Showing 575 results for Type of Study: Research
Halimeh Zarei, Parviz Azodi, Marzieh Mahmoudi, Zahra Sedighi, Faezeh Jahanpour,
Volume 13, Issue 0 (3-2020)
Abstract
Communication skills are recognized as an essential part of nursing services and as they are faced with an extended range of referees, they have to communicate with them in a specific way. This study was performed to determine the communication skills of nursing staff of pediatric wards with their colleagues. This descriptive-analytic study as cross-sectional was performed on 110 nursing staff of pediatric wards from Persian Gulf’s hospital during 2019, in Bushehr, Iran, by using census sampling method. Data collection tool was a communication skills’ questionnaire including demographic part and items for self assessing communication skills of nurses with their colleagues. The validity and reliability of the questionnaire were confirmed in previous studies. Data were analyzed by SPSS software using independent t-test, Pearson correlation and one-way ANOVA at the significant level of 0.05. The mean score of professional communication was 54.33 ± 7.26 which was relatively significant. Scores of professional communication were not statistically associated with age, work experience, educational degree, employment status, type of responsibility, interest to job and marital status. The results showed statistically significant relationship between the mean scores of professional relationship with workplace (p <0.013) and shift work (p <0.020). The highest professional communication score was 58.83 in the nursing office and the lowest score was 50.21 in the pediatric emergency department. The Pearson correlation between age and work experience was positive with the mean score of professional communication, and the highest score of professional communication was related to staff working in shift work. According to the findings of the present study, the status of professional communication among nursing staff of pediatric wards was relatively desirable and therefore, based on the results, it is suggested that nursing authorities and planners plan and endeavor to enhance nurses' professional communication.
Marjan Ghandi, Reza Dehnavieh, Reza Goudarzi, Mostafa Almasi Doughaee , Malahat Akbarfahimi,
Volume 13, Issue 0 (3-2020)
Abstract
Dementia is a major health problem due to the high costs of treatment, high prevalence in the elderly, severe consequences, and the imposition of physical and psychological stresses on families of the patients. Occupational therapy is one of the most important approaches among many technologies employed for helping the patient and reducing the burden of healthcare for patients. This applied study aimed to investigate the ethical and legal aspects of occupational therapy technology in the elderly with dementia using qualitative methods. The study population consisted of 12 specialists and practitioners in the field of dementia and elderly services in the country. Data collection was carried out by interviewing the expert subjects. The results of this study showed that beneficence/non- maleficence, autonomy/informed consent, maintaining dignity/respect for persons, concern for equality and justice in accessing services, legal support for technology use, need for the principle of discretion, and patient confidentiality, and proper technology utilization are seven major ethical and legal challenges in occupational therapy technology in the country. According to the results, lack of insurance coverage for occupational therapy technology and the lack of access to this service for the elderly are major barriers to its application and the Ministry of Health must provide the initiatives for its implementation across the country and place it in the elderly service package.
Hamid Khajevandi, Abbas Ebadi, Akbar Aghaiani Chavoshi, Morteza Khaghanizade,
Volume 13, Issue 0 (3-2020)
Abstract
Moral courage is the ability to overcome fear and performing the right action based on moral beliefs despite the potential danger. Nurses, as moral agents, need moral courage to properly manage moral problems and make a professional commitment to patients. Therefore, the above study was conducted to investigate the moral courage of nurses and related factors. In this descriptive cross-sectional study conducted in 2019, the research population was all nurses working in Baqiyatallah Hospital. After explaining the objectives of the study and obtaining the consent of the research, 220 nurses were selected as available samples. The data collection tool was Sadooghiasl questionnaire. After completing the questionnaire, they completed 187 sample questionnaires. SPSS software was used to analyze the data. The results of the study showed that the mean score of nurses' moral courage was 413.37 with a standard deviation of 46.70. Thirty percent had moderate moral courage and 69.5% had high moral courage. The results of the independent T-test and ANOVA showed that there is a statistically significant relationship between the variable employment status and the moral courage of nurses. Considering the results of this study and the many ethical challenges that exist in the nursing profession, the issue of moral courage and related factors and providing solutions to improve it, should be at the forefront of the health organization and nursing managers.
