Nursing
seyyed hossein shahcheragh; Nazanin Fekri; Mustafa Rad
Abstract
Background: The emergency department is often associated with congestion and high workload. Emergency nurses usually experience situations that lead to moral challenges, and one of its consequences is moral distress, defined as the most important hidden job challenge among emergency nurses. This study ...
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Background: The emergency department is often associated with congestion and high workload. Emergency nurses usually experience situations that lead to moral challenges, and one of its consequences is moral distress, defined as the most important hidden job challenge among emergency nurses. This study was conducted with the aim of determining nurses’ level of moral distress and factors affecting it in the accidents and emergency department.Materials and Methods: This cross-sectional study was conducted on 200 nurses working in the emergency department of hospitals in Semnan and Sabzevar, Iran. They were asked to complete the moral distress and demographic questionnaires by self-reporting. The data was analyzed with SPSS 22 using independent t-test and analysis of variance.Results: The mean age of the participants was 32.20 ± 7.2 years. The overall score of moral distress was 54.61 ± 10.1, which shows a low level of moral distress in these public hospitals. The lowest level of moral distress was related to high job satisfaction while the highest score of moral distress was related to unfavorable relationship between nurses and doctors.Conclusion: Considering the negative effects caused by moral distress on the quality of nursing care, it is necessary for managers of organizations to take necessary measures to identify the symptoms of moral distress in nurses and take a positive step towards reducing it by interventions and, as a result, increase the quality of services provided to patients.
zahra nemati; shahrokh maghsoudi; Seyyed Reza Mazlom; maryam kalatemolaei
Volume 29, Issue 2 , July and August 2022, , Pages 243-254
Abstract
Introduction: Assertiveness is an essential tool in communication between nurses and other members of the hospital staff as well as patients. According to studies, more assertive nurses have higher self-esteem and if they make a mistake, they have more courage in reporting the error and as a result, ...
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Introduction: Assertiveness is an essential tool in communication between nurses and other members of the hospital staff as well as patients. According to studies, more assertive nurses have higher self-esteem and if they make a mistake, they have more courage in reporting the error and as a result, take timely action and prevent the repetition of similar mistakes.Aim: The aim of this study was to evaluate the effect of an assertiveness training program on nurses' assertiveness and self-esteem. Methods: This investigation was an experimental study, conducted on two equal groups with pre-test and post-test design. The study was performed on 70 nurses from different wards of Imam Reza Hospital in Mashhad, Iran. The assertiveness training program in the intervention group consisted of a workshop and a Intragroup session. All subjects in the two groups before, after, completed the Rathus assertiveness scale and Rosenberg self-esteem questionnaires. Data were statistically analyzed. Results: The intervention and control groups were similar in terms of demographic characteristics (p>0.05). Implementation of the assertiveness training program increased the level of assertiveness and self-esteem of nurses in the intervention group in all post-intervention measurements compared to before (p <0.01). However, the increase in assertiveness and self-esteem of nurses in the intervention group was not significant in any of the post-intervention episodes compared to the control group (p> 0.05).Conclusion: Based on our findings, the implementation of an assertiveness training program leads to improving the assertiveness and self-esteem.Keywords: assertiveness, self-concept, nurse, Communicating assertively, self-confidence
Nursing
maryam sadat katebi; mina ghalenoei; Samira Zalbeiki; Zohreh barzegari esfeden
Volume 28, Issue 3 , May and June 2021, , Pages 339-346
Abstract
Introduction: Improving the quality of patient care is one of the challenges of the health care delivery system, and the performance of nurses as the largest health care professional group has a significant impact in this regard. The aim of this study was to determine the quality of patient care from ...
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Introduction: Improving the quality of patient care is one of the challenges of the health care delivery system, and the performance of nurses as the largest health care professional group has a significant impact in this regard. The aim of this study was to determine the quality of patient care from the viewpoint of nurses and patients at the Shohada center.
Materials and Methods: This was a descriptive-analytic study in which 63 nurses who were admitted to the study were randomly selected. For each nurse, 3 patients were selected according to available data. Data was collected using standard questionnaire QUALIPAC was collected. The results were analyzed using SPSS version 24 and chi-square, and Pearson’s correlation test.
