In recent years, patient safety has become one of the greatest concerns of organizations and health care providers. Nurses play a key role in providing safe and high quality cares in all units of the hospital, both general and Intensive Care Units. Since nurses are directly supervised by the head nurses, This study aimed to compare the performance of nurses from the viewpoint of nurses in providing safe care to patients in the Intensive care and general units of Aja hospitals in 2018. This is a descriptive cross-sectional study in which nurses’ performance in general and special wards was assessed using the Assessment of Safe Nursing Care Questionnaire (ASNC) with 32 questions and four dimensions of mental, physical, nursing skills and teamwork. Data were analyzed using SPSS 19. The significance level was less than 0.05. The results have shown no significant difference between the safe performance of nurses in special and general wards. Also, there was no significant relationship between the type of hospital wards, sex, employment status, work shift, participation in the workshop and safe operation of nurses (P>0.05). There was a significant relationship between the type of wards and the nurse’s performance in terms of physical and nursing skills (P<0.05); however, there was no significant relationship between the type of department and the nurse’s performance in the mental health and nursing teamwork dimension (P>0.05). Discussion and Since nurses’ caring performance in ICUs is not so perfect, it is suggested that more planning be done for the improvements.

Poor communication among health care providers includes risk factors that should always take into account in monitoring of medication errors and intravenous lines. Information exchange happens repeatedly among healthcare providers. An instance of such communication and exchange of information that plays a pivotal role in improving patient safety is during the nursing shift handovers. They should be done in a standard procedure، and they should be documented to improve the performance in the areas of safety and preventing medication errors and intravenous lines. This study was accomplished to investigate the effect of a standardized shift handover protocol on the safe performance of nurses in the areas of care of intravenous lines and medications.

This was a quasi-experimental، one group pretest/posttest study on 56 nurses working in intensive care unit in Qhaem Hospital who were conveniently selected. The safety performance level of nursing care were evaluated before and after implementation of written guideline using self-structured checklist of performance evaluation of nursing care. Validity and reliability of this instrument was determined by Content Validity Index and Inter Rater Reliability (r=0. 95).

Study findings revealed that nurses’ mean score on the Safe Practice Evaluation Checklist increased significantly (p<0. 001). Wilcoxon test showed that there is a significant difference in the two areas related to the nursing care of medication and intravenous lines.

Development of a rule-based approach، comprehensive and practical standard protocol to transmit crucial and relevant information related to the patient care will improve safe performances of nurses in the area of medication and intravenous lines nursing care.

One of the primary goals of health service provision is to prevent patient harm and maintain patient safety. Patient safety is defined as minimizing the risk of unnecessary injuries compared to other treatments or lack of treatment. Safe nursing care has four dimensions of nursing skills, providing physical safety, providing mental safety, and nurseschr('39') cooperation with other members. The provision of safe care depends on the quality and efficiency of nursing services. The efficiency of nurses depends on the measures taken to preserve the body and mind of nurses and the improvement of the quality of their work life. Quality of work life emphasizes personal consequences and professional improvement to meet onechr('39')s needs in the four dimensions of personal life, work framework, work context, and global dimension of work. Safe care and quality of work life are important issues, and their dimensions have been assessed and identified separately in some studies, while they could be fully recognized and promoted through more approaches. The present study aimed to assess the correlation of safe nursing care and the quality of work life of nurses in the public hospitals of Rasht, Iran in 2020.

This cross-sectional, descriptive-correlational study was conducted to assess the correlation between safe nursing care and quality of work life in eight public hospitals in Rasht. The participants included 250 nurses who were selected via stratified sampling based on the ratio of the total number of the nurses in the public hospitals of Rasht and each hospital department accessibly. Data were collected using a demographic questionnaire, Brookschr('39') quality of work life (QWL) for nurses (2005), and Rashvand safe nursing care questionnaire (2017). Brookschr('39') QWL questionnaire has four dimensions regarding the quality of work life of nurses with 42 items, including personal life (seven items), work framework (10 items), work field (20 items), global work dimension (five items). Each items was assigned a score within the range of 1-6 (Strongly Disagree=1, Strongly Agree=6) within the score range of 42-252. The reliability coefficient of this questionnaire has been confirmed at the Cronbachchr('39')s alpha of 0.91. Rashvand safe nursing care questionnaire had 33 items in the four dimensions of nursing skills (16 items), mental safety (four items), physical safety (seven items), team work (five items), and one general question. The demographic and QWL questionnaires were completed by the nurses, and the safe nursing care questionnaire was completed by the nursing supervisor. Sampling was performed during September 22-October 20, 2020, and each questionnaire was completed within 20-30 minutes. The inclusion criterion was employment in a public hospital in Rasht, and the exclusion criteria were incomplete questionnaires and not returning the questionnaires. After the sampling process, 250 questionnaires were collected. Data analysis was performed in SPSS version 16 using descriptive statistics (absolute and relative frequency, mean, and standard deviation) and inferential statistics (independent t-test, analysis of variance, and Pearsonchr('39')s correlation-coefficient), and the significance level was considered <0.05.

