ABSTRACT
Introduction: Performance appraisal is an important responsibility of health care system and increases employee's morale and productivity. The aim of this study is to explore nurses' perceptions of justice in Performance appraisal
Method: This qualitative study was conducted in Tehran in year 2012. Nurses were selected purposively from an educational hospital of Shahid Beheshti University of Medical Sciences. For data gathering, 5 focus group sessions, involving 10 to 7 nurses at each session, were held by using semi-structured interview and continued until the data reaches saturation. Data were analyzed using framework analysis
Results: Four major themes and 14 subthemes were emerged from the analysis of textual data. These themes were organizational context [discrepancies nursing standards and nursing duties, lack of appropriate incentives for nurses, the lack of an appropriate institutional framework, lack of a clear nursing job description, and the gap between educational theory and practice], performance appraisal structure [inefficient systems of laws and regulations introduction, subjective appraisal, overall appraisal form, discontinuation in appraisal], performance appraisal process [lack of strict supervision of the authorities, unfair appraisal, and lack of respect for the persons dignity] and performance appraisal results [lack of proper feedback and little attention to meritocratic]
Conclusion: Participants believed nurse performance appraisal system facing with multiple problems that are affected justice in performance appraisal. It seems to achieve the ultimate goal of performance appraisal, improved quality of patient care, change and revision is necessary
ABSTRACT
Introduction: To achieve the most suitable treatment, triage is essential for the first clinical evaluation and classifying all patients referring to the emergency department. Accurate and rapid triage of patients is the key to a successful performance of emergency departments. This study aimed to determine prevalence of miss triage and outcomes under triage of patients in emergency department
Materials and Methods: In this descriptive study, a total of 300 files were randomly selected among patients referred to the emergency department of the hospitals that are educationally related to the Shahid Beheshti University of Medical Sciences where [Emergency Severity Index][ESI] was actively implemented. Data was collected by demographics information and triage form based on triage algorithm [Emergency Severity Index]. To determine the validity, face validity and reliability of the ESI was measured by inter-rater observation [0.85]
Data were analyzed by SPSS/17
Findings: The under triage of 23.7% and over triage of 11.7% were assessed in the research. The largest amount of under triage was at the ESI level 3. Dying risk of under triage [with 95%] was 3.2 times higher than accurate triage and over triage. In addition, there was no meaningful statistical difference for the average period of hospitalization [P=0.77], duration of hospitalization at the emergency department [P=0.50] and waiting time for the initial examination [P=0.39] by the emergency physician in triage group comparing the under triage group
Conclusion: Findings showed that the degree of miss triage is higher than the acceptable threshold and doing an accurate triage or along with miss triage doesn't have any impacts on the timing indicators
ABSTRACT
Primary dysmenorrhea [PD] is a common gynecology problem in women. It is defined as a menstrual pain that occur in the absence of a pelvica disorder. PD causes school absence and restriction for many women and girls. Pain is the main complaint of PD but other systemic symptoms like headache, nausea, vomiting, diarrhea, fatigue, irritability and dizziness are common. Many chemical drugs have been used to manage dysmenorrhea, but most of them have side effects. Foeniculum vulgare is a plant used as an anti spasmodic agent. In this placebo-control, double - blind, randomized clinical trial, the effects of foeniculum vulgare extract on severity of symptoms of PF were evaluated. Severity of symptoms was assessed at baseline and throughout two menstrual cycles by using validated questionnaires. 90 single women between 17-30 suffered from primary dysmenorrhea participated in the study [n=44 experiment, n=46 placebo].The agent [capsules contained 46mg of foeniculum vulgare in the experimental group, and similar capsules in placebo group] was administered as soon as the onset of pain or bleeding five times a day for maximum of three days. Severity of systematic symptoms was assessed with Andersch and Milsom's verbal multidimensional scoring system. In order to analyze data, Friedman as well as Mann-Whitney tests and ANOVA with repeated measurements were used. Mean age was 20.78 +2.33 in the treatment group and 20.57+ 2.02 in the placebo. In comparison with baseline, the severity of all systematic symptoms decreased in both groups [except for the headache which increased slightly] but this reduction was not significant between the two groups. Statistical significance was not observed for systematic symptoms except for one of them, fatigue, which was in borderline limit [p=0.058]. In this study, no side effects of foeniculum vulgare wasseen. The foeniculum vulgare extract does not have sufficient effect on relief of systematic symptoms accompanying with dysmenorrhea except for fatigue which is decreased