Results: The mean of quality of care in view of patients and nurses were respectively, psychosocial aspect 61.66 ± 1.46, 80.28 ± 1.66, in physical aspect 57.93 ± 1.43 and 76.15 ± 1.52 and in communitive aspect 57.93 ± 1.43 and 39.19 ± 0.83. There was a significant statistical difference between patients and nurses views in three aspects (P=0.001).Also, there was no significant relationship between the demographic characteristics of the nurses and patients (age, sex, clinical experience, place of residence, etc.) with quality of care (P> 0.005)..
Conclusion: According to the findings of this study, it is suggested that using educational courses for nurses and nursing students, especially communication skills, using the system of encouragement and punishment, as well as continuous controlling and monitoring can be promoted the quality of patient care.
Nursing
Fateme Ghezeli; Mohsen koshan; Mohammad hassan Rakhshani; Mohammad Reza Ghasemi
Volume 26, Issue 6 , March and April 2020, , Pages 747-753
Abstract
Backgriund and Aim: Work alienation is related with negative consequences on the employees and the organization’s efficiency. Considering the role of nurses in the healthcare system main purpose of this study was to study the relationship between perceptions of job characteristics and organizational ...
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Backgriund and Aim: Work alienation is related with negative consequences on the employees and the organization’s efficiency. Considering the role of nurses in the healthcare system main purpose of this study was to study the relationship between perceptions of job characteristics and organizational support with job alienation among nurses Working in hospitals affiliated with the Sabzevar University of Medical Sciences.Material and Methods: this study was Analytical descriptive (Cross – sectional) in 2018. The population were 181 Nurses in hospitals in Sabzevar who were selected by cluster sampling. We used three instruments in this study, Job Characteristics (Hackman & Oldham),Organizational support (Eisenberger et al) and Jab Alienation (Boeree). Information analyzed by Descriptive and inferential statistics includes linear regression and variance analysis by SPSS 21.Results: mean and standard deviations scores Job Characteristics were 60/73 ± 1/61, Motivational Potential Score 9/2 ± 4/25,Organizational support 61 ± 8/52, Job alienation 96/88 ± 1/73. Also based on the results of regression analysis, there is a relationship between perception of Job characteristics and organizational support with Job alienation (p < 0.05). Conclusion: The results showed that there is a meaningful and reverse relationship between Job Characteristics and Organizational support with Jab Alienation, The variables of job characteristics show a greater variation of the job alienation. Therefore, it is suggested a qualitative study to explain the various characteristics of the nursing profession in order to provide ways to enrich the components of the job characteristics.
Nursing
Seyed Mehdi Saadati; Abdolhosein Emamisigaroudi; mino mitra chehrzad; ehsan kazem nezhad lili
Volume 25, Issue 6 , November and December 2018, , Pages 875-883
Abstract
Introduction and objective: Clinical competency is very important in order to maintain power and authority to carry out nursing activities.This study aimed to compare the pediatric nursing clinical competency from the viewpoints of nurses and headnurses in pediatric educational therapeutic center in ...
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Introduction and objective: Clinical competency is very important in order to maintain power and authority to carry out nursing activities.This study aimed to compare the pediatric nursing clinical competency from the viewpoints of nurses and headnurses in pediatric educational therapeutic center in Guilan University of Medical Sciences in 2017-18.Methods: This is a cross – sectional, descriptive analytical study in which all nurses and headnurses employed in pediatric wards of hospital affiliated to Guilan University of Medical Sciences were selected by census method. Data were collected by demographic tools and Liu standardized questionnaire, namely the competency inventory for registered nurses, (CRIN) and specific pediatric questionnaire designed by researchet to evaluate of pediatric nursing competency. Data were analyzed by SPSS ver 16, and descriptive and interfrential statistics. Result: .The mean score of self assessment of general clinical competence from nurses’ viewpoint was 170.88±16.31 and headnurses’ was (159.47±20.91) and mean score of specific clinical competence of nurses and headnurses were (78.47±10.41) and (74.22±11.59) repectively. There was significant relationship between variables such as age, marital status, employment status, level of education and interest in nursing profession and clinical competence (P≤0.05).Conclusion: Results showed that the mean score of general and specific clinical competence of nurses was higher than headnurses’ mean score. Clinical competence was satisfactory from the viewpoints of nurses and headnurses and periodic assessment of the level of clinical competence was conducted by nursing managers to promote clinical skills
Psychology
Khadije Aerab Sheybani
Volume 25, Issue 5 , November and December 2018, , Pages 609-617
Abstract
Objective: The Psychological contracts are defined as those beliefs and opinions regarding commitment among employees and employers being able to regulate the relationship among them. The main objective of the present study is to investigate the predictive role of psychological contract in nurse s' organizational ...
