نسرین جعفری گلستان

One of the chronic diseases that has developed widely is chronic kidney disease. Hemodialysis is the most common treatment for patients with end-stage renal disease. The experience of hemodialysis and its problems affect people's resilience. Considering the chronic nature of the disease in hemodialysis patients and the need for continuous education and continuous care in these patients and the limited availability of articles, this study was conducted with the aim of determining the effect of the continuous care model on the resilience of hemodialysis patients.

This study was conducted as a clinical trial on 74 patients (37 experimental patients and 37 control patients) undergoing hemodialysis in 2023, at Shahid Chamran Hospital in Tehran. In this study, a simple randomization method with coin toss was used to allocate units in the experimental and control groups. Personal characteristics questionnaire and Connor and Davidson's resilience questionnaire were used to collect information. In the experimental group, in addition to routine care, the continuous care model was implemented in 4 stages (including four stages of orientation, sensitization, control, and evaluation) for one month. The resilience of the patients was measured before, immediately, and one month after the intervention. After collecting the data, it was entered into SPSS version 23 and analyzed.

Before the intervention, there was no significant difference between the two groups in terms of individual characteristics and average resilience (P<0.05). Based on the results, the implementation of the continuous care model had improved the average resilience score (P<0.001). At the time of follow-up, this difference between the two groups was significant (P<0.001) and it was still higher in the endurance test group.

Hemodialysis patients are under high pressure and stress and need higher resilience. This study showed that the continuous care model is useful in promoting resilience and increasing tolerance of hemodialysis patients. Therefore, it is recommended to use continuous care model in hemodialysis patients.

Clinical delivery of patients by nurses is important because of its relationship with patient safety; Training and applying the ISBAR communication model can improves the performance of nurses. This study aimed to review the effect of using the ISBAR communication model on patients' clinical delivery and the prevention of unwanted events by nurses.

This article is a review study that collects information from library resources and searches in Web of Science, Scopus, PubMed, Google Scholar, Science Direct, Magiran, SID, and CINAHL databases and uses standard search engines with the ISBAR communication model, Clinical delivery, Prevention, Unwanted events and Nurses' keywords in the period of 2010-2021. Inclusion criteria were articles published in Persian or English, access to the full version of the paper, and a detailed study of the impact of the ISBAR communication model on patient clinical delivery, unwanted events, and patient safety by nurses.

In this field 31 studies were found that were examined. The results revealed that the use of ISBAR communication model in the process of clinical delivery of patients, prevention of unwanted complications, and improving patient safety could have a valuable and influential role in improving the performance of nurses. Discussion and

The ISBAR communication model can play an influential role in improving the clinical delivery process and preventing unwanted complications in patients. Therefore, using this model can be a practical step in achieving the most desirable quality of nursing services and improving patient safety. 

Stroke is a sudden and unfortunate event that places a heavy care burden on individuals, families, and society. As the aging population grows and the number of underlying diseases in the elderly rises, the risk of experiencing this condition is also increasing. Chronic illnesses, because of their disabling effects, can impact every facet of a person’s life. Numerous stroke survivors are left managing at least one lasting issue from the stroke, and they are sent home from hospitals with this complication. At home, care will vary and will rely more on individual capabilities. Thus, the capacity to self-care is affected by numerous factors and can differ among individuals. This policy brief outlines strategies and solutions to enhance the well-being of elderly stroke patients.

Clinical hand-off is a key factor in continuity of care and the most vital means of communication between nurses.

Considering the importance of improving the safety of patients this study aims to determine the effect of using the communication model ISBAR on the performance of nurses in the clinical hand-off patients with head or neck trauma in a selected hospital in Tehran.

This semi-experimental study was conducted with two control and intervention groups on 78 nurses working in a selected hospital in Tehran, , during the period of 2022-2023. Nurses were randomly assigned to either the test group (n=39) or the control group (n=39). Prior to the intervention, the researchers recorded the personal information and utilized a researcher-made checklist to assess the nurses’ performance based on the ISBAR model, which included the following five items: Identify, Situation, Background, Assessment, and Recommendation. This assessment was conducted through the researcher’s observational evaluation using the checklist. The test group underwent training on how to use the ISBAR communication model in patients with head or neck trauma, which comprised 5 face-to-face training sessions lasting 90 minutes each. The control group did not receive any intervention from the researchers. Subsequently, the researcher completed the checklist again for both groups.

