مجله آموزش پرستاری
سال دهم شماره 2 (پیاپی 46، خرداد و تیر 1400)

Patient safety is one of the main components of health service quality, and patient safety culture is considered as one of the necessary factors in promotion of the patients’ safety. On the other hand, the application of critical thinking skills, by developing evidence-based practices, leads to positive outcomes in patients.This study aims to determine the relationship between critical thinking and patient safety culture in the nurses.

This correlational study was conducted on 196 nurses working in Shariati Hospital of Isfahan city who had been selected by convenience sampling method. Data was collected by hospital survey on patient safety culture (HSOPSC) questionnaire and the California critical thinking skills test; form B (CCTST). The data was analyzed by descriptive statistics and Pearson correlation test in SPSS 22 software.

Most of the participants (52.6%, 103 persons) were woman and were in the age group of 31-40 years (35.2%, 69 persons). The mean score of patient safety culture in study samples was 3.03±0.45 which was at a weak level. Also, the mean score of nurses’ critical thinking was 29.74 ±3.36 which had a desirable level. A significant direct relationship was found between patient safety culture and nurses’ critical thinking; so that improvement of the nurses’ critical thinking led to promotion of patient safety culture (r=0.338, P<0.001).

According to the results of this study, improvement of the nurses’ critical thinking can help to promote patient safety culture. Therefore, it is necessary for nursing managers and nursing education policy makers to plan for promoting critical thinking of nurses and nursing students as one of the ways to develop the patient safety culture, to provide the necessary context for improving patient safety and ultimately improving the quality of nursing care.

One year after the appearance of the coronavirus, not only that, the attention to this important issue has not diminished but because of the problems it has created in the health and economy of countries, Prevention has become important. This study aimed to evaluate the awareness of a teaching hospital staff toward to covid-19.

This descriptive- analytical study was conducted in 2020. The statistical population of the study includes all the staff of the medical and non-medical wards of Razi Ghaemshahr Educational and Medical Center using the formula of estimating a ratio of the required number of samples size to 219 people. Data were collected using WHO questionnaire and analyzed by SPSS 22 software with Chi-square and t-test.

The level awareness of hospital staff to covid-19 was acceptable and at the moderate level (p< 0.001). Also, the awareness of non-medical staff was more than medical staff. There was statistically significant difference between the level of education and organizational position of staff to the level of awareness (p<0.005). But no difference regarding to age, sex and work experience and staff awareness (p>0.005).

Based on the results, it was found that the Covid 19 awareness of non-medical staff is Average, so it is suggested that senior policy makers and managers of educational and medical centers, Maintain this situation and Adopt programs to raise the awareness of medical and non-medical staff and be control Covid 19 disease better than before.

The key to playing a role in the nursing profession is proper communication; communication skills have been described as one of the most important and necessary characteristics for nurses. There are several approaches to developing professional communication in nurse-patient interaction. This study determined the effect of using the teach-back method in patient education on the communication skills of nursing students

This quasi-experimental study was conducted in 2020. The study sample consisted of 81 nursing students of Islamic Azad University, Yazd Branch, who were undergoing internship in the field, and were randomly assigned into two groups (41 in the control group and 40 in the experimental group). The experimental group was taught how to teach the patient using the teach-back method and they were asked to teach the patients in this way. The control group conventionally performed patient education. The data collection tool was a communication skills questionnaire that was completed by both groups before and after the intervention. Data were analyzed using descriptive statistics and inferential statistics (Pearson correlation coefficient, Chi-Square, and t-test) using SPSS version 20.

The total scores of communication skills of nursing students were 70.80±6.71 and 70.67±4.50, respectively, in the control and experimental groups before intervention. Studentschr('39') communication skills after training to the patient by nursing students increased in both control (88.65±4.88) and experimental (110.17±3.62) groups. The difference between the experimental and control group after the intervention was significant (P<0.05).

Based on the findings, patient education using a teach-back method significantly improves studentschr('39') communication skills. Therefore, nursing educators can use this method and other strategies of increasing interaction in curriculum planning to improve studentschr('39') communication skills.

One of the essential skills for nurses is moral reasoning that students need to acquire this skill properly during their studies. This study was conducted to evaluate the ethical reasoning and related factors in nursing students of Hamadan University of Medical Sciences in 2020.

In this descriptive-analytical study, 200 nursing students of the school of nursing and midwifery of Hamadan University of medical sciences in 2020-2021 were selected by stratified random sampling. To collect data, was used Kohlberg ethical reasoning test, which includes 6 scenario (a) newborn with anomalies; (b) forcing medication; (c) adults’ requests to die; (d) orientation of a new nurse; (e) medication errors and (f) terminally ill adults.  Data were analyzed using t-test, ANOVA, and Pearson correlation coefficient with SPSS24 software.

The mean age of students was 23±2.5; 60% were male, 93% were single, 61.0% were living in dormitories. The mean score of students nursing principled thinking was 43.0 ± 6.6 and the mean score of students’ practical consideration was19.0 ± 4.3. 56% were familiar with similar ethical dilemmas in clinical practice. A positive and significant correlation was observed between academic terms and moral reasoning (P = 0.016, r = 0.17).

In general, the results showed that the mean score of ethical reasoning of nursing students is not at the desired level and ethical considerations are at the average level. Therefore, it requires special attention of nursing education planners.