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Objective: The Psychological contracts are defined as those beliefs and opinions regarding commitment among employees and employers being able to regulate the relationship among them. The main objective of the present study is to investigate the predictive role of psychological contract in nurse s' organizational commitment in hospitals. Materials and method:This research is descriptive from type of correlation, Data of the study were collected using psychological contract Hui &al(2004)and organizational commitment alle, & myier(1991) questionnaire, while a sample of 400 nurses was selected using random sampling method. Data analysis was performed using SPSS-18 software as well as regression analysis. Findings: The Data analysis indicated that employee s' psychological commitment can be predicted up to 36.9 percent through psychological contract variable. More over, determination coefficient indicated that 13.6 percent of dispersion observed in organizational commitment can be explained by psychological contract variable. Conclusion: Using of psychological contract to search of relationship between employment and employer show that these relationships depended to personal,social and psychocognitional mechanism.
Nursing
akram Shamsabadi; mehdi jafarzade fakhar; Mohammad Hasan Rakhshani; aliakbar jannatabadi
Volume 25, Issue 1 , May and June 2018, , Pages 135-142
Abstract
Background: Administration of medications is an important part of treatment and care provided by nurses. Medication errors in nursing profession is one of the most common health care mistakes.One of the factors in the incidence of medication errors, job stress, so stress management and efficient use ...
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Background: Administration of medications is an important part of treatment and care provided by nurses. Medication errors in nursing profession is one of the most common health care mistakes.One of the factors in the incidence of medication errors, job stress, so stress management and efficient use of preventive methods necessary to appear. The aim of this study is to determine the effect of a Stress Inoculation training on the medication error of nurses. Materials and methods: The present research is, a field trial controlled study.The population included 100 nurses in medical, surgical and pediatric hospitals constitute Sabzevar University of Medical Sciences. Nurses are selected using quota sampling permutation blocks were divided into two groups.The intervention group, stress inoculation training (workshop 2 days 8 hours a week) was conducted.The data collecting by a researcher-made forms of occupational demographic information and registration forms medication errors,during the two stage, one months before and one and a half months after the intervention was completed by both groups. Data were analyzed by means of SPSS-11/5 and SAS 9.1 statistical software using descriptive statistics, Mann-Whitney, Chi-square, Fisher, T test and generalized estimation equations. Results:The mean and standard deviation of medication errors in the intervention group before stress inoculation training 5/65 ± 2/30 and a half months was 2/68 ± 1/57. Analysis of data between the mean medication errors samples before and after the intervention groups showed significant differences (P<0/05). Conclusion:Stress inoculation training can reduce the incidence of medication errors.
Nasrin Fazel; Hamide Yazdi Moghadam; Fateme Elhani; Akbar Pejhan; Mohse Koshan; Mohammad Reza Ghasemi; Fahime Ravadideh
Volume 24, Issue 2 , May and June 2017, , Pages 97-106
Abstract
Background: Clinical education is the most costly element of nursing programs. One of the importantbasics of nursing education comes into account. The clinical education course is important landmark in nursing education, the first professional capabilities of students to be established. This qualitative ...
