elham nikkhah beydokhti

Nurses, due to their working conditions, are susceptible to psychological issues such as moral distress and may suffer from burnout and lifestyle changes. This study investigated the relationships between burnout, lifestyle and moral distress among nurses in Birjand city.

In this descriptive cross-sectional study, simple random sampling using a table of random numbers, was employed to select 188 eligible nurses working in hospitals related to Birjand University of Medical Sciences in 2021 and 2022. This study collected data using a demographics form, the Moral Distress Scale, the Miller-Smith Lifestyle Assessment Inventory, and the Moslash Burnout Inventory. The collected data were analyzed using SPSS.21 and conducting Mann-Whitney, and Spearman correlation tests.

The majority of nurses 60.6% experienced moderate moral distress, while 7.4% suffered from severe moral distress and 31.9% reported low moral distress. Burnout was at a moderate level (54.98±12.30). Burnout had a weak significant, positive relationship with lifestyle and moral distress (p<0.001).

The results of this study suggest that as moral distress increases, job burnout increases too, and lifestyle becomes unhealthier, leading to lower quality nursing care. In critical circumstances, nursing administrators and health policymakers should take  action to alleviate the moral distress of the medical staff.

Patient falls are highly prevalent in hospitals, and are considered a complicated challenge. Thus, the present research assessed the prevalence of the fall risk assessment and the correlated factors among elderly inpatients.

The present analytical and cross-sectional research was conducted with 419 elderly patients meeting the inclusion criteria. The data collection instrument consisted of two parts including demographic information and the Johns Hopkins fall risk assessment tool (JHFRA). A convenience sampling method was used to select the elderly patients staying in the general wards of Allameh Bohlool Gonabadi Hospital, Gonabad City, Iran. The data analysis was done in SPSS software, version 23 using descriptive (frequency, Mean±SD) as well as inferential statistics (logistic linear regression analysis).

The Mean±SD of participants’ age was 72.09±9.46 and the prevalence of the fall risk was 85.9%. Statistically significant correlations were found between the elderly inpatients’ fall risk and their age (P=0.001), sex (P=0.012), and cardiovascular diseases (P=0.001).

Considering the high prevalence of fall risk among elderly inpatients, it is essential to plan for preventing and reducing the rate of elderly inpatients’ falls.

Health-related behaviors of patients with myocardial infarction (MI) are highly affected by their illness perceptions, and education is one of the ways to enhance illness perception. Accordingly, the aim of this study was to compare the effect of multimedia and telephone education on illness perception in patients with MI after discharge.

Methods & Materials: 

A randomized clinical trial was conducted on 32 patients with MI who were discharged in 2019-2020 in Gonabad and Mashhad. The samples were selected by the convenience sampling method and randomly assigned to the multimedia or telephone groups. The educational content was similar for both groups, and was provided as a conversation for the telephone group, and as video, audio, and image for the multimedia group. The Brief Illness Perception Questionnaire (Brief. IPQ) was completed by the patients on the first day and the sixth week after discharge. Data were analyzed through the SPSS software version 20 using Kolmogorov-Smirnov test, chi-square test, Fisher's exact test, independent t-test, Paired t-test and Levene's test, at a significance level of P<0.05.

The results showed that the average score for the components of illness perception after the intervention compared to before the intervention in the both groups had a significant increase (P<0.05), but no significant difference was observed in the comparison between the two groups (P>0.05).

Both multimedia and telephone training methods improve illness perception in the patients. Therefore, the trainer is suggested to choose the type of training according to individual differences and facilities of the recipient, and health managers should apply appropriate policies for patients with MI to benefit from telenursing care after discharge.

Elder abuse is one of the major social health problems in communities which has significant effects on decreasing their health and safety. The present study aims to investigate the prevalence of elder abuse by family members and its related factors in Gonabad, Iran.

Methods & Materials:

 This analytical cross-sectional study was conducted in 2020 on 401 elderly people in Gonabad, Iran. Who were selected using cluster random sampling. Data collection tools were a two-part questionnaire including a demographic form and the questionnaire of elder abuse by family members. The questionnaires were completed in a community health center. Data were analyzed in SPSS software version 23, using descriptive and inferential statistics. The significance level was set at 0.05.

The mean age of participants was 68.53±6.75 years. The prevalence of elder abuse by family members was 44.6%. The highest prevalence of elder abuse was related to care negligence and the lowest prevalence was related to rejection. The educational level (P=0.03), history of hospitalization (P<0.001), sleep quality (P<0.001), income level (P<0.001) and level of dependency (P<0.001) had a statistically significant relationship with the prevalence of elder abuse by family members.

Given the high prevalence of elder abuse in Gonabad city, it seems necessary to have programs to increase the awareness of the elderly, their caregivers, and health personnel to prevent and reduce elder abuse.