Subject(s)
Humans , Female , Foeniculum , Plant Extracts , Double-Blind Method , Surveys and Questionnaires , Universities , Students , Randomized Controlled Trials as TopicABSTRACT
Background: Violence and spouse torment is considered as a great threat and concern for security of population particularly at susceptible groups such as women and children. This socio-hygienic problem causes many events in the world and is the main cause of injury among women in their active years of life. Violence against women and battering them has remained as a cruelty from past centuries and we can still see the aggravation of this social problem
Purpose: This descriptive study was conducted to determine the cause and location of injury in battered women, referring to forensic Medicine center
Method: 171 manned and unmarried women older than 16 years were selected by convenience sampling. A questionnaire was used to collect data
Results: %40.4 of battered women were between 26 and 35, %47.4 of them had high-school education, %5.8 were illiterate, %68.4 were housewires, and 1.2% were worker. %74.3 were married and %19.9 were single. %39.8 of strikers had high-school education and %3.5 were illiterate. Hands and feet [45.5%], spinal column [1.63%] and genital organs [1.635] were the locations of injury. Injuries were resulted from strikes by hands and legs [39.9%] and glass pieces [96%]
Conclusion: Battering causes many injuries in women along with different illnesses and disabilities 'in them. Consequently, this violent behavior can lead to physical and emotional problems in women and their children. Thus, it should be controlled and researches should study more about it
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Background: Pain associated with subcutaneous heparin injection is the most common side effect of this drug, which is problematic for both nurses and patients and causes physical and psychological discomfort for patients and increases their anxiety
Purpose: This quasi-experimental study was conducted to assess two subcutaneous heparin injection duration [10 and 20 seconds] to determine the effects of them on pain intensity in hospitalized patients at orthopedic wards of Akhtar Hospital in Tehran
Method: Sample of the study consisted of 43 orthopedic patients hospitalized in Akhtar hospital, receiving subcutaneous heparin. For each subject, one of the injection techniques [10 or 20 seconds] was used as the first injection and 12 hours later, the other injection technique was used as the second injection. Subjects rated the level of perceived pain intensity, using the numerical rating scale
Results: Mean pain score in 10-second injection technique was 1.79 and in 20- second injection technique was 0.77 with a statistically significant difference. Mean pain scores in the two injection techniques were higher in males than in females. Results also indicated that the 20 -second injection technique resulted in significantly less pain in its site
Conclusion: It can beconcluded that performing subcutaneous heparin injection with more duration reduces its pain
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Background: Mastectomy can disturb body image of women, which can lead to anxiety, depression, low self-confidence, agoraphobia and low functionality. Knowing body image changes postoperatively can help these women cope with the problems better
Purpose: This descriptive study was conducted to identify body image of women undergoing mastectomy and referring to clinics of Imam Khomeini and Imam Hossein Hospitals in Tehran
Method: 90 mastectomy women with at least a 21-day post this surgery participated in the study. They were between 30 - 55 with no other history of surgery and chronic or mental conditions. They attended to the clinics to continue their medical regimen before starting complementarytherapies in chiding chemotherapy and radiotherapy. A questionnaire validated by content validity was used to collect data on demographics, operation history and Characteristics body image
Results: Findings showed that the body image of most women [%44.4] within 1 - 3 months after mastectomy was in moderate range and, in %43.3 of women, it was in desirable range. Meanwhile, the opinion of most women [%40] about their appearance and fitness was moderate and about breast role was very desirable [%51.1]. Their opinion about sex relations in most cases [%31.1] was not desirable. Most women [%34.4] had desirable opinion about others' views in this regard and moderate opinion about familial relationships [%40]
Conclusion: In general, body image of most women in the study was between moderate and desirable range. Since the study was performed 1 - 3 months after surgery and the clients were at the recovery stage, the sense of victory over cancer at this period might make them have less attention to their appearance with moderate to desirable body image
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Background: Stresses at intensive care units cause alterations in respiration, metabolism and oxygen consumption. Controlling oxygenation is very critical in ICU patients and, in many articles, using complementary therapies to provide relaxation inpatients has been emphasized