The quality of work life of the majority of the nurses (78.8%) was moderate. The highest and lowest mean scores were obtained in the work field dimension (58.37 ± 15.74) and the global work dimension (41.92 ± 18), respectively. In the majority of the studied nurses (94.4%), the level of safe nursing care was favorable and higher, while their cooperation level with the other healthcare team members was lower comparatively. Safe nursing care had no significant correlation with the quality of work life and none of its dimensions. In addition, none of the demographic variables were significantly correlated with the quality of work life of the studied nurses. However, safe nursing care had significant correlations with gender, marital status, employment status, age, and work experience (P>0.001).

Despite the moderate quality of work life, safe nursing care was considered favorable. However, no significant correlations were observed between safe nursing care, the quality of working life, and its dimensions. This finding could be due to the prevailing professional rules and beliefs in the nursing profession, which maintains safe care despite the limitations in the factors associated with the quality of work life. Although safe nursing care was favorable, the constantly increasing need for promoting the quality of care and the competition of care service organizations to attract more clients, safe nursing care must be enhanced continuously. According to the findings, the dimension of clinical skills was rather poor in terms of safe nursing care, which requires skills retraining and further monitoring in this regard. Since the global quality of work life mainly concerns nurses, chief executives must pay special attention to the salaries and wages of these individuals, as well as their job security and presenting a correct image of nursing to the society.

The main aim of performance appraisal is aid to staff development and increasing job motivation. Outcomes of performance appraisal consider as a determining indicators of the amount of success in achieving the mentioned aims. The aim of this study is to determine the employed nurses’ views regarding the performance appraisal's outcomes and its relation with job motivation in medical-surgical wards of affiliated hospitals of Tehran University of Medical Sciences. Methods & Materials: This investigation is a descriptive correlational study. The sample size was 120 of employed nurses in medical-surgical units in Tehran University of Medical Science that was selected by cluster sampling. The data was collected by questionnaire. Descriptive statistics, t-test and Pearson’s correlation coefficient were used for analysis. Perception of the most samples was almost positive (65%) about performance appraisal’s outcomes. They believed that the rate of the job motivation in surveyed units was low. There was a statistical significance relationship between performance improvement as one of the outcomes of the performance appraisal and job motivation (p<0.05). Aiding to nurses performance improvement with using of performance appraisal was the only factor that was correlate with the job motivation in comparison with the other expectances of performance appraisal.

In recent years، patient safety has become a major concern for many goverments، organizations and healthcare providers. The World Health Organization estimates that medical errors impact at least on 1 of 10 patient around the world. Because of complexity of the neonatal intensive care (NICU) environment، and the vulnerability of the neonates increase the risk for medical errors and also neonatal nurses typically are on the forefront of defense to protect patient safety، this study was conducted to assess the safe practice of nurses in neonatal intensive care units of Tabriz. using a cross – sectional study method، practice of 90 nurses in neonatal intensive care unit was observed with using of safe practice checklist in 9 domain. By focusing on errors associated with Blood/laboratory studies، Radiology studies، Delays in patient service، Information transfer، Patient care equipment/medical devices، Patient transport، Pain، Hospital or unit policies and guidelines، Infection control standards were investigated. The study period was from july to august 2013. a total of 5094 events were assessed by safe practice checklist. 1116 errors detected and 3978 events were without error. overall average of safe practice of nurses was 78 percent. The lowest level of errors (0. 22%) was detected in field of blood/laboratory studies and the highest level of errors (48. 4%) had occurred in field of the pain management. according to the results، the nurses demonstrated good performance in major patient safety domains. poor performance about some of the check list items such as pain management was observed.

