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Masumeh Zakeri Moghadam , Somayeh Sadeghi, Shahrzad Ghyasvandian, Anoshirvan Kazemnejad,
Volume 2, Issue 3 (12-2013)
Abstract
Abstract Aim. The purpose of this study was to determine the effect of comprehensive-care program on patient satisfaction in patients with minor and moderate trauma (accident, fall and other types of trauma) in emergency department. Background. Assessment of patient satisfaction is one of the most important indicators of measuring quality of care. Patient satisfaction of nursing services is declining it can be caused by increased awareness of patients about their rights and health care services which leads to an increase in patient expectations of health care services. Comprehensive care program is one of the ways to increase patient satisfaction. Method. This clinical trial study was conducted with 104 patients, 52 in each control and experimental groups. The experimental group received comprehensive-care program from the moment of entering emergency department to the discharge of emergency department and the control group received the usual nursing care. After implementing comprehensive-care program and at the end of the patient stay, the patient satisfaction in two groups was measured using a modified form of satisfaction questionnaire. The data analysis was done by SPSS software, version 22 using descriptive and inferential statistics. Findings. The mean score of the total satisfaction was 32.02 (relatively appropriate) and 45.6 (appropriate) after intervention in control and experimental groups, respectively. There was a statistical significant difference between the mean score of total satisfaction of the groups after intervention (p<0.001). Conclusion. Implementing comprehensive-care