ABSTRACT
Background: various strategies such as teaching self care to hemodialysis patients have been employed to increase the level of their hope. This study aimed at examining the effects of a telephone follow-up program on the level of hope in a self care education program
Methods: in this single-blind randomized controlled clinical trial, 75 hemodialysis patients, selected by convenient sampling, were randomly assigned to 3 groups [n=25 each] including a control, a self care education, or a self care education with telephone follow-up. The control group received the routine care. The self care education group received 5 instruction sessions. The telephone follow-up group had similar instructional sessions followed by telephone calls during the subsequent 2 months. Data, collected using demographic information list and Miller's hope questionnaire, were analyzed using Chi-Square, t-test, and one-way ANOVA followed by Scheffee test
Results: there was no significant difference among the scores of hope in the three groups before the intervention [P=0.40]. However, after the intervention, the level of hope in the self care education group and self care education plus telephone follow-up groups were significantly higher than that of the control group [P=0.001]. Moreover, the level of hope in the group with self care education plus telephone follow-up was significantly [P=0.001] more than that of the self care education group
Conclusion: our findings indicated that teaching followed by telephone follow-up was associated with higher levels of hope. Therefore, such a strategy may be employed to improve the quality of life of patients with renal dialysis
ABSTRACT
Medication errors have serious consequences for patients, their families and care givers. Reduction of these faults by care givers such as nurses can increase the safety of patients. The goal of study was to assess the rate and etiology of medication error in pediatric and medical wards. This cross-sectional-analytic study is done on 101 registered nurses who had the duty of drug administration in medical pediatric and adults' wards. Data was collected by a questionnaire including demographic information, self report faults, etiology of medication error and researcher observations. The results showed that nurses' faults in pediatric wards were 51/6% and in adults wards were 47/4%. The most common faults in adults wards were later or sooner drug administration [48/6%], and administration of drugs without prescription and administering wrong drugs were the most common medication errors in pediatric wards [each one 49/2%]. According to researchers' observations, the medication error rate of 57/9% was rated low in adults wards and the rate of 69/4% in pediatric wards was rated moderate. The most frequent medication errors in both adults and pediatric wards were that nurses didn't explain the reason and type of drug they were going to administer to patients. Independent T-test showed a significant change in faults observations in pediatric wards [p=0.000] and in adults wards [p=0.000]. Several studies have shown medication errors all over the world, especially in pediatric wards. However, by designing a suitable report system and use a multi disciplinary approach, we can be reduced the occurrence of medication errors and its negative consequences