137.3127
Background & Aims Knee osteoarthritis (KO) is one of the most common causes of pain, reduced function and disability in the elderly. Exercise is one of the methods suggested to manage the pain caused by KO. This study aims to determine the effectiveness of a home workout program on reducing pain in the elderly with KO. Materials & Methods In this randomized controlled clinical trial conducted in March 2021 for three months, 70 older adults with KO were selected using a convenience sampling method and randomly assigned to exercise and control groups. The workout program was first implemented twice a day for 4 weeks in the clinic as a trial. Then, it was performed twice a day at home for another 4 weeks. Before and after the exercise, the patients were evaluated by the pain subscale of the Knee Injury and Osteoarthritis Outcome Score (KOOS). The collected data were analyzed in SPSS software, version 18 using independent t, paired t test, chi-square test, and Fisher’s exact test. The significance level was set at 0.05. Results There was no statistically significant difference between the two groups in terms of demographic and clinical variables and in the mean pain score before the intervention (P=0.587). After the intervention, a significant reduction in pain intensity was reported in the exercise group (P= 0.009). Conclusion The home workout program is effective in reducing the pain of the elderly with KO. It is recommended to use it as a simple and cost-effective intervention to rehabilitate patients with KO along with other treatment methods.
背景与目的膝关节骨性关节炎(KO)是老年人疼痛、功能下降和残疾的最常见原因之一。运动是治疗KO引起的疼痛的方法之一。本研究旨在确定家庭锻炼计划对减轻老年KO患者疼痛的有效性。材料与方法本随机对照临床试验于2021年3月进行,为期3个月,采用方便抽样方法选择70名老年KO患者,随机分为运动组和对照组。该锻炼计划最初是作为试验在诊所进行的,每天两次,持续4周。然后,每天在家中进行两次,持续4周。在运动前后,采用膝关节损伤和骨关节炎结局评分(kos)疼痛亚量表对患者进行评估。收集的数据在SPSS软件18版中进行分析,采用独立t检验、配对t检验、卡方检验和Fisher确切检验。显著性水平设为0.05。结果两组患者在人口学、临床指标及干预前平均疼痛评分方面差异无统计学意义(P=0.587)。干预后,运动组疼痛强度显著降低(P= 0.009)。结论居家锻炼可有效减轻老年KO患者的疼痛。建议将其作为一种简单且具有成本效益的干预措施,与其他治疗方法一起用于KO患者的康复。
{"title":"The Effect of Regular Exercise Program on the Pain of the Elderly in Knee Osteoarthritis","authors":"","doi":"10.32598/ijn.35.137.3127","DOIUrl":"https://doi.org/10.32598/ijn.35.137.3127","url":null,"abstract":"Background & Aims Knee osteoarthritis (KO) is one of the most common causes of pain, reduced function and disability in the elderly. Exercise is one of the methods suggested to manage the pain caused by KO. This study aims to determine the effectiveness of a home workout program on reducing pain in the elderly with KO. Materials & Methods In this randomized controlled clinical trial conducted in March 2021 for three months, 70 older adults with KO were selected using a convenience sampling method and randomly assigned to exercise and control groups. The workout program was first implemented twice a day for 4 weeks in the clinic as a trial. Then, it was performed twice a day at home for another 4 weeks. Before and after the exercise, the patients were evaluated by the pain subscale of the Knee Injury and Osteoarthritis Outcome Score (KOOS). The collected data were analyzed in SPSS software, version 18 using independent t, paired t test, chi-square test, and Fisher’s exact test. The significance level was set at 0.05. Results There was no statistically significant difference between the two groups in terms of demographic and clinical variables and in the mean pain score before the intervention (P=0.587). After the intervention, a significant reduction in pain intensity was reported in the exercise group (P= 0.009). Conclusion The home workout program is effective in reducing the pain of the elderly with KO. It is recommended to use it as a simple and cost-effective intervention to rehabilitate patients with KO along with other treatment methods.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124733872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship Between Spiritual Wellbeing with Anxiety Sensitivity in Older Women Referred to Health Centers in Ashtian, Iran 精神健康与焦虑敏感性在老年妇女转介健康中心在阿什蒂亚,伊朗的关系
Pub Date : 2022-09-01 DOI: 10.32598/ijn.35.137.764.17
Fahime Mojiri, M. Mardani-Hamooleh, Marhamat Farahani Nia, S. Haghani, N. Abbasi
Background & Aims: Due to the increasing number of older women with anxiety sensitivity, attention to this condition in this vulnerable group is of particular importance. Spiritual wellbeing can promote the mental health of the elderly, especially older women. this study aims to determine the relationship between spiritual wellbeing and anxiety sensitivity of older women in Ashtian, Iran. Materials & Methods: This is a descriptive-correlational study. The study population includs all older women referred to urban and rural health centers in Ashtian city. Of these, 160 were selected by a continuous sampling method. A demographic form, the Spiritual Wellbeing Scale and the Anxiety Sensitivity Index-Revised were used to collect information. The collected data were analyzed using descriptive and inferential statistics in SPSS software, version 16. Results: The mean±sd total scores of spiritual wellbeing and anxiety sensitivity were 96.1±19.86 and 48.25±31.93, respectively. Spiritual wellbeing had a significant association with anxiety sensitivity in older women (r=-0.734, P<0.001). Conclusion: There is a negative and significant relationship between spiritual wellbeing and anxiety sensitivity in older women in Iran, such that their anxiety sensitivity decreases with the increase of their spiritual wellbeing Attention to the spiritual wellbeing of older women in Iran is necessary to reduce their anxiety sensitivity.
