Seyvan Sobhani; Sara Tabanfar; Isa Mohammadi Zeidi; Mohammad Sharif Hosseini
Abstract
Background: High mental workload can negatively affect nurses’ mental and physical health, quality of life, and workability. Therefore, the present study aimed to determine the relationship between mental workload and the workability among nurses.Methods: Using the multi-stage sampling method, ...
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Background: High mental workload can negatively affect nurses’ mental and physical health, quality of life, and workability. Therefore, the present study aimed to determine the relationship between mental workload and the workability among nurses.Methods: Using the multi-stage sampling method, the researchers selected 142 nurses working in Qazvin hospitals in Covid-19 patient care units to participate in a cross-sectional descriptive study. Data collection tools included a demographic information questionnaire, the NASA Workload Index, and Workability Index. Data were analyzed by independent t-test, Pearson correlation coefficient, and ANOVA in SPSS software.Results: The mean age of participants was 31.3±6.1 years, and the work experience mean was 7.6±5.8 years. The results showed a high mental workload (80.4±13.4) and moderate workability (31.8±7.3). The number of nurses’ shifts per month was negatively correlated with workability (P=0.032). ICU nurses had the highest mental workload score and the lowest workability score. Also, workability there was a significant negative correlation between mental workability and workload (r=-0.579 & P<0.001).Conclusion: A reverse correlation was observed between mental workload and workability. To improve the performance and mental health of nurses, frequent training programs and management interventions should be practiced.
Narges Kaydani; Kourosh Zarea; Ahmad Soltanzadeh
Abstract
Background: Gastrointestinal and cardiovascular diseases are considered to be among the consequences of shiftwork in nursing staff. This study aimed to investigate the prevalence of gastrointestinal and cardiovascular diseases and model their consequences in nurses.Methods: This cross-sectional study ...
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Background: Gastrointestinal and cardiovascular diseases are considered to be among the consequences of shiftwork in nursing staff. This study aimed to investigate the prevalence of gastrointestinal and cardiovascular diseases and model their consequences in nurses.Methods: This cross-sectional study was conducted in seven hospitals in Khuzestan Province in 2020. The participants of the study were 652 nurses. The data were collected through a questionnaire developed by Choobineh et al. The questionnaire included demographic questions and shift work related health effects. The modeling was performed via logistic regression in SPSS 22.Results: The prevalence of gastrointestinal (52.53% vs. 35.19%) and cardiovascular (35.02% vs. 22.22%) disorders were significantly higher in shift working nurses than in day-working ones (P<0.05). In addition to shiftwork, work experience, working hours per week, and hospital wards significantly affected the prevalence of gastrointestinal disorders in nurses (P<0.05). The shiftwork system, age, work experience, and working hours per week had significant positive correlations with the prevalence of cardiovascular diseases in nurses (P<0.05). Furthermore, the chance of having gastrointestinal and cardiovascular diseases was 2.73 and 2.08 times more in shift-working nurses than in day-working ones, respectively.Conclusion: Beside the shift work, the findings of the study indicated the important role of other risk factors, such as age, work experience, working hours per week, and hospital wards for the prevalence of gastrointestinal and cardiovascular diseases in nurses. Therefore, it is recommended that these factors should be taken into account while trying to manage, control, and reduce such negative consequences in nurses.
Hossein Ashtarian; Nasrin Mehrabi; Mohammad-Rafi Bazrafshan; Mahmoud Rahmati
Abstract
Introduction: Delirium measurement instruments should be highly sensitive, and their instruction for the users should also be short-term and straightforward. The objective of the present study was to investigate the validation of the NEECHAM confusion scalein predicting the delirium of ICU patients in ...
