جستجوی مقالات مرتبط با کلیدواژه « emergency wards » در نشریات گروه « پزشکی »

One of the challenges of modern society is to provide mental health especially in nurses. This study aimed to investigate the effect of environmental index on mental health in nurses working in emergency and non emergency wards in Khorramabad hospitals. This is a correlational study. The population consisted of all nurses in the hospital, which included 433 patients. The sample included 207 nurses with sampling in Ashayer hospital and census method in Tamin Ejtemaee hospital. Data collection included: Demografic Questionnaire, The General Health Questionnaire (GHQ), Work Environment Scale (WES) validity and reliability are prooven. Data were analysed by test t Independent, one-way ANOVA test and the Spearman correlation. In this study, 119 women and 88 men were studied that 43.30% of nurses were working in the emergency department and 57.69 percent were working in other parts. T tests showed a significant difference between the means of the independent mental health nurses in the emergency department 71.14 ± 19.29 compared to nurses in other sectors 48.13 ± 13.30) (p=0.654). Based on the results, however employees in emergency wards experience more trouma due to their job history, there was no significant meaning between mental health disorders and psychological stress in nurse working in emergency and non-emergency wards.

Accidental needle-stick injuries (NSIs) are a hazard for health-care workers and general public health. Nursing workers are at high risk for occupational exposure to blood-borne pathogens via sharp injuries of needle stick. The aim of this study was to determine “needle sticks injuries among health care workers in emergency medical center in Tehran University of Medical Sciences(TUMS) hospital”. (2008-2012). In this descriptive study 358 health care workers worked in emergency wards in Tehran University of Medical Sciences hospitals were followed for needle stick events from 2008 to 2012. Sampling method was census. Data were collected by a researcher-made questionnaire consisted of 32 questions included demographic variables and NSI included the event that leads to needle stick injuries. Content and face validity and also test-retest reliability were measured and data was analyzed by SPSS 16. The study population reported 84 needle stick injuries during the study period. Incidence rate of NSI was 23/46%. In most cases, needles and vein catheter were responsible for injuries. IV access and recapping of needles) were most common action resulted to exposure. Exposed people believed that the most important and basic reason for needle stick injuries was patients crowdedness, shortage of staff and fatigue.80/95% of the nurses who had experienced NSIs in the previous 5-years were reporting all exposure to the NSIs.75/9% of nurses had been vaccinated against hepatitis B virus. There werent statistically significant different in demographic variables except working experience. This study suggests that the frequency of NSIs and rate of underreporting among nurses are considerable. It is suggested that, NSI in hospitals should be managed through obtaining an appropriate reporting system, organizing blood and body fluid exposure surveillance system, Standard reporting protocol, education and vaccination against hepatitis B virus.

Based on recommendation of management development and organizational change center of the ministry of health. EFQM model is the most appropriate model to deploy in country`s hospitals. In this study we assess quality of emergency wards in khorramabad hospitals based on EFQM model and compare it with results of annual evaluation of the ministry of health. this descriptive، cross-sectional study was carried out in 2009. Emergency wards of khorramabad hospitals were our study population which were selected using census method. Data collection tool was questionnaire of EFQM model which was filled out by researchers in studied wards. RADAR logic used for scoring and EFQM consensus process used for agreement. The data were analyzed through descriptive statistics، SPSS and EFQM softwares. Scores of studied wards (Social security، Shahid Madani،Shohaday-e Ashayer and Asali hospitals) were 216،108. 1،129. 9،72. 1 respectively. The mean score in EFQM criteria were: leadership 12. 3%، policy and strategy 7. 1%، staff 11. 8%، partnerships and resources 13. 8%، processes 20. 8%، customers results 8. 3%، staff results 12. 5% society results 9. 5%، key performance results 18. 8%. Findings show that quality of studied wards is less than the model standards and other similar studies considerably. From view point of the researcher the existing gap with external studies is logical and in comparison with internal studies is irrational. The studied wards acquired the most score in process criterion and the least score in policy and strategy criterion. Also، findings shows a negative relation between results of assessment based on EFQM model and current evaluation system of the ministry of health، so it is suggested that the current system should be revised fundamenally.

Today، Needle Stick Injuries (NSI) are very important occupational hazards experienced by healthcare workers lead to exposure to blood-borne viruses especially hepatitis B، hepatitis C and HIV. The aim of this study was to determine needle sticks injuries among heath care workers in emergency medical centers in Tehran University of Medical Sciences hospitals (2007-2010) In this descriptive study 991 heath care workers worked in emergency wards in Tehran University of Medical Sciences hospitals were followed for needle stick events from 2007 to 2010. Sampling method was census. Data were collected by a researcher-made questionnaire consisted of 32 questions included demographic variables and NSI included the event that leads to needle stick injuries. Content and face validity and also test-retest reliability (r = 0/71) were measured and data was analyzed by SPSS 16. The study population reported 167 needle stick injuries during the study period (167 heath care workers exposure group، 554 heath care workers not exposure group). Incidence rate of NSI was 16/85%. Majority of subjects in exposure group were female (50/89%)، married (52/69%) and nurse (53/2 %) and also the mean age was 35/3 6/4. In most cases، needles (55/08%) and vein catheter (22/75%) were responsible for injuries. IV access (24/7%) and recapping of needles (23/3%) were most common action resulted to exposure. There weren''t statistically significant different in demographic variables except working experience between exposure groups and not exposure group. According to the results of this study، incidence rate of NSI among HCWs worked in emergency wards in TUMS less than other studies in different countries. This might be an indication of inadequate reporting. It is suggested that، NSI in hospitals should be managed through obtaining an appropriate reporting system and organizing blood and body fluid exposure surveillance system.