Pub Date : 2022-09-01DOI: 10.32598/ijn.35.137.2561
T. Najafi Ghezeljeh, Majid Balouchi, S. Haghani
Background & Aims: Patient safety is an important component and one of the main elements of quality in health care systems. The patient safety status among the pre-hospital Emergency Medical Staff (EMS) in Iran is unclear and there is almost no information about adverse complications. Assessing the current patient safety culture can be a starting point for improving safety attitudes among health care workers, including pre-hospital EMS who are at the forefront of managing patients in critical conditions. This study aims to survey the attitude towards patient safety among pre-hospital EMS in Mashhad, Iran. Materials & Methods: This descriptive cross-sectional study was conducted on 438 full-time pre-hospital EMS with at least 6 months of operational work experience in Mashhad city in 2019, who were selected by a census method. The assessment tool was the Emergency Medical Services Safety Attitudes Questionnaire (EMS-SAQ). The collected data were analyzed in SPSS v. 16 using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (independent t test, analysis of variance, and Pearson correlation test). The significance level was set at 0.05. Results: It was reported that 13.75% had a positive attitude towards patient safety. The mean total score of EMS-SAQ was 53.55±10.60. The most positive attitude was related to stress recognition (34.2%) and the lowest positive attitude was related to safety climate and perception of management (5.7%). There was no statistically significant relationship between any demographic characteristics and overall attitude towards patient safety (P>0.05). Conclusion: The patient safety culture of the pre-hospital EMS in Mashhad is not positive. This requires further research and also taking measures such as holding briefing sessions for managers and staff, increasing the number of staff, setting up an error reporting system, and including topics related to patient safety in the in-service training courses for the staff.
背景与目的:患者安全是卫生保健系统质量的重要组成部分和主要因素之一。伊朗院前急救医务人员(EMS)的患者安全状况尚不清楚，几乎没有关于不良并发症的信息。评估当前的患者安全文化可以作为改善卫生保健工作者安全态度的起点，包括院前EMS，他们处于管理危重患者的最前沿。本研究旨在调查伊朗马什哈德院前急救人员对病人安全的态度。材料与方法:采用人口普查法对2019年马什哈德市438名具有6个月以上业务工作经验的全日制院前急救人员进行描述性横断面研究。评估工具为紧急医疗服务安全态度问卷(EMS-SAQ)。收集的数据在SPSS v. 16中使用描述性统计(频率、百分比、平均值和标准差)和推理统计(独立t检验、方差分析和Pearson相关检验)进行分析。显著性水平设为0.05。结果:13.75%的受访医师对患者安全持积极态度。EMS-SAQ总分平均为53.55±10.60分。最积极的态度与压力认知有关(34.2%)，最低的积极态度与安全气候和管理感知有关(5.7%)。人口学特征与患者总体安全态度之间无统计学意义(P>0.05)。结论:马什哈德院前EMS的患者安全培养不积极。这需要进一步的研究，并采取措施，如为管理人员和员工举行说明会，增加员工人数，建立错误报告制度，并在员工在职培训课程中纳入与患者安全相关的主题。
{"title":"Attitudes Towards Patient Safety in Pre-Hospital Emergency Medical Staff in Mashhad, Iran","authors":"T. Najafi Ghezeljeh, Majid Balouchi, S. Haghani","doi":"10.32598/ijn.35.137.2561","DOIUrl":"https://doi.org/10.32598/ijn.35.137.2561","url":null,"abstract":"Background & Aims: Patient safety is an important component and one of the main elements of quality in health care systems. The patient safety status among the pre-hospital Emergency Medical Staff (EMS) in Iran is unclear and there is almost no information about adverse complications. Assessing the current patient safety culture can be a starting point for improving safety attitudes among health care workers, including pre-hospital EMS who are at the forefront of managing patients in critical conditions. This study aims to survey the attitude towards patient safety among pre-hospital EMS in Mashhad, Iran. Materials & Methods: This descriptive cross-sectional study was conducted on 438 full-time pre-hospital EMS with at least 6 months of operational work experience in Mashhad city in 2019, who were selected by a census method. The assessment tool was the Emergency Medical Services Safety Attitudes Questionnaire (EMS-SAQ). The collected data were analyzed in SPSS v. 16 using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (independent t test, analysis of variance, and Pearson correlation test). The significance level was set at 0.05. Results: It was reported that 13.75% had a positive attitude towards patient safety. The mean total score of EMS-SAQ was 53.55±10.60. The most positive attitude was related to stress recognition (34.2%) and the lowest positive attitude was related to safety climate and perception of management (5.7%). There was no statistically significant relationship between any demographic characteristics and overall attitude towards patient safety (P>0.05). Conclusion: The patient safety culture of the pre-hospital EMS in Mashhad is not positive. This requires further research and also taking measures such as holding briefing sessions for managers and staff, increasing the number of staff, setting up an error reporting system, and including topics related to patient safety in the in-service training courses for the staff.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"23 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":"129114836","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}
Pub Date : 2022-09-01DOI: 10.32598/ijn.35.137.3063
Maliheh Hosseinjanizadeh, Y. Rezapour Mirsaleh, Fatemeh Behjati, Mehrnoosh Bagheriayn
Background & Aims: Many nurses are involved in work-family conflicts due to the nature of the nursing profession and high workload. Identification of the factors related to work-family conflict can help reduce or control this conflict. Compassion fatigue and moral distress are some of the factors that may affect the work-family conflict of nurses. This study aims to determine the mediating role of self-differentiation in the relationship between compassion fatigue, moral distress and work-family conflict among nurses. Materials & Methods: This is a descriptive-correlational study. The study population includes all married nurses from eight public hospitals in Kerman, Iran. Of these, 159 were selected using a convenience sampling method. Data were collected using the subscale of compassion fatigue in the professional quality of life scale, the moral distress scale, the work-family conflict scale, and the self-differentiation inventory-short form. They were analyzed using structural equation modeling. Results: Compassion fatigue, moral distress and self-differentiation could significantly predict work-family conflict in nurses (P<0.05). Self-differentiation was not only directly related to work-family conflict, but also indirectly affected it by reducing moral distress and compassion fatigue. Conclusion: Self-differentiation skills can help reduce the compassion fatigue and moral stress in nurses and thus reduce their work-family conflicts.