The initial clinical performance record scores of the nurses in the test and control groups (6.53±5.19 vs 7.11±5.60, P=0.724) showed no statistically significant difference before the intervention. However, following the intervention, the test group demonstrated a significantly higher score (96.27±4.41) compared to the control group (43.12±14.06, P<0.001). Additionally, the overall clinical performance score in the test group increased significantly after the intervention (P<0.001). In contrast, the control group’s average clinical performance post-intervention was significantly higher than
before the intervention (P=0.001).

The implementation of the ISBAR communication model improved nurses’ performance in Clinical Hand-off for head or neck trauma patients. Therefore, integrating communication skills training with other programs to enhance patient safety can elevate nurses’ performance and the quality of care.

Improving the job performance of nurses is important due to their difficult and stressful professional conditions in medical centers; while training or applying positive thinking skills, it improves nurses' job performance. In the present study, a review of research on the impact of positive thinking skills or its application in various areas of nurses' job performance has been reviewed.

This article is a review study that uses data collection from library resources and searches in PubMed, Science Direct, Magiran, SID, CINAHL databases and using common search engines with keywords Education, positive thinking, job performance, nurses and their English equivalent have been done in the period of 2021-2011. Inclusion criteria were related to the topic of the impact of positive thinking and skills training on nurses' job performance, and articles that did not have sufficient evidence (such as conference reports and lectures) were excluded. Out of 12 articles, 7 articles related to the subject were extracted and analyzed.

Most of the studies were done on the effect of positive thinking or positive thinking skills on the topics of happiness, resilience, communication skills, quality of work life, burnout, hardiness, perceived work stress of in the nurses which were associated with positive results in improving each of the mentioned cases in the professional performance of nurses. Discussion and

Positive thinking skills has had an effect on improving and promoting various areas of job performance in nurses. Therefore, it is suggested to the authorities to pay more attention to the different dimensions of nurses' job performance and to improve them by having educational programs based on positive thinking so that they can improve the quality of their services in order to improve the professional performance of nurses.

medication adherence is one of the most critical issues in the physical and mental illness treatment field that has received little attention in Iran. Low adherence to medication leads to poor clinical outcomes in patients and increases mortality and healthcare costs. One of the components that can affect the patient's adherence to medication is the discharge program. The purpose of this article is to review of medication adherence of cardiac patients using the IDEAL discharge model.

This review article, was searched in the databases of the Nursing Index, PsychInfo, Proquest, and Scopus. Articles were searched from 1990 to 2020 using the keywords of medication adherence, patient, discharge model, and IDEAL.

This study reviewed 10 of the 26 articles that met the inclusion criteria. The data indicate a positive and significant relationship between the use of the IDEAL discharge model and the medication adherence of cardiac patients. Discussion and

It is suggested that education and use of the IDEAL discharge model be considered by executive and educational managers in the field of nursing so that in the coming years we will see an increase in patient medication adherence and reduce problems caused by ignoring this importance in society.

Nurses working in Intensive Care Units of COVID-19 are more exposed to occupational anxiety because of the limitations caused by the use of personal protective equipment.

This study was conducted to determine the effect of training on the use of personal protective equipment by simulation method on the level of occupational anxiety of nurses working in Intensive Care Units of COVID-19.

This semi-experimental study was conducted in 2021 with the participation of 50 nurses working in Intensive Care Units of COVID-19 in two selected Aja Hospitals in Tehran. The data collection tools were demographic and occupational anxiety questionnaire of Philip L. Rice (1992). Training on the use of personal protective equipment was conducted through interactive simulation during three 60-minute sessions in each work shift and two control groups (25 people) and test groups (25 people). Questionnaires were administered to people in the form of pre-test and post-test and one month after the intervention and were completed. The normal distribution of the data was performed using the Kolmogorov test and with the help of
SPSS software of version 21.

It is recommended to train the use of personal protective equipment by simulation method with the combination of other training methods in military hospital nurses in Intensive Care Units of COVID-19.

Recording and reporting in nursing is one of the important and valuable tasks in maintaining and continuing care. New models such as the SBAR communication model are important in this regard.

The purpose of this study was to provide a simple overview of how to apply the SBAR communication model in nursing recording and reporting.

This study is based on searching existing library sources and valid databases such as Magi ran, SID, PubMed, IranMedex using common search engines such as Google Scholar with keywords such as Communication Models, methods Documentation Methods and Nursing Reports and Nursing Records are performed.

The results of the study showed that the traditional method of nursing reporting is done in Iran. Communication models such as SBAR are more applicable to patient delivery in the ward. Applying the SBAR communication model in the field of nursing recording and reporting can also be a good way to make more quality records.

Using communication models such as the SBAR model in nursing recording and reporting can optimize the relationship between patient and nurse, improve the quality of nursing services, reduce errors and increase satisfaction in health care recipients.

