Iran Journal of Nursing
Year:2022 | Volume:35 | Issue:137|Papers Count:8

Background & Aims Due to the increasing number of older women with anxiety sensitivity, attention to this condition in this vulnerable group is of particular importance. Spiritual wellbeing can promote the mental health of the elderly, especially older women. this study aims to determine the relationship between spiritual wellbeing and anxiety sensitivity of older women in Ashtian, Iran. Materials & Methods This is a descriptive-correlational study. The study population includs all older women referred to urban and rural health centers in Ashtian city. Of these, 160 were selected by a continuous sampling method. A demographic form, the Spiritual Wellbeing Scale and the Anxiety Sensitivity Index-Revised were used to collect information. The collected data were analyzed using descriptive and inferential statistics in SPSS software, version 16. Results The Mean±, SD total scores of spiritual wellbeing and anxiety sensitivity were 96. 1±, 19. 86 and 48. 25±, 31. 93, respectively. Spiritual wellbeing had a significant association with anxiety sensitivity in older women (r=-0. 734, P<0. 001). Conclusion There is a negative and significant relationship between spiritual wellbeing and anxiety sensitivity in older women in Iran, such that their anxiety sensitivity decreases with the increase of their spiritual wellbeing Attention to the spiritual wellbeing of older women in Iran is necessary to reduce their anxiety sensitivity.

Background & Aims The role of the family in the health of the child is very vital because a major part of a child’, s development. The present study investigates the health behaviors and related factors in mothers of hospitalized children in Kashan, Iran. Materials & Methods This cross-sectional study was conducted on 216 mothers of children hospitalized in children’, s wards of two teaching hospitals in Kashan from November 2019 to March 2021. Meanwhile, sampling was done through continuous sampling. The first author (a nurse in the children’, s wards) indirectly observed the mothers’,health-related behaviors toward their children and then immediately recorded them using a checklist. Data were then analyzed in SPSS software (v. 26) using descriptive statistics, Pearson correlation test, one-way ANOVA, independent t-test, and linear regression analysis. Results The mean age of mothers of hospitalized children was 29. 27±, 5. 60 years. Based on the results, the following items had the highest compliance scores: “, use of fresh and safe drinking water for the child”,(97. 5%), “, washing hands with soap and water in case of clear hand contamination”,(95. 6%), “, Changing the child’, s clothes and bedding as soon as they become contaminated with diarrhea, vomit, blood, and other contaminants”,(90. 7%), and “, Washing hands after changing the child’, s diaper”,(87. 3%). On the other hand, some other items, including “, washing hands before changing the child’, s diaper”,(8%), “, covering the mobile phone with a plastic to avoid contamination”,(8. 8%), and “, washing hands with soap and water after touching the surrounding surfaces”,(15. 8%), had the lowest compliance scores. Conclusion The results indicated that mothers failed to comply with behaviors such as washing their children’, s hands regularly and washing their own hands before breastfeeding. It is necessary to teach and inform them regarding the observation of behaviors related to the child’, s health upon entering the hospital to ensure their child’, s safety.

Background & Aims Patient safety is an important component and one of the main elements of quality in health care systems. The patient safety status among the pre-hospital Emergency Medical Staff (EMS) in Iran is unclear and there is almost no information about adverse complications. Assessing the current patient safety culture can be a starting point for improving safety attitudes among health care workers, including pre-hospital EMS who are at the forefront of managing patients in critical conditions. This study aims to survey the attitude towards patient safety among pre-hospital EMS in Mashhad, Iran. Materials & Methods This descriptive cross-sectional study was conducted on 438 full-time pre-hospital EMS with at least 6 months of operational work experience in Mashhad city in 2019, who were selected by a census method. The assessment tool was the Emergency Medical Services Safety Attitudes Questionnaire (EMS-SAQ). The collected data were analyzed in SPSS v. 16 using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (independent t test, analysis of variance, and Pearson correlation test). The significance level was set at 0. 05. Results It was reported that 13. 75% had a positive attitude towards patient safety. The mean total score of EMS-SAQ was 53. 55±, 10. 60. The most positive attitude was related to stress recognition (34. 2%) and the lowest positive attitude was related to safety climate and perception of management (5. 7%). There was no statistically significant relationship between any demographic characteristics and overall attitude towards patient safety (P>0. 05). Conclusion The patient safety culture of the pre-hospital EMS in Mashhad is not positive. This requires further research and also taking measures such as holding briefing sessions for managers and staff, increasing the number of staff, setting up an error reporting system, and including topics related to patient safety in the in-service training courses for the staff.