{"title":"The Mediating Role of Self-Differentiation in the Relationship Between Moral Distress, Compassions Fatigue and Work-family Conflict in Nurses","authors":"Maliheh Hosseinjanizadeh, Y. Rezapour Mirsaleh, Fatemeh Behjati, Mehrnoosh Bagheriayn","doi":"10.32598/ijn.35.137.3063","DOIUrl":"https://doi.org/10.32598/ijn.35.137.3063","url":null,"abstract":"Background & Aims: Many nurses are involved in work-family conflicts due to the nature of the nursing profession and high workload. Identification of the factors related to work-family conflict can help reduce or control this conflict. Compassion fatigue and moral distress are some of the factors that may affect the work-family conflict of nurses. This study aims to determine the mediating role of self-differentiation in the relationship between compassion fatigue, moral distress and work-family conflict among nurses. Materials & Methods: This is a descriptive-correlational study. The study population includes all married nurses from eight public hospitals in Kerman, Iran. Of these, 159 were selected using a convenience sampling method. Data were collected using the subscale of compassion fatigue in the professional quality of life scale, the moral distress scale, the work-family conflict scale, and the self-differentiation inventory-short form. They were analyzed using structural equation modeling. Results: Compassion fatigue, moral distress and self-differentiation could significantly predict work-family conflict in nurses (P<0.05). Self-differentiation was not only directly related to work-family conflict, but also indirectly affected it by reducing moral distress and compassion fatigue. Conclusion: Self-differentiation skills can help reduce the compassion fatigue and moral stress in nurses and thus reduce their work-family conflicts.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"52 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":"125958104","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}
Pub Date : 2022-09-01DOI: 10.32598/ijn.35.137.3073
Hasan Ramazanpour Sargiz, Marzieh Adel Mehraban, S. Haghani
Background & Aims Risk management in academic research, courses, and degrees is crucial in universities. However, there is no evidence for risk management in most aspects of university management. This study was conducted to determine the risk management Evaluation from the Staff's Perspective of Iran University Medical Sciences In 2021. Materials & Methods This is a descriptive cross-sectional study. The research samples were 224 staff of the Iran University of Medical Sciences selected by the available sampling method. The data collection tool was a risk management questionnaire. Risk management was classified into six dimensions. The first dimension is related to the level of employees' knowledge of risk management. The second dimension of risk management status. The third dimension includes policies and procedures. The fourth dimension is related to training status. The fifth dimension was the position of risk management, and finally, the sixth one was monitoring, analysis, evaluation, and risk control. In total, the questionnaire was examined in 45 questions on a 5-point Likert scale and was classified into three levels: poor (score less than 3), moderate (score 3 to 4), and good (score more than 4). The data were analyzed using SPSS software, version 26. The numerical indices of minimum, maximum, Mean±SD for the quantitative variables of the research were used. Friedman test was used to examine the relationship between domains and independent t-test, and analysis of variance and Pearson correlation coefficient was used to investigate the relationship between individual variables and risk management. Results The results showed that most employees (59.4%) were women and the majority (48.7%) were 45-36 years old. The majority of employees (72.8%) were married. Most of the participants (54.4%) worked in administrative headquarters. More than half of the employees (53.1%) had a university degree at the undergraduate level, and only 12.5% of them had completed risk management courses. The results showed that the total score of risk management was 2.44±0/82. The Friedman test result showed a statistically significant relationship between employees' knowledge of risk management and all areas of risk management (p = 0.00). Statistical tests showed that risk management had a statistically significant relationship with the variables of gender (P = 0.02), risk management (P<0.001), and education (P=0.02). The mean score was higher in men than women, and also in employees who had passed the risk management course was higher than other employees. Two-to-two Tukey comparison also showed that the average score obtained by employees with master's degree education was significantly higher than an associate degree (P=0.03). At other levels, this difference was insignificant. Conclusion The results showed that, generally, from the perspective of the Iran University of Medical Sciences staff, risk management at this university is poor. In this regard, the devel
{"title":"Risk Management Status in Iran University of Medical Sciences From the Perspective of its Administrative Staff","authors":"Hasan Ramazanpour Sargiz, Marzieh Adel Mehraban, S. Haghani","doi":"10.32598/ijn.35.137.3073","DOIUrl":"https://doi.org/10.32598/ijn.35.137.3073","url":null,"abstract":"Background & Aims Risk management in academic research, courses, and degrees is crucial in universities. However, there is no evidence for risk management in most aspects of university management. This study was conducted to determine the risk management Evaluation from the Staff's Perspective of Iran University Medical Sciences In 2021. Materials & Methods This is a descriptive cross-sectional study. The research samples were 224 staff of the Iran University of Medical Sciences selected by the available sampling method. The data collection tool was a risk management questionnaire. Risk management was classified into six dimensions. The first dimension is related to the level of employees' knowledge of risk management. The second dimension of risk management status. The third dimension includes policies and procedures. The fourth dimension is related to training status. The fifth dimension was the position of risk management, and finally, the sixth one was monitoring, analysis, evaluation, and risk control. In total, the questionnaire was examined in 45 questions on a 5-point Likert scale and was classified into three levels: poor (score less than 3), moderate (score 3 to 4), and good (score more than 4). The data were analyzed using SPSS software, version 26. The numerical indices of minimum, maximum, Mean±SD