جستجوی مقالات مرتبط با کلیدواژه « مراقبت پرستاری » در نشریات گروه « پزشکی »

 In introducing and using technology in nursing, there is a risk that the focus will be on technology over patient care. This issue is more important in the emergency department which requires quality care in order to save human life. This study was conducted with the aim of determining nurses' perception and practice of technological competency as caring in nursing and its predictive factors in emergency nurses.

 In this cross-sectional research, 218 nurses working in the emergency departments of educational hospitals of Tabriz were included by stratified random sampling method. The data was collected using the instruments of perception and practice of nurses about technological competency as caring in nursing.

 The mean age of the nurses was 36.77 ± 7.92 years and most of the nurses (55%) were female. The mean and standard deviation of perception and practice scores were 138.13 ± 16.19 and 134.97 ± 15.27, respectively. According to the results, for one-unit increase in perception, practice significantly increased by 0.764 units.

 The mean score of perception and practice for emergency nurses in regards to technological competency as caring in nursing was above median. This reveals that the emergency nurses have the required knowledge and skills in order to use technology.

Since nurses are the most significant part of the professional forces of the health system, who have many duties in order to provide healthcare services, this can endanger the patient's safety. Functional barriers are the sum of issues and factors related to the conditions and facilities of the working environment. They hinder the ability of nurses to perform their duties and reduce the speed of work of nurses to provide care, which can disrupt the safety of nursing care and lead to an increase in Nursing errors. Therefore, this study aimed to determine the relationship between functional barriers and safe nursing care from the nurses' perspectives.

The present study was a descriptive cross-sectional-correlation study conducted in Shahidrathi Shahindej Hospital in 2022. The study included 139 nurses who were selected using the census sampling. Data was collected using a demographic questionnaire, a performance obstacles questionnaire from a nurse's point of view, and an assessment of safe nursing care (ASNC) questionnaire. Data were analyzed using SPSS software version 22.0 via Pearson and t-test statistical tests.

The mean score of safe nursing care was 314.58 ± 25.99, which was at the optimal performance level, and the mean score of performance obstacles was 32.92 ± 5.40. Based on Pearson's correlation test, no significant statistical relationship existed between the total score of safe nursing care and the total score of performance obstacles. However, some dimensions of safe nursing care had a significant statistical relationship with one dimension of performance obstacles (p < 0.05).

Despite the results of this study, it is suggested to think of ways to identify and eliminate the performance obstacles of nurses. Improving work processes, skills, and related training can be effective tools in reducing performance obstacles and improving safe nursing care.

The prevalence of hospitalized patients with various medical diagnoses and a history of drug use disorders in hospitals is high. Considering the high prevalence and numerous problems of the medical staff in caring for these patients, it is very reasonable to consider it as one of the health priorities that endangers the quality of care. The purpose of this study is to explain and clarify the challenges of nurses in caring for hospitalized patients with substance use disorders.

This qualitative study was conducted in 2023 at the University of Rehabilitation Sciences and Social Health. The study was conducted using Elo and Kingas style content analysis. Semi-structured interviews were conducted with an average time of 45 minutes per interview. The participants were 12 nurses working in hospitals affiliated to the Ministry of Health, Treatment and Medical Education, who were selected by purposive sampling.

280 codes, 14 subcategories and 4 main categories were the results of the analysis of the interviews. The theme of burnout in providing care was extracted through four main categories of cultural misconceptions, providing more care, condemning attitude and complexity of pain management.

Care and attitude challenges in the care of these patients create concerns in the nursing community regarding the safety of patients and the quality of care. Therefore, the relevant authorities should pay attention to the perceived challenges of nurses and try to plan to solve them.

The use of care based on nursing models plays a significant role in predicting the outcomes of care and identifying underlying factors and planning patient-centered care. The main aim of this study is to explain the application of Roy nursing model in the care of different patients in Iran.

This narrative review study has been done by searching the main keywords in Persian and English language: Nursing Care, Roy Adaptation Mode, Nursing and Roy adaptation model in Iran. We have used Iranian and non- Iranian journals in the period of the early years of the emergence of the model until 2023. In the initial search, due to the scope of the subject, only the studies that applied the Roy model in Iranian nursing were considered for review (80 articles). And according to the inclusion and exclusion criteria of the studies for further investigation; 46 studies were omitted. Also, studies whose full text could not be accessed were excluded from our review (N=4). Then, the findings of the remaining studies (N=30) were studied deeply for further investigation.

In general, the application of Roy model was determined in improving adaptation level in different modes and in various diseases and situations, including in hemodialysis patients, thalassemia, heart failure, breast cancer, mental disorders, burns, asthma, multiple sclerosis, diabetes, blood pressure and covid- 19.

