فهرست مطالب ژاله کوراوند

Following the prevalence of covid-19, even after passing through its crisis, the level of stress in nurses who are directly dealing with infected patients increased, which affected their quality of life. This study was conducted with the aim of determining the correlation between occupational stress and the quality of life of nurses in the corona and general departments during the corona pandemic.

This is a descriptive correlational study that was conducted in 1401. The research sample consisted of 150 nurses (60 nurses from the covid19 department and 90 nurses from general departments) who entered the study from two hospitals. Sampling of nurses in corona wards was available and in general wards as a multi-stage cluster. Data collection tools were demographic questionnaires, quality of life SF36 and occupational stress OSIPOW. Descriptive statistics (mean, standard deviation) and analytical statistical tests (independent t, analysis of variance, chi-square and Pearson correlation) were used to analyze the data.

The average scores of occupational stress and quality of life of nurses in corona wards were 66.64 ± 11.73 and 43.05 ± 12.86, respectively, and for nurses in general wards, they were 56.41 ± 13.93 and 46.41 ± 10.70, respectively which had a statistically significant difference (P˂0.001). There was an inverse and significant correlation between job stress and quality of life in two groups (P˂0.001).

Considering the decline in the quality of life of nurses working in corona wards due to the increase in occupational stress, it is necessary for health managers to think of measures to manage the stress of these nurses so that its impact on their quality of life can be controlled to some extent.

The most important factor affecting the quality of care is the ability of nurses to make effective clinical decisions. Since identifying nurses 'perceptions of clinical decision making is an important step in improving the quality of care, this study done to determine nurses' perceptions of clinical decision making in hospitals of Shahrekord University of Medical Sciences.

The study was a descriptive research. The study population consisted of clinical nurses working in Ayatollah Kashani and Hajar hospitals in Shahrekord and Seyed al-Shohada in Farsan. 300 nurses were selected through quota random sampling. Data were collected using demographic information questionnaire and Persian version of Clinical Decision Making in Nursing Scale (CDMNS). Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (Mann-Whitney and Kruskal-Wallis) and SPSS (V 21).

The mean score of nurses' perception of clinical decision making was 119.11±13.53which was high. The mean decision scores on subscales A, B, C and D were (29.15± 3.38), (33.76 ± 3.50), (25.9 ± 4.1) and (29.30±4.2) which was lower in the subscale of search for information and unbiased assimilation of new information. The results also showed that age, background and unit were significantly correlated with scores of perception of decision making (P<0.05).With increasing in age and background, perception of decision making decreased. And perception of decision making in cardiac unit was more than other units.

Since nurses’ perception in “Search for information and unbiased assimilation of new information” subscale in experienced nurses is low, Therefore, planning should be made to increase the ability of experienced nurses to search for new information.

Keywords: Clinical decision making, Nurse,Perception