Due to the stressful nature of nursing, nurses working in emergency departments need to learn adaptive resiliency training to deal with specific occupational conditions.

The present study aimed to compare the effect of teaching adaptive resilience strategies by role-playing and problem-solving methods in emergency department of military hospitals in Kermanshah.

This quasi-experimental study is a comparative study in the form of pre-test and post-test performed on 62 volunteer nurses in 2019. In this study, researchers selected samples by convenience sampling and randomly assigned to two problem-solving educational groups and assigned roles. The intervention was performed during eight one-hour sessions in the problem-solving training group and 2-4 hour sessions in the role-playing training group. At the end of the intervention, the Connor-Davidson resilience questionnaire was completed again. Data analysis was performed using SPSS 23, and the significance level was considered less than 0.05 (P<0.05).

The results showed that both groups did not differ significantly in resilience before the intervention (P= 0.091). Comparison of the mean resilience scores of the participants in the problem-solving group after training (77.225±8.588) showed a significant increase compared to before training (73.032±9.477). In the role-playing group, resilience scores (72.419±13.001) increased significantly compared to before training (68.838±14.539). The independent t-test showed that the difference in the mean post-test score between both groups was statistically significant (P= 0.021) and higher in the problem-solving training group.

According to this study, teaching adaptive resilience strategies in problem-solving and role-playing can improve the ability of nurses to cope with stressful job situations.

Nurses working in Covid-19 intensive care units may be at risk due to the specific conditions of the work environment and the type of patients. The lack of any definitive treatment or prevention of Covid-19 has put a lot of stress and anxiety on people, including nurses working in Covid-19 intensive care units. Nurses’ job anxiety has a negative effect on their performance. In this study, an overview of studies on the effect of training in the use of personal protective equipment on the level of job anxiety of nurses working in the intensive care unit of Covid-19 in hospitals, has been done.

This study uses the electronic resources of libraries, search engines and reputable databases such as: PubMed, SID, PMC, Google scholar, Science Direct, Scopus, Research Gate with the keywords “Education ( “Training”, “Personal Protective Equipment (PPE)”, “Job anxiety”, “Covid-19”, “Nurse” and “Intensive Care Unit” care unit (ICU) “was conducted among the articles from 2003 to 2021. The inclusion criteria were articles related to the subject of this article. A total of 20 articles were extracted and finally 17 articles were used.

A significant proportion of health workers have symptoms of anxiety, insomnia, depression and stress. Women are at greater risk for experiencing symptoms of severe anxiety. Nurses’ depression, anxiety and stress were moderate. Nurses who are in direct contact with patients infected with Covid-19 are more anxious than those who are not in direct contact with these patients. There is a significant inverse relationship between job stress and productivity of corona nurses. Job stress has a significant relationship with variables of gender, physical activity and employment status.

Discussion and Conclusion:

Ensuring proper mental health support for staff working in the care centers of patients with Covid-19 is one of the important components of health measures in the epidemic of this disease. Managers and health care organizations should provide adequate personal protective equipment for nurses, educate them on proper use, and monitor barrier resolution. Training and monitoring the adequacy of personal protective equipment is an essential component of a prevention program. Training nurses to deal with critical situations similar to Covid-19 and increase personal protective equipment can be effective in preventing nurses from developing depression, stress and anxiety.

Due to the importance of the crisis and the problems surrounding it, there is a need for an expert nurse, manager, practitioner and ethicist who can use his skills to treat patients and improve them. Therefore, in this review study, the importance and impact of education in achieving this has been investigated.

this article is a review article by using a regular search from library sources and valid electronic databases between 2010 and 2019, with keywords of education, nurse, crisis and nursing in crisis

The most areas in which a nurse should be trained in crisis are related to management, clinical, ethical and psychological. Due to the necessity and importance of these preparations, training must be done continuously by skilled and expert people in order to achieve appropriate results. Findings indicate that there is a direct relationship between education and nurse skills.

Discussion and Conclusion:

In order to increase readiness, we need to hold training courses and maneuvers so that individuals can reach their maximum performance and efficiency, and this will not be achieved unless government and public institutions are involved in its implementation. These trainings should be implemented on a large scale and periodically, and the role of universities, emergency services and the Red Crescent in the implementation of this program is much more prominent than other organs.

Nursing diagnosis is defined as part of the nursing process and clinical judgment of the individual or community or the response to the health problems. Nanda’s classification is a nursing language used for diagnostic process for nurses. This study is a simple overview of the definition of nursing diagnosis and its application in clinical practice.

