Showing 35 results for Nurses
Heshmatollah Heydari, Aziz Kamran, Naser Novinmehr,
Volume 20, Issue 4 (2-2015)
Abstract
Background & Aim: Medication errors are known as the most common preventable and life threatening medical errors. This study aimed to explore perceptions of nurses on medication errors .
Methods & Materials: This was a qualitative study with content analysis approach. Seventeen nurses were selected purposefully from the intensive care units of Shohada hospital in khoramabad in 2012. Data were gathered using semi structural interviews with the nurses. Data were analyzed using the Lundman and Graneheim method. We used the Linclon and Gouba method to ensure a ccuracy and trustworthiness of the data .
Results: Four main categories and six subcategories were recognized including: 1) Management factors (inefficiency in recruitment of human power, poor physical condition and workload) 2) Inefficiency in professionalism (lack of commitment among nurses, insufficient knowledge and inefficiency in the inter professional relationship) 3) Failure in the process of drug prescription by physicians and 4) Failure in production and packaging drugs by drug companies .
Conclusion: Training and recruiting professional and committed nurses, using electronic medical files, supervision on pharmacy companies to produce and package proper medication can reduce medication errors .
Narges Roustaei, Seyyed Mohammad Taghi Ayatollahi, Jamshid Jamali,
Volume 20, Issue 4 (2-2015)
Abstract
Background & Aim: Nurses’ m ental health is an important dimension of quality of life and health care delivery. Job instability can be threatening for mental health of nurses. This study was conducted to assess the relationship between minor psychiatric disorders (MPD) among nurses with their job stability .
Methods & Materials: This was a cross-sectional-analytical study. A total of 771 nurses working in Bushehr and Fars provinces were recruited to the study through multi stage sampling. Mental health status was evaluated using the GHQ-12 questionnaire. The employment type -contractual, apprenticeship, permanent, and fixed term- were used as items to measure job stability. Data were analysed using latent class regression .
Results: About 27.48% of nurses suffered from MPDs. There was no significant relationship between the types of employment with MPD . There was a significant relationship between MPD with gender (P=0.049). Females were 20% more likely to have MPD .
Conclusion: Prevalence of MPD among nurses was in the moderate level. High prevalence of MPD among female nurses shows necessity of providing appropriate strategies to control MPDs such as anxiety and stress among nurses .
Zahra Madadkhani, Mansoureh Nikoogoftar,
Volume 20, Issue 4 (2-2015)
Abstract
Background & Aim: Critical thinking is a necessary and important component of nursing profession. Since nurses are not limited to work under predetermined roles and need to meet various needs of patients, they should have critical thinking skills. This study aimed to determine the role of emotional intelligence and its components in critical thinking disposition .
Methods & Materials: In this cross-sectional study, 118 female nurses working in educational hospitals of Qazvin were selected using quota sampling method. They completed the Trait Metal Mood Scale (TMMS) and the California Critical Thinking Disposition Inventory (CCTDI). Data were analyzed using descriptive statistics (frequency, mean, standards deviation and Pearson correlation coefficient) and inferential statistics (Multiple Regression) in the SPSS-16 .
Results: The results showed that there was a significant positive correlation between the total score of emotional intelligence with the total score of disposition toward critical thinking (r=0.385). There were also positive relationships between the total score of disposition toward critical thinking with the two subscales of emotional clarity (r=0.459) and emotional healing (r=0.220). There was no statistically significant relationship between the subscale of attention to emotion and total critical thinking score (r=0.117). The subscale of emotional clarity significantly predicted 21% of changes in critical thinking .
Conclusion: Nurses who were more aware of their emotions and emotional transparency had higher critical thinking tendency. Empowering critical thinking can directly affect patients’ conditions. Given the major role of emotional intelligence in critical thinking, teaching nurses such skills could result in better performance and improving the quality of nursing care.
Sedigheh Khanjari, Razieh Talebi, Seyedeh Fatemeh Haghdoost Oskouie,
Volume 21, Issue 1 (6-2015)
Abstract
Background & Aim: The &beta-Thalassemia major is a chronic disease that needs a regular blood transfusion. The blood transfusion is a complex process with high probability of human errors during the process which results in serious adverse events in patients. Nurses should deliver care based on the best available evidence or best practice. The aim of this study was to develop an evidence-based clinical guideline of blood transfusion in children with thalassemia .
