The Impact of Organizational Supports on Nurses' Occupational Stress in COVID‐19 Pandemic: A Partial Least Squares Multigroup Analysis

Background: The safety and mental health issues of frontline nurses working during the coronavirus global outbreak must be a first/top priority. The present study aimed to investigate the association between nurses' occupation stress and organizational support in both infectious and non-infectious intensive care units (ICUs) wards during the COVID-19 crisis. Methods: This was a descriptive-analytical and cross-sectional study. The study population comprised nurses caring for COVID‐19 patients in Imam Reza Hospital complex in Mashhad City, Iran. The sample size was 129 nurses selected through random quota sampling and examined with a standard questionnaire. To analyze the information and test the hypothesis, the structural equation modeling approach using Smart PLS 2.0 software has been used. Descriptive and analytical statistical tests were used in this study. Results: The results indicated a significant negative correlation between stress and perceived organizational support for ICU nurses (P<0.001). Considering subscales in stress, the highest mean occupational stress scores were related to the "death and dying” dimension (n=21, 13.98%). Also, the difference between the two groups of nurses was statistically significant in different workloads (P<0.001) and lack of support (P<0.001). Conclusion: The results of the present study highlighted the importance of organizational support to reduce stress in nurses. To get through this unprecedented situation, nurses need their employers and organizations to support them with action, planning, and resources. © 2022, Gonabad University of Medical Sciences. All rights reserved.

Relationship between the history of kidney disease, clinical findings, hospitalization duration, and mortality in COVID-19 patients

Introduction: One of the most critical conditions in the world today is coronavirus (COVID-19). The rapid and unexpected incidence of the disease in various communities has been raised many concerns. Although the respiratory and immune systems are the main targets of COVID-19, acute kidney damage and protein excretion in the urine have also been reported. Managing the disease is even more challenging in patients with kidney disease, especially in people under the pressure of the immune system or severe complications. The effects are especially severe in people with defective immune systems. The aim of this study was to investigate the relationship between the history of kidney disease, clinical findings, hospitalization duration, and mortality in COVID-19 patients. Materials and Methods: This cross-sectional analytical study was aimed to assay the relationship between the history of kidney disease, clinical findings, hospitalization duration, and mortality by evaluating the COVID-19 patients at Semnan Kowsar hospital (Iran). The sample size was included 60 patients (30 patients with a history of kidney disease and 30 patients without any underlying disease). Results: The patients' age was 61.5±16.94 in the renal failure group and 63.77±17.09 in the non-underlying disease group that was not significantly different from each other (P=0.608). Hypertension and cardiovascular disease were observed in renal failure by 56.7% and 46.7%, respectively. The most underlying disease was among patients with renal failure. Also, mortality in the group of patients with renal failure (40%) was significantly higher than the group of patients without underlying disease (13.3%) (P=0.021). No significant difference was observed considering hospitalization duration between the two groups. Conclusion: The risk of mortality in renal failure patients with COVID-19 shows a significant increase compared to the general population. Immune system dysfunctions and the presence of underlying diseases such as hypertension and heart disease make these patients more susceptible to COVID-19, a severe form of the disease, and ultimately an increased mortality rate.

Evaluation of the relationship between occupational stress and hospital support among nurses caring for COVID - 19 patients: comparison between nurses with experience of patient care in infectious and non - infectious wards

Background : Nursing care activities in the context of infectious epidemics, such as COVID - 19, can lead to high levels of stress in nurses. Objectives: This study aimed to investigate the relationship between the occupational stress and adequacy of hospital support measures among nurses with the experience of caring for patients with infectious and non - infectious diseases during the COVID - 19 outbreak.

Comparative study of the physician specialty and laboratory services requested for patients with COVID-19: evidence from a large hospital

Background: In order to timely identify and treat the patients with coronavirus disease 2019 (COVID-19), the use of rapid and accurate laboratory diagnostic methods is important, and tests such as erythrocyte sedimentation rate (ESR), complete blood count (CBC), C-reactive protein (CRP), arterial blood gas (ABG), and real timepolymerase chain reaction (RT-PCR) are helpful in assessing patient's condition and diagnosing the disease. This was a comparative study of the physician specialty and laboratory services requested for patients with COVID19 based on the evidence from a large hospital." Methods: This was a descriptive-analytical cross-sectional study in Mashhad City, Iran, on 307 patients with COVID-19 hospitalized under the management of internal and infectious therapist groups, selected using random stratified sampling method. Data were entered into SPSS version 22 statistical software.