for the quantitative variables of the research were used. Friedman test was used to examine the relationship between domains and independent t-test, and analysis of variance and Pearson correlation coefficient was used to investigate the relationship between individual variables and risk management. Results The results showed that most employees (59.4%) were women and the majority (48.7%) were 45-36 years old. The majority of employees (72.8%) were married. Most of the participants (54.4%) worked in administrative headquarters. More than half of the employees (53.1%) had a university degree at the undergraduate level, and only 12.5% of them had completed risk management courses. The results showed that the total score of risk management was 2.44±0/82. The Friedman test result showed a statistically significant relationship between employees' knowledge of risk management and all areas of risk management (p = 0.00). Statistical tests showed that risk management had a statistically significant relationship with the variables of gender (P = 0.02), risk management (P<0.001), and education (P=0.02). The mean score was higher in men than women, and also in employees who had passed the risk management course was higher than other employees. Two-to-two Tukey comparison also showed that the average score obtained by employees with master's degree education was significantly higher than an associate degree (P=0.03). At other levels, this difference was insignificant. Conclusion The results showed that, generally, from the perspective of the Iran University of Medical Sciences staff, risk management at this university is poor. In this regard, the devel","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"23 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":"121334461","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}
Pub Date : 2022-09-01DOI: 10.32598/ijn.35.137.3084
A. Khachian, N. Seyedfatemi, Hamid Sharif Nia, Mehrnegar Amiri
Background & Aims: As a chronic disease with many complications, diabetes requires adherence to treatment regimen. Despite the importance of adherence, it is not done completely in these patients. Non-adherence to treatment has many personal and social consequences. Adherence in diabetic patients can lead to mortality reduction and success in the treatment of diabetes. Considering that adherence to the treatment regimen is challenging among diabetic patients and less attention has been paid to it in Iran, the present study aims to identify the factors related to adherence to treatment regimen among diabetic patients in Sari, Iran. Materials & Methods: This descriptive cross-sectional study was conducted in 2021 on 226 adults with Type 2 diabetes referred to Baghban clinic affiliated to Mazandaran University of Medical Sciences in Sari, Iran who were selected using a continuous sampling method. Data were collected using a demographic form and the diabetes activities questionnaire. Questionnaires were prepared online using Google Forms. Data analysis was performed in SPSS software, version 26. Results: The mean age of participants was 53.06±10.81 years. Most of them were female (61.9%) and married (85.8%) with a high school diploma (26.5%) and moderate economic status (69%). Economic status, age, and BMI had a significant relationship with adherence to treatment regimen (P<0.05); Economic status and age had a positive significant relationship while BMI had a negative significant relationship with adherence to treatment regimen. Diabetic patients with better economic status, higher age, and lower BMI had better adherence. Conclusion: This study provides a basis for expanding knowledge of adherence to treatment regimens in diabetic patients in Iran. It is necessary for healthcare providers, especially nurses, to pay attention to the factors related to adherence to treatment in diabetic patients in providing care and education to them to have better treatment.
{"title":"Factors Associated With Adherence to Treatment Regimen in Patients With Type 2 Diabetes in Sari, Iran","authors":"A. Khachian, N. Seyedfatemi, Hamid Sharif Nia, Mehrnegar Amiri","doi":"10.32598/ijn.35.137.3084","DOIUrl":"https://doi.org/10.32598/ijn.35.137.3084","url":null,"abstract":"Background & Aims: As a chronic disease with many complications, diabetes requires adherence to treatment regimen. Despite the importance of adherence, it is not done completely in these patients. Non-adherence to treatment has many personal and social consequences. Adherence in diabetic patients can lead to mortality reduction and success in the treatment of diabetes. Considering that adherence to the treatment regimen is challenging among diabetic patients and less attention has been paid to it in Iran, the present study aims to identify the factors related to adherence to treatment regimen among diabetic patients in Sari, Iran. Materials & Methods: This descriptive cross-sectional study was conducted in 2021 on 226 adults with Type 2 diabetes referred to Baghban clinic affiliated to Mazandaran University of Medical Sciences in Sari, Iran who were selected using a continuous sampling method. Data were collected using a demographic form and the diabetes activities questionnaire. Questionnaires were prepared online using Google Forms. Data analysis was performed in SPSS software, version 26. Results: The mean age of participants was 53.06±10.81 years. Most of them were female (61.9%) and married (85.8%) with a high school diploma (26.5%) and moderate economic status (69%). Economic status, age, and BMI had a significant relationship with adherence to treatment regimen (P<0.05); Economic status and age had a positive significant relationship while BMI had a negative significant relationship with adherence to treatment regimen. Diabetic patients with better economic status, higher age, and lower BMI had better adherence. Conclusion: This study provides a basis for expanding knowledge of adherence to treatment regimens in diabetic patients in Iran. It is necessary for healthcare providers, especially nurses, to pay attention to the factors related to adherence to treatment in diabetic patients in providing care and education to them to have better treatment.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"39 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":"124662550","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}
Marzieh Borjian Borujeni, M. Inanlou, M. Heidari, M. Nikkhah, S. Haghani, A. Khachian