Methods & Materials: This study was conducted during 16 months from 2013 to 2014 based on three-step process of guideline adaptation including set up, adaptation and finalization. During these steps, topic and aims of the study were clearly identified. Then health questions were designed based on the PIPOH method. After conducting systematic searches, quality of the retrieved clinical guidelines was evaluated using the Appraisal of Guidelines for Research and Evaluation (AGREE) instrument and a committee consisting of experts and policy-makers in nursing field. After external review, expert panel meetings and consensus between members, the final version of the guideline was developed .
Results: The criteria of clinical practice regarding stages of blood transfusion were determined based on the evidence, cultural and health conditions and were presented in twelve sections.
Conclusion: This clinical practice guideline developed based on evidence can guide blood transfusion process in clinical practice.
Shahzad Pashaeypoor, Reza Negarandeh, Nasrin Borumandnia,
Volume 21, Issue 4 (3-2016)
Abstract
Background & Aim: Evidence-based practice (EBP) education is essential in nursing education. Therefore, identifying factors influencing nurses' adoption of EBP is very important to perform optimum quality nursing interventions. The aim of present study was to determine the factors affecting the adoption of EBP based on Rogers' diffusion of innovations models in nurses.
Methods & Materials: This was a descriptive–analytical study. The research subjects were 130 nurses who worked in the hospitals affiliated to Tehran University of Medical Sciences in 2014. The research instruments were four questionnaires including demographic data; knowledge, attitude and the adoption of EBP; individual innovation and perceived attributes of EBP. Data were analyzed by descriptive and inferential statistics (Pearson correlation coefficient and path analysis) on SPSS v.19 and EQS.
Results: The study findings showed that age and the working experiences of nurses had significant inverse relationships with knowledge of EBP (r=-0.809, r=-0.805). There was a direct relationship between individual innovation and knowledge (r=0.776). In addition, knowledge not only had a significant direct relationship with the adoption of EBP but also had the greatest impact on the adoption of EBP compared to other variables of model (r=0.937). Perceived attributes of EBP had significant direct relationships with attitude and the adoption of EBP (r=0.898, r=0.888 respectively). Attitude toward EBP also had a direct and significant relationship with the adoption of EBP (r=0.869). The results of the path analysis indicated the model variables to have an optimal fit (P<0.001).
Conclusion: The results of this study identify the factors affecting the adoption of EBP. Determining these factors can be an effective step to more adopt it in clinical environments.
Zahra Saifollahi, Fariba Bolourchifard, Fariba Borhani, Mahnaz Ilkhani, Sara Jumbarsang,
Volume 22, Issue 1 (5-2016)
Abstract
Background & Aim: Pressure ulcers are a common complication in patients hospitalized in intensive care units. This complication continues to be a major problem in all health care systems and reflects the quality of nursing care in hospitals. The aim of this study was to evaluate the correlation between nurses’ knowledge and quality of nursing care for prevention of pressure ulcers in intensive care units.
Methods & Materials: This was a descriptive correlational study on a purposive sample of 92 nurses employed in intensive care units of four hospitals affiliated to Shahid Beheshti University of Medical Sciences in 2014. Data were collected through a questionnaire containing demographic and occupational information, the Pieper’s nursing knowledge questionnaire, and a checklist to assess the quality of nursing care for prevention of pressure ulcers. Descriptive and inferential statistics (independent t-test and Pearson’s correlation) were used to analyze data on SPSS software v. 21. The level of significance was considered at P≤0.05.
Results: The study results showed that the average score of nurses’ knowledge of pressure ulcers prevention was a total of 75.7±6.9. The quality of nursing care in more than half of cases (54.3%) was relatively favorable. There was no significant correlation between nurses’ knowledge and the quality of nursing care for pressure ulcers (P=0.86, r=0.01).
Conclusion: In addition to inadequate knowledge of pressure ulcers prevention, the nurses did not fully implement what they knew in clinical practices. Therefore, a more accurate evaluation is recommended in this regard.
Tahere Bonyad Karizme, Tayebe Rahimi Pordanjani, Ali Mohamadzadeh Ebrahimi,
Volume 22, Issue 3 (10-2016)
Abstract
Background & Aim: Job satisfaction is of the most fundamental components of mental health in every profession and one of the most important factors in career success. Therefore, identifying factors affecting job satisfaction is necessary. One of these factors is employee empowerment. This study aimed to determine the relationship between structural and psychological empowerment and job satisfaction among nurses.