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Introduction: Delirium measurement instruments should be highly sensitive, and their instruction for the users should also be short-term and straightforward. The objective of the present study was to investigate the validation of the NEECHAM confusion scalein predicting the delirium of ICU patients in Kermanshah health care and educational centers in 2015. Methods: This is cross-sectional descriptive-analytic research that was conducted in 2015. The researcher acquired the consent of the administrators of Imam Reza (AS) and Taleqani hospitals. A briefing session was held in ICU units, and the objective and method of the study were explained to patients to attract their cooperation. Sampling was done using convenience sampling. Some 166 patients were selected. The NEECHAM confusion scalewas used to investigate the delirium of patients. The area under the receiver operating characteristic (ROC) curve was used to assess the quality of the questionnaire. The significance level was considered 0.05. Results: Results show that 50.6 percent of the samples were female, and most of them were married (85.2%). Most of the patients lived in cities (78.9%) and were illiterate (50.3%). Also, most of the patients were housewives (44.4%). Instruments for data collection were demographic questionnaire and the NEECHAM confusion scale. The results of this study indicated that 45.2 percent of people have delirium. The NEECHAM confusion scalehas a large area under the ROC curve. Therefore, it has high predicting power in the prediction of delirium. Conclusion: according to the findings of this study, it can be said the NEECHAM confusion scalehas the validity to be able to provide accurate and rapid information about patients' delirious status. Since the cognitive impairment screening tools require regular editing; therefore, nurses working in intensive care units can use this tool to diagnose patients with delirium and prevent delirium complications quickly.
Amir Jalali; Mahmoud Rahmati; Bita Dastmozd; Nader Salari; Mohammad-Rafi Bazrafshan
Abstract
Introduction: Spiritual health is the newest dimension of health that lies alongside other aspects of health. Since few studies have been conducted on the various effects of spirituality on nurses' clinical competence, this study aimed to determine the relationship between spiritual health and clinical ...
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Introduction: Spiritual health is the newest dimension of health that lies alongside other aspects of health. Since few studies have been conducted on the various effects of spirituality on nurses' clinical competence, this study aimed to determine the relationship between spiritual health and clinical competency of nurses. Methods: This study is a cross-sectional study. The samples consisted of 135 nurses working in intensive care units affiliated to Iran University of Medical Sciences. According to the number of nursing staff in each ward, the share of each ward was determined, and then nurses selected by random sampling. Data were collected using the Spiritual Well-Being questionnaire and the Critical Care Nursing Competence Scale. After referring to the wards, the questionnaires were compiled by the researchers, and finally, it was analyzed using the Pearson correlation coefficient test. The significance level was considered to be 5%. Results: The mean age of nurses was 35±6.6 years, their mean clinical experience was 11±7 years and the mean of nurses' work experience was 6.95±5 years. The mean score of spiritual well-being was 79.29±4.33 (medium level), the mean score of clinical competence was 378.53±4.90 (excellent condition) and the mean score of professional competence was 310.95±3.14 (excellent condition). Correlation test results showed no significant statistical relationship between spiritual health and clinical competency dimensions (P value>0.05).There was also no significant relationship between dimensions of spiritual health (existential health and religious health) and nurses' clinical competency (P-value>0.05). Conclusion: Nurses in ICUs have a relatively high and acceptable level of spiritual health and clinical competence, but nurses' clinical competence is not directly related to their spiritual health.
Mostafa Barzideh; Alireza Choobineh; Hamidreza Tabatabaee
Volume 2, Issue 2 , April 2014, , Pages 66-71
Abstract
Background: Evidence shows that job stress potentially has adverse effect on individuals’ health and organizational productivity. It has, therefore, become an important issue in the occupational health context. The aims of this study were to investigate job stress dimensions among nurses of Shiraz ...
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Background: Evidence shows that job stress potentially has adverse effect on individuals’ health and organizational productivity. It has, therefore, become an important issue in the occupational health context. The aims of this study were to investigate job stress dimensions among nurses of Shiraz University of Medical Sciences (SUMS) hospitals and comparing the results with the findings of the previous studies conducted in other countries. Methods: In this cross-sectional study, 385 randomly selected nurses of SUMS participated. The Persian version of Job Content Questionnaire (P-JCQ) and demographic questionnaire were used for data collection. The linguistic validity and psychometric properties of P-JCQ have been assessed and approved in a previous study. One sample t-test was used to examine the differences between means of job stress dimension scores of the present and those of the previous studies carried out in other countries. Results: The means (SD) of decision latitude, psychological job demands, social support, physical job demands and job insecurity were found to be 58.15 (6.50), 38.19 (5.14), 22.67 (3.67), 16.03 (2.58), and 7.74 (3.85), respectively. The results revealed that decision latitude and social support dimensions were in a low level among the study subjects. In contrast, psychological job demand, physical job demand, and job insecurity dimensions were shown to be in a high level. Conclusion: The SUMS hospital environment collectively imposes higher job stress on the nurses as compared to that of other countries. To prevent harmful effects of job stress on the nurses’ health and job performance, developing macro-ergonomic strategies in this working environment, such as enhancing job control, reducing job demands, and providing supportive climate, seem necessary.