It seems that according to the positive results in improving the level of adaptation in different patients in several studies; Roy's model can be considered as one of the most widely applicable models in nursing care in Iran. Examining the suitability of the Roy adaptation model with Iran's nursing context by qualitative researches is a necessity in the future.

Clinical competence is one of the requirements that nurses must have in clinical environments, especially psychiatric centers. This issue has a direct impact on the quality of nursing care. Therefore, this study was conducted with the aim of determining the level of clinical competence, dimensions and related factors in psychiatric nurses working in Razi Psychiatric Hospital in Tehran in 2024.

This descriptive-analytical cross-sectional study was conducted on 211 psychiatric nurses. The samples were selected by census method. The data was collected using demographic information questionnaire and "Clinical Competence of Mohtashmi Psychiatric Nurses" questionnaire. The data were analyzed using SPSS 25.

The mean clinical competency score of the psychiatric nurses participating in the study was 147.20±50.37. The mean and standard deviation of general competence, specific competence of the psychiatric nurses participating in the research were 32.47±5.34, 115.02±16.03, respectively. Also, the results of the study showed that participation in specialized psychiatric nursing courses has a significant relationship with clinical competence (p=0.002).

The results of this study show that the clinical competence of psychiatric nurses is at a good level, but more focus should be made on the dimensions of their specialized clinical competence. Also, holding specialized psychiatric nursing courses during service can further improve the quality level of clinical competence of psychiatric nurses in caring for patients with psychiatric disorders. Therefore, it is suggested that nursing managers of medical centers pay attention and emphasize the holding of these courses for psychiatrists.

It is necessary to provide safe care for patients with acute and life-threatening conditions by nurses working in the emergency departments (EDs). These nurses need higher levels of independent performance. Therefore, the competency to provide safe care and having professional nursing autonomy in novice nurses working in the EDs are very important.

The purpose of this study was to determine the relationship between professional nursing autonomy and safe nursing care in newly graduated nurses working in the EDs.

In this analytical cross-sectional study, the study population consists of all newly graduated nurses working in EDs of hospitals in Guilan, Iran. They all were included in the study using a census sampling method. The tools for collecting information were a demographic form, the assessment of safe nursing care questionnaire, and the professional nursing autonomy scale. Descriptive and inferential statistics (independent t-test, Spearman or Pearson correlation test, and linear regression analysis) were used to analyze the collected data.

There was a significant relationship between professional nursing autonomy and safe nursing care; for every one unit increase in professional autonomy, the chance of providing safe nursing care increases by 0.133 (P=0.009).

The significant relationship of professional nursing autonomy with safe nursing care among the EDS nurses shows that if nurses have a greater control over their performance, decision-making ability, and autonomy to act based on patient safety, they can provide better quality care to patients. Therefore, empowering nurses by providing conditions to perform based on professional autonomy, can ultimately lead to better results for the patients and cause overall safety in the EDs.

 The high workload and shortage of the nurses have greatly affected the quality of nursing care. This study was conducted to compare the quality of nursing care from the patients’ and nurses’ perspective in selected educational hospitals of the Gorgan City.

 This study was a descriptive, analytic and cross-sectional study that was conducted in selected educational hospitals of the Gorgan City in 2022. The stratified random sampling was used to select 213 nurses and 213 patients in the mentioned hospitals. The data was collected by demographic-professional information sheet and QUALPAC nursing care quality questionnaire. Descriptive statistics and Spearman, Mann-Whitney, and Kruskal-Wallis correlation coefficient tests were used in SPSS-24 software for data analysis.

 The mean age of nurses was 33.66±7.88 and the mean age of patients was 49.72±14.1 years. The total quality score of nursing care was 2.97±0.41 and 2.51±0.71 from the nurses' and patients' perspective accordingly. There was a significant difference between the quality of nursing care from the patients’ and nurses’ perspective in general and by dimensions (p<0.001).

 The quality of nursing care from nurses’ and patients’ perspective shows the gap between these two points of view. Therefore, it may be beneficial to pay attention to the needs of patients and taking actions to increase the appropriate therapeutic relationship between nurse and patient

Coronary heart disease (CHD) is the leading cause of death from cardiovascular disorders. Over the past few decades, coronary angioplasty has become an effective procedure for the treatment of coronary artery disease. Patients undergoing angioplasty experience high levels of anxiety due to poor quality of care resulting from inadequate and unprincipled training of nurses. The aim of this study was to evaluate the effect of an educational program based on the James Brown model on the quality of nursing care during angioplasty.

