bahman aghaie

Providing a clear and practical definition of advocacy would help nurse increase their involvement in advocacy and preserving the patients’ rights. This study deepens the understanding of the features of advocacy among Muslim nurses.

This study was conducted using the qualitative content analysis approach. The data were gathered through conducting in-depth semi-structured interviews with a purposeful sample of 18 nurses and they were analyzed using the thematic analysis approach.

The main characteristics of patient advocacy include protecting the religious aspect of care (avoiding treatments that are contrary to the religious beliefs of patients, and paying attention to religious issues in the care of unconscious patients), providing dignified care (being non-judgmental, providing patient comfort using methods appropriate to their religion, maintaining patients’ privacy, and respecting patient’s cultural and religious values), and giving hope to the patient (reminding patient’s sources of strength and hope, and paying attention to the patient’s concerns).

In this study, the main characteristics of patient advocacy from the point of view of Muslim nurses have been determined. The results of this study will help Muslim nurses to understand more deeply what they should do to help their patients.

It appears that the ability to maintain patient safety is influenced by the culture of patient safety. This study aimed to determine the status of patient safety culture and its relationship with the competence of maintaining patient safety among nurses working in hospitals affiliated with Qom University of Medical Sciences.

In this cross-sectional study, 338 nurses employed in the hospitals of Qom University of Medical Sciences were examined using quota sampling and random methods in each hospital in 1402. The instruments utilized included patient safety culture and patient safety competency questionnaires. Data were analyzed using SPSS-21 software, applying Pearson correlation and multivariate linear regression, with a significance level set at 0.05.

The patient safety culture among the studied sample was found to be at an average level. Results from the multivariate linear regression analysis indicated that the frequency of reporting events and the effectiveness of communication and feedback about errors were significantly related to patient safety competence (P < 0.05). Specifically, for each unit increase in the average frequency of reporting incidents, patient safety competence increased by 0.19; similarly, for each unit increase in average communication and feedback regarding errors, patient safety competence increased by 0.22.

The patient safety culture is currently at an average level. Given the established relationship between patient safety culture and the competence to maintain patient safety, there is a need for interventions aimed at enhancing patient safety culture within hospitals.

Fatigue is a challenging problem for nurses working in the emergency department and makes them dissatisfied with their jobs. This study examined the effects of a mindfulness training intervention on fatigue and job satisfaction in emergency nurses. A quasi-experimental study was conducted with 80 emergency department nurses in 2022. Participants were randomly assigned into an intervention group (n=40) and a control group (n=40). The intervention group received eight mindfulness training sessions, while the control group received no intervention. Data was collected using the Minnesota Satisfaction Questionnaire and the Multidimensional Fatigue Inventory a few days before the start and immediately after the end of the intervention. Descriptive statistics, t-test, paired t-test, and analysis of covariance (ANCOVA) were used to analyze the data. The two groups did not differ significantly in their pretest fatigue mean scores. However, all posttest fatigue mean scores decreased in the intervention group, and the between-group differences were statistically significant (P < 0.05). The two groups also did not differ significantly in their pretest scores for internal, external, and general job satisfaction (P> 0.05). However, all posttest job satisfaction mean scores increased in the intervention group, and the between-group differences were statistically significant (P < 0.05). The ANCOVA showed that the nurses’ pretest scores had no significant effect on the posttest scores for fatigue and job satisfaction. This study supports the potential benefits of the mindfulness intervention in overcoming fatigue and improving job satisfaction of nurses working in emergency department. Nurses are recommended to learn and implement mindfulness-based interventions to reduce their fatigue and improve their job satisfaction.

Patient hospitalization in the intensive care unit puts families in a whirlpool of emotional stress. Due to the importance of nurses in addressing the needs and worries of this family, this study investigates the relationship between the family’s perception of the roles of nurses with satisfaction and worries in intensive care units.  

This is a cross-sectional (descriptive-analytical) study. The study samples include all the families of adult patients hospitalized in the intensive care unit of Gonbad city hospitals (2020-2021), of which 140 people, who were included in the study using convenience sampling method. Data collection tools included questionnaires of family members' perception of the role of intensive care unit nurses, worry questionnaire and family satisfaction questionnaire of patients admitted to the intensive care unit. Data were analyzed using independent t-statistics, ANOVA, Pearson's correlation coefficient and linear regression coefficient using SPSS version 22. A significance level of 0.05 was considered.

Among the families, 75% with a mean and standard deviation of 3.04 ± 1.11 had the most perception of the role of nurses. The mean and standard deviation of family satisfaction was 73.98±20.87. Family perception of the role of nurses towards them showed a weak positive and significant correlation with satisfaction (P=0.002, r=0.250). Also, worry could not explain the family's perception of the role of nurses.

The results of this research show that the family's perception of the role of nurses has a weak correlation with their satisfaction and concern. How the nurses themselves understand their roles towards the family should be investigated in future research.

Cardiovascular disease, especially myocardial infarction, is one of the common causes of death, disability, and productivity reduction globally, which is also rising in Iran. This study evaluated the share of modifiable and non-modifiable risk factors in myocardial infarction in the Iranian population.

A descriptive-analytic and retrospective study was conducted on 361 patients with myocardial infarction in Alborz, Iran, in 2015-2019. Data collection was done by reviewing records of patients diagnosed with myocardial infarction with ECG changes or increased cardiac enzymes (CPK-MB, Troponin I). Then required information was extracted, and intended data were analyzed with descriptive and inferential statistics by the SPSS software.

Among the subjects in the study, 71/1% were male, and 28/9% were female. The majority of samples were between the ages of 60 to 71(33/8%), and the least of them were under 30 years old (1/7%). 82.68% of the samples had a positive family history. The most common modifiable risk factors of myocardial infarction in this study were first Hypertension (42/4%), then Diabetes (31/6%), smoking (32/04%), and Hyperlipidemia (15%). Hypertension was significantly associated with gender, age, and diabetes, and Hyperlipidemia is also positively associated with diabetes and Hypertension.

Myocardial infarction is common in men and patients with Hypertension in the Iranian population. High blood pressure is also associated with gender, age, and diabetes. The prevalence of both modifiable and non-modifiable risk factors and coronary artery occlusion increases with increasing age. Therefore, training a healthy lifestyle and controlling modifiable risk factors from an early age can significantly prevent various cardiovascular diseases in the future.