This is a review study. The required information is gathered according to the purpose of the study from the Google databases and Science Direct, CINAHL, PubMed and library resources by keywords, Nursing Diagnosis, and Evolution. Based on these keywords, about 53 papers were obtained between 1998 and 2018, after which a preliminary study; about 14 papers were considered to cover the objectives of this study.

Nursing diagnosis is the critical step in a nursing quality care. In explaining the diagnosis, the nurse has a duty to plan an interview with the objective observation of the questionnaire and review the patient’s case for therapeutic purposes in the field of nursing duties.

Nursing diagnosis and patient problems are considered as a necessity for nursing information system and accurate diagnosis; however, in using nursing diagnostic classification systems, the needs of nursing groups and their compatibility with patients and medical problems noticed.

Nursing recording and reporting is an important part of nursing care that can be useful and necessary for patients, nurses, and other health care providers.

The purpose of this study was to compare the effect of lecture training and multimedia training on knowledge, attitude and department nurses’
emergency performance in applying a communication model in nursing recording and reporting in selected military hospitals.

The present quasi-experimental study was performed in two selected military hospitals in Tehran in 1398. The sample size was 42 in the lecture group and 42 in the multimedia group. Data collection tools included a demographic questionnaire and two researcher-made  questionnaires measuring knowledge (10 items), attitude (10 items) and a performance measurement checklist (35 items) of emergency department  urses in applying the communication model in recording and reporting. In each group, a pre-test was performed. The lecture training method was performed in 4 two-hour sessions for four weeks and the multimedia training method was performed in 4 45-minute sessions for 4 weeks. A post-test was performed in both groups one month later. Data were analyzed by Fisher’s exact test, paired t-test, and independent t-test using SPSS 16.

Both lecture and multimedia methods were effective on the knowledge, attitude, and department nurses’ emergency performance in applying the SBAR communication type in the nursing documentation, and the multimedia method had the most impact (P<0.05).
Discussion and

Mental models, such as the SBAR model in nursing recording and reporting, can help nurses to accustom to the various models in nursing recording and reporting.

Health is one of the key indicators of progress for each country. The peace and comfort of society depends on the state’s attention to the health sector. The armed forces are the main pillar of the protection of the borders and the security of the country; the aim of this study was to determine the importance of military health and its effective factors.

This article is a review article that was developed in 2018 using validated search engines SID, Magiran and Google Scholar, Science Direct from authoritative bibliographic and database sources and using health, military, and military health-related keywords. Persian articles from 1392 to 1397 and Latin articles from 2014 to 2018 were selected.

Armed Forces and their families, are the vast mission areas in comparison with other areas of the country’s health and as a result of the need to develop equipment infrastructure and manpower for crisis management and military medicine, The lack of financial resources and military funded as a result of the economic downturn and the decline in government revenues in this area have been hampered by financial constraints to carry out optimal missions. Therefore, it is essential that health policy makers make big decisions in the effective and undeniable role of military health as one of the key actors in the field of health and the analysis of the effects and consequences of political and economic shocks on the optimal performance of this section.

one the most important characteristics of military jobs are health and physical ability that will have positive or negative effects on the development of the country.

Today, ethical philosophy is considered as one of the most influential and popular branches, and in recent decades, attention has been paid to morality.

This paper is a review study based on the data collected from Google Scholar, PubMed, SID and related research publications, between 2000 and 2013 with keywords. Philosophy, Ethics, Nursing Ethics and Medicine.
 

Nursing leaders felt that it was necessary for the development of philosophy to first define the nursing field. Domain, fields or territory of activity and its effect. Generally, nursing theorists have agreed on four areas for nursing: the person, the environment, health and nursing.

Discussion and Conclusion:

The mission of nursing ethics is to introduce and recommend good practices that will help the client, his family, nurse, and other caregivers.

The manager is the first and greatest decision maker in organization, that all his activities, there is a decision-making process. Due to the rapidly changing and complex environment in which managers operate, the use of management information systems for managers is critical. The aim of this study is to review the implementation of management information systems in hospitals.

This study was a review of the information required by Persian and English with a selection of 30 articles Library of reputable sites from 1993 and 2013 have collected.

Organizational change and customers or recipients of health services, hospitals in the world is forced to go into the cost-based or cost-effective recruitment strategies, or it is designed according to customer needs. However, the hospital administrators in the use of proper management strategies vary.

If the organization as a set of related systems and targeted knows, management information system is one of the most important systems in which they exist. The system control and data reconstruction of the world around and within the organization is responsible for, the manner in which the organization and selection of data, information necessary for decision making, planning and control, to prepare managers.