Belongingness is one of the most important needs among students in order to have proper performance in clinical setting. If basic needs of students to security and belonging are not met, higher level needs will be of less importance and there will not be an opportunity to consider them. The purpose of this study is to present a set of findings by studies exploring nursing students’ experiences of belongingness in clinical settings. We present the findings related to the theme of conformity to clinical settings in this paper. In this phenomenological study, 10 undergraduate students from Schools of Nursing and Midwifery affiliated to Lorestan University of Medical Sciences were selected using purposive sampling and semi-structured interviews were done. All interviews were recorded and then transcribed verbatim. Data was analyzed by Giogi’s method. In relation to the theme of "conformity with the clinical setting" as one of the main themes of the study, a total of 3 categories and 11 subcategories were deriviated. Compliance with clinical environments (subcategories included observing the rules, familiarity with clinical environment, and trying to adapt with environment), establishing a safe atmosphere (subcategories consisted of safe physical environment, psychologically safe environment, socially safe environment, and improvement of interpersonal interactions) and the impact of community networks of nursing (subcategories consisted of peers and nursing staff, nurses as role models, the key role of head nurses and clinical instructors). In order to achieve belongingness in clinical setting, there is an urgent need for reinforcement of compliance and adaptation of nursing students with clinical environments and information about the settings and it’s policies, relevant agency personnel, clinical atmosphere with trust, security and improvement, interpersonal interaction considering the impact of social networks, including peers, clinical instructors, and nursing staff.

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.

In the health centers, clinical data is regularly transferred between health care personnel. The most widespread of these handoffs are the inter-shift nursing reports, which occur several times in a day and could facilitate patient care plan, patient safety and continuity of care. But previous studies and clinical experience have indicated that there is no program for this major purpose.

This study was accomplished to investigate the effect of nursing handover written guideline implementation on the performance of respiratory and cardiac nursing care of hospitalized ICU patients.

This was a quasi-experimental one group pretest/post study on 56 nurses working in Intensive Care Unit in Qhaem Hospital who were conveniently selected. The safety performance level of nursing care were evaluated before and after implementation of written guideline using self-structured checklist of performance evaluation of nursing care. Validity and reliability of this instrument was determined by Content Validity Index and Inter Rater Reliability (r=0.95). Data were analyzed using statistical tests including paired t test, Wilcoxon and one-way Anova with SPSS version 11.5.

The results showed that cardiac nursing care performance increased from 1.5±0.6 before intervention to 2.7±0.9 after intervention and in the domain of respiratory care from 9.3±1.9 to 14.5±1.7 which was accompanied with 80% and 55.9% increase, respectively. This difference was significant in cardiac domain based on Wilcoxon test and in respiratory domain using paired t-test (p<0/001).

Development of a regulated, practical and comprehensive standard protocol to transmit crucial and relevant information related to the patient care will improve the nurses performance of respiratory-cardiac nursing care.

Integration of safety science with patient's daily cares decreases events and injuries. Nurses whom are doing patients care, promised patients safety protection. This study aimed to determine managers and nurses function of safe patient's care from the nurses prospective. This descriptive study was carried out with purposive sampling method on 202 nurses working in Uremia Medical University hospitals. Data were gathered using ‘Safe Practice for Better Healthcare’ questionnaire with 15 questions about managers’ function. In addition, 25 questions were about nurses’ function of safe patient's care. Validity of the questionnaire was measured by content validity and reliability was determined by test-retest (r=0/85). Regarding data analysis, SPSS software, descriptive statistical testes, Chi-square test and Pearson correlate coefficient were used. Findings of study showed that most of the nurses (91.6%, 56.9%) believed theirs function of safe patient's care is good and manager's function is moderate. Results showed that between manager's function and nurse's function of safe patient's care, there is statistically a significant relationship (p=0.000). Regarding to bilateral effect of managers and nurses on the safe care of patients, attention and emphasis on formal and informal communication in health-related organizations can improve patients’ safety.

Today, it is important to use methods to identify and reduce them is of crucial importance. The aim of the present study was to determine the safe performance of nurses using the SHERPA technique in the hospitals affiliated with the Islamic Azad University of Medical Sciences in Tehran.

This cross-sectional descriptive study was conducted using the SHERPA method in 2019. The study population and samples included the nurses in the internal wards of Bu-Ali and Amir Al-Momenin hospitals. The data were collected through interviews and direct observations. the information obtained was recorded on the SHERPA worksheet and analyzed using the SPSS software.

59 errors were identified in the drug administration task, most of which associated with functional errors (n=22). Visit (n=16), recovery (n=12), and communication errors (n= 9) accounted for other frequent errors, respectively. Selective errors were the least frequent (n=0). The error risk levels for unacceptable risks, undesirable risks, acceptable risks with the need for revision, and acceptable risks without the need for revision were 38.98%, 37.28%, 6.77%, and 16/94 %, respectively. Finally, reviewing error recovery indicated that 53 errors could not be recovered but 6 ones could.

There is a need to apply a risk prevention method to identify potential risks and monitor errors. Hospital officials should pay special attention to functional and communication errors in hospital occupations.