Methods & Materials: In this cross-sectional correlational study, the study population was all nurses working in public hospitals in Mashhad (N=4300) in 2015. The samples consisted of 340 nurses, were selected by multistage cluster sampling method. Participants were assessed by the Conditions of Work Effectiveness Questionnaire-II (CWEQ-II), Psychological Empowerment Questionnaire and Job Description Index (JDI). In order to analyze the data, Pearson’s correlation coefficient and regression analysis were used through SPSS software v.19, and for validation stage, the confirmatory factor analysis were applied using AMOS software v.21.
Results: Results showed that there is a significant multiple correlation between structural empowerment, psychological empowerment and job satisfaction (P<0.001, R2=0.286). Of the eight variables entered into the regression analysis using stepwise technique, three variables including meaningfulness (β=0.30, P<0.001), impact (β=0.25, P<0.001) and access to support (β=0.13, P<0.001) altogether predict 28.6% of the variance in job satisfaction.
Conclusion: The results show the importance of psychological empowerment, the sense of meaningfulness, impact, and access to support as strong predictors of job satisfaction. So, providing the conditions needed for the empowerment of nurses is recommended to increase their job satisfaction and subsequently their efficiency and life satisfaction.
Mohammad Reza Zeid Abadi, Zahra Ghazanfari, Om Salimeh Roudi Rasht Abadi,
Volume 23, Issue 1 (4-2017)
Abstract
Background & Aim: Patients’ assessment is fundamental to nursing practice and the more precise assessment nurses can perform, the better outcomes patients can achieve. Better practice requires suitable knowledge, skills and attitude regarding the importance of physical assessment. This study aimed to determine correlation between knowledge-skill and the importance of physical assessment in nurses employed in hospitals.
Methods & Materials: In this descriptive correlational study, 300 nurses employed in the medical, surgical, ICU and CCU wards of hospitals affiliated to Kerman University of medical sciences, were chosen conveniently in 2016. The data collecting instrument included demographic data, knowledge-skill and the importance of physical assessment items. Data were analyzed by the SPSS software version 19 using correlation coefficient test, linear regression and ANOVA.
Results: The mean score of knowledge-skill was 3.14(±0.74) and the median (mode) score of importance was 4(0.52). There was a significant and positive correlation between knowledge-skill and the importance of physical assessment. The nurses had higher knowledge-skill scores for those skills that they had considered more important. The most effective variable on the correlation between knowledge-skill and importance was education.
Conclusion: Nurses’ self-assessment of their skills in performing physical assessment was at a low level but they considered all skills important. Effective educational programs can fulfill the nurses’ needs for physical assessment skills.
Sedigeh Salimi, Vahid Pakpour, Hossein Feizollahzadeh, Azad Rahmani,
Volume 23, Issue 3 (10-2017)
Abstract
Background & Aim: Exposure to high stress in the work environment among the intensive care unit nurses results in leaving the profession and their unwillingness to continue their activities. This is one of the major challenges in the nursing profession and has a great effect on the effectiveness of health systems. Despite the importance of resilience, there is few studies on the intensive care unit nurses’ resilience. The aim of this study was to determine resilience and its association with the intensive care unit nurses’ intention to leave their profession.
Methods & Materials: This is a cross-sectional, descriptive analytical study on 400 nurses working in the intensive care units of teaching hospitals affiliated to Tabriz University of Medical Sciences in 2016. Data were collected through a modified form of Anticipated Turnover Scale designed by liou and a summarized form of Connor-Davidson’s resilience scale". Descriptive and inferential statistics (Mann-Whitney, and Kruskal-Wallis) were used for data analysis through SPSS version 13.
Results: The mean rank for intention to leave and resilience was 2.83 (IQR: 0.67) and 25.50 (IQR: 8) respectively. Also, there was a negative, significant correlation between resilience and intention to leave (P<0.001, R=-0.173).
Conclusion: Considering the rate of intention to leave the profession, more attention is needed to the factors affecting the intention to leave. In addition, due to the significant relationship between resilience and intention to leave, incorporating resilience-promoting strategies into nursing curriculum is recommended.