The current quasi-experimental study (before and after method) investigated 24 nurses working in the angioplasty unit of chamran hospital in Isfahan in 2021. They were selected by the consensus sampling method. The nurses’ group was trained based on the James Brown model. The quality of angioplasty nursing care was measured before the intervention, 3 days and one month after the intervention Using a researcher-made checklist of the quality of angioplasty care. The data were analyzed by the SPSS 16 software at the significance level of p<0.05. Statistical tests such as paired t-test and repeated measure ANOVA were used to analyze the data.

 Based on the results, the mean scores of the nursing care quality equaled 42/52±6/04 before the intervention, 60/46±7/51 three days after the intervention, and 66/07±6/53 one month after the intervention. The results showed significant differences among the mean scores of the angioplasty nursing care quality before training by the James Brown model, as well as three days and one month after the training (p<0.001).

According to the results, The James Brown educational program enhanced the quality of angioplasty nursing care. Therefore, it is suggested that the nurses working in this unit receive specific angioplasty care training through the James Brown model.

It is necessary to identify missed care in different clinical departments in order to improve the quality, quantity of care and patient satisfaction. This study was conducted with the aim of determining and comparing missed nursing care and factors related to them in intensive care and general departments from the point of view of nurses.

In this cross-sectional-analytical study, the number of 720 nurses by stratified allocation according to the number of hospital nurses (360 from intensive care departments and 360 from general departments) of hospitals affiliated to Golestan University of Medical Sciences in 2022 and were selected in an accessible way. Data were collected using missed nursing care questionnaires and related factors; data analysis was done with SPSS software version 18 and U-Man-Whitney test at a significance level of 0.05.

The average of missed nursing care was in intensive care wards (31.40±7.55) and in general wards (66.23±8.18). The average score of missed nursing care factors in the general department (33.94±8.16) and in the special department (64.02±11.19) had a statistically significant difference (P=0.0001). The most important missed nursing care in the special and general departments was "participating in interdisciplinary patient care conferences" and "doing oral care” respectively. The most important factors related to missed nursing care were in the intensive care department "emergency conditions of patients" and in the general department "lack of nursing staff".

Considering the difference of missed nursing care in general departments compared to intensive care departments, it is necessary to train the nursing staff and monitor their performance.

Thirst distress (TD) is a psychometric consequence of diet therapy and dietary sodium restriction (DSR) in elderly patients with heart failure (HF) and is one of the main reasons for admission of the elderly to hospitals and clinical centers. The aim of the present study was to determine the level of DSR and TD in the elderly with HF.

In this descriptive study, 70 elderly patients admitted to hospitals affiliated with Babol University of Medical Sciences (Iran) were randomly selected. The Thirst Distress Scale in HF patients (TDS-HF) and Dietary Sodium Restriction Questionnaire (DSRQ) were used for data collection. The data were analyzed in SPSS 26 using descriptive statistics.

The mean and standard deviation age of the participants was 69.38±8.32 years. The mean score of TDS and DSR in the elderly with HF was 30.47 ± 5.57, and 60.61 ± 8.7, respectively, indicating TD. There was a significant negative relationship between the duration of the disease and the score of DSR, and the place of residence with the score of TD.

Based on the results, representing TD in the elderly with HF, it is recommended that educational interventions appropriate to age should be used to reduce the psychometric consequences of diet therapy such as TD and to change attitudes towards adherence to DSR in the elderly with HF.

Attempting to improve the quality is an important issue in the nursing service and care system. The COVID-19 pandemic has created great challenges for healthcare systems, especially for the intensive care units, which can affect the quality of nursing care provided to these patients. The aim of this study was to determine the quality of nursing care in nurses working in the intensive care unit of COVID-19.

Methods & Materials:

 In this descriptive-cross-sectional conducted in 2021-22, 142 nurses from Valiasr, Amir Kabir, Amir al-Momenin and Khansari hospitals affiliated to Arak University of Medical Sciences were selected by the census method. The Martins’ nursing care quality questionnaire (including 25 items in 7 domains) was completed by the participants. The SPSS software version 16 and independent t-tests, analysis of variance and the Pearson's correlation coefficient were used for the data analysis.

The result showed that the mean score of the nursing care quality was 83.83±7.74, which was considered favorable due to being higher than the median score of the tool (62.5). Among the individual characteristics of nurses, the nursing care quality had a statistically significant relationship with the type of employment (P=0.003), age, work experience and work experience in the intensive care unit (P<0.001).

Considering the significant relationship of the nursing care quality with the type of employment, age and work experience, it is recommended that health managers take an effective step in formulating the necessary policies to improve the quality of nursing care by taking into account the experience of skilled nurses in intensive care units.