Background & Aims: Irritable Bowel Syndrome (IBS) is one of the most common gastrointestinal disorders that significantly affects patients' quality of life. This study aimed to determine the effect of written expression on the severity of gastrointestinal symptoms in patients with IBS. Materials & Methods: This clinical trial study was conducted in 2019 on 71 patients with IBS who were referred to the gastrointestinal clinics of Firoozgar and Rasoul Akram hospitals in Tehran, were selected using a continuous sampling method based on inclusion criteria and randomly (permuted block randomization) assigned to two control and intervention groups. A questionnaire on demographic characteristics and symptom severity index (SI-IBS) was completed by both groups. A white booklet with a particular format was given to each participant to express their emotions in writing in the intervention group. A weekly written expression of the patient's feelings for 15-30 min was done at home for one month. After one month, the SI-IBS questionnaire was completed again by both groups. Finally, the questionnaires were analyzed using SPSS v. 16 software. Results: After the intervention, the severity of gastrointestinal symptoms in the experimental group decreased significantly compared to before the intervention (P= 0.016). However, there was no statistically significant difference between the mean scores of gastrointestinal symptoms in the experimental and control groups one month after the intervention (P= 0.438). Conclusion: Execution of written expression in this study did not cause a statistically significant difference in the score of gastrointestinal symptoms in patients with irritable bowel syndrome but was associated with a decrease in the severity of gastrointestinal symptoms in patients in the experimental group. This non-pharmacological intervention can be considered a practical and easy method and pharmacological treatment for patients with this syndrome.
背景与目的:肠易激综合征(IBS)是最常见的胃肠道疾病之一，严重影响患者的生活质量。本研究旨在确定书面表达对IBS患者胃肠道症状严重程度的影响。材料与方法:本临床试验研究于2019年对德黑兰Firoozgar和Rasoul Akram医院胃肠道诊所转诊的71例IBS患者进行了研究，采用基于纳入标准的连续抽样方法，随机(排列块随机化)分为两个对照组和干预组。两组均完成人口统计学特征和症状严重程度指数(SI-IBS)问卷调查。在干预组中，每个参与者都得到了一本特殊格式的白色小册子，以书面形式表达他们的情绪。每周在家中对患者的感受进行15-30分钟的书面表达，持续一个月。1个月后，两组再次完成SI-IBS问卷。最后，使用SPSS v. 16软件对问卷进行分析。结果:干预后，实验组患者胃肠道症状严重程度较干预前显著降低(P= 0.016)。干预1个月后，实验组与对照组胃肠道症状平均评分差异无统计学意义(P= 0.438)。结论:本研究中书面表达的执行对肠易激综合征患者胃肠道症状评分无统计学差异，但与实验组患者胃肠道症状严重程度的降低有关。这种非药物干预可以被认为是一种实用易行的方法和治疗该综合征的药物治疗方法。
{"title":"The Effect of Written Expression on Severity of Gastrointestinal Symptoms in Patients With Irritable Bowel Syndrome","authors":"Marzieh Borjian Borujeni, M. Inanlou, M. Heidari, M. Nikkhah, S. Haghani, A. Khachian","doi":"10.32598/ijn.34.5.1","DOIUrl":"https://doi.org/10.32598/ijn.34.5.1","url":null,"abstract":"Background & Aims: Irritable Bowel Syndrome (IBS) is one of the most common gastrointestinal disorders that significantly affects patients' quality of life. This study aimed to determine the effect of written expression on the severity of gastrointestinal symptoms in patients with IBS. Materials & Methods: This clinical trial study was conducted in 2019 on 71 patients with IBS who were referred to the gastrointestinal clinics of Firoozgar and Rasoul Akram hospitals in Tehran, were selected using a continuous sampling method based on inclusion criteria and randomly (permuted block randomization) assigned to two control and intervention groups. A questionnaire on demographic characteristics and symptom severity index (SI-IBS) was completed by both groups. A white booklet with a particular format was given to each participant to express their emotions in writing in the intervention group. A weekly written expression of the patient's feelings for 15-30 min was done at home for one month. After one month, the SI-IBS questionnaire was completed again by both groups. Finally, the questionnaires were analyzed using SPSS v. 16 software. Results: After the intervention, the severity of gastrointestinal symptoms in the experimental group decreased significantly compared to before the intervention (P= 0.016). However, there was no statistically significant difference between the mean scores of gastrointestinal symptoms in the experimental and control groups one month after the intervention (P= 0.438). Conclusion: Execution of written expression in this study did not cause a statistically significant difference in the score of gastrointestinal symptoms in patients with irritable bowel syndrome but was associated with a decrease in the severity of gastrointestinal symptoms in patients in the experimental group. This non-pharmacological intervention can be considered a practical and easy method and pharmacological treatment for patients with this syndrome.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124976494","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}
Amir Azadi, Sorour Mosleh, N. Alimohammadi, Zarrin Tansaz, N. Kheirollahi
Background & Aims: Cardiopulmonary resuscitation is one of the most critical medical emergencies. The effect of trained and skilled people on resuscitation has been positive. This study aimed to investigate the impact of visual self-assessment training on the level of knowledge, self-esteem, and performance of operating room personnel in the field of advanced cardiopulmonary resuscitation. Materials & Methods: This Semi-experimental pre-test, post-test single-group study was performed with the participation of 32 operating room technicians. The intervention was in the form of a cardiopulmonary resuscitation workshop and takes a video from resuscitation operation on the model by each of the participants and then replays the video for self-assessment. Knowledge, self-esteem questionnaire, and self-assessment performance checklist were given to each participant to complete before, immediately after, and eight weeks after intervention. At the same time, a performance observation checklist was completed for them by the researcher. Data were analyzed by SPSS v. 16 software, and repeated measures analysis, Greenhouse-Geisser and Bonferroni post hoc test, and paired t-test were used. Results: Data analysis was performed on 28 operating room technicians participants in the study. Demographic data of participants showed 89.29% were female, 67.86% had a bachelor's degree in the operating room, and the mean age of participants was 39.37 years. The comparison of the mean scores of operating room technicians' knowledge and self-esteem three times was significant (P<0.001). Also, the comparison of the mean performance self-assessment score and the mean performance score observed immediately after and eight weeks later were significant (P<0.001). Conclusion: Visual self-assessment method effectively increases the knowledge, self-esteem, and performance of operating room technicians in the field of cardiopulmonary resuscitation. Especially since their self-esteem and performance will be indelible.