Elham Amiri, Hossein Ebrahimi, Maryam Vahidi, Mohamad Asghari Jafarabadi, Hossein Namdar Areshtanab,
Volume 23, Issue 4 (1-2018)
Abstract
Background & Aim: Moral sensitivity has various dimensions including personal sentiments, scientific competency, and reasoning and decision making capabilities. To achieve this, some personal traits and educational preparedness are needed. The aim of this study was to determine nurses’ moral sensitivity and its relationship with demographic and professional characteristics in hospitals affiliated to Tabriz University of Medical Sciences.
Methods & Materials: This descriptive, correlational study was conducted on 198 nurses working in the medical wards of hospitals affiliated to Tabriz University of Medical Sciences in 2016. Census sampling method was implemented. Data were collected through a demographic and professional characteristics form and the Moral Sensitivity Questionnaire (MSQ). The data were analyzed by the SPSS software version 13 using descriptive statistics, T test, Pearson correlation coefficient and ANOVA.
Results: The mean score for nurses’ moral sensitivity was 4.84±0.48 (out of 7). The highest scores were related to the domains of “Interpersonal orientation” and “following the rules”. The lowest scores were related to the domains of “experiencing moral conflict” and “modifying autonomy”. There was a significant and inverse correlation between age and “modifying autonomy” (P=0.008, r=-0.193) and also between age and “following the rules” (P=0.034, r=-0.156). Moreover, there was a significant and inverse correlation between work experience and “following the rules” (P=0.009, r=-0.187).
Conclusion: Given that the nurses gained a low score in the domain of “modifying autonomy”, it is suggested that client centered care and patient’s autonomy be emphasized in developing nursing curriculum and in service training programs.
Sara-Sadat Hoseini-Esfidarjani, Reza Negarandeh, Leila Janani, Esmaeil Mohammadnejad, Elham Ghasemi,
Volume 23, Issue 4 (1-2018)
Abstract
Background & Aim: Nurses play an important role in the health system and their turnover disrupts its performance. The aim of this study was to investigate intention to turnover and its relationship with healthy work environment among nursing staff.
Methods & Materials: This cross-sectional study was conducted on 295 nursing staff from Imam Khomeini hospital complex in Tehran in 2016. Nurses were selected by the stratified random sampling with a proportional allocation, and completed a demographic data form, the Healthy Work Environment questionnaire and the Anticipated Turnover Scale (ATS). Data were analyzed by descriptive statistics, independent t-test, one-way ANOVA, Pearson/Spearman correlation coefficient and multiple linear regression tests using the SPSS software version 20.
Results: The mean score for the intention to turnover was 36.21 (SD=4.38) ranged from 12 to 60. “Authentic leadership” and “skilled communication” domains obtained the highest (9.60±3) and lowest (8.97±2.74) scores respectively. There was poor correlation between the meaningful recognition domain and the anticipated turnover score (r=-0.135, P=0.024). In addition, the anticipated turnover score was significantly higher in male nurses than in female nurses (P=0.023).
Conclusion: Although there was no relationship between anticipated turnover and healthy work environment in this study, considering the importance of nurses’ recruitment and retention, there is a need to investigate the reasons for turnover, including characteristics of work environment, and take necessary measures.
Azar Aran, Farokh Abazari, Jamileh Farokhzadian, Mansooreh Azizzadeh Forouzi,
Volume 24, Issue 1 (5-2018)
Abstract
Background & Aim: Family-centered care is a concept for describing the approach to caring for children and their families in health services and its main element is the involvement of parents in child care. This study aimed to compare the perception of family-centered care from the perspectives of nursing staff and mothers of hospitalized children in children’s wards.
Methods & Materials: This study was a cross-sectional study conducted on 82 mothers of hospitalized children and 60 nurses working in children’s wards of Afzalipour hospital in Kerman in 2017. In this study, a questionnaire on the family-centered care perception from the perspectives of nurses and mothers was used for data collection. Data were analyzed through SPSS software version 20 using t test, analysis of variance and Pearson correlation coefficient.
Results: Average scores for the perception of family-centered care from the perspective of nurses (3.17±0.79) and of the mothers (2.47±0.85) had significant differences between the two groups (P<0.001). In two groups, the highest average was related to the area of cooperation and the lowest average was related to the support area.
