Showing 28 results for Patient
Mr Hossein Rahmani, Dr Gholamreza Mahmodi, Mr Ghanbar Rouhi, Mr Hossein Nasiri, Mis Horolnesa Sheikh, Mr Behzad Taghvakish,
Volume 7, Issue 2 (11-2010)
Abstract
Background and Objective : Neurologic patients' care givers are faced with many challenges and stresses, affecting on their health if they cope with an inappropriate style. The awareness of the care givers about coping strategies is necessary to prevent from their psychological problems, therefore the present study was conducted to determine the coping strategies of men and women care givers of Neurologic patients at home.
Material and Methods : This descriptive-Analytical study was conducted on 200 subjects selected by convenience sampling method. The instrument was Jawiloice coping strategy scale having two dimensions of problem-focused part (15 questions) and
emotion-focused (24 questions). The data analysis was performed using estimates of central tendency, Chi-Square, Kruskal-Wallis, Mann-Whitney test and Anova (P<0.05) by spss 16.
Results: The participants were men (N=120) and women (N=80). The problem-focused subscale in men is 51.86 ± 6.3 and in women 52.86 ± 7.63, whereas in emotional-focused the result is 72.86 ± 13.89 in men and 69.68 ± 11.65 in women. In latter dimension, the difference is not statistically significant. In problem-focused between men and women, the difference is significant (p≤0.05). Considering coping levels to low, moderate, and high, there is no meaningful difference between males and females. Duration of involvement with patients is significantly correlated with emotional-focused (p≤ 0.05) and income status with problem-focused (p≤ 0.03).
Conclusion: According to the findings, the care givers must be educated about effective coping strategies skills to decrease stresses due to care of the patients and to improve mental health.
Mr Alireza Shariati, Dr Mohammad Mojerloo, Mr Einolah Molaei, Mr Moslem Hesam, Mr Hamid Asayesh, Mr Hossein Nasiri, Dr Gholamreza Mahmodi,
Volume 7, Issue 2 (11-2010)
Abstract
Background and Objective : Anemia is one of the most common complications of end stage renal diseases. Inadequate production of erythropoietin is the main cause of anemia in these patients, and iron deficiency is the other important factor. We designed this study to survey the prevalence of iron deficiency anemia in hemodialysis patients referred to hemodialysis ward of Panje Azar hospital in Gorgan, Iran.
Material and Methods: The subjects of this descriptive and cross-sectional study were all 97 patients undergone permanent hemodialysis. Hemoglobin, Serum Iron, Ferritin, Transferrin saturation and Hemoglobin index were measured to assess iron deficiency anemia. We did data analysis by using chi square, fisher exact test and independent T test in spss 13 environment.
Results: The prevalence of anemia and iron deficiency anemia were 57.6 and 31.1 percent, respectively. Tranferrin saturation in 29.16 percent of the patients is less than 20%. There was no significant correlation between signs of anemia and variables such as, duration of dialysis, causes of the disease and iron- deficiency anemia (p=0.06). But signs of anemia were significantly correlated (p<0.0001) with erythropoietin. In comparison with patients consumed iron orally, those who used injectable iron had higher serum iron, Hemoglobin and Transferrin saturation (p<0.001).
Conclusion: Because of high frequency of iron- deficiency that may results in resistance to erythropoietin therapy and leads to inappropriate treatment of iron deficiency. We recommend first treating of ID to prevent from useless administering of erythropoietin.
Hossein Rahmani Anaraki, Dr Gholam Reza Mahmoodi, Ghanbar Rouhi, Hamid Asayesh, Hossein Nasiri, Hossein Rakhshani,
Volume 9, Issue 2 (1-2013)
Abstract
Background and Objective: Chronic neurologic diseases due to associated disabilities and high cost of their medical services are considered as a crisis for patients and family. The stress caused by these problems can jeopardize the health of the caregivers. Thus, the aim of this study was to determine the general health status of neurologic patients’ caregivers and the related factors.