背景与目的:心肺复苏是最关键的医疗急救之一。训练有素的技术人员对复苏的影响是积极的。本研究旨在探讨视觉自我评估训练对高级心肺复苏手术室工作人员的知识水平、自尊水平和工作表现的影响。材料与方法:本研究采用32名手术室技术人员参与的半实验前测、后测单组研究。干预以心肺复苏工作坊的形式进行，并拍摄每位参与者在模型上进行复苏操作的视频，然后回放视频进行自我评估。在干预前、干预后和干预后8周分别发给每位参与者知识、自尊问卷和自我评估绩效检查表。同时，研究者为他们完成了一份绩效观察清单。数据采用SPSS v. 16软件进行分析，采用重复测量分析、Greenhouse-Geisser and Bonferroni事后检验和配对t检验。结果:对28名参与本研究的手术室技术人员进行数据分析。参与者人口学资料显示，女性占89.29%，67.86%为手术室本科学历，参与者平均年龄39.37岁。三次手术室技术人员知识和自尊平均得分比较，差异均有统计学意义(P<0.001)。同时，平均绩效自评得分与即刻和8周后的平均绩效得分比较有显著性(P<0.001)。结论:视觉自我评价方法能有效提高手术室技术人员在心肺复苏领域的知识水平、自尊水平和工作表现。特别是因为他们的自尊和表现将是不可磨灭的。
{"title":"The Effect of Education by Visual Self-assessment on the Operating Room Technician's Knowledge, Self-esteem, and Performance in Advanced Cardiopulmonary Resuscitation","authors":"Amir Azadi, Sorour Mosleh, N. Alimohammadi, Zarrin Tansaz, N. Kheirollahi","doi":"10.32598/ijn.34.5.6","DOIUrl":"https://doi.org/10.32598/ijn.34.5.6","url":null,"abstract":"Background & Aims: Cardiopulmonary resuscitation is one of the most critical medical emergencies. The effect of trained and skilled people on resuscitation has been positive. This study aimed to investigate the impact of visual self-assessment training on the level of knowledge, self-esteem, and performance of operating room personnel in the field of advanced cardiopulmonary resuscitation. Materials & Methods: This Semi-experimental pre-test, post-test single-group study was performed with the participation of 32 operating room technicians. The intervention was in the form of a cardiopulmonary resuscitation workshop and takes a video from resuscitation operation on the model by each of the participants and then replays the video for self-assessment. Knowledge, self-esteem questionnaire, and self-assessment performance checklist were given to each participant to complete before, immediately after, and eight weeks after intervention. At the same time, a performance observation checklist was completed for them by the researcher. Data were analyzed by SPSS v. 16 software, and repeated measures analysis, Greenhouse-Geisser and Bonferroni post hoc test, and paired t-test were used. Results: Data analysis was performed on 28 operating room technicians participants in the study. Demographic data of participants showed 89.29% were female, 67.86% had a bachelor's degree in the operating room, and the mean age of participants was 39.37 years. The comparison of the mean scores of operating room technicians' knowledge and self-esteem three times was significant (P<0.001). Also, the comparison of the mean performance self-assessment score and the mean performance score observed immediately after and eight weeks later were significant (P<0.001). Conclusion: Visual self-assessment method effectively increases the knowledge, self-esteem, and performance of operating room technicians in the field of cardiopulmonary resuscitation. Especially since their self-esteem and performance will be indelible.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123975966","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}
Seyede Elham Fazljoo, K. Nasiriani, N. Zamani, Somaye Azimpor
Background & Aims: The ethical climate of nurses' work environment makes the nurse achieve higher levels of ethical reasoning by participating in decision making. Although making decisions is essential, responding appropriately to situations and overcoming fear requires moral courage. The study aimed to determine the nurses' understanding of the hospital's moral climate, reasoning, and moral courage. Materials & Methods: The present study is a cross-sectional descriptive performed on 87 nurses working in Meybod and Ardakan hospitals in March 2020. The Hospital Ethical Climate Survey (HECS), Nursing Dilemma Test (NDT), and Professional Moral Courage (PMC) questionnaire were used to collect data. Data were analyzed using SPSS software, v. 16, and descriptive and analytical statistics of Pearson, independent t-test. Results: The age range of participants was 24-50 years, with a Mean±SD of 32.97±7.26. The average score of ethical climate was 83.72±17.42, moral reasoning was obtained at 45.00±6.91, and moral courage was 45.55±6.04. Significant differences were found between gender and perception of the Ethical Climate (P=0.03). But other individual characteristics of nurses were not significantly different from the studied variables (P> 0.05). Conclusion: According to the findings, the average score of the three variables of nurses' perception of the ethical climate in the hospital, Moral Courage and moral reasoning, was higher than the average score that It reflects the appropriateness of the Ethical Climate in the hospital and the desirable ability of nurses to deal with moral tensions and critical situations. According to the results, the average score of the three variables of nurses 'perception of the Ethical Climate in the hospital, Moral Courage, and moral reasoning, was higher than the average score, which does not indicate the appropriateness of the moral atmosphere in the hospital and nurses' ability to cope with moral tensions. However, due to the need for continuous upgrading and improvement of organizations and human resources working in it, it is suggested to improve the Ethical Climate of hospitals by planning and using appropriate interventions and to promote Moral Courage and moral reasoning in nurses.