Conclusion: Findings showed nurses’ and mothers’ perceptions of family-centered care were positive but nurses have significantly more positive perception than mothers. This can be promising and nursing staff are required to be diligent about mothers’ participation in care so that the child receives better care.
Seyedeh Roya Mousavi, Kourosh Amini, Farhad Ramezanibadr, Mahin Roohani,
Volume 24, Issue 3 (11-2018)
Abstract
Background & Aim: A desirable level of happiness among nurses is related to the quality of nursing care services. This study aimed to evaluate the level of happiness among nurses and its’ relation to some demographic factors in Zanjan province- 2017.
Methods & Materials: In this cross sectional study, 371 nurses employed in the hospitals affiliated to Zanjan University of medical sciences were participated. The Oxford happiness inventory was used to collect data. The data were analyzed using descriptive statistics and Chi-square test through the SPSS software version 16. A P<0.05 was considered statistically significant.
Results: The mean and standard deviation of age of samples were 32.2±7.08. Most nurses were female (86.79%) and married (68.46%). Most nurses had a bachelor’s degree (94.88%) and the rest of them had a master’s degree. The mean score of happiness in nurses was 43.1±13.3 (the range 0-87). Concerning the demographic and occupational variables, a statistically significant relationship was found between job satisfaction and happiness level (P=0.049).
Conclusion: According to the findings of the study, the level of happiness in the nurses was at an acceptable level. Considering the relationship between happiness and job satisfaction, and given the importance of job satisfaction in the motivation and retention of nurses in the profession, it is necessary to pay attention to this matter.
Shahnaz Tabiei, Seyyed Ali Moezi, Gholamreza Sharifzadeh, Bahare Zarei, Fatemeh Kobra Shafiei,
Volume 26, Issue 3 (9-2020)
Abstract
Background & Aim: Cardiovascular diseases, especially coronary artery disease, are one of the most common causes of death worldwide. Recently, coronary intervention through the skin has been used for treatment, which has significantly reduced mortality rates. Nursing care behavior is of special importance in reducing the complications of angioplasty. The purpose of this study was to determine the effect of primary nursing care on the patients’ perception of nursing care behavior after coronary angioplasty.
Methods & Materials: In this randomized controlled clinical trial, 60 patients admitted from February 2018 to April 2018, to the CCU of Razi hospital in Birjand were selected by the convenience sampling method and assigned into two groups of 30, using a simple random allocation method. For the patients in the control group, routine care was delivered case by case, and for the patients in the primary nursing care group, care was provided based on the nursing process.
At the time of discharge, the Caring Behaviors Inventory (CBI) was completed for the patients via interviews. Data were analyzed using the independent
t-test and the significance levels of 0.05.
Results: The results showed that the mean scores of perception of care behavior and dimensions "respect" and "assurance of humanistic presence" in the intervention group were significantly higher than those of in the control group (
P<0.05). However, no significant differences were observed between the two groups in the dimensions "positive attitude and relationship", "knowledge and professional skill" and "attention to other experiences" (
P>0.05).
Conclusion: Provision of primary nursing care leads to improving the patient’s perception of nursing care behavior, increasing sense of respect, and assurance of humanistic presence of the nurse. Therefore, it is recommended to use this caring method in the cardiac intensive care unit.
Ima Darbandi, Shahla Mohamadzadeh Zarankesh, Mohammadreza Kordbagheri, Mitra Zolfaghari,
Volume 27, Issue 1 (4-2021)
Abstract
Background & Aim: Considering the importance of communication skills in nursing, we aimed to study the impact of online support and e-content on communication skills of nurses with patients.
Methods & Materials: In this quasi-experimental study with pre- and post-design, 100 nurses employed in the orthopedic wards of Chamran hospital affiliated to Shiraz University of Medical Sciences in 2018 were selected randomly and assigned into two groups of 50. Both groups received the electronic content of communication skills. In the intervention group, in addition to receiving educational content, online support was provided through social media for four weeks with the presence of a psychologist, so that by asking real questions and problems or simulated scenarios, appropriate behavior in that situation was discussed. Before and eight weeks after the intervention, communication skills in the both groups were assessed by the Burton Jay's Communication Skills questionnaire, and data was compared using independent t-test and analysis of covariance.
Results: The results showed that there was no significant difference between the two groups in the communication skills score before the intervention, but eight weeks after receiving the e-content, the participants' scores increased in the both groups. This increase was greater in the online support group (P<0.001). In fact, online support caused a difference (0.637) in the communication skills score between the two groups.