Material and Methods: In this cross-sectional study conducted in 2009, the caregivers of the patients with neurological disorders (n=200) were selected via convenience sampling. The data was gathered by a demographic checklist and general health questionnaire (GHQ-28) completed by caregivers and analyzed by descriptive statistic, Pearson correlation coefficient and chi square, using SPSS-16.
Results: The mean age is 31.78±9.94 and 59.5% of the subjects are males. The caregivers (72.5%) general health is disturbed (Score more than 23 based on GHQ-28 cut of point). General health of male and female caregivers is significantly different (P<0.05). Between the subscales of GHQ-28, female caregivers compared to males have higher depression score, which is significant (P<0.05). The caregivers’ general health are correlated with (P<0.05) the patient’s care dependency and the income of family. There is no significant relationship between general health and demographic variables such as marital status, history of the disease and educational level.
Conclusion: Based on the results, significant percent of caregivers of the patients with neurological disorders suffer from disrupted general health. Thus, the presence of supportive resources and effective coping skills can be effective in improving the health.
Shiva Pejmankhah, Sheida Pejmankhah, Dr Hamid Alavi Majd,
Volume 10, Issue 1 (4-2013)
Abstract
Background and Objective: Nurses should be so determined and competent that, in the dynamic and changing conditions of the patients, they could use their technical skills and professional knowledge to make a rigorous clinical judgment about the patient's health status. Accordingly, a study was conducted to assess the health status of patients and nurses in the hospitals affiliated with the social security organization in Tehran, Iran.
Material and Methods: This descriptive – analytical study was conducted on 96 nurses working in medical-surgical and emergency wards of the hospitals affiliated with Social Security Organization in Tehran. The instrument was a questionnaire including two parts of demographic data and 11 questions for assessing nurses' performance. To analyze the data, we useddescriptive and inferential statistics.
Results: The mean age is 7.15 ± 32.8 and 75% of the patients are females. Their (53.1%) work of experience is between 73-96 months and their (52.1%) performance is observed poor. There is significant correlation between nurses' performance and variables such as gender, age, marital status, work experience and ward of hospital.
Conclusion: Because of low performance of the nurses, it is important for nurses to assess the health status of patients , the same as physicians using screening forms on the file of patients.
Masoomeh Otaghi, Dr Parkhideh Hassani, Dr Mansooreh Zagharie Tafreshi, Dr Alireza Nikbakht Nasrabadi,
Volume 10, Issue 2 (10-2013)
Abstract
Background and objective: The rate of end-stage renal disorder (ESRD) in Iran, 12%, is more than the worldwide range. The people with Hemodialysis are greatly under physical, mental and social pressures that make the acceptance of Hemodialysis difficult. Since the acceptance can be the beginning point of adaptation, this study aimed to explore the challenge in acceptance of Hemodialysis.
Material and Methods: This grounded theory study was undertaken in the Hemodialysis wards of the hospitals affiliated with Shaheed Beheshti University of Medical Sciences in Tehran. The first samples were selected via purposive sampling and the later ones with theoretical sampling till data saturation (N=24). Semi-structured interview, field notes and memos were used for data collection. The data was analyzed by using Strauss and Corbin method. Data rigor was confirmed by Lincoln and Goba criteria, considering ethical points.
Results: The challenge in acceptance of Hemodialysis emerged the categories of acceptance (by force, experience, reasoning or social norms) and lack of acceptance (subjective or objective) of necessity of Hemodialysis as well as their related codes.
Conclusion: The people on Hemodialysis encounter a challenge for acceptance of Hemodialysis. Education as well as personal, familial and social supports can resolve this challenge by changing lack of acceptance (subjective or objective) or acceptance by force to acceptance (by experience, reasoning or social norms).
Dr Hassan Babamohamadi, Dr Mahdi Kahouie, Soheila Bayat, Sedigheh Fooladian, Maryam Shahsavane Toghan,
Volume 10, Issue 2 (10-2013)
Abstract
Background and Objective: This study aimed to assess nurses' attitude toward the effect of nursing electronic reports on patient care.