Nursing is an independent discipline and a branch of medical sciences. Its mission is to provide the necessary health, treatment and rehabilitation services at the highest level to ensure, maintain or improve the health of society. Davis et al. (2005) emphasized the importance of measuring patient care quality. In their study, a standard questionnaire named quality patient care scale (QUALPAC) was used to measure the quality of patient care. This tool has been used since 1975 in different countries. Different studies have used this questionnaire with 68 items. The Persian version of this tool was validated in Iran by Khoshkho et al. Based on their results, the Persian version has 72 items rated on a five-option Likert scale. Different versions of QUALPAC been used in various studies conducted in Iran, and its reason is not clear. For example, in the study by Heydari and et al., the 65-item version of QUALPAC was used, with no reference was provided for the applied version.

Nowadays, improving the quality of nursing care by providing a clinical solution in the care of clients with urinary catheterization is significant. In this regard, the present study aimed to design an adaptation the guideline of nursing care after catheterization.

The present study was performed using the clinical guideline adaptation model method in 2021-2022. Based on a literature review, 7 clinical guidelines evaluated with the AGREE instrument were used as baseline guidelines. The nursing practices extracted from these guidelines were evaluated according to the RAND / UCLA Appropriateness Method (RAM) by members of the panel of experts (15 persons) and finally, after making the necessary corrections, the final draft was prepared by AGREE instrument by faculty members. Re-examined.

Findings of the study include 225 recommendations in the field of nursing care after catheterization in the form of 17 sections, as follows: (urinary catheter, urinary bag, catheter removal, when the client is unable to tolerate the catheter, obstruction of the catheter, leakage of urine around the catheter, bladder washing, urine sampling, decreased urine flow, urinary tract infection, skin integrity disorder, bleeding, erectile dysfunction, autonomic dysreflexia, bladder or urethral spasm with general pain and discomfort, purple bladder syndrome, and dysuria after catheterization).

It is hoped that nurses can use the recommendations of this guide to improve their level of awareness and knowledge in the field of care for patients with urinary catheterization and make an informed decision.

Among the members of the rehabilitation team, nurses play a key role in the rehabilitation process and are responsible for the specialized care of patients with disabilities. In order to provide these cares, nurses need to acquire various skills, which are important to know in order to provide quality care. Therefore, this study, through a qualitative approach, has explained the required competencies of rehabilitation nurses in caring for patients with disabilities.

In this qualitative content analysis study, 14 nurses working in Rafideh Rehabilitation Hospital (Tehran/Iran) were participated. Participants were purposively selected based on their willingness to participate in research and experience caring for patients with disabilities. Data were collected through in-depth semi-structured interviews and data analysis was based on the steps suggested by Granheim and Lundman. The correctness and robustness of the collected data were evaluated based on Lincoln and Goba criteria.

After analyzing the findings from 17 interviews, three main classes of "proficiency in providing care" with four subclasses (acquiring rehabilitation knowledge, mastering general nursing knowledge, having general and specialized skills), the main category "constructive communication with the patient" with three subcategories (cultural sensitivity, reliability, active listening) and the main category "personality characteristics" with six subcategories (resilience, honesty, ethics, patronage, participation, compassion) emerged.

The results show that the rehabilitation nurse needs to strengthen various aspects of his existence, including general and specialized knowledge and skills, the ability to communicate constructively with the rehabilitation team, the patient and the family, as well as acquiring positive personality traits in order to be able to best to fulfill their roles and responsibilities. The results of this research can help nurses to achieve the maximum level of individual competence and nursing managers to identify and select the most qualified nurses to provide care for patients with disabilities.

With the use of nursing theories in patient care, It was hoped that standards of care can be improved for patients, reduced the cost of nursing care and quality of life of patients co Reduced costs of nursing care and quality of life of patients correction.

Using Neuman theory as a solution in Iranian nursing care challenges.

In order to find studies and resources related to Neuman Theory and Iranian nursing care,  we used three-step techniques. digital databases in the National Library of Medicine of Iran (Elsevier, Nursing consult, Proquest, Scopus, ...) and Google scholar and Persian databases including Irandoc, Iran Medex, Magiran, SID and Medlib was used. Search articles from 1980 to 2016 in English and Persian papers from 1380 to 1395. Then, based on analysis of various studies on the use of Betty Neuman's theory challenges were identified. in early search 803 artcle was found. 231 article was related to the theory Newman, education and nursing care and at the end of the second stage only 23 articles reviewed. 12 cases (52%) articles related to nursing education, 8 (34% ) in relation to nursing care and other articles associated with the gap between theory and practice.

