ABSTRACT
Borreliosis or recurrent fever is a spirochete disease which is caused by various species of borrelia and characterized by recurrent episodes of fever, chills and spirochetemia that could lead to multiple organ involvement and even death. In this case report, a 23 years old man was presented with shaking chills, fever and abdominal pain from a week before hospital admission. Borrliosis was confirmed following observation of Spirochete in peripheral blood smear. The patient was treated with doxycycline orally and one week after treatment discharged with a good general condition. Coincidence of borreliosis with underlying haemolysis in this patient was misled clinical presentation
ABSTRACT
Introduction: In health care, work dynamic is one of the variables affecting in medication errors by nurses as a result of changing health care program, procedures and physician orders may be confused and disoriented and eventually medication error occur. This aim assessing factor analysis, validity, reliability and psychometric characteristics of "work dynamic" scale in medication errors by nurses in Iran
Method: This study was for determine items of work dynamic in mediation errors. The scale translated by Wilde and colleagues model [2005] and assessed. Study population were nurses that working in deferent ward of teaching - therapeutic centers of shahid Beheshti University of Medical Sciences, 115 nurses were selected by convenience sampling method based on inclusion criteria. Data was analyzed using SPSS software version 18
Results: The average age of nurses was 34.8 +/- 7.87 and almost them were female [n=78] and mean work experience in ward was 6.07 +/- 4.13. Factor analysis, rotated matrix determined 2 factors: 1] team dynamic 2] Continuous work dynamic. Also reliability using Cranach's alpha coefficient for internal consistency showed high reliability of scale [alpha=0.81] and correlation coefficient in test- retest for stability [r=0.93]
Conclusion: Although translations of "work dynamic" scale in nursing medication errors has satisfactory reliability and validity and can be used in the Iranian health system
ABSTRACT
Use of valid and reliable instruments is the important way for collecting data in quantitative researches. This study was conducted to examine the extent of factor analysis use for specifying construct validity of instruments in quantitative research papers published in an internationally recognized journal. An internationally recognized journal, Nursing Research, was chosen for the review. All articles published in 2003 in this journal were reviewed. Only quantitative research articles that used instruments in need of construct validity verification were included. Each article was completely reviewed to identify the methods of instrument validation. Among 55 research articles, 40 [73%] were quantitative. Among these 40 articles, 8 articles [20%] were dealing with developing an instrument and one article was a meta-analysis and these 9 articles were excluded. Of the other 31 articles, only 4 [12.9%] used a method for specifying the construct validity of the instrument in the study and 2 [6.5%] used factor analysis for establishing construct validity of the instrument. Although factor analysis is a well recognized method in establishing the construct validity but its use is much less than expected