نشریه پرستاری و مامایی ارومیه
سال یازدهم شماره 6 (پیاپی 47، شهریور 1392)

Death، an inevitable concept that associates with human being all the time، can cause significant anxiety in every individual. Literature suggests that some medical professionals choose the field because of their own inner struggles with the notion of death. The present research aimed to examine the relationship between hope level with death obsession and death anxiety in nursing students.

175 nursing students (101 females، 74 males) had been chosen through random stratified sampling method from Medical Sciences University nursing college students، and they were assessed by Hope Scale (HS)، Death Obsessive Scale (DOS) and Death Anxiety Scale (DAS). The data was analyzed using correlation and stepwise regression analysis method.

Findings showed that there was significant negative relationship between hope and death rumination، death dominance، death idea repetition and death anxiety. Also there was significant positive relationship between death anxiety with death rumination، death dominance and death idea repetition. The regression analysis showed that death anxiety and death idea repetition were able to predict 22/8 percent of the variance of hope between nursing students.

The result of this research emphasizes the need for recognizing the role of hope in decreasing negative death attitude.

Medical errors are one of the major challenges threatening the health system all around the world. Regarding the key role of nurse''s in the health care system and the importance of the error preventing، it is essential that nurses’ experience of error reporting to be reviewed. The present study was designed and carried out to assess nurses'' experience of reporting errors.

This study is a qualitative research. To investigate nurses'' experiences regarding the process of error reporting، semi-structured interviews conducted with 50 nurses who working at two educational governmental hospitals in Urmia. Content analysis was used for data analysis.

Four main categories extracted in relation to the results in general. These were: a) Error reporting processes، b) dealing with the reported errors، c) factors that facilitate committing the errors، d) Suggestions for reducing the errors.

The findings showed that report of medication errors among nurses is much lower than its actual amount. As reasons for this، nurses pointed to the lack of appropriate feedback and distrust to the system، inappropriate dealing of the managers and the organization with nurse who made the error، the mismatch between intensity of the error and the reaction of the managers، fear from legal punishment and missing the job. The most important factors that affect the incidence of errors were reported: lack of adequate inexperience، workload، multiple work shifts، poor awareness and knowledge of nurses.

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.