Background & Aims Job burnout can leads absenteeism, leaving the job or having the intention to leave, reduced quality of life, reduced performance, and reduced quality of patient care and commitment to the organization. Organizational climate has always been important in the nursing profession and in the hospital environment where the nurse’,performance is known as an important component in improving the quality of treatment. This study aims to determine the relationship of job burnout with organizational climate in nurses. Materials & Methods This descriptive correlational study with cross-sectional design was performed in 2020 in the internal surgical wards of four teaching hospitals affiliated to Iran University of Medical Sciences. The sampling was done by a cluster sampling method. The sample size was determined 200 at a 95% confidence level and considering a 80% test power. To collect data, a demographic form, the Maslach burnout inventory, and Halpin and Croft’, s organizational climate description questionnaire were used. Data analysis was performed in SPSS v. 24 software using descriptive and inferential statistics. Results Emotional exhaustion domain of job burnout had a statistically significant correlation with all dimensions of organizational climate except for group spirit and disengagement,it had a negative significant correlation with the hindrance dimension and a positive significant correlation with other dimensions. With the increase of organizational climate, emotional exhaustion increases, resulting in more job burnout. Conclusion Health workers, especially nurses and managers, should take measures to reduce job burnout and improve organizational climate and patient satisfaction according to the existing conditions and resources. It is recommended that the educational supervisors of the hospitals develop and implement in-service training focusing on the components of job burnout and organizational climate.

Background & Aims Many nurses are involved in work-family conflicts due to the nature of the nursing profession and high workload. Identification of the factors related to work-family conflict can help reduce or control this conflict. Compassion fatigue and moral distress are some of the factors that may affect the work-family conflict of nurses. This study aims to determine the mediating role of self-differentiation in the relationship between compassion fatigue, moral distress and work-family conflict among nurses. Materials & Methods This is a descriptive-correlational study. The study population includes all married nurses from eight public hospitals in Kerman, Iran. Of these, 159 were selected using a convenience sampling method. Data were collected using the subscale of compassion fatigue in the professional quality of life scale, the moral distress scale, the work-family conflict scale, and the self-differentiation inventoryshort form. They were analyzed using structural equation modeling. Results Compassion fatigue, moral distress and self-differentiation could significantly predict work-family conflict in nurses (P<0. 05). Self-differentiation was not only directly related to work-family conflict, but also indirectly affected it by reducing moral distress and compassion fatigue. Conclusion Self-differentiation skills can help reduce the compassion fatigue and moral stress in nurses and thus reduce their work-family conflicts.

