Shima Farokhi; Azim Azizi; Masoud Khodaveisi; Eesa Mohammadi; Khodayar Oshvandi
Volume 13, Issue 1 , January 2025, , Pages 37-46
Abstract
Objectives: This study aimed to identify strategies for enhancing the quality of home care for trauma patients.Methods: Using a conventional qualitative content analysis approach, this study was conducted from September 2023 to September 2024 in Hamadan, located in northwest Iran. A total of 18 participants, ...
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Objectives: This study aimed to identify strategies for enhancing the quality of home care for trauma patients.Methods: Using a conventional qualitative content analysis approach, this study was conducted from September 2023 to September 2024 in Hamadan, located in northwest Iran. A total of 18 participants, including home care managers, nurses, trauma patients, and the family members of trauma patients, were selected through purposive sampling. Data were collected using semi-structured interviews and analyzed using Graneheim and Lundman’s method with the assistance of MAXQDA software (version 20).Results: Analysis of the data yielded 430 initial codes, which were categorized into 36 subcategories and 6 main categories: patient-centered care, safe care provision, spiritual care, effective educational program development, service effectiveness enhancement, and dynamic service delivery.Conclusion: The study results showed that nurses employed various strategies to improve the quality of home care services for trauma patients. Key strategies included adhering to the principle of patient-centered care, providing safe care for trauma patients, providing spiritual care, developing effective educational programs, enhancing service effectiveness, and ensuring dynamism in service delivery. Implementing these strategies could guide policymakers and home care nurses to improve care quality for trauma patients and increase satisfaction. The findings of the present study can enhance the planning and implementation of home care services, facilitating the transition from hospital to home for trauma patients.
Hedayat Jafari; Mahbobeh Yaghobian; Morteza Darabi Nia; Abolfazl Hosseinnataj; Pooyan Ghorbani Vajargah; Samad Karkhah; Maryam Anneh-Mohammadzadeh
Volume 12, Issue 2 , April 2024, , Pages 88-94
Abstract
Objective: The present study aimed to determine the prevalence and severity of moral distress (MD) and itsassociated factors among emergency department nurses.Methods: This cross-sectional study was conducted in 2023 on 172 nurses from the emergency departments ofmedical training centers affiliated with ...
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Objective: The present study aimed to determine the prevalence and severity of moral distress (MD) and itsassociated factors among emergency department nurses.Methods: This cross-sectional study was conducted in 2023 on 172 nurses from the emergency departments ofmedical training centers affiliated with Mazandaran University of Medical Sciences. The census method wasused to collect the data, which included demographic variables and Corley’s MD questionnaire. The Data wereanalyzed using SPSS software (version 22), using an independent T-test, analysis of variance (ANOVA), andmultiple regressions.Results: Out of 172 nurses, 60.5% were women, with an average age of 32.52±6.88 years. The resultsdemonstrated an average MD score of 69.73±25.68. In terms of frequency and intensity, around 53.5% ofthe participants experienced MD at a low level (0-72), while the remaining 46.5% reported experiencing itat a medium level (14-73). A significant association was found between MD and age (p=0.037), workplacehospital (p=0.005), and history of mental disorders (p=0.005). Furthermore, linear regression analysis revealeda statistically significant association between MD, marital status, and occupational type (p<0.05).Conclusion: The results showed that nurses had low to moderate levels of MD. Several factors, includingage, history of mental disorders, marital status, employment type, workplace hospital, and education, wereassociated with the overall MD score. To reduce MD and its negative effects on nurses, it is necessary toaddress these factors and develop an effective strategy for identifying and managing MD to improve nursingcare quality
Hedayat Jafari; Rahmatollah Marzband; Mahsa Kamali; Mahmood Moosazadeh; Pooyan Ghorbani Vajargah; Samad Karkhah; Joseph Osuji; Behzad Davaribina
Volume 11, Issue 4 , October 2023, , Pages 184-189
Abstract
Objective: This study evaluated the occupational burnout (OB) and spiritual well-being (SWB) of emergencynurses as well as the associations between these variables.Method: This cross-sectional study was conducted in six hospitals and emergency medical centers affiliated withArdebil University of Medical ...
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Objective: This study evaluated the occupational burnout (OB) and spiritual well-being (SWB) of emergencynurses as well as the associations between these variables.Method: This cross-sectional study was conducted in six hospitals and emergency medical centers affiliated withArdebil University of Medical Sciences (Ardebil, Iran), in 2020. Data were collected via socio-demographic,Spiritual Well-Being Scale (SWBS), and Maslach Burnout Inventory (MBI) questionnaires.Results: This study included 239 emergency department nurses. The mean age of the participants was 34.4±6.4years. The mean of existential well-being and religious well-being was 40.3±8.7 and 41.0±9.2, respectively. Theresults indicated that moderate (P=0.007) and severe (P<0.001) personal accomplishment was a positive andsignificant predictor of the SWB in emergency department nurses.Conclusion: Proper planning and provision of suitable educational programs in the dimension of the SWBof nurses prevent the creation and continuation of OB and increase the self-efficacy and job satisfaction ofemergency medical staff, resulting in better patient care.