Material and Methods: This descriptive-analytical study was conducted on 316 nurses in the hospitals affiliated to Semnan University of Medical Sciences and social security organization, 2012. The instrument was a researcher-made questionnaire, valid and reliable. The data was analyzed by Chi Square, Fisher and Phi test.
Results: Forty-seven five point percent of the nurses completely disagreed with the impact of electronic reporting on patient assessment (1.8± 1.06) and 54.4% completely disagreed with its impact on the selection of clinical intervention (1.8 ± 1.06). On the other hand , 50% of nurses agreed with the effect of the computer program on patient care (2.2±0.99), 42.4% were satisfied with its effect on patient's diet planning (2.1±1.5) and 40.7% with the computer program on nursing diagnosis (2.01±1.09).There was significant relationship between some of the nurses’ demographic characteristics and their attitude (P<0.05).
Conclusion: Based on the results, nurses’ attitudes can be attributed to some defects in the computer programs and to the nurses’ compliance with information technology. To improve the effectiveness of electronic reporting, first, the quality of computer programs of clinical settings should be enhanced, and then changes should be occurred in organizational policies and in electronic documentation. Further, we should consider the impact of Levine's theory of change, indicating the staff’s resistance to technology adoption in workplace.
Atefeh Vaezi, Azam Dabirian, Malihe Ameri, Dr Amir Kavosi,
Volume 10, Issue 2 (10-2013)
Abstract
Background and objective: Contribution is the main element in inter-professional relationship between the nurse and physician, requiring collaborative relationship and sharing information to reach a common therapeutic goal. the collaboration between the nurse and physician in clinical decision-making is a necessity for high-quality care in hospitals.This study aimed to determine nurses' perspective about collaboration in clinical decision-making.
Material and Methods: This descriptive study was conducted on the nurses selected by convenience sampling and inclusion criteria in state, private and social well-fare hospitals, 2011. The data was collected by a questionnaire including demographic and nurse-physician collaboration questions, whose validity and reliability were evaluated by content validity and test re-test. Descriptive statistics such as frequency mean and standard deviation was used.
Results: The results showed that the samples (76.5%) were females, aged between 30 and 39.5(58.3%), BSc of nursing (93.5%), contract employment (53.8%) and 5-9 year record of services (50%). The viewpoint of the nurses about collaboration in decision-making was moderate (70.8%), good (7.5%) and weak (14%).
Conclusion: Based on the results, a few nurses are satisfied their collaboration with physician in decision-making. It seems that the nurse-physician contribution in therapeutic procedure got the highest point, and absence of opportunity in giving comment got the lowest score.
Neda Parvin, Leila Rafiee Vardanjani,
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: Management of aggressive behavior is one of the important problems for nurses working in psychiatric wards. This study aimed at determining nurses' problem in dealing with aggressive behavior in psychiatric wards.
Material and Methods: This descriptive-analytic study, via census sampling, was conducted on 41 nurses engaging in psychiatric wards of Hajar and Sina Hospitals in Shahrekord, 2011. The data collected by a research-made questionnaire including demographic data and nurses' problems for management of patient aggression in three domains of personal, physical environment of ward and organizational factors. Using means, frequency, Mann-Whitney and Chi square, we described and analyzed the data.
Results: The average age of nurses was 36.34±6.74 and their record of services in psychiatry ward was 6.73± 4.85 years. The most frequent nurses' problem in management of aggressive patients was related to personal problem specially the threat of having physical conflict with patients and encountering with the consequences of patients’ physical restriction. There was no significant relationship between the frequency of aggression and the variables such as age, sex, work shift, work history and type of employment (P>0.05).
Conclusion: Based on the results, the nurses working in psychiatry wards are faced with some problems in dealing with aggressive patients especially in personal and physical environment domains. Hence, it needs to be considered by the officials.
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Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: Fulfilling the needs of ICU patients' families plays a significant role in their satisfaction. Since having information is one of the most important needs, we aimed to investigate the effectiveness of family-center support in satisfaction of information among families of patients undergone open heart surgery.