Background & Aims Risk management in academic research, courses, and degrees is crucial in universities. However, there is no evidence for risk management in most aspects of university management. This study was conducted to determine the risk management Evaluation from the Staff's Perspective of Iran University Medical Sciences In 2021. Materials & Methods This is a descriptive cross-sectional study. The research samples were 224 staff of the Iran University of Medical Sciences selected by the available sampling method. The data collection tool was a risk management questionnaire. Risk management was classified into six dimensions. The first dimension is related to the level of employees' knowledge of risk management. The second dimension of risk management status. The third dimension includes policies and procedures. The fourth dimension is related to training status. The fifth dimension was the position of risk management, and finally, the sixth one was monitoring, analysis, evaluation, and risk control. In total, the questionnaire was examined in 45 questions on a 5-point Likert scale and was classified into three levels: poor (score less than 3), moderate (score 3 to 4), and good (score more than 4). The data were analyzed using SPSS software, version 26. The numerical indices of minimum, maximum, Mean±, SD for the quantitative variables of the research were used. Friedman test was used to examine the relationship between domains and independent t-test, and analysis of variance and Pearson correlation coefficient was used to investigate the relationship between individual variables and risk management. Results The results showed that most employees (59. 4%) were women and the majority (48. 7%) were 45-36 years old. The majority of employees (72. 8%) were married. Most of the participants (54. 4%) worked in administrative headquarters. More than half of the employees (53. 1%) had a university degree at the undergraduate level, and only 12. 5% of them had completed risk management courses. The results showed that the total score of risk management was 2. 44±, 0/82. The Friedman test result showed a statistically significant relationship between employees' knowledge of risk management and all areas of risk management (p = 0. 00). Statistical tests showed that risk management had a statistically significant relationship with the variables of gender (P = 0. 02), risk management (P<0. 001), and education (P=0. 02). The mean score was higher in men than women, and also in employees who had passed the risk management course was higher than other employees. Two-to-two Tukey comparison also showed that the average score obtained by employees with master's degree education was significantly higher than an associate degree (P=0. 03). At other levels, this difference was insignificant. Conclusion The results showed that, generally, from the perspective of the Iran University of Medical Sciences staff, risk management at this university is poor. In this regard, the development of educational programs, the adoption of policies and procedures, and the establishment of monitoring programs to implement risk management should be seriously pursued at the university.

Background & Aims As a chronic disease with many complications, diabetes requires adherence to treatment regimen. Despite the importance of adherence, it is not done completely in these patients. Nonadherence to treatment has many personal and social consequences. Adherence in diabetic patients can lead to mortality reduction and success in the treatment of diabetes. Considering that adherence to the treatment regimen is challenging among diabetic patients and less attention has been paid to it in Iran, the present study aims to identify the factors related to adherence to treatment regimen among diabetic patients in Sari, Iran. Materials & Methods This descriptive cross-sectional study was conducted in 2021 on 226 adults with Type 2 diabetes referred to Baghban clinic affiliated to Mazandaran University of Medical Sciences in Sari, Iran who were selected using a continuous sampling method. Data were collected using a demographic form and the diabetes activities questionnaire. Questionnaires were prepared online using Google Forms. Data analysis was performed in SPSS software, version 26. Results The mean age of participants was 53. 06±, 10. 81 years. Most of them were female (61. 9%) and married (85. 8%) with a high school diploma (26. 5%) and moderate economic status (69%). Economic status, age, and BMI had a significant relationship with adherence to treatment regimen (P<0. 05),Economic status and age had a positive significant relationship while BMI had a negative significant relationship with adherence to treatment regimen. Diabetic patients with better economic status, higher age, and lower BMI had better adherence. Conclusion This study provides a basis for expanding knowledge of adherence to treatment regimens in diabetic patients in Iran. It is necessary for healthcare providers, especially nurses, to pay attention to the factors related to adherence to treatment in diabetic patients in providing care and education to them to have better treatment.

Background & Aims Knee osteoarthritis (KO) is one of the most common causes of pain, reduced function and disability in the elderly. Exercise is one of the methods suggested to manage the pain caused by KO. This study aims to determine the effectiveness of a home workout program on reducing pain in the elderly with KO. Materials & Methods In this randomized controlled clinical trial conducted in March 2021 for three months, 70 older adults with KO were selected using a convenience sampling method and randomly assigned to exercise and control groups. The workout program was first implemented twice a day for 4 weeks in the clinic as a trial. Then, it was performed twice a day at home for another 4 weeks. Before and after the exercise, the patients were evaluated by the pain subscale of the Knee Injury and Osteoarthritis Outcome Score (KOOS). The collected data were analyzed in SPSS software, version 18 using independent t, paired t test, chi-square test, and Fisher’, s exact test. The significance level was set at 0. 05. Results There was no statistically significant difference between the two groups in terms of demographic and clinical variables and in the mean pain score before the intervention (P=0. 587). After the intervention, a significant reduction in pain intensity was reported in the exercise group (P= 0. 009). Conclusion The home workout program is effective in reducing the pain of the elderly with KO. It is recommended to use it as a simple and cost-effective intervention to rehabilitate patients with KO along with other treatment methods.