RESUMO
Pediatric and adult oncology wards have special characteristics which may lead to different levels of fatigue in nurses. The aim of this study was to compare fatigue and its related factors in pediatric and adult oncology nurses. This descriptive comparative study was conducted with a sample of 215 nurses working in pediatric and adult oncology wards in selected educational hospitals of Tehran. Nurses were recruited by convenience sampling. Data was collected by "Questionnaire for Psychological and Social factors at work", "The Nursing Stress Scale", and "Oncology Nurses Fatigue Scale". Data analysis was performed using SPSS and T-test. There were significant statistical differences in all three dimensions of fatigue between the two groups of nurses [p<0.001]. There were also a significant difference between the mean scores of emotional factors related to nurses' fatigue [p<0.001]. However no significant difference was found between the mean scores of environmental and social- organizational factors related to nurses' fatigue [p>0.05]. Regarding the differences between emotional factors related to fatigue in pediatric and adult oncology nurses, it is recommended to pay more attention to the special features of pediatric and adult oncology wards that may lead to nurses' fatigue
RESUMO
Assessment of vital signs is a part of nursing care. There are several methods for body temperature measurement. Usually, it is measured by oral, axillar, rectal, tempanic and skin routes, all of which have specific complications, advantages and risks. Rectal method is accurate and shows central body temperature but it is an invasive procedure. Although many studies have been conducted to compare these methods, the difference between body temperature is not yet known. This descriptive comparative study was conducted to compare axillary and rectal methods in the measurement of body temperature in children under 5 at pediatric wards of Mofid Hospital affiliated to Shaheed Beheshti Medical University in Tehran. 126 hospitalized children between 3 and 5 years with or without fever were selected. Data collection instruments consisted of a demographic questionnaire [validated by content validity] and mercury thermometers which were placed in warm water and then compared for reliability. The temperature of children was first measured orally for 5 minutes and then rectally over 1 minute with a 1-minute interval. Difference between axillary and rectal temperatures was 0.78°C [SD= 0.3]. There was no significant correlation between age and this difference with no effect of age as well as fever. Environmental temperature had no effect on the difference of the two methods. Since the difference between axillary and rectal temperatures is important, axillary method because of being non-invasive is recommended