Material and Methods: In this clinical trial, 64 family member caregivers of patients undergone open heart surgery in Amiralmomenin hospital, Golestan province, were selected via convenience sampling and divided into intervention and control groups. In intervention group, the informational support including ICU orientation tours, educational sessions and educational pamphlets was given while in control group just routine information. The satisfaction of information in caregivers was measured by a researcher-made questionnaire in the day of discharge from ICU and data was analyzed using independent T-test.
Results: The mean satisfaction in intervention and control groups was 82. 3±8.66 and 53.2±11.13, respectively. The difference was statistically meaningful (P<0.0001).
Conclusion: Informational support could increase satisfaction of information in the families of the patients undergoing open heart surgery.
Hamid Momeni, Ashraf Salehi, Abolfaz Seraji , Dr Akram Sanagoo, Azam Karami, Marzei Mirshekari, Leila Mirshekari,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: The assessment of Patient satisfaction with the care given by nursing students in clinical setting can be helpful in the development of a scientific and practical training. Thus, we aimed to determine patient satisfaction with the care given by students in clinical setting.
Material and Methods: This cross-sectional study was conducted, in 2010, on 1560 inpatients in four hospitals of three provinces (Markazi, Lorestan and Charmahal Bakhtiari) via a questionnaire consisting of two parts of demographic characteristics with 15 questions and patient satisfaction with 30 questions. Given the range of 30-150, the score of more than 90 was considered having satisfaction. The data was analyzed by Mann-Whitney test and Pearson, using SPSS software.
Results: Results showed that 73.2 were satisfied and 26.8 percent were dissatisfied. The satisfaction level was not the same in different health centers in that the satisfaction in lorestan province was higher than that of Chahar Mahal, Bakhtiari province and Markazi province (P=0.001).
Conclusion: The resuls show that the patients are satisfied the care given by nursing students, but 26.8% of the patients are not satisfied with.
Mohammad Heidari, Sara Shahbazi,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Patient handling is a dynamic process in that the consideration of its principles is a paramount importance to safety of both patients and personnel. Hence, we aimed to evaluate EMS staff’s knowledge and practice about the principles and equipment used for patient handling in Isfahan EMS centres.
Material and Methods: This descriptive-analytic study was conducted, via census method, on 80 EMS staff. The instruments were a demographic checklist and a questionnaire to assess the knowledge and practice of EMS staff about the principles and equipment for patient handling.
Results: Based on the results, 82.5% had an adequate knowledge and 76.25% appropriate level of practice. The mean of knowledge was 17.79±3.14 and that of practice was 19.275±3052. All variables were not significantly associated with both knowledge and practice (P>0.05).
Conclusion: Regardless of adequate level of knowledge and practice in the majority of EMS personnel, we recommend holding some in-service training.
Fahimeh Kashani, Maryam Moghimian, Shahin Salarvand , Parisa Kashani,
Volume 12, Issue 2 (12-2015)
Abstract
Background and Objective: Effective communication is an essential characteristic of nursing care carried out as a necessity in education to empower patients. Therefore, this study aimed to determine Nurses' knowledge, attitude and practice about effective communication skills in Patient education.
Material and Methods: This cross-sectional study was conducted on 275 nurses selected via stratified random sampling in teaching and therapeutic centers of Esfahan University of medical sciences, 2013.We collected the data by a research-made questionnaire related to knowledge and attitude, and a checklist to observe nurses' communication skills. To analyze the data , Central indices were calculated.
Results: of 275 nurses , 86.7 % made a friendly atmosphere with their patients and 72.2% showed positive feedback, while their knowledge about communication components were 79.6 % . They (67.3%) were active listeners and they (96.7%) had close communication during patient education.
Conclusion: given that nurses' communication skills are moderate, we recommend holding communication-skills workshops especially in patient education.