Abbas Panahi, Mahshid Ghanbari,
Volume 13, Issue 0 (3-2020)
Abstract
European tourists in their reports from Guilan in the Qajar era, also have addressed the issue of health and deadly diseases affecting lives of people, such as rice fever, malaria, cholera, and plague in addition to pointing out the numerous social tragedies. From these tourists’s point of view, the weather conditions, geographical location, livelihood and some living and social habits and behaviors of the people of this land were directly related to the prevalence and spread of these diseases. The epidemic of malaria, cholera, and plague has had a profound effect on the spread of poverty, public discontent, and demographic composition in the Qajar era. The authors seek to answer these questions; from the point of view of tourists and foreign visitors, what factors have caused the spread of epidemics in Guilan during the Qajar era? and what have been the consequences of the pervasive diseases on the human and economic situation of Guilan? The research findings show that the climate of Guilan, abundance of rivers, swamps, food culture, and some other natural factors caused some infectious diseases such as malaria and paddy fields in this province to be much higher than other parts of Iran. In addition to malaria, some epidemic diseases such as cholera and plague have played an important role in the economy and population of Guilan. According to the limited and scattered reports of tourists, in addition to the geographical factor in the spread of these diseases, people's lifestyles and the government's lack of attention to public health and welfare played an important role in the prevalence and spread of these diseases. Economic and social bankruptcy and the government's inability to support the people in Guilan's social movements, such as constitutionalism and the forest have made their mark. The research method in the present study is performed using historical method and descriptive-analytical studies.
Atefah Roomi, Farkhondeh Jamshidi, Amin Moradi,
Volume 13, Issue 0 (3-2020)
Abstract
Professional ethics is one of the most important topics in medicine that educators or professors play an important role in teaching and measuring it. The present study was designed and conducted to evaluate the observance of professional ethics among surgical assistants of educational hospitals of Ahvaz Jundishapur University of Medical Sciences in 2019 by self-assessment method. This study was a cross-sectional study. Each of the assistants completed a standard questionnaire that included the variables required for the study. The sample was selected according to population of surgical assistants in the general and orthopedic departments, who entered the study using census sampling method and were equal to 47 people. Of 47 participants, 29 were assistant general surgeons and 18 were orthopedic surgeons. Observance of professional ethics was acceptable. There was a significant relationship between knowledge and communication skills and assistants in both general and orthopedic departments (P <0.05). There was a significant relationship between professional ethics and assistants in both general and orthopedic departments (P<0.05). Respect for others with a mean of 1.66±6.0, had the highest mean rate. Also, interpersonal and social skills with an average of 2.17±4.48, had the lowest mean. Considering that inclusion of professional ethics in laws and regulations is one of the important and vital factors in growth and development of ethics, institutionalization of professional ethics in strategic plan should be considered by policy makers and structure, training and evaluation of professional ethics be reviewed.
Mehri Doosti Irani, Batool Alidoost, Leila Rafiee Vardanjani, Zahra Tayebi, Kobra Noorian,
Volume 13, Issue 0 (3-2020)
Abstract
Hospitalization in Intensive Care Units (ICUs) is a very stressful experience for the patient and family and their separation has not been confirmed in any of the studies. At present, ICU visiting is limited that makes several challenges. Therefore, this descriptive-exploratory study, aimed to explore strategies for overcoming the challenges of visiting This was a descriptive-exploratory qualitative study conducted through in-depth semi-structured interviews with 35 participants in educational hospitals of Shahrekord University of Medical Sciences including 6 patients, 9 patients' family members or friends, and 20 nurses during 2018. Interviews were continued until data saturation and then data analysis was performed using inductive thematic analysis approach. Participants stated two main themes for stepping out of visiting-related Challenges. (1) "Reducing the Need to Meet" through "Education about visiting rules", "Improving the Environment" and "Family Interaction" and (2) "Modified Meetings" through "Upgrading the Meeting Behind the windows", "using permanent monitor" and "flexible meeting". The ICU visits in Shahrekord hospitals, are limited like in other parts of the country. However, it is hoped that implementation of the extracted strategies in ICUs will solve many of visiting-related issues and eliminate the conflicting experience of patients, peers, and staff.
