Psychometrics of the Persian Version of the Team Assessment Questionnaire in Providing Care for Heart Failure Patients.

BACKGROUND: Teamwork in the health care domain is the preferred mode of care delivery. Few instruments have been developed to assess teamwork in the field of health care, particularly in Iran. This study aimed to validate the Persian version of the Team Assessment Questionnaire (P-TAQ) in care for Congestive Heart Failure (CHF) patients. MATERIALS AND METHODS: In this cross-sectional study, the validity (face, content, and construct validity) and the reliability (internal consistency and stability) of the cross-cultural adaptation of the Persian version of the Team Assessment Questionnaire (P-TAQ) were assessed. RESULTS: The P-TAQ had adequate face and content validity. The confirmatory factor analysis confirmed the seven dimensions of the questionnaire. The internal consistency of the P-TAQ was 0.91, and the Intraclass Correlation Coefficient (ICC) was 0.89. CONCLUSIONS: The P-TAQ is a valid questionnaire in terms of dimensions and items. Assessing teamwork is an essential component of delivering adequate care. By examining the status of teamwork using this questionnaire, it is possible to promote teamwork and to understand its strengths and weaknesses. Future research is necessary to better understand the P-TAQ so that it can be used for the assessment of teamwork outcomes regarding patient safety, cultural barriers, and medical errors.

Near-Death Experience among Iranian Muslim Cardiopulmonary Resuscitation Survivors.

BACKGROUND: Near-Death Experience (NDE) refers to a broad range of subjective experiences associated with forthcoming death. The majority of Cardiopulmonary Resuscitation (CPR) survivors experience NDEs. It seems that near-death events are experienced differently by people with different cultural and religious viewpoints. Thus, this study aimed to explain NDEs in Iranian Muslim CPR survivors. MATERIALS AND METHODS: A qualitative hermeneutic phenomenological approach influenced by Ricoeur was used to understand the meaning of CPR survivors' NDEs. Eight survivors were interviewed in private. The study was conducted in southeast Iran. In-depth, semi-structured interviews were used for data collection, and probing questions were added when necessary. The duration of the interviews was between 40 and 65 min. According to Lindseth and Norberg, in the naive understanding phase, we read the interviews several times for achieving naive understanding. In the structural analysis phase, the whole text is divided into meaningful units. Finally, the researchers formulated a comprehensive understanding of the contextualization of the text. RESULTS: Four main themes emerged including 1) pleasing experiences along with flying and seeing light, 2) the experience of transport to the beyond, 3) out-of-body experience, and 4) reviewing life and memories in a religious context. CONCLUSIONS: Iranian Muslim CPR survivors, reported NDEs, much similar to those reported by survivors in Western countries with different theistic religions. This means that medical professionals dealing with these patients need to be aware of such experiences in Iranian Muslims.

The Relationship between Patient Safety Climate and Medical Error Reporting Rate among Iranian Hospitals Using a Structural Equation Modeling.

BACKGROUND: Improving patient safety is a global health imperative, and patient safety climate is one of the components one that plays an important role in promoting patient safety. Medical error reporting is a way through which it can be evaluated and prevented in the future. The aim of this study was to assess the relationship between patient safety climate and medical error reporting in military and civilian hospitals. METHODS: This research was conducted by using structural equation modeling in the selected hospitals of Iran in 2018. The study community consisted of 200 nurses in the military and 400 nurses in the civilian hospitals. By using Structural Equation Modeling, the relationship between patient safety climate and the rate of medical error reporting in the hospitals was measured by a questionnaire. Data was analyzed using SPSS 17 and LISREL 8.8 software. RESULTS: The mean score of patient safety climate was moderate in the hospitals. There was no significant relationship between the rate of medical error reporting and patient safety climate, while a significant difference was found between patient safety climate score and age, sex, job category, and type of hospital (P < 0.05). CONCLUSION: The results suggested that patient safety climate and the rate of reporting errors were not favorable in the studied hospitals, while there was a difference between safety climate dimensions.

Post-traumatic Stress Disorder and Post-traumatic Growth Among Muslim CPR Survivors.

The present study was conducted to compare post-traumatic growth (PTG) and post-traumatic stress (PTSD) in CPR survivors in Shia and Sunni. In a cross-sectional study, the results showed that the mean score of PTSD in Sunni (n = 74) was more than that of Shia (n = 89). There was no difference between Shia and Sunni in the mean score of PTG. Regarding the useful role of religion on PTG, the use of religious coping strategies in post-traumatic life-threatening situations can be helpful. It is recommended that further studies be conducted on the cultural, social, and psychological factors affecting PTG and PTSD in different societies.

The mediating role of difficulties in emotion regulation on attachment styles of adolescents with conduct disorders.