Mohsen Fathi, Dr Akram Sanagoo, Dr Leila Jouybari, Marzieh Yazarloo, Dr Hamid Sharif Nia ,
Volume 12, Issue 3 (2-2016)
Abstract
Background and Objective: Patients with life threatening diseases have to deal with the death issue. One of the common psychological problem is anxiety esp. death anxiety . This study aimed to determine the level of death anxiety in hemodialysis patients.
Material and Methods: This cross-sectional study was conducted on all 150 patients admitted to Panj-azar teaching hospital for hemodialysis, 2013. The data was collected by demographic checklist and Templer Death Anxiety questionnaire scoring 0 to 15 (0-6 for low, 7-9 for moderate and 10-15 for high anxiety). We analyzed the data by independent t-test, ANOVA and Pearson correlation coefficient (P<0.05).
Results: Twenty-four point seven percent of the patients had low , 10% average and 65.3% of them had high death anxiety. Average scores of death anxiety in men and in women were 8.21±4.82 and 11.95±3.81, respectively. The relationship of death anxiety with sex (P<0.001), employment status (P<0.001), and age (P<0.002) was significant.
Conclusion: Bases on the results, the death anxiety is high in more than half of the patients with hemodialysis.
Soheila Zabolypour, Kourosh Dastan, Saeed Ghorbani, Amir Anbari, Sepideh Mohammadi,
Volume 13, Issue 1 (6-2016)
Abstract
Background: Caring is the core of Nursing and holistic high-quality care is considered as one of the main concerns of nursing managers. Evaluation by main care recipients and assessment of their satisfaction with different levels of care is a way to determine and improve the quality of nursing care. The aim of this study was to determine the relationship between the quality of nurses’ caring behaviors with patient satisfaction in four areas of nursing knowledge and skills, patient education, communication and nursing ethics.
Methods: This descriptive study was performed on 150 patients hospitalized in the Shahid Beheshti Hospital of Yasuj, in 2013. Subjects were selected by convenience sampling and from the departments of general surgery, neurosurgery, infectious diseases, neurology and burn center. Data were collected and analyzed using quality of caring behaviors and patient satisfaction questionnaires.
Results: The quality of caring behaviors was reported as moderate by the patients. Subscale of quality of caring behaviors was reported as good in area of nursing knowledge and skills, and as moderate in areas of patient communication and nursing ethics. The mean score of satisfaction was relatively favorable. Satisfaction regarding the subscale of nursing knowledge and skills was at a favorable level and patient education, communication and nursing ethics were reported as relatively favorable.
Conclusion: Considering the moderate quality of nursing care, patient satisfaction level and level of the subscales, nursing managers and officials at faculty of nursing are expected to pay more attention to the aspects of patient education, communication and nursing ethics in addition to nursing knowledge and skills.
Neda Parvin, Leila Rafiee Vardanjani , Fatemeh Aliakbari,
Volume 14, Issue 1 (11-2017)
Abstract
Background: Schizophrenia is a devastating psychiatric disorder and its Positive and negative symptoms have negative effects on social functions. A combination of pharmacological and non-pharmacological treatments is considered more effective for this condition. The present study aimed to determine the effect of a group horticulture program on psychiatric symptoms in patients with chronic schizophrenia.
Methods: This quasi- experimental study was conducted from April 2014 to July 2014 in Sina Hospital in Chahar Mahal and Bakhtiari province in Iran. Fifty-two eligible patients with diagnosis of chronic schizophrenia were randomly assigned to two groups of horticulture and usual care (control). Both groups received similar medical and routine care. The patients in horticulture group participated in a group horticulture program for three months. The patients’ psychiatric symptoms were evaluated at the beginning and at the end of the study by Andreasen’s scales for assessment of negative and positive symptoms. The data was analyzed by student t test, paired t test and chi square.
Results: At the beginning of the study, the patients in both study groups were matched in terms of age, sex, marriage status, education, and average scores of positive and negative symptoms. At the end of the study, the horticulture group showed a significant improvement compared with control group in positive and negative symptoms (P < 0.05), which indicated the effectiveness of the intervention on these symptoms.
