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

safe nursing care is the use of knowledge and skills by nurses to provide quality patient care and it is considered one of the health goals in intensive care units. The feeling of being supported by the hospital play a key role in achieving this goal; it  can lead to job satisfaction, good job performance, and patient satisfaction. This study aims to determine the relationship between perceived organizational support and safe nursing care in nurses working in the intensive care units (ICUs) of public hospitals in Tabriz, Iran.

This is a descriptive-correlational study with a cross-sectional design that was conducted on 200 nurses working in the ICUs of hospitals affiliated to Tabriz University of Medical Sciences in 2021-2022, who were selected using a quota sampling method. Eisenberger et al.’s perceived organizational support scale and Rashvand et al.’s safe nursing care questionaire were used to collect data. Data analysis was done in SPSS v.16 software using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (independent t-test, analysis of variance, and Pearson correlation test). 

The mean score of perceived organizational support was 23.20±9.57, which was lower than the cutoff point. Safe nursing care was at a favorable level with a mean score of 322.89±34.1. The perceived organizational support had no statistically significant correlation with safe nursing care and its dimensions.
Conclusion Despite the unfavorable perceived organizational support of ICU nurses in Tabriz, their safe nursing care is favorable. There is no statistically significant relationship between their perceived organizational support and safe nursing care. This finding is probably due to the prevailing rules and professional beliefs in the work of nurses, which has caused the care provided to be safe despite the perception of low organizational support.

The safe performance of nurses during the outbreak of the coronavirus disease (COVID-19) is effective in reducing the costs and deaths caused by COVID-19 and reducing the hospitalization of patients. The aim of the present study was to investigate the head nurses' perspective on nurses' performance in providing safe care to patients during COVID-19 epidemic.

This descriptive cross-sectional study was conducted during 2021-2022. The research population included all nurses with at least a bachelor's degree in nursing and at least six months of work experience. In this study, head nurses who were as evaluators had at least six months of leadership experience. The sample size was 118 subjects. The data were collected using a Safe Nursing Care Tool. Data were analyzed with SPSS 18 using an independent t test, analysis of variance and multiple regression. A value of P< 0.05 was considered significant.

The mean and standard deviation of the nurses’ age was 71.37±32.7 years. The mean of the nurses' total safe behavior score was 27.255±97.30 (at average level). There was a statistically significant relationship between nurses’ safe behavior and age (P=0.047) and nurses' working hours (P=0.005).

From the results, nurses' safety behaviors were average during COVID-19 outbreak. Therefore, to improve nurses' safety behaviors, it is recommended that nurses be regularly trained in safety concepts and provided with feedback, and their safety performance be monitored and evaluated.

Providing safe care in accidents and crises by pre-hospital emergency aid units plays an effective role in reducing the burden of injuries and damages. This study was conducted with the aim of investigating the factors affecting the provision of safe care by pre-hospital emergency units in Mazandaran province.

This research was descriptive-analytical (cross-sectional). The statistical population of the research was operational personnel of emergency units of selected pre-hospital emergency bases in Mazandaran province (N=165) and sampling was done by census method. The data collection tool was a researcher-made questionnaire, which was used to check the quantitative content validity using the content validity index and the content validity ratio. Then the reliability of the questionnaire was estimated by Cronbach's alpha method of 0.82. Data analysis was done using SPSS 20 software. The ranking and prioritization of factors affecting the provision of safe care in pre-hospital emergency units was done with Friedman's test.

From the point of view of operational personnel of pre-hospital emergency aid units of Mazandaran province, 5 factors were effective in providing safe care in pre-hospital emergency aid units, which is the motivation factor in the first place (with an average rating of 3.49) as the most effective factor and medical equipment in the fifth place (with an average rating of 5.49), was the least effective factor.

Policy-making in the field of improving the motivation of the personnel of relief units and their training, providing the necessary manpower, managing relief units and improving medical equipment will improve the provision of safe care in pre-hospital emergency relief units.

Caring for patients treated with mechanical ventilation is of particular importance because of its complications. The occurrence of various diseases, including pneumonia and its resulting mortality, is affected by inadequate and improper implementation of principled and safe instructions by the care team, especially nurses.

This study aimed to evaluate the implementation of airway care safety guidelines for patients under mechanical ventilation.

This descriptive study was performed in 2020 in the intensive care units (ICUs) of selected Military hospitals in Tehran. The study population included all nurses working in these wards. The performance of 90 nurses working in these wards was observed four times. A total of 270 observations of nurses’ performance in patients’ airway care were recorded in a researcher-made observation checklist. Data were analyzed using SPSS software version 25 and descriptive and inferential statistical tests such as independent t-test, ANOVA, and Pearson correlation coefficient. The significance level was considered less than 0.05.

In total, 61.1% were male, 54.4% were married, 92.2% were bachelor, and 7.2% had a formal contract with a mean age of 33.36±8.44 years. The total amount of care in the first time was 35.08±7.59, in the second time was 35.12±7.30, and in the third time was 35.61±7.05. Safe airway care of patients had a significant relationship with the variables of gender, marital status, work experience, type of employment, shift and work history of patient safety, intensive care, and mechanical ventilation.

In this study, it was found that the status of implementation of airway safety instructions by nurses for patients under mechanical ventilation is at an unfavorable level. Further monitoring of nurses’ performance, practical and quality training on how to care for patients’ airways, and strict implementation of safety instructions are strongly recommended.

Safe care is one of the main concerns in the care of patients with COVID-19; therefore, providing safe care can play an important role in promoting patient health. The aim of this study was to compare the quality of safe nursing care in corona and non-corona wards.

The present study is a cross-sectional descriptive-analytical study in which nurses safe care delivering in corona and non corona wards of Baqiyatallah Hospital has been compared in 1399. Sampling was done by census and the statistical population included all nurses working in corona and non-corona wards. The questionnaires were completed by the head nurses using two questionnaires of demographic information of nurses and Rashvand et al.

The nurse’s performance in patient care was moderate in corona and non-corona wards. There was no significant difference in different dimensions of quality of care (nursing skills, mental safety, physical needs and teamwork) in covid and non-covid wards (P <0.05).
Discussion and

Despite the contagious disease and fear of infection, nurses work in all conditions. On the other hand, due to the average quality of safe care in coronary and non-coronary wards, it is very important to pay attention to these wards to improve care. In addition, the attention of officials and planners to increase staff and increase nurses’ motivation to continue caring and improving it is important.