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Background: Clinical education is the most costly element of nursing programs. One of the importantbasics of nursing education comes into account. The clinical education course is important landmark in nursing education, the first professional capabilities of students to be established. This qualitative study was conducted in the emergency department . Materials and Methods: This study is qualitative research with content analysis. The process of data collection consists of 20 semi-structured interviews and in-depth with the nurses in the emergency department (six nursing students and two nursing directors of wards, four nursing educators, eight nursing personnel) with notes field. By interview with actual experiences of nurses in clinical response, four open questions were collected. Data were analyzed with the using qualitative content analysis. Results: Data analysis resulted in the extraction of nine classes and three represent the experiences and perceptions of emergency roomnurses from clinical education and include the environment (Communications, safety environmental, environmental equipment), education (patient education, personnel training and training students) and performance of the director of sector (the role of management in the emergency department of education, the role of the matron of education, the role of the service provider's staff, communications, safety environmental, environmental equipment), education (patient education, personnel training and training students) and the performance of the sector (the role of management of the emergency department in education, the role and function of the mananger in education, the role and function of the service provider's staff). Conclusion: Research findings based on the experiences of students, staff and educator showed some effective factors such as the patient's face to face training, to gain positive experience and some negative experiences such as lack of useable techniques that have been taught the students in the learning environment at the university like that quality in clinic, lack of equipment, and workload of personnel. Considering all the ideas, authorities will be able to identify the clinical education problems, plan appropriate training programs, and promote the quality of their clinical training.
Masomeh Foladvandi; Hajar Sadeghi; Maryam Tofighi; Azar Asadabadi
Volume 24, Issue 1 , March and April 2017, , Pages 1-8
Abstract
Background & Objectives:Job satisfaction and emotional intelligence are the most important factors in providing the best quality of nurses' services to patients. Lack of attention to this problem is disrupted the organization system in the long term.It causes reduce in the sense of responsibility, ...
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Background & Objectives:Job satisfaction and emotional intelligence are the most important factors in providing the best quality of nurses' services to patients. Lack of attention to this problem is disrupted the organization system in the long term.It causes reduce in the sense of responsibility, burnout and eventually leave of serve. Therefore, this study aimed to determine the relationship between job satisfactions with emotional intelligence among nurses of Kerman University of Medical Sciences hospitals. Material & Methods: This is a cross-sectional and descriptive study. The study population formed of 150 critical and emergency nurses of Kerman University of Medical Science hospitals. Data were collected via instrument which includes background information and 28 items form ofBradbry-Graves, emotional intelligence and 21 items from of job satisfaction by census method. Data analysis was performed by t-test and ANOVA test andPearson correlation coefficients. Results: Results showed that the mean score of job satisfaction was 83.72±17.69 and the mean scoreof emotional intelligence was 121.09±17.56. It was observed that there is a significant relationship between total score of job satisfaction (intrinsic and extrinsic satisfaction) and total score of emotional intelligencewith a correlation coefficient of 0.351 (P>0.0001).The results of analysis of (ANOVA) and t-test showed thatthere is not a significant relationship between demographic variables (age, education, experience, organizational unit, sex) with job satisfaction and emotional intelligence and their dimensions(P>0.05). Conclusions: Job satisfaction is directly related to emotional intelligence and it seems that people with high emotional intelligence feel more satisfaction in their work with colleagues and patients. It is suggested that further studies should be done to reveal the relationship between these two concepts and their relationships with demographic variables.
Marzieh Motahari; Seyyed Reza Mazlom; Negar Asgharipour; Shahrokh Maghsoudi Poor Zaid Abadi; Mozhgan Ghiassi Ajgan
Volume 23, Issue 4 , September and October 2016, , Pages 644-651
Abstract
Background Assertiveness is an important skill for nurses to successfully communicate with patients, families, and colleagues. Assertiveness as an important component of communication skills increases people’s self-esteem, improves professional communication, and promotes the quality of patient's ...