Adolescence is a period of achieving emotion regulation skills. One of the main responsibilities of adolescents is to learn adaptive emotion regulation and personal autonomy. The purpose of this study was to investigate the mediating role of difficulties in emotion regulation in the attachment styles of adolescents with conduct disorders. This was a cross-sectional and correlational study. The study consisted of 105 adolescent residing in detention centers in the southeast of Iran using multi-stage random sampling. Data were collected using various questionnaires such as the Inventory of Parents and Peer Attachment-Revised (IPPA-R), the Difficulties of Emotion Regulation Scale (DERS), and the Strength and Difficulties Questionnaire (SDQ). Information was analyzed using path analysis. The results show parental attachment and difficulties in emotion regulation significantly contribute to the prediction of conduct problems. A sense of alienation causes conduct disorders through disturbance in emotional regulation, but trust and communication with parents are only indirectly related to conduct disorders by disturbances in emotional regulation. As attachment is closely correlated with emotional regulation and difficulties in emotion regulation also lead to the conduct disorders, it is suggested to train emotion regulation in adolescents and their families with the aim of shaping relationships that will lead to the formation of a secure attachment style in the child.

A survey on teamwork status in caring for patients with heart failure: A cross-sectional study.

As a result of the complex nature of chronic heart failure (HF), these patients require an interprofessional team approach for care and treatment. This is because an interprofessional approach can manage resources more effectively and improve treatment efficacy. This research was done to evaluate the status of teamwork in caring for HF patients. In this cross-sectional study, the views of 308 members of the care team were collected through the use of Team Assessment Questionnaire (TAQ). The mean and standard deviation of teamwork was 2.4 ± 0.3. There was a significant difference between the teamwork status (total TAQ score) and age, gender and job experience (p < 0.05). The highest mean was for the team leadership dimension of the questionnaire (2.5 ± 0.5) while the lowest was for team foundation (2.4 ± 0.3). Results indicated that the status of teamwork is almost moderate. Teamwork in caring for HF patients was influenced by many factors, including age, gender, and job experience. Teamwork can be enhanced by establishing the equality of women and men's rights, continuous training and attention to proportional age and gender combinations.

Invisible cobwebs in teamwork-Impediments to the care of patients with heart failure: A qualitative study.

AIM: This study was done to explore team member's perception regarding impediments to the care of patients with heart failure (HF). BACKGROUND: Complex, chronic HF patients require interprofessional teams to address their multiple health needs. Working in a team has some challenges in achieving goals. Sociocultural differences in Iranian therapeutic team members causes some impediments to provide effective care in the form of a team. METHODS: Data were collected through unstructured in-depth interviews with 58 team members in caring for the patients with HF. The interviews were transcribed verbatim and analyzed using content analysis. RESULTS: Twelve subcategories and 5 categories were formed: inefficient supportive network, inadequacy of training and treatment, affectability and variability challenges for the team, arduous working conditions, and heavy physicians shadow on nursing. The final theme emerged as "Invisible cobwebs in teamwork." CONCLUSION: Despite teamwork being an efficient way of achieving goals, several impediments like a cobweb hinder it from becoming fully exploited. Teamwork has a desirable output when all the members feel the same sense of authority and see themselves in an integrated team and managers have a crucial role in removing these impediments.

Correction to: Burst Out of the Dead Land by the Help of Spirituality: A Case Study of Living with Blindness and Cancer.

In the original version of this article, there is a typo in the family name of the author. The co-author family name should be Seyed Bagheri; instead, it has been published as Seyed bagheri.

Burst Out of the Dead Land by the Help of Spirituality: A Case Study of Living with Blindness and Cancer.

Blindness is one of the most complex problems related to health throughout the world. The condition is worse when such stress is accompanied with cancer. The aim of this case study was to introduce a patient with both these conditions who could come over her problems well. A phenomenological hermeneutic approach influenced by Ricoeur was used to explore the experience of the patient. Data were collected through unstructured and deep interview and by checking patient medical records. The patient is an Iranian 58-year-old teacher residing in Kerman who became blind at age 32 due to bloodshed inside the eye and was affected by breast cancer at age 52. The patient could come over these divine tests through the help of spirituality so that she believed blindness and cancer was the best events in her life. Spirituality is one of the human aspects that give meaning and purposes to life. Health care providers are suggested to implement spiritual strategies such as instructional workshops for increasing spirituality in settings, such as oncologic wards for patients to pass stages of adaptation to such great stresses easily and rapidly.

Activities of daily living for patients with chronic heart failure: a partnership care model evaluation.

AIM: The study determined the effect of a partnership care model (PCM) on the activities of daily living (ADL) of patients with chronic heart failure (CHF). BACKGROUND: Management programs for patients with CHF are needed to optimize care. METHODS: This randomized clinical trial was designed in 2011 in four wards at two Iranian hospital centers with the participation of 104 patients with CHF who had hospitalization histories. The Lawton questionnaire was used to measure the dependent variable (ADL) at baseline after 3 months. RESULTS: The mean difference (pre- and post-intervention) of the scores for the control (MD=0.06; SD=1.5) and experimental (MD=-2.3; SD=1.4) groups were calculated. T-test results showed that there was a significant difference in the means (p<0.05) between groups. The effect size (2.18) and standardized effect size (54.5) were also calculated. CONCLUSION: The findings suggest that centered ADL intervention based on a PCM improved the ADL of patients substantially more than other interventions.