背景与目的:护士工作环境的伦理氛围使护士通过参与决策实现更高层次的伦理推理。虽然做决定是必要的，但适当地应对情况和克服恐惧需要道德勇气。本研究旨在确定护士对医院道德氛围、推理和道德勇气的理解。材料与方法:本研究是对2020年3月在Meybod和Ardakan医院工作的87名护士进行横断面描述性研究。采用医院伦理氛围调查(HECS)、护理困境测试(NDT)和职业道德勇气问卷(PMC)进行数据收集。数据分析采用SPSS v. 16软件，Pearson描述性统计、分析性统计、独立t检验。结果:参与者年龄在24 ~ 50岁之间，平均±SD为32.97±7.26。道德气氛得分平均为83.72±17.42分，道德推理得分平均为45.00±6.91分，道德勇气得分平均为45.55±6.04分。性别与伦理气候感知存在显著差异(P=0.03)。其他个体特征与研究变量差异无统计学意义(P> 0.05)。结论:根据调查结果，护士对医院伦理气氛感知的道德勇气和道德推理三个变量的平均得分高于平均得分，反映了医院伦理气氛的适宜性和护士处理道德紧张和危急情况的理想能力。结果显示，护士对医院道德氛围感知的三个变量“道德勇气”和“道德推理”的平均得分高于平均得分，这并不能说明医院道德氛围的适宜性和护士应对道德紧张的能力。然而，由于在医院工作的组织和人力资源需要不断升级和完善，建议通过规划和使用适当的干预措施来改善医院的道德氛围，并促进护士的道德勇气和道德推理。
{"title":"Nurses' Perceptions of Ethical Climate, Ethical Reasoning, and Moral Courage in the Hospital","authors":"Seyede Elham Fazljoo, K. Nasiriani, N. Zamani, Somaye Azimpor","doi":"10.32598/ijn.34.5.3","DOIUrl":"https://doi.org/10.32598/ijn.34.5.3","url":null,"abstract":"Background & Aims: The ethical climate of nurses' work environment makes the nurse achieve higher levels of ethical reasoning by participating in decision making. Although making decisions is essential, responding appropriately to situations and overcoming fear requires moral courage. The study aimed to determine the nurses' understanding of the hospital's moral climate, reasoning, and moral courage. Materials & Methods: The present study is a cross-sectional descriptive performed on 87 nurses working in Meybod and Ardakan hospitals in March 2020. The Hospital Ethical Climate Survey (HECS), Nursing Dilemma Test (NDT), and Professional Moral Courage (PMC) questionnaire were used to collect data. Data were analyzed using SPSS software, v. 16, and descriptive and analytical statistics of Pearson, independent t-test. Results: The age range of participants was 24-50 years, with a Mean±SD of 32.97±7.26. The average score of ethical climate was 83.72±17.42, moral reasoning was obtained at 45.00±6.91, and moral courage was 45.55±6.04. Significant differences were found between gender and perception of the Ethical Climate (P=0.03). But other individual characteristics of nurses were not significantly different from the studied variables (P> 0.05). Conclusion: According to the findings, the average score of the three variables of nurses' perception of the ethical climate in the hospital, Moral Courage and moral reasoning, was higher than the average score that It reflects the appropriateness of the Ethical Climate in the hospital and the desirable ability of nurses to deal with moral tensions and critical situations. According to the results, the average score of the three variables of nurses 'perception of the Ethical Climate in the hospital, Moral Courage, and moral reasoning, was higher than the average score, which does not indicate the appropriateness of the moral atmosphere in the hospital and nurses' ability to cope with moral tensions. However, due to the need for continuous upgrading and improvement of organizations and human resources working in it, it is suggested to improve the Ethical Climate of hospitals by planning and using appropriate interventions and to promote Moral Courage and moral reasoning in nurses.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121313517","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}
R. Amiri, M. Mardani-Hamooleh, Mansoureh Ashghali Farahani, M. Ghaljeh, S. Haghani
Background & Aims Epidemiological changes have made chronic diseases increasingly important. Hypertension is also known as a chronic disease. The high prevalence of hypertension has made the disease a significant health problem in communities. Spiritual health has been proposed as one of the health indicators and predictors of self-care in chronic diseases. This study aimed to determine the relationship between spiritual health and adherence to the treatment regimen in patients with hypertension. Materials & Methods In this descriptive correlational study, 121 patients with hypertension were selected by continuous sampling method from cardiac clinics affiliated with Iran University of Medical Sciences, Iran, in 2020. The study data were collected through demographic information form and validated Ellison and Paloutzian spiritual health and Hil-Bone diet adherence questionnaires. For data analysis, we performed the statistical tests of the Spearman, independent t test, Chi-square, and analysis of variance in SPSS version 16. Results This study shows a significant and negative relationship between spiritual health and adherence to the treatment regimen in patients with hypertension (P=0.001, r=-0.05). Conclusion As spiritual health increases, adherence to the treatment regimen in patients with hypertension decreases. Spiritual health in this group of patients leads to less adherence to the treatment regimen.