The actions of organization managers to reduce the negative effects of social interactions are essential to facilitate the development of human resources. This study aimed toinvestigate the effect of training intervention on social undermining and work engagement of head nurses in Isfahan University of Medical Sciences.

The present research method was an experimental study using pre-test, post-test ,and follow up, with intervention and control groups. The statistical population consisted of all hospital head nurses of Isfahan University of Medical Sciences in 2020. 30 people who had the inclusion criteria for the study were selected and randomly assigned to intervention and control groups (15 individuals for each group). Individuals in both groups initially completed social undermining and work engagement questionnaires as a pre-test. Then, the experimental group received social undermining training in 8 sessions, but the control groups received no intervention. At the end of the period as a post-test and 45 days later as a follow-up, the subjects of both groups completed the same questionnaires. Data were analyzed by SPSS 16 software and multivariate analysis of covariance.

There was a significant difference between the mean score of the control group and the intervention group in social undermining and work engagement and dimensions of both variables in the post-test and follow-up stage (P<0.001). According to the increase in follow-up score compared to post-test in social undermining variable and its reduction in work engagement variable, there is no stability in the effects of training intervention.

Findings showed that educational intervention has been effective in reducing social undermining and increasing the work engagement and its dimensions of the hospital head nurses of Isfahan University of Medical Sciences.

Patients with stroke due to the complex and severe nature of the disease, need to implement a thorough and comprehensive nursing care program. The use of nursing models in the patient care process can provide a framework for nurse thinking in examining different patient conditions, better analyzing the situation and organizing thinking for the best decision for the patient. Therefore, this study was conducted with the aim of influencing the application of the nursing process based on Johnsonchr('39')s behavioral system model in patients with stroke.

In this report, the nursing process of a client with a stroke referred to the neurology clinic of Shahid Beheshti Hospital in Hamadan in 2021 was presented. Data were collected during the review phase based on the "Johnson Behavioral Model Review Form" by observation, interview, and physical examination. Nursing diagnoses were formulated as sustained and unstable behaviors and care goals were determined and discussed to increase the maintenance of sustained and decreasing behaviors or eliminate unstable behaviors. Nursing procedures were performed and evaluated to achieve the goals. Data analysis was presented using tables.

The results of the study showed that clients for unstable behaviors in the four sub-behavioral systems (dysfunction in the subsystems of aggression and protection, sexual and sexual). Unstable behaviors are reduced after the nursing procedures are designed.

The use of Johnsonchr('39')s behavioral model was very useful and helpful in modifying and correcting unstable behaviors. Therefore, it is suggested that this model be used as a framework for nursing care.

Nurses in intensive care units face various performance obstacles in the work setting that can increase their workload and affect their quality of work life. The aim of this study was to investigate the performance obstacles of intensive care units from the perspective of nurses and its relationship with quality of work life.

This cross-sectional study was a descriptive correlational study that was conducted in 2020. The number of 150 nurses working in the intensive care unit of hospitals affiliated to Mashhad University of Medical Sciences were selected by stratified random sampling method. Data collection tools in this study were demographic information questionnaire, performance obstacles and quality of work life questionnaire. Data were collected and analyzed using descriptive and inferential statistics by SPSS16 software.

The most performance obstacle from the nurseschr('39') point of view, in the field of environmental barriers related to “dysfunction due to excessive presence of the patientchr('39')s family” (66.7%), in the field of barriers related to organization related to “Insufficient information about the patient/patients from the doctor” (71.3%), In the field of barriers related to technology and equipment related to “Improper equipment of beds or non-insulated rooms assigned to the nurse” (44.7%) and in the field of barriers related to nurse duties related to “answering excessive calls from the patientchr('39')s family” (72%) . The average total score of quality of work life was 84.4±21.8 which was the lowest quality related to the dimensions of fair and working pay and the highest quality was related to the development of human capabilities. There is a significant inverse relationship between the overall score of quality of work life and Performance obstacles (p<0.05).

The results indicate the low quality of work life of nurses and nurses face numerous performance obstacles in the field of environment, organization, equipment, and nursing duties. With increasing performance obstacles, the quality of work life of nurses decreases. Nursing service managers can try to remove barriers and improve the quality of work life of nurses by creating a suitable organizational environment and practical policies, passing executive laws and regulations.

The present study aimed to examine The effect of Merrill instructional design model in the form of multimedia education on nurseschr('39') creativity

Creativity is one of the most important skills needed by nurses and this skill can be improved through designed training such as multimedia training The present study was a quasi-experimental or pretest-posttest design with a control group. The statistical population of this study included all nurses of Baqiyatallah hospital in Tehran. The data collection tool was Abedichr('39')s patient creativity test. Simple random sampling method was used to select 80 individuals who were divided into experimental and control groups. The creativity test was performed on nurses before the start of the course, and then the experimental group was trained for 7 weeks on a multimedia design based on the Merill model. Two groups were used and data were collected and analyzed by SPSS 21 software.

The results showed Merrill instructional design model in the form of multimedia compared with traditional methods had significant impact on Nurses creativity(F=12.174,p=0.01). The results  also showed Merrill instructional design model in the form of multimedia compared with traditional methods had significant impact on  Subscales of originality, flexibility, elaboration  and  Subscale fluency(P <0.05).

The results showed that the use of Merrill instructional design model in the form of multimedia had a significant effect on nurseschr('39') creativity