The results of the studies showed that the use of the Neuman Theory in the Iranian nursing system is very poor. More nurses in hospitals, provided nursing care to patients in the secondary level of prevention And their activities in other areas and other prevention levels in community settings and Holistic care, is very limited and it is inconsistent with the philosophy of holistic nursing care.

Neuman's theory focuses on a community vision is to provide nursing services.Due to the importance of the country's nurses' knowledge and skills in health promotion community, empower the nurses in this field is a special place of access to the education system in need of objective review Nursing and health care system in order to use the services of nursing theory nurses to provide care to care to the individual and society are ready.

The performance quality of peripherally inserted central catheter (PICC) by nurses has a direct effect on the improvement of patient care and safety. The aim of this study is to audit the placement and nursing care of PICC in infants.

This cross-sectional study was conducted on 130 PICC procedures in the neonatal intensive care units of Rouhani and Amirkola hospitals in Babol in 2018-2021. All infants who needed PICC placement for any reason were selected. In order to collect the data, the observational researcher-made checklist and the infant demographic characteristics questionnaire were used. The checklist included 44 questions and four parts of nursing care before catheter insertion, hand washing, nursing care during the procedure, and nursing care after catheter placement. The scores obtained from the checklist were classified into conversion percentage and two groups of unfavorable placement (less than 67) and favorable placement (68-100). To confirm its reliability, intraclass correlation coefficient was used (ICC=0.90).

A total of 130 cases of PICC placement and nursing care were audited (Rouhani Hospital 98 cases 75.4%, Amirkola 32 cases 24.6%). In the studied sample, 83 (63.8%) were boys and 53 (43.1%) were diagnosed with prematurity. The most common PICC location was the armpit (42.3%). The percentages of compliance of nursing care before PICC insertion according to the standard (97.43%), hand washing (100%), nursing care during the procedure (87.14%) and nursing care after PICC insertion (94.84%) were favorable. Nurses did not use glasses and ultrasound guidance during PICC insertion; (85.4%) and (90%), respectively.

According to the results of this study, although the quality of PICC insertion and care in three stages was at a favorable level, nurses need training regarding the use of glasses and ultrasound guidance during PICC insertion.

Hospitalized patients with substance use disorders are known as one of the biggest challenges in the health system. In this regard, there is strong evidence that nurses face challenges in caring for these patients.

This research was done by systematic review method. Search with keywords comorbidities, Nursing care, Dual diagnosis, Substance-Related Disorders, substance use disorders, substance abuse, drug abuse, multimorbidity, concurrent disorders, co-existing disorders have been performed in electronic databases Sid, magiran, civilica, google scholar and pub med from 1998 to 2022. Articles in English and Persian containing challenges or solutions related to the problems of nursing care of patients with co-morbidities with substance use disorders, qualitative, quantitative, Mixed and review studies, articles with access to their full text were included in the study. Location restrictions were not considered.

The results of 23 studies show that nurses in the nursing care of patients with substance use disorders, in four areas of Emotional (48% Studies), caring (39%), educational (48%) and supportive (43%) with challenges such as feelings of burnout, risk, lack of knowledge, lack of skills and ambiguity of role Etc. are encountered.

According to the results of the study, nurses need additional training and support to care for these patients. Applied training along with at least moderate level of role support and emotional support by improving qualifications, knowledge and skills can be effective in solving the problems related to the care of these patients. The development of guidelines, policies and specific government policies, to care for these patients, can prevent the confusion and inability of nurses to care. In addition, close communication and links between health service providers and experts in the field, promotion of interdisciplinary partnerships and working alliances can be used to solve care challenges and obstacles.

Today, health care systems are focused on the patient. The level of patient satisfaction with the quality of nursing care received is one of the main components of quality management in the hospital system. This study aimed to determine the satisfaction of inpatients with the quality of nursing care in the internal wards in medical training centers affiliated with Tabriz University of Medical Sciences.

This study is a cross-sectional descriptive study that was conducted with the participation of 197 eligible patients in 2018 in seventeen medical wards of hospitals affiliated with Tabriz University of Medical Sciences. Patients were sampled using a proportional random method. Data were collected using standard tools. Data analysis was done with spss software version 13 and descriptive and inferential statistics.

The total average satisfaction of patients is 187.31(21.76) from the range of obtainable scores (41-287) and the highest average satisfaction score is related to the respectful treatment of the nurse with the patient and the lowest score is related to the conflict between the words of doctors and nurses.

In this study, patients' satisfaction with nursing care was average. The lowest score was related to the conflict between the words of doctors and nurses that with the planning of nursing managers and doctors, a step can be taken to improve the quality of nursing care and patient satisfaction.