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Background Assertiveness is an important skill for nurses to successfully communicate with patients, families, and colleagues. Assertiveness as an important component of communication skills increases people’s self-esteem, improves professional communication, and promotes the quality of patient's care. The study aimed to investigate the effect of the assertiveness training on nurses’ level of assertiveness.Methods & Materials This experimental study was conducted on 60 nurses of Imam Reza Hospital in Mashhad in 2014. They were selected by convenience sampling method and then randomly assigned into intervention or control groups. Intervention group received assertiveness skills during a 2-day workshop. The control group did not receive any training. Assertiveness skills was measured in both groups before and 40 days after the intervention by Bar-on assertiveness questionnaire. Data were analyzed by Chi-square, Mann–Whitney, Fisher’s exact test, and Wilcoxon tests using SPSS 11.5.Results No significant difference was seen between the two groups before the intervention with regard to nurse’s mean score of assertiveness score in the workplace (P=0.417). However, significant differences were seen after the intervention between mean assertiveness skill of the intervention group (23.30±2.89) and that of the control group (19.60±3.01).Conclusion The results showed that holding assertiveness skills workshop program affects the level of nurses’ assertiveness in the workplace. Therefore, with regard to the advantages of assertiveness skills
Mohaddeseh Mohsenpour; Abbas Abbaszadeh; Mohammad Hasan Rakhshani; Mohammad Sadeghi Bimorgh; Seiedeh Soolmaz Mousavi
Volume 23, Issue 3 , July and August 2016, , Pages 526-531
Abstract
Objectives Quality of work life has important role in job satisfaction and quality of services. Personality compatibility with profession is one of the issues that affect job satisfaction. This study was conducted for the purpose of evaluation of nurses’ quality of work life in Sabzevar University ...
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Objectives Quality of work life has important role in job satisfaction and quality of services. Personality compatibility with profession is one of the issues that affect job satisfaction. This study was conducted for the purpose of evaluation of nurses’ quality of work life in Sabzevar University of Medical Sciences, and comparing it with their demographic data and its correlation with personality-profession compatibility.Materials & Methods This cross-sectional study was conducted among nurses in Sabzevar University of Medical Sciences by two-stage sampling (quota - random) method. Holland personality-profession compatibility questionnaire and quality of life questionnaire were used for this study, after confirming their reliability and validity by coefficient and expert agreement. The obtained data were entered into SPSS and were analyzed with statistical analysis. Results The average quality of work life in the studied nurses was 20.51 and standard deviation was 4.16. About 39.5% of nurses were dissatisfied with the quality of their work life, 4.8% satisfied, and 1.6% was very satisfied. Personality of the 20.6% of participants was quite compatible, 33.4% was relatively compatible, and 46% was incompatible with nursing profession. Average quality of work life in terms of personality compatibility differences was not statistically significant.Conclusion In this study, the quality of work life has been reported poor, and most nurses showed inappropriate personality for this profession. According to the main results, attention of managers to these two important issues in this group, as the largest health care provider group, was suggested.
Hasan Bagherinia; Mohammad Yamini; Es-hagh Ilderabadi; Fahimeh Bagherinia
Volume 22, Issue 6 , January and February 2016, , Pages 1063-1070
Abstract
Background and aim: Nurses encounter with different job stresses that because of different personality traits meet stress in different ways and their mental health affected by personality traits. The aim of this research is investigation of relationship between personality traits and mental health with ...
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Background and aim: Nurses encounter with different job stresses that because of different personality traits meet stress in different ways and their mental health affected by personality traits. The aim of this research is investigation of relationship between personality traits and mental health with resilience mediation in nurses.
Methods and Materials: This research is descriptive with path analysis way. 105 nurses in Sfarayen hospital were randomly selected. NEO personality, Conner and Davisson and Goldberg mental health questionnaires were used. Correlation and path analysis tests using SPSS and AMOS for data analysis.
Results: Results indicated that direct effects of neuroticism (Beta= 0/282 and P=0/000), consciousness (Beta=0/207 and P=0/002), and resilience (Beta=0/392 and P=0/000) are significant on mental health and other direct paths into mental health were not significant and also personality traits of neuroticism (Beta= -0/236 and P=0/000), agreeableness (Beta=0/147 P=0/000), and openness (Beta= 0/044 and P=0/014) have indirect significant effect.
Conclusion: Personality traits in addition to direct effect on mental health have indirect effect on mental health via resilience. So it can mention resilience variable as one mediator variable between personality traits and mental health.
Siyamak Mohebbi; Nasim Rasouli; Zohreh GHamarizare; Azam Habashizadeh
Volume 21, Issue 1 , March and April 2015, , Pages 175-182
Abstract
Background:one of the most important groups of careers in health systems are Nurses. Their accupational moral is very crucial becuase of its effects on professional practice.furthermore,this study was condected to examin nurses’ moral and its related factors.
Materials and Methods: in this descriptive-cross ...