背景与目的流行病学的变化使得慢性病变得越来越重要。高血压也被称为一种慢性疾病。高血压的高患病率使该病成为社区的一个重大健康问题。精神健康已被提出作为慢性疾病自我保健的健康指标和预测因素之一。本研究旨在探讨高血压患者精神健康与治疗方案依从性的关系。材料与方法本描述性相关性研究采用连续抽样方法，选取2020年伊朗医科大学附属心脏诊所121例高血压患者。研究数据通过人口统计信息表收集，并验证了Ellison和Paloutzian的精神健康和希尔-骨饮食依从性问卷。对于数据分析，我们使用SPSS version 16进行Spearman统计检验、独立t检验、卡方检验和方差分析。结果高血压患者精神健康与治疗方案依从性呈显著负相关(P=0.001, r=-0.05)。结论随着精神健康水平的提高，高血压患者对治疗方案的依从性降低。这类患者的精神健康导致对治疗方案的依从性较低。
{"title":"The Relationship Between Spiritual Wellbeing With Medication Adherence in Hypertensive Patients Referred to Selected Heart Clinics of Iran University of Medical Sciences, Iran, 2020","authors":"R. Amiri, M. Mardani-Hamooleh, Mansoureh Ashghali Farahani, M. Ghaljeh, S. Haghani","doi":"10.32598/ijn.34.5.5","DOIUrl":"https://doi.org/10.32598/ijn.34.5.5","url":null,"abstract":"Background & Aims Epidemiological changes have made chronic diseases increasingly important. Hypertension is also known as a chronic disease. The high prevalence of hypertension has made the disease a significant health problem in communities. Spiritual health has been proposed as one of the health indicators and predictors of self-care in chronic diseases. This study aimed to determine the relationship between spiritual health and adherence to the treatment regimen in patients with hypertension. Materials & Methods In this descriptive correlational study, 121 patients with hypertension were selected by continuous sampling method from cardiac clinics affiliated with Iran University of Medical Sciences, Iran, in 2020. The study data were collected through demographic information form and validated Ellison and Paloutzian spiritual health and Hil-Bone diet adherence questionnaires. For data analysis, we performed the statistical tests of the Spearman, independent t test, Chi-square, and analysis of variance in SPSS version 16. Results This study shows a significant and negative relationship between spiritual health and adherence to the treatment regimen in patients with hypertension (P=0.001, r=-0.05). Conclusion As spiritual health increases, adherence to the treatment regimen in patients with hypertension decreases. Spiritual health in this group of patients leads to less adherence to the treatment regimen.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"93 11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115366102","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}
Background & Aims: Most patients with brain injury experience coma based on the severity of the lesion. One of the complications that threaten patients with coma in intensive care units is the risk of sensory deprivation. Frequent sensory stimulation can be helpful in rehabilitation and increasing the level of consciousness of these patients. This study aimed to determine the effect of sensory stimuli with a familiar sound and patient’s auditory preferences on the level of consciousness of patients in coma admitted to intensive care units in selected hospitals in Ahvaz City, Iran. Materials & Methods: The present study is quasi-experimental that was performed on 45 patients admitted to the intensive care unit of selected hospitals in Ahvaz City in 2021. Sampling was performed for six months. The patients who met the inclusion criteria were divided into two intervention groups and one control group by the permutation randomization method. For patients of the first group (hearing stimulation with a familiar voice) and the second group (auditory stimulation with the patient’s preference voice), recorded sound was played with a tape recorder for 15 minutes for 3 days twice a day (6 times in total) at 10 AM and 3 PM. Routine care and sounds were provided for the control group. The level of patients’ consciousness in three groups was measured by GCS scale 15 minutes before and 15 minutes after the intervention. Results: The study results showed that the mean level of consciousness of the auditory preferences and familiar voice groups after the intervention was significantly higher than that in the control group (P<0.05). But there was no significant difference between the two groups of auditory preferences and familiar voice (P>0.05). Conclusion: Considering that the effect of a familiar voice and auditory preferences has been more than unfamiliar sound, it is recommended to provide a program of auditory stimulation with familiar voices and auditory preferences for comatose patients in intensive care units.