背景与目的:由于越来越多的老年妇女具有焦虑敏感性,对这一弱势群体的关注尤为重要。精神健康可以促进老年人,特别是老年妇女的心理健康。本研究旨在确定伊朗阿什田老年妇女的精神健康与焦虑敏感性之间的关系。材料与方法:本研究为描述性相关研究。研究人群包括所有到阿什田城市和农村卫生中心就诊的老年妇女。其中,通过连续抽样的方法选择了160个。使用人口统计表格、精神健康量表和焦虑敏感性指数-修订来收集信息。收集的数据在SPSS软件16版中使用描述性统计和推理统计进行分析。结果:精神幸福感和焦虑敏感性的平均±sd总分分别为96.1±19.86分和48.25±31.93分。老年妇女的精神健康与焦虑敏感性有显著相关性(r=-0.734, P<0.001)。结论:伊朗老年妇女的精神幸福感与焦虑敏感性呈显著负相关,随着精神幸福感的增加,焦虑敏感性降低。注意伊朗老年妇女的精神幸福感,降低其焦虑敏感性是必要的。
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引用次数: 0
Compliance With Health-related Behaviors in Mothers of Hospitalized Children in Kashan, Iran: A Cross-Sectional Study 伊朗卡尚住院儿童母亲健康相关行为的依从性:一项横断面研究
Pub Date : 2022-09-01 DOI: 10.32598/ijn.35.137.1149.3
Zahra Kachoee-Bidgoli, A. Hajibagheri, Ismail Azizi-fini, F. Atoof
Introduction & Objective: Parents' understanding of how to prevent diseases and treat them promptly is an influential factor in a child's development. Thus, adherence to health-related behaviors depends on the awareness and performance of mothers. In any society, mothers and children require much more health care than other age groups because of their vulnerability. As a result, they draw special attention to themselves. Paying attention to children in a community is an investment in its long-term future. Therefore, it is particularly important to prevent, diagnose, and treat diseases in childhood. In addition, one of the most important aspects of disease prevention for children is observing a mother's behavior with regard to the health of her child. Mothers and children are always a priority group in any society. This is because they are not only the primary consumers of healthcare services but also a large group of vulnerable individuals. This implies that healthy behaviors are essential to maintaining and improving the health of children, families, and society. Furthermore, mothers play a significant role in maintaining and enhancing the health of their children. In order to examine the behaviors associated with the health of hospitalized children and related factors among mothers of hospitalized children, the researchers conducted the present study. Materials and methods:This study was a cross-sectional study conducted by observing the behavior of 216 mothers with children who were hospitalized in children's wards of educational hospitals affiliated with Kashan University of Medical Sciences from November 2018 to March 2019. Based on the preliminary study results, the sample size was calculated by taking the average score of the questionnaire, 20.3 ± 4.75, the first type error of 5%, and the estimation error of 0.5 based on the formula of 216 people. In this study, sampling was continuous. After obtaining permission from the hospital and department officials, the second author visited two educational-therapeutic centers' children's departments. Then, among the hospitalized patients (children), he selected those children whose mother was at the hospital as the primary caregiver. They were then apprised of the objectives of the research, and their hygiene behavior would be observed in the following stages. Afterward, they were asked to provide written consent for participation in the study. In the next stage, the first author (who was a member of the children's department in both study centers) observed the mothers' health behaviors toward their children indirectly. As soon as the observer saw the mother's intrusive behavior in the ward, he immediately went to the nursing station to document it. Due to the fact that the observer was a member of the nursing staff, the possibility of altering the mother's behavior was reduced. Each mother observed the behaviors for nearly 8 hours. In most cases, data collection took place during the morning and e