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Background:one of the most important groups of careers in health systems are Nurses. Their accupational moral is very crucial becuase of its effects on professional practice.furthermore,this study was condected to examin nurses’ moral and its related factors.
Materials and Methods: in this descriptive-cross sectional study the numver of 226 nurses woking at 4 educational hospitals of Qom in 2014 were selected via an available sampling method. Information were collected using a valid and reliable questionnaire including 4 dimensions (cohesion and teamwork, corporate identity, communication, and job involvement) to investigate occupational moral. Data were analysed using spss software and descriptive and inferential statistics tests.
Results: the mean score of accupational moral was (03/65 04/14) from a maximum score of 135.The highest mean score dedicated to the corporate identity and job involvement. 67.3 percent (152 cases) had an average accupational moral. There was no statistically significant relationship between nurses’ accupational moral and demographic characteristics.
Conclusion: there is suggested that managers try to promote cohesion, teamwork and communication within the organization and take effective measurments to address the major causes of nurses’ low accupational moral .
Narjes Heshmatifar; Hajar Sadeghi; Hamideh Jome Tondoki; Rahim Akrami
Volume 20, Issue 5 , March and April 2014, , Pages 635-642
Abstract
Abstract
Background: because of long communication between nurses and patients, nurses have the great opportunity to decrease anxiety level in patients and educate them. The purpose of this study was to evaluate performance of patient’s education in nurses and patients’ view.
Methods and Materials: ...
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Abstract
Background: because of long communication between nurses and patients, nurses have the great opportunity to decrease anxiety level in patients and educate them. The purpose of this study was to evaluate performance of patient’s education in nurses and patients’ view.
Methods and Materials: This descriptive study was conducted on 110 nurses and 110 hospitalized patients who were being discharged in the summer of 2013 in the three educational hospitals in Sabzevar. Data were collected through a questionnaire for nurses and patients and analyzed using spss software, version of 15, and descriptive tests.
Results: Nurses' performance results showed that patients illustrated the highest level of training in time of admission was the way of using needed equipment (15%), during the hospitalization was time of drug usage (41%) and in discharge time was follow-up and the next visit the doctor. (30%).Also, Nurses mentioned the further level of education in admission, during hospitalization and discharge time were how to use of the equipment (38%), different methods of pain relief (66%), subsequent follow-up and going to the doctor (41%).
Conclusion: This study indicated that level of patients education has not been efficient in all of three times in nurses and patients ‘point of view. Therefore, health care managers should take some measure to enhance nurses’ awareness about the importance of patient education.
Saeed Vaghei; Ahmad Ashoury; Amirreza Saleh Moghaddam; Hossein Karimi Moonghi; Akram Gazrani; Hasan Gholami
Volume 18, Issue 2 , July and August 2011, , Pages 132-139
Abstract
Background and Purpose: Clinical competency is one of the requirements in nursing profession، for which nurses have recently been criticized. For this reason، health educational systems always intend to discover and improve factors that affect clinical competency. On the other hand، spiritual intelligence ...
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Background and Purpose: Clinical competency is one of the requirements in nursing profession، for which nurses have recently been criticized. For this reason، health educational systems always intend to discover and improve factors that affect clinical competency. On the other hand، spiritual intelligence is considered as a significant factor in nurses’ success and efficacy. Therefore، the present study was designed to determine the spiritual intelligence status and its relationship with nurses’ clinical competency.
Material and Methods: This descriptive correlational study was conducted on 250 nurses of Mashad educational hospitals selected by multi-stage sampling. Demographic، clinical competency and spiritual intelligence questionnaires were used for data collection; the obtained data were analyzed in SPSS 11.5 using ANOVA، Kruskal Wallis، t-test، correlation and simple linear regression and covariate analysis.
Results: The results showed that %53.3 of the nurses' scores on spiritual intelligence were above the mean، and %46.7 below the mean. Most nurses’ (%53/8) scores of clinical competency scores was reported good (by self-assessment)، %48.2 of the scores in the average range (by matron assessment)، and %53.3 of them in the average range (by the overall assessment). A significant positive correlation was observed between spiritual intelligence and clinical competency، as Pearson correlation coefficient indicated (p