Fatemeh Kokabisaghi,
Volume 13, Issue 0 (3-2020)
Abstract
All children have a right to benefit from health facilities, goods and services and be protected from physical or mental violence, injury or abuse, and neglect or maltreatment. Some groups of children need special support to enjoy their rights. The aim of this paper is to review Iran’s laws and policies on the protection of children’s right to health. The method of this descriptive and analytical study was content analysis of international and national law and reports related to children’s right to health and the current situation of Iranian children. The data was collected from academic literature and official webpages of United Nations and Iranian government’s organizations. Realizing citizens’ right to health and protection, Iran’s laws respect the right of vulnerable groups of children to special support. Moreover, to protect Iranian children from health risks and maltreatment, there are several deterrent laws. Iranian laws on children often are consistent with international human rights laws. However, not all of them are adequately and completely implemented. To promote the health of children, weaknesses in the implementation of laws should be identified and removed.
Maryam Darabi, Mohammad Rahim Rabbanizadeh,
Volume 13, Issue 0 (3-2020)
Abstract
The physicians of the Bukhtishu dynasty first entered the Abbasi court with the aim of practicing medicine; but soon after, thanks to their medical knowledge and skills, they gained a lot of power and wealth and became involved in power relations at court. Although they were able to gain a high position in the Abbasid court; but their position was constantly unstable, and sometimes they were at the peak of power and sometimes at the bottom of humiliation. Therefore, the present study, with a historical method and a descriptive-analytical approach, seeks to answer the question: what factors have been effective on the relationship between the physicians of the Bukhtishu dynasty and the Abbasid Caliphate? The claim of the research is that the need of the caliphs for treatment provided the background for the entry of the doctors of Bukhtishu dynasty to the caliphate system and strengthened their presence in the court. Factors such as the success of these physicians in medicine, the power of the caliphs in supporting them; other threats from courtiers also fluctuated the status of these physicians. The findings of the study indicate that physicians with the benefit of medical knowledge had such an effect on the caliphs that they were considered as one of the main actors in politics, so they play an important role in the removal and installation of caliphs, poisoning and killing of them. They could pave the way for their conditioned person to come to power by abandoning their treatment; they were also degraded, imprisoned, and sometimes exiled or even killed.
Mahmoud Motevassel Arani, Mojtaba Parsa, Seyed Hesamoldin Sayyedin , Nikzad Isazadeh, Abdolrahman Rostamian , Mohsen Parwiz, Hossein Dargahi,
Volume 13, Issue 0 (3-2020)
Abstract
Organizational culture is defined as prominent values and a set of key characteristics govern the organization. Paying attention to the importance of organizational culture increases staff’s productivity and job satisfaction. Therefore, the aim of this study was identification, counting and classification of organizational culture components based on Islamic-Iranian values by synthesizing approach and looking at health care organizations. First, 892 indicators were identified and counted by application of Pearson and English databases and using organizational culture, Islamic – Iranian culture, indicators, component, and health care organizations as key words, consideration of inclusion and exclusion criteria, field literature review, data entry into Excel software. Then using Delphi method and opinions of seven cultural elites in Tehran University of Medical Sciences, and after performing 11 stages, repetitive indicators in terms of meanings, concepts, and examples were merged and grouped into 39 components. Moreover, the extracted components were divided into three levels of organizational culture and the application of the components of each level in organizations were presented. Therefore, it is recommended the final components and application of each of them be used as an organizational charter in Tehran University of Medical Sciences.
Abdoreza Javan Jafari, Alireza Moshirahmadi, Aria Hejazi, Hesam Ghapanchi,
Volume 13, Issue 0 (3-2020)
Abstract
Efforts of the medical staff are to provide efficient, desirable, and high quality services to patients. However, medical treatments are not immune to error and mistake. So, occurrence of injury following medical managements is inevitable, an issue that could lead to a lawsuit against the medical staff. In such cases, resorting to experts’ opinion is necessary. Therefore, knowledge about effective indicators in sentencing can increase awareness of the treatment staff in addition to reduction of traumatic behaviors. Reflection on the medical forensic cases shows that the reasons of medic’s conviction can be divided in two categories including pre-treatment and post-treatment factors. Errors after entering the treatment process indicate post-treatment index. Breach at the end of treatment, not doing (lack of) treatment in the appropriate place, mismatch or mistake of used techniques, and fault or blunder are the most important issues related to this index. The present study intends to examine the effective criteria in sentencing medical staff in a descriptive-analytical manner based on expert opinions’ of medical malpractice cases.