“一旦被腹泻、呕吐物、血液等污染物污染,立即更换衣服和床上用品”(90.7%)和“换尿布后洗手”(87.3%)的遵守率最高。调查发现,“给婴儿换尿布前洗手”(8%)、“用塑料盖住手机防止污染”(8.8%)、“与周围环境接触后洗手”(15.8%)和“给孩子喂奶前洗手”(16.7%)三项的母亲遵守程度最低。此外,多元线性回归检验结果显示,平均儿童健康相关行为依从性得分与母亲年龄呈显著正相关(P=0.000;r = 0.157)。结论:调查结果表明,母亲没有遵守定期给孩子洗手、给孩子喂奶前洗手等行为。有必要教育和告知母亲在进入医院时观察与儿童健康有关的行为,以确保其儿童的安全。因此,在医院,教育主管、病人教育主管和儿科主管有必要设计和实施特别方案,旨在通过教育母亲健康行为,使她们了解在住院期间保护子女的重要性。
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引用次数: 0
Relationship Between Job Burnout and Organizational Climate in Nurses Working in Teaching Hospitals Affiliated to Iran University of Medical Sciences 伊朗医科大学附属教学医院护士工作倦怠与组织氛围的关系
Pub Date : 2022-09-01 DOI: 10.32598/ijn.35.137.2889.1
Daryadokht Masror Roudsary, Z. Salehi, H. Haghani
Background & Aims: Job burnout can leads absenteeism, leaving the job or having the intention to leave, reduced quality of life, reduced performance, and reduced quality of patient care and commitment to the organization. Organizational climate has always been important in the nursing profession and in the hospital environment where the nurse’ performance is known as an important component in improving the quality of treatment. This study aims to determine the relationship of job burnout with organizational climate in nurses. Materials & Methods: This descriptive correlational study with cross-sectional design was performed in 2020 in the internal surgical wards of four teaching hospitals affiliated to Iran University of Medical Sciences. The sampling was done by a cluster sampling method. The sample size was determined 200 at a 95% confidence level and considering a 80% test power. To collect data, a demographic form, the Maslach burnout inventory, and Halpin and Croft’s organizational climate description questionnaire were used. Data analysis was performed in SPSS v. 24 software using descriptive and inferential statistics. Results: Emotional exhaustion domain of job burnout had a statistically significant correlation with all dimensions of organizational climate except for group spirit and disengagement; it had a negative significant correlation with the hindrance dimension and a positive significant correlation with other dimensions. With the increase of organizational climate, emotional exhaustion increases, resulting in more job burnout. Conclusion: Health workers, especially nurses and managers, should take measures to reduce job burnout and improve organizational climate and patient satisfaction according to the existing conditions and resources. It is recommended that the educational supervisors of the hospitals develop and implement in-service training focusing on the components of job burnout and organizational climate.
背景与目的:工作倦怠会导致缺勤、离职或有意离职、生活质量下降、工作表现下降、患者护理质量下降和对组织的承诺降低。在护理专业和医院环境中,组织氛围一直很重要,护士的表现被认为是提高治疗质量的重要组成部分。本研究旨在探讨护士工作倦怠与组织氛围的关系。材料与方法:本研究采用横断面设计,于2020年在伊朗医科大学附属四所教学医院的内科病房进行描述性相关研究。采用整群抽样方法进行抽样。样本量在95%置信水平下确定200,考虑到80%的测试功率。为了收集数据,使用了人口统计表格、Maslach职业倦怠量表和Halpin和Croft的组织气候描述问卷。数据分析采用SPSS v. 24软件,采用描述性统计和推理统计。结果:工作倦怠的情绪耗竭域与组织氛围各维度均存在显著的相关,但与团队精神和脱离投入的相关不显著;与障碍维度呈显著负相关,与其他维度呈显著正相关。随着组织氛围的增加,情绪耗竭增加,导致工作倦怠加剧。结论:卫生工作者,特别是护士和管理人员应根据现有条件和资源,采取措施减少工作倦怠,改善组织氛围和患者满意度。建议医院教育主管针对工作倦怠和组织氛围的组成部分,制定并实施在职培训。
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引用次数: 0
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Iran Journal of Nursing
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