Modeling of effective factors of job stress on nurses' self-efficacy in a developing country

Background: Health care workers experience stress in proportion to their job involvement, among them the nurses are the largest service providers in the health system

Objective: This study was performed to determine effective factors of job stress on nurses' self-efficacy

Methods: Participants in this study were nursing staffs of affiliated health care organizations of Semnan University of Medical Sciences Iran

Results: The findings showed that 14% of the participants had not self-efficacy. Role ambiguity [OR=1.140, CI 95%] and Role boundary [OR=1.231, CI 95%] had negative and significant relationships with the participants' self-efficacy [P<0.001]

Conclusions: The findings suggest that the job stress influences on nurses' ability to control and deal with the problems. The results of this study can be used in interference planning so as to promote and protect the health of nurses against stress factors

Understanding Interns' information needs in emergency departments.

Objective: In teaching hospitals, the clinical encounter is an increasingly significant component of interns' curriculum and one of the clinical experiences of interns is emergency medicine. This research was conducted to provide new insights on interns' information needs in emergency departments. Methods: This study examines the information needs of interns in the emergency departments of teaching hospitals in Iran University of Medical Sciences. Questionnaires and observations were used to collect data from seventy interns. Chi-square, two-tailed and bi-variation correlation tests were used to investigate the relationship among the data. Results: It was observed that the most commonly asked questions related to patient specific information and fewer questions related to organizational questions such as hospital policies and procedures. The analysis revealed a statistically significant relationship (0.576, P<0.01, two-tailed) between the interns’ diagnostic and therapeutic questions. The interns reported that the majority of their information needs were laboratory (84%) and radiography (74%) results and the least of those were dead person transfer (1.4%) and medico-legal coordination (10%). Conclusion: Results showed that the interns underestimated the importance of access to organizational information such as medico-legal and dead person transfer issues in the emergency departments. Findings also support the development of educational programmes to promote student knowledge about organizational information and medico-legal issues in the emergency departments.