Sasan Moogahi, Masoumeh Tajik, Maria Cheraghi, Farkhondeh Jamshidi,
Volume 13, Issue 0 (3-2020)
Abstract
Privacy is a basic principle of humanity and one of the most important fundamental rights of every human, that adherence to it is required particularly in health care organizations. The purpose of this study was to evaluate privacy level of elderly patients in educational and medical centers of Ahvaz Jundishapur University of Medical Sciences. This cross-sectional study was performed on 230 elderly patients hospitalized in internal and surgical wards of educational and medical centers of Ahvaz Jundishapur University of medical sciences. Data were collected by a researcher-made questionnaire. The questionnaire was prepared in two dimensions of psychological with 11 questions and physical with 18 questions. Validity of the questionnaire was evaluated by experts and professors. Results showed that 62.2% (143 people) of the patients were female and the rest were male. In terms of adherence to privacy, 47.13% of women and 51.75% of men evaluated it as high and 13.79% of women and 20.28% of men evaluated it as poor. The level of privacy in terms of gender of the patient, nurse, and the physician in charge were statistically different (P-value<0.05). However, there was no significant difference between adherence to privacy and age and occupation of patient before retirement, marital status of nurse, and physician in charge (P-value> 0.05). Training of nurses, physicians, personnel, and health care providers to enhance privacy of elderly patients and reinforce supervisory performance of managers and authorities is necessary.
Soleyman Heidari,
Volume 13, Issue 0 (3-2020)
Abstract
In the history of post-Islamic Iran, the Barmaki family is one of the most important families in preparing the background for the transfer of the scientific heritage of ancient times, including medical knowledge to the Islamic period. From the beginning of the Abbasid era, this family penetrated the structure of the political system and after gaining political-economic power and supporting translators and authors of medical works, provided the background for the transfer of a large part of the medical heritage of ancient times to the Islamic period. The main issue of the research is to examine the role of the Barmaki family in the transfer of medical heritage from the beginning of the rise of this family to the assassination of Jafar Barmaki. The research method is descriptive with analysis and library data collection and relies on first-hand sources. The findings indicate that the Barmaki family's interest in ancient medical heritage, the support of the Abbasid caliphs, and the material support of the caliphs and Brahmins for translators and authors of medical works played an important role in the transmission of ancient medical heritage to the Islamic period.
Omid Asemani, Zahra Javadi, Seddigheh Ebrahimi,
Volume 13, Issue 0 (3-2020)
Abstract
Regarding how to make decisions on the revelation of medical errors done by colleagues, investigation of physicians' points of view particularly those in educational settings could help the improvement of circumstances to which we encounter medical errors and thus respecting patient's rights. This cross-sectional descriptive study was conducted through a researcher-made questionnaire after performing face and content validaty and determination of internal and external reliability. The viewpoint of 40 attending physicians and 112 medical residents from different specialties about their inclination to disclose errors, the results of disclosure, the factors influencing on nondisclosure, and the factors decreasing medical errors were asked. Data were analyzed using SPSS v.21. Mean scores of 15.2±1.3 for attending and 12.56±2.05 for residents regarding the dimension of "inclination to disclose others' medical error"; and mean scores of 7.55±0.677 for attending and 9.09±2.01 for residents in terms of "inclination to NOT disclose" were differed significantly (p<0.001). Participants declared the head of medical department/ward as the best authority for managing and dealing with medical errors as the best approach for disclosure of the errors through attendance of the senior physician accompanied by the physician who has made the error. Urban general physicians, nurses, and first-year residents were reported with the most frequency of the errors. The data can be used for the promotion of the patient's rights and the perspective of the medical team when encountering errors done by a colleague, rightfully, and protectively. Building cultural, legal, and social contexts will be the mission of the educational-medical settings aimed at making possible a scientific and skillful error disclosure.