{"title":"The Effect of Sensory Stimuli With a Familiar Voice and Patient’s Auditory Preferences on the Level of Consciousness of Brain Injury Patients Admitted to Intensive Care Units","authors":"Sahar Vanoni, F. Salmani, Mina Jouzi","doi":"10.32598/ijn.34.5.7","DOIUrl":"https://doi.org/10.32598/ijn.34.5.7","url":null,"abstract":"Background & Aims: Most patients with brain injury experience coma based on the severity of the lesion. One of the complications that threaten patients with coma in intensive care units is the risk of sensory deprivation. Frequent sensory stimulation can be helpful in rehabilitation and increasing the level of consciousness of these patients. This study aimed to determine the effect of sensory stimuli with a familiar sound and patient’s auditory preferences on the level of consciousness of patients in coma admitted to intensive care units in selected hospitals in Ahvaz City, Iran. Materials & Methods: The present study is quasi-experimental that was performed on 45 patients admitted to the intensive care unit of selected hospitals in Ahvaz City in 2021. Sampling was performed for six months. The patients who met the inclusion criteria were divided into two intervention groups and one control group by the permutation randomization method. For patients of the first group (hearing stimulation with a familiar voice) and the second group (auditory stimulation with the patient’s preference voice), recorded sound was played with a tape recorder for 15 minutes for 3 days twice a day (6 times in total) at 10 AM and 3 PM. Routine care and sounds were provided for the control group. The level of patients’ consciousness in three groups was measured by GCS scale 15 minutes before and 15 minutes after the intervention. Results: The study results showed that the mean level of consciousness of the auditory preferences and familiar voice groups after the intervention was significantly higher than that in the control group (P<0.05). But there was no significant difference between the two groups of auditory preferences and familiar voice (P>0.05). Conclusion: Considering that the effect of a familiar voice and auditory preferences has been more than unfamiliar sound, it is recommended to provide a program of auditory stimulation with familiar voices and auditory preferences for comatose patients in intensive care units.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126351655","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}
Background & Aims: One of the health-related problems in the workplace is job-related stress. Nursing is one of the professions in which nurses experience a lot of stress. Long-term work stress harms nurses' physical and mental health and reduces their psychological well-being. One of the variables that seem to explain this relationship is cognitive flexibility. Therefore, this study aimed to investigate the relationship between job stress and psychological well-being with the mediating role of cognitive flexibility. Materials & Methods: The present study was a cross-sectional correlational study. The statistical population included all nurses working in hospitals in Isfahan in 2019. Using a cluster sampling method, four hospitals in Isfahan (Kashani, Chamran, Khorshid, and Hojjatieh) were randomly selected. Then four wards were via lottery method selected from each hospital, randomly and 150 questionnaires were distributed among all of the nurses of those wards. The research tool consisted of four questionnaires. 1- Demographic questionnaire 2- HSE Job Stress 3- Short Form of Ryff Psychological Wellbeing Questionnaire 4- Cognitive flexibility. To analyze the data, SPSS software version 16 and the proposed steps of Baron and Kenny were used by the hierarchical regression method. Results: The regression analysis results showed that in the first stage, job stress with beta (β = -0.42) is a significant predictor of psychological well-being. In the second stage, job stress and cognitive flexibility variables predicted psychological well-being with beta (β = -0.21 and β = 0.54), respectively. Since the beta of job stress decreased in the second stage compared to the first stage, the partial mediating role of cognitive flexibility in the relationship between job stress and psychological well-being was confirmed. Conclusion: Most people can cope with stress for a short time, but chronic stress causes changes in physiological and psychological status, the consequences of which can decrease psychological well-being. It seems that some factors play a mediating role in the relationship between job stress and psychological well-being, including cognitive flexibility, which was examined and confirmed in this study. In this regard, it is suggested that sessions be held with the aim of cognitive training flexibility to nurses, and its effectiveness on increasing psychological well-being is examined.
{"title":"The Mediating Role of Cognitive Flexibility in the Relationship Between Job Stress and Psychological Wellbeing of Nurses","authors":"F. Dehghani, Z. Bahari","doi":"10.32598/ijn.34.5.2","DOIUrl":"https://doi.org/10.32598/ijn.34.5.2","url":null,"abstract":"Background & Aims: One of the health-related problems in the workplace is job-related stress. Nursing is one of the professions in which nurses experience a lot of stress. Long-term work stress harms nurses' physical and mental health and reduces their psychological well-being. One of the variables that seem to explain this relationship is cognitive flexibility. Therefore, this study aimed to investigate the relationship between job stress and psychological well-being with the mediating role of cognitive flexibility. Materials & Methods: The present study was a cross-sectional correlational study. The statistical population included all nurses working in hospitals in Isfahan in 2019. Using a cluster sampling method, four hospitals in Isfahan (Kashani, Chamran, Khorshid, and Hojjatieh) were randomly selected. Then four wards were via lottery method selected from each hospital, randomly and 150 questionnaires were distributed among all of the nurses of those wards. The research tool consisted of four questionnaires. 1- Demographic questionnaire 2- HSE Job Stress 3- Short Form of Ryff Psychological Wellbeing Questionnaire 4- Cognitive flexibility. To analyze the data, SPSS software version 16 and the proposed steps of Baron and Kenny were used by the hierarchical regression method. Results: The regression analysis results showed that in the first stage, job stress with beta (β = -0.42) is a significant predictor of psychological well-being. In the second stage, job stress and cognitive flexibility variables predicted psychological well-being with beta (β = -0.21 and β = 0.54), respectively. Since the beta of job stress decreased in the second stage compared to the first stage, the partial mediating role of cognitive flexibility in the relationship between job stress and psychological well-being was confirmed. Conclusion: Most people can cope with stress for a short time, but chronic stress causes changes in physiological and psychological status, the consequences of which can decrease psychological well-being. It seems that some factors play a mediating role in the relationship between job stress and psychological well-being, including cognitive flexibility, which was examined and confirmed in this study. In this regard, it is suggested that sessions be held with the aim of cognitive training flexibility to nurses, and its effectiveness on increasing psychological well-being is examined.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128350408","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}
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