Medication, especially injection drugs are one of the complex situations and high-risk medications in clinical processes that nurses face. Risk management is one of the recommended method to identify and prevent adverse events from drug errors. The purpose of this study was to evaluate the impact of risk management programs on Preparation of electrolyte concentration skills by nursing staff. In this experimental study, 50 nurses working in emergency departments that were involved in the process of medication, were selected through census in 2014, then randomly divided into control and test groups. The control group received the routine of the hospital and in the experimental group risk management program was implemented. Preparation of electrolyte concentration skills was examined by valid and reliable researcher check list. Data were collected in pre and post-test with SPSS software, version 21 descriptive and inferential statistics were analyzed. nurses’ skill in preparing the condensed electrolyte, before the intervention and control groups, was respectively 96.16±3.2 and 17.17±0.2, and in two weeks after the implementation of risk management programs was respectively 27.27±8.1 and 83.17±2.2. In the pre-test, independent t test, a significant difference was observed between the two groups in the nursing skills (P>0.05). While in the post-test, significant differences in scores between the experimental and control groups were nursing skills (P<0.001). Paired t-test, before and after the intervention, the experimental group showed a significant difference (P<0.001).Discussion and The results showed the effectiveness of the risk management program. Implementation of risk management programs as a way to improve nurses’ skills in preparing the condensed electrolytes is recommended.

Care has always been associated with unexpected events and dangerous.The processes and procedures, drug therapy of a hospital complex that many people involved in healthcare and nursing is one of the main tasks. One of the effective ways to prevent unintended incidents at the hospital, risk management is an iterative process and it is logical to deal with dangerous situations. This review study aims to introduce risk management as a safe way to prepare the condensed electrolyte is done.

This study is revisal and its data and information were gathered through internet and databases like (Google Scholar, Pub Med, SID, Elsevier) during 2000-2015.

Environmental health risks in particular are at risk. Risk management is the underlying quality of
nursing care and can resolve the problem of compliance with the standards of care in nursing nurses will be.
Implementation of risk management creates a safe environment for patients and staff, the nursing profession is a great mission. The purpose of the risk management program, reduce the risk of injuries to patients.

Implementation risk management strategy in order to prepare concentrated electrolytes safely by nurses Discussion and

Implementation of risk management by nurses as a method of risk control,
the amount of preparation errors in hospitals reduces the concentration of electrolytes.

Successful managers are those who know all the details of the organization or his subordinates had to be based on a comprehensive and predictive planning just in case of danger، decision making power and influence they have. Otherwise handle this situation and deal with adversities will become difficult. This study was reviewed by searching library resources، the Internet، dissertations، and articles (1994 to 2011) were conducted. Environmental health risks are particularly predisposed. Nursing care quality assurance and risk management underlying cause mismatch problems nurses with nursing care standards at will. Implementation of risk management، safe environment for patients، clients and employees can create; the nursing profession is a big deal. Discussion and Risk management training to nurse managers and nurses in job training، implementation and effectiveness of the strategy، an important role in reducing neglect and abuse will be caring.

now، the health care system، the era of therapeutic response and rapid changes that occur in the system of professional accountability، are very important. Accountability is the status of the person responsible for the work done by others. This paper is an overview of the compilation، the library and Internet searches in databases google، yahoo magiran، sid، iranmedex، has been used. Nursing cares، one of the most important aspects of clinical work is in Performance is based care، nursing care and quality of care and satisfaction of those goals is to The main thrust of nursing care quality improvement process are، so their performance is very fruitful in advancing organizational goals and accountability nurses have an important role in fulfilling the mission of the health system plays. Discussion and Nurses، one of the largest health care provider groups، health care and more contact with patients than nurses and other staff who care provider. We offer quality services and improve patient care، nursing practice standards need to apply such standards، accountability (professional ethics and human)، work ethic and accountability

Error is an inevitable aspect of the vocations, especially jobs related to healthcare. The alleged error is not completely preventable. Medication errors, are among the most common which lead to reduce quality of care. The purpose of this study is to determine the causes of nursing medication errors and identifying ways to reduce it.

This study provides an overview of library resources and databases (Pub Med, Medline, Google, SID, Magiran,....) with The literature review from 2000 to 2011 with keywords (Preventable,medication errors, nurse) has been developed.

Drug errors are significant global concern which have serious medical consequences, including patients death. It is one of the obvious and expensive problems in hospitals that nurses have important role in committing it. Discussion and

Creating a safe system in production and promoting quality of care in hospitals is related to reduction of medical errors.