Samira Rezaei, Mehrnoosh Pazargadi, Mohammad Mehdi Salaree,
Volume 13, Issue 0 (3-2020)
Abstract
The health system needs nursing managers with moral reasoning ability to increase the quality of care in the system by adopting an effective leadership style. The aim of this study was to investigate the relationship between moral reasoning ability and leadership style of nursing managers of medical centers affiliated to Jiroft University of Medical Sciences. The present study was a descriptive- correlation cross-sectional study that was conducted in 2020. The population of study was all employed nursing managers, among whom 124 participants with a bachelor's degree in nursing and higher were included in the study by census sampling method. Data collection tools were demographic questionnaires, “Cherisham moral reasoning” and “Hershey and Blanchard leadership style”. Descriptive and inferential statistics and SPSS software version 19 were used to analyze the data. The results of the study showed that the mean score of moral reasoning of nursing managers is (48.10 ±7.04) which is higher than the mean score of the test. Also, the dominant leadership style of managers was selling leadership style 59.68%. The highest average of ethical reasoning of nursing managers was related to participating leadership style (48.44±7.35). There was no significant relationship between moral reasoning ability and leadership style of nursing managers (P >0.05). According to the results of the study, it is recommended to strengthen nursing managers 'efforts to strengthen transformational leadership styles in their managerial behaviors in order to improve leadership effectiveness and increase nurses' job satisfaction and observe ethical decision making.
Mohammad Kiasalar, Hamidreza Namazi,
Volume 13, Issue 0 (3-2020)
Abstract
The National Medical Ethics Film & Photo Festival was held in February 2020 and ended with the registration of 487 works which 80 films and 36 photographs of them were finally selected and peer reviewed. The present article focuses on the films of this festival and tries to explain the experience of attracting, selecting, and judging films through the design and holding a festival by using action research method. The article, also, tries to analyze the selected films (50 documentaries, 20 short films, and 10 unspecified films) from medical ethics point of view. In this way, the thematic adaptation of the selected films with 16 topics declared by the festival has been used. One of the obvious findings of this study is the difference between the views of filmmakers and experts on medical ethics. This difference becomes more significant when we see that the number of films related to the 16 topics declared by the experts is one less than the number of the films that the filmmakers made and submitted to the festival on the 7 topics neglected in the text of the call. It seems that the camera of filmmakers in the field of medical ethics mainly focuses on the commitment of professionals and the vulnerability of patients. On the other hand, considering the number and variety of films in the festival, another finding of this study can be considered as the possibility of using short and documentary films to teach some concepts of medical ethics to medical students.
Elizeh Najd-Hossein Danesh, Haeideh Saberi, Shadi Jazayeri,
Volume 13, Issue 0 (3-2020)
Abstract
Moral sensitivity is one of the important criteria in the principles of professional ethics and psychology is the theme of some of its dimensions, thus the aim of this study was to explain meaning of moral sensitivity by emphasizing on its psychological dimensions from the perspective of operating room treatment staff. In this quantitative research, a semi-structured and in-depth interview was conducted with a total of 11 operating room treatment staff. Content analysis was carried out by Strauss and Corbin method. Output of the recent study includes three themes of environmental variables, individual and interpersonal events and problems, and the reciprocal rights of the patient and medical staff. Dimensions of moral sensitivity included degree of respect for the client's independence, level of awareness about how to communicate with the patient, level of professional knowledge, experience of moral problems and conflicts, use of ethical concepts in moral decisions, and honesty and benevolence. Our observations revealed difference between views of the staff from various dimensions of "moral sensitivity" with what is actually mentioned in the texts. To the extent that many of the interviewees perceived moral sensitivity as something that offends them personally.