Purpose: This quasi-experimental study was conducted to determine the effects of foot massage on arterial oxygen saturation
Method: 46 CVA patients were selected with purposive sampling. Data collection tools were an information record form and a pulse oxymeter
Results: Findings showed that SpO2 within 10 minutes after massage was greater than that of 10 minutes before massage and SpO2 in 30 minutes after massage was greater than that of 10 minutes after and 10 minutes before massage [P< 0.001] and the increase in SpO2 amount was the same in 3 days of manipulation with no significant difference
Conclusion: It can be concluded that the increase in SpO2 may be produced by foot massage to make patients feel more conformable. Therefore, complementary therapies such as massage are recommended specially in stressful environments
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Background: Fatigue is one of the most common side effects of chemotherapy with a prevalence of 90% in patients with breast cancer undergoing chemeherapy. Althogh some reasons are suggested for it, the relationship between chemotherapy regimen and fatigue severity has not yet been thoroughly examined
Purpose: This correlational descriptive study was conducted to determine the relationship between chemotherapy regimen and fatigue severity in patients with breast cancer undergoing chemotherapy in Shohada and Imam Hossein Hospitals, affiliated to Shaheed Beheshti University of Medical Sciences
Method: Subjects included patients in stages I, II, and III of breast cancer with mean age of 42.3 +/- 9.19. Data were collected by a 3-part questionnaire [1.demographic characteristics; 2. disease and treatment characteristics and 3. fatigue rating scale]. Fatigue was measured by the fatigue scale over 3 times [before chemotherapy, and 48 hrs. after the first and second chemotherapy courses]. Data wer analyzed by SPSS software
Findings: Results indicated that the mean difference of fatigue was not significant before chemotherapy in two regimens [AC and CAF], but the mean difference of fatigue 48hrs, after the first and scecond chemothorapy courses was significant in the two regimens [AC: 28.77 +/- 1.1777 and CAF: 22.4 +/- 1.2]. In fact, fatigue severity in AC regimen is more than CAF regimen. In addition, there was a significant relationship between fatigue and menopause as well as BMI categories
Conclusion fatigue assessment is an important aspect in cancer nursing. Based on these findings, there was a relationship between fatigue severity and chemotherapy regimen. Therefore, nurses have to assess these patients completely to recognize potential factors in relation to fatigue and, finally, provide necessary nursing care
ABSTRACT
Background: One of the most controversial issues in obstetrical practice is how to provide essential calories and fluids for women in labor, and because most of the parturients, when admitted in labor ward, are N.P.O with seemingly inadequate doses of intravenous fluids, researcher decided to find an inexpensive way compatible with physiological situation of mothers to provide adequate fluids during this time
Purpose: This single-blind clinical trial was conducted to determine the effects of increased intravenous fluid on the course of labor in nulliparous women referring to Shariati Hospital in Bandar Abbas in 2003
Methods: Three doses of intravenous fluids [60, 120 and 240 ml/hr] were infused in labor to compare the Apgar scores of newborns with the kind of delivery in these three groups. In this study, all of the nulliparous women with selected specifications took part. Available sampling method was used to select 35 persons in each group [totally, 105 persons]. Each group randomly received I.V fluids 60, 120, and 240ml/hr. Data were collected by observation and a demographic questionnaire, a checklist of observation, a ruler, and an infant scale
Results: Findings showed that there was no difference between Apgar scores in the three groups. The type of delivery was also similar. By using odds-ratio test, the possibility of Cesarean section in 60 ml-per-hour group was found to be 6 times greater than the two other groups, but this finding was not uiasnot conclusive
Conclusion: Difference between the amounts of infused fluid during labor has no effect on outcome of labor. It seems that the 240 ml-per-hour dose can be used safely for the mother and her baby during delivery
ABSTRACT
Background: Controlling is a managerial function in which performance is measured and corrective action is taken to ensure the accomplishment of organizational goals. An Audit is a systematic and offical examination of a record, process, structure, enviroment or account to evaluate performance
Purpose: This descriptive study was conducted to audit nursing care provided to CABG patients at an open-heart ICU of a teaching hospital in Mashad in 2004
Method: 36 CABG patients were selected by convenient sampling. Data collection tools included a demographic questionnaire and a checklist of nursing care for CABG patients
Results: Findings showed that nursing care was mostly provided in cardiovascular and respiratory systems [50 - 75]. In addition, the quality of nursing care in urinary system was high [75 - 100] and in nervous system was low [less than 50]
Conclusion: According to the results, it can be concluded that education and training for nurses should be contiued with respect to diseases and care