Conclusion: Group horticulture program can be used as an effective non-pharmacological adjunctive treatment in patients with chronic schizophrenia.
Shirin Madadkar Dehkordi, Mehdi Basiri Moghadam ,
Volume 14, Issue 2 (9-2017)
Abstract
Background: Dialysis adequacy is one of the determining factors for survival in elderly patients. Improving the dialysis adequacy highly affects the remission and prognosis of old dialysis patients. Current study was conducted to evaluate the effects of Jacobson relaxation technique on dialysis adequacy in elderly people, who are under dialysis treatment.
Methods: ods: This is a clinical trial performed on 80 hemodialysis patients in two hemodialysis centers of Gonabad and Yazd, Iran, in 2013. The patients were selected through purposive sampling method, and randomly assigned into the two groups of control (n=40) and intervention (n=40). The participants in intervention group were provided by three sessions of relaxation training, and were asked to perform the relaxation daily for six weeks, while the control group just received the routine cares. Afterwards, the adequacy of dialysis was compared between the two groups. The data was collected using the demographic information, and the dialysis adequacy was calculated by KT/V equation.
Results: A significant statistical difference was found between groups regarding the mean difference of dialysis adequacy in pre- and post-intervention (P<0.001).Besides, dialysis adequacy increased post-intervention in the case group and decreased slightly in the control group compared to pre-intervention.
Conclusion: Training and performing the relaxation method lead to an improved dialysis adequacy in elderly patients under hemodialysis.
Fouzieh Bakhsha, Solmaz Halakou , Seyed Yaghoub Jafari, Zahra Yousefi, Mohammad Aryaee,
Volume 15, Issue 2 (7-2018)
Abstract
Introduction: Surgery and anesthesia are the common practice for anesthetist on the one hand and very worrying for the patient and his family on the other. This fear can have potentially dangerous consequences. The aim of this study was to determine the relationship between the awareness and fear of patients and their companions towards anesthesia.
Methods: The present study employed a descriptive-analytic design. The instrument was a questionnaire with 38 items consisting of 20 items for fear of anesthesia, 13 items for awareness of anesthesia, and 3 items for the role of anesthesia personnel. The research population included patients undergoing surgery and their companions. The sample population was selected using non-random sampling. Data was analyzed using SPSS software version 16.
Results: In this study, 328 patients and 325 patients' companions (n = 653) were enrolled. The mean score of fear of anesthesia for patients and their companions was 77.56 ± 20.15 and 82.56 ± 20.51, respectively. The mean score of anesthesia awareness for patients and their companions was 6.27 ± 2.33, 33.6 ± 2.86, respectively. No significant correlation was found between fear and anesthesia awareness among patients.
Conclusion: The results of the study showed that patients and their companions had a relatively high degree of fear towards anesthesia and did not have enough awareness about anesthesia and its related factors. Therefore, it seems that provision of educational and anesthetic counseling before surgery can be very helpful in order to improve the conditions.
Keywords: Anesthesia, Patient, Fear, awareness
Seyed Ali Majidi, Shiva Alizadeh, Sobhaneh Kouchakzadeh Talami, Hamideh Safarmohammadi, Ehsan Kazemnezhad Leily, Monika Motagi, Mehdi Barzegar,
Volume 16, Issue 2 (11-2019)
Abstract
Background: Patient safety is one of the main components of the health care services quality that implies avoidance of any harm or damage to the patient during the delivery of health care. The purpose of this study was to determine the patient safety culture from the view point of nurses in the hospitals of Guilan province in 2016.
Methods: This cross-sectional study was done on 400 nurses from the nurse community in Guilan province, Iran in 2016. The sampling was performed as the two-stage cluster sampling method. Data were collected using a modified questionnaire based on the Hospital Survey on Patient Safety Culture (HSOPSC). Data were presented with descriptive statistics analysis using in SPSS-14. The significant level was considered less than 0.05.
Results: Most of the nurses were female (89%), with a mean age of 34.28±6.86 years. The most response to the items was related to “Please give your work area/unit in this hospital an overall grade on patient safety” that was the acceptable option (47.5%). The mean score of the patient safety was 3.28 ±0.86.
Conclusions: The results showed two dimensions including staffing and teamwork within units. Feedback and communication about errors were the most important dimensions of the patient safety culture. Accordingly, it should be noted that paying more attention to the patient safety culture can lead to improve hospital condition levels.
Asieh Sadat Baniaghil, Shohreh Ghasemi, Masumeh Rezaei Aval , Nasser Behnampour,
Volume 17, Issue 0 (4-2020)
Abstract
Background: Patient interview is the most common professional activity of clinicians. Effective interview can strengthen clinician-patient relationship and improve treatment outcomes. In some studies, such as saboori et al. (87-86) and Managheb et al. (2010), the Calgary-Cambridge model-based learning skill is effective in interviewing skills, while in other studies including Rezvani (2014), communication skills based on the Calgary-Cambridge model did not mention effective interviewing skills. This study aimed to evaluate the effects of communication skills training through the Calgary-Cambridge model on interviewing skills among midwifery students.
Methods: This two-group pretest-posttest randomized controlled field trial was conducted in 2017–2018. The number of participants was thirty including the students in the sixth and eighth semester of bachelor of midwifery conveniently recruited from Golestan University of Medical Sciences, Gorgan, Iran. Initially, their interviewing skill was assessed using Evan and colleague’s History-taking Rating Scale. Then, they were randomly allocated to a control (15) and to an intervention group (15) through stratified randomization based on their interviewing skill scores and their academic semester. Participants in the control group did not receive any communication skills training, while those in the intervention group received communication skills training based on Calgary-Cambridge model in four four-hour sessions held twice weekly (16 hours). Interviewing skills in the control and in the intervention groups was re-assessed respectively four weeks after pretest and four weeks after the intervention. Exclusion criteria were unilateral withdrawal from the study, two or more absences from communication skills training sessions, and failure to attend the communication skills assessment session. Therefore, one student in the control group and one student in the experimental group were excluded. Data were analyzed using SPSS software (v. 18.0).
Results: The pretest mean score of interviewing skills in the intervention and the control groups was 33.71±7. 342 and 33.64±6.021 respectively, with no significant between-group difference (P = 0.978). At posttest, the mean score of interviewing skills in the intervention and the control groups was 54.50±8.169 and 33.93±5.399 respectively and the between-group difference was statistically significant (P < 0.001).
Conclusions: Communication skills training through Calgary-Cambridge model is effective in significant improving midwifery students’ interviewing skills. The Calgary-Cambridge model could be used as part of the midwifery educational curriculum to improve the skills of interviewing midwifery students.
Akbar Eslami, Nasrin Hanifi, Masomhe Namadian,
Volume 19, Issue 2 (9-2022)
Abstract
Background: The second victim phenomenon affects the physical and mental health of staff. Patient safety culture and the level of organizational support also affect the second victim experience and its consequences on the staff. This study was conducted to determine the relationship between patient safety culture and second victim experience in critical care unit and emergency department nurses.
Methods: A cross-sectional study was performed on 307 nurses working in the intensive care unit and emergency departments of hospitals affiliated with Zanjan University of Medical Sciences (Zanjan, Iran) in 2019. Data were collected using the Hospital Survey on Patient Safety Culture (HSOPSC), the Second Victim Experience and Support Tool (SVEST), and a demographic questionnaire. Data were analyzed using descriptive statistics and the Pearson correlation coefficient. All analyses were carried out at a significance level of 0.05.
Results: There was a significant positive relationship between the patient safety culture and the second victim's supportive sources (P=0.001). However, the patient safety culture had no significant relationship with the second victim's distress rate (P=0.663) and its outcomes (P=0.164).
Conclusion: The results of this study show that improvement of patient safety culture is associated with an increased feeling of support among the nurses, which could ultimately reduce the rate of turnover and absenteeism. Therefore, nursing managers should provide more support to nurses, particularly after the occurrence of patient safety events, for reducing distress and preventing further errors.