Conclusion: The results of this study showed the provision of e-content along with online support has led to the improvement of communication skills. It is recommended that in addition to education through e-content, social media be used in the empowerment programs of the treatment team including communication skills improvement, due to their advantages such as ease of use, availability and relatively low cost.
Clinical trial registry: IRCT20090127001599N27
Sara Sharafieh, Shiva Khaleghparast, Fatemeh Ghani Dehkordi, Saeideh Mazloomzadeh,
Volume 27, Issue 3 (10-2021)
Abstract
Background & Aim: Clinical decision-making is an essential part of the nursing profession. The nursing profession is based on ethical principles. Due to their commitment to patients, morally courageous nurses ignore occupational risks threatening their own lives. The aim of this study was to investigate the relationship between moral courage of nurses and their participation in clinical decision-making.
Methods & Materials: This descriptive, cross-sectional study was conducted in 2019. The study population was nurses working in the CCU and ICU of Shahid Rajaie Cardiovascular Medical and Research Center. The sample size was 195 people. The data was collected using the Sekerka’s Moral Courage Scale, and the Participation in Decision Activities Questionnaire (PDAQ). Data was analyzed using descriptive statistics, independent t-test and Pearson correlation coefficient through the SPSS software version 19.
Results: The mean scores of moral courage and PDAQ in nurses were 90.38 ± 11.48 and 117.24±39.42, respectively. A positive correlation was found between moral courage and participation in clinical decision-makings (r=0.397, P<0.001).
Conclusion: The results showed that moral courage has pride of place in the nursing profession that can encourage nurses to actively participate in clinical decision making. Therefore, professional ethics courses are suggested to be organized to improve decision-making and clinical ethical performance of nursing students and nurses.
Mostafa Roshanzadeh, Atefeh Begie, Ali Tajabadi, Samaneh Dehghan Abnavi, Somayeh Mohammadi,
Volume 27, Issue 3 (10-2021)
Abstract
Background & Aim: Nurses' organizational loyalty to health systems plays an important role in expanding organizational performance. Investigating the role of factors such as citizenship behaviors and adaptive performance can be helpful in this regard. The aim of the present study was to investigate the relationship between citizenship behavior and adaptive performance with organizational loyalty in nurses.
Methods & Materials: This descriptive, cross-sectional study was conducted in 2019 on 200 nurses working in Valiasr hospital affiliated to Shahrekord University of Medical Sciences in Borujen, and were selected by the random sampling method. A demographic information form, the Lee & Allen’s citizenship behavior questionnaire, the Charbonnier-Voirin and Roussel’s adaptive performance scale, and the Kumar and Shekhar’s organizational loyalty questionnaire were used to collect the data. The data was analyzed by descriptive and inferential statistical tests using the SPSS software version 16.
Results: The Pearson's correlation coefficient indicated a significant positive correlation between citizenship behavior and adaptive performance with organizational loyalty (P<0.05). Regression tests showed that citizenship behavior (ADJ.R2=0.199) and adaptive performance (ADJ.R2=0.131) significantly predicted organizational loyalty. All dimensions of citizenship behavior and some dimensions of adaptive performance such as creativity, learning efforts and job stress management can predict organizational loyalty in nurses. The average scores for citizenship behavior (66.85±18.26), adaptive performance (68.76±16.98) and organizational loyalty (120.67±24.09) were reported to be moderate.
Conclusion: Managers and planners should pay attention to factors such as creativity, stress management, and continuing education along with improving healthy working relationships and nurses’ participation, which can play an important role in expanding organizational loyalty through the development of citizenship behavior and adaptive performance.
Nahid Dehghan Nayeri, Maryam Kesheh Farahani, Fatemeh Hajibabaee, Mahmood Sheikh Fathollahi, Mojtaba Senmar,
Volume 27, Issue 3 (10-2021)
Abstract
Background & Aim: Patient safety in general and medication errors in particular are the important indicators of hospital care quality. Risk management is an important and fundamental approach to preventing events caused by medication errors. The aim of this study was to determine the effect of risk management program on the rate of medication errors among intensive care unit nurses.
Methods & Materials: The present study was a non-randomized pre-test, post-test study with a control group, conducted in 2020 in two hospitals in Tehran. The hospitals were randomly assigned to either an experimental group or a control group. According to the inclusion and exclusion criteria, 150 nurses (75 nurses in each group) were selected by the convenience sampling method. For the experimental group, a risk management program was implemented. Data collection tools included the nurses’ demographic questionnaire, the 14-item Wakefield medication error self-reporting questionnaire, and the nurses’ medication quality checklist. Data was collected before and after the intervention and analyzed by the SPSS software version 16 using descriptive and inferential statistics.
Results: The results of independent t-test showed no statistically significant difference between two groups in demographic information and the rate of medication errors before the study (P>0.05). After the intervention, difference in the rate of medication errors was statistically significant between the two groups (P<0.005), indicating a decrease in medication errors in the nurses of the experimental group compared to the control group. The results also showed that the rate of medication error observed in nurses was significantly higher than the error reported by them (P<0.001).
Conclusion: The results showed that the implementation of risk management program was effective in reducing nurses’ medication errors. Implementing a risk management program is recommended to nurses as a way to promote safe medication and achieve safe and desirable nursing care.
Mina Hashemiparast, Ebrahim Aliafsari Mamaghani, Farzaneh Soleimani,
Volume 28, Issue 2 (6-2022)
Abstract
Background & Aim: The Covid‐19 pandemic has posed numerous ethical challenges to nurses and has exacerbated moral distress in clinical settings. Hence, due to the important role of nurses in pandemics, this study was conducted to investigate the severity and frequency of moral distress among nurses working in clinical settings at Maragheh teaching hospitals during the outbreak of COVID-19.
Methods & Materials: This was a cross-sectional study conducted on 174 nurses working in surgical-medical, intensive care, pediatric and emergency wards of Maragheh hospitals in 2020-2021. Data were collected using a demographic form and the Corley’s Moral Distress Scale.
Results: The median (Interquartile Range (IQR) = Q3 − Q1) of the severity and frequency of moral distress experienced were 54 (44-59) and 52 (43-58), respectively. The median of moral distress experienced in the intensive care and emergency wards were 56 (51-59) and 46 (43-51), which was more severe than that of in other wards. The median of frequency and severity of moral distress in men were 48 (41-59) and in women 50 (43-59), respectively, which was significantly higher than that of in women (P<0.001). The severity and frequency of moral distress had a statistically significant relationship with age, and work experience (P>0.05) so that with increasing age and work experience, the severity and frequency of moral distress decreased.
Conclusion: Given the high frequency of moral distress among nurses during the COVID-19 pandemic in specific clinical settings, the use of management strategies in order to improve working conditions and create a positive setting can be helpful. It seems that holding courses on coping with moral distress in nurses in the context of the COVID-19 pandemic is an appropriate practical solution.
Shokoh Varaei, Fatemeh Tolouei, Leila Nezamabadi Farahani, Parvin Mahmoodi,
Volume 30, Issue 2 (6-2024)
Abstract
Background & Aim: In the health care system, manpower recognized as a key factor for development, has an important role in community health. Ensuring the quality of service delivery necessitates the maintenance and enhancement of job satisfaction among service providers. One influential aspect of job satisfaction is the individual’s happiness. This study aimed to determine the correlation between job satisfaction and happiness among nurses working in hospitals affiliated to Tehran University of Medical Sciences.
Methods & Materials: This descriptive-correlational study was conducted with a sample of 362 nurses from hospitals affiliated to Tehran University of Medical Sciences. Sampling was performed using a quota sampling method. The data collection tools included a socio-demographic characteristics questionnaire, a Job Satisfaction Questionnaire, and a Happiness Questionnaire. Data were analyzed using Kendall Tau-b correlation and Pearson correlation, with SPSS software version 26.
Results: The mean score for nurses' job satisfaction was 217.40, while the mean score for happiness was 69.27, with both scores indicating an average level. The results of the study revealed a significant positive relationship between job satisfaction and happiness (r=0.614, P<0.05), indicating that happier nurses tend to have higher job satisfaction, whereas lower job satisfaction is associated with decreased happiness.
Conclusion: Nurses’ job satisfaction and happiness are not at optimal levels. However, a positive correlation between the two has been identified. Therefore, healthcare system administrators and officials should focus on creating essential infrastructure and planning initiatives to enhance nurses’ job satisfaction, ultimately fostering greater happiness among nursing staff.