Sajjad Nemati, Dariush Rokh Afrooz, Nasrin Elahi, Mohammad Hossein Haghighizadeh,
Volume 13, Issue 0 (3-2020)
Abstract
Evaluating clinical performance of nursing students as a resource to determine educational needs and decision-making is essential to change the educational environment and improve the quality of education. The aim of this study was to evaluate the professional behavior of nursing students in the clinical environment with the Small Scale Professional Assessment Tool (P-MEX). This descriptive cross-sectional study was conducted with the participation of 86 nursing interns of Ahvaz University of Medical Sciences in 2019. Data collection tools were demographic information questionnaire and P-MEX Cruess evaluation form. The validity and reliability of this instrument was evaluated by observers and was determined with Cronbach's alpha coefficient of 76%. Data were analyzed using SPSS software version 20 and descriptive statistics, independent t-test, analysis of variance, and post hoc test. In professional skills, most participants in the first stage were 51.2% at the average and expected level and 48.8% above the expected level, and in the second stage, most were 84.9% at the average and expected level and 15.1% higher than they were as expected. In this study, based on the evaluation scores in two stages, although the average total clinical skills scores of most students were within the expected range of the 4-point Likert scale, the skill scores were lower in the special wards. Therefore, for the full development of professional skills, it is necessary to develop appropriate methods of planning and training in the field of professional behaviors.
Esmatsadat Hashemi, Maasoumeh Barkhordari-Sharifabad , Mohammad Mehdi Salaree,
Volume 13, Issue 0 (3-2020)
Abstract
Turnover and moral distress are considered as one of the challenges in health care systems. Nursing leaders are one of the factors influencing the thoughts and behaviors of nurses in organizational environments. The aim of this study was to determine the relationship between ethical leadership, moral distress and the turnover intention of nurses working in hospitals affiliated to Kerman University of Medical Sciences in 2019-2020. The research method was descriptive-correlation. A total of 130 participants were enrolled by stratified sampling method from 3 hospitals. Data were collected using demographic information questionnaires, Ethical Leadership in Nursing, moral distress, and turnover intention. Then data were analyzed using descriptive and inferential statistics by SPSS software version 16. The results showed that ethical leadership and all its components were at the desired level. Also, moral distress and intention to leave were moderate. There was a significant negative correlation between ethical leadership and all its dimensions with the turnover intention and moral distress. Also, there was a significant positive correlation between the variables of turnover intention and the moral distress. Therefore, considering the significant relationship between ethical leadership, moral distress, and the turnover, by adopting this type of leadership approach by nursing managers, moral distress and the turnover intention among nurses can be reduced.
Zahra Amiri, Tahereh Azimzadeh Tehrani, Yosef Motevali Haqiqi,
Volume 13, Issue 0 (3-2020)
Abstract
Plague is a bacterial infection that is transmitted to other animals and humans through rodents and their infected fleas and is a common disease between humans and animals. This disease has a long history in Iran. The spread of this disease is very wide and almost all parts of Iran have experienced it, however, data on how it occurs in the country is very limited. A plague occurred in Iran in 1246 and 1247 AH, which resulted in huge casualties. In this research, using library resources and documents and in a descriptive-analytical method, the cities affected by this disease and ways and the causes of its transmission have been studied. The result of the research revealed that except for a few other provinces, all Iran and even the holy shrines were involved with it. Simultaneous outbreak of other chronic diseases, outbreak of dangerous type of pulmonary plague, neglect of quarantine and escape to other areas have been the most important factors in the prevalence of this disease.
Maryam Zahedi, Sedigheh Mohammadesmaeil, Mohsen Banihashemi, Mansour Sharifi,
Volume 13, Issue 0 (3-2020)
Abstract
Good and healthy communication between physician and patient is cornerstone of a complete medical care that has long been considered in sociology. From the classical point of view, the physician-patient relationship as a unique relationship encompasses a wide range of cultural and social influences. Electronic health record not only has facilitated the treatment and diagnosis process, but also has promoted the health care system by organizing patient records; however, it alters the physician-patient relationship process culturally and it will create new ethical challenges. Based on current findings and analyses Opinions of health experts about the cultural and communication dimensions of this technology, the electronic health record, despite its effectiveness, easy and convenient diagnosis, awareness of other physicians' diagnosis, earlier and better treatment, has cultural obstacles such as security, reduction of emotional and face-to-face actions, and fear of social stigma. Having a suitable cultural context and information and awareness can affect development of health technology. The results of this study, which have identified the role of culture on physician-patient relationships in context of using electronic health record, shows that building trust in patients and changing cultural conditions through education and improving system security can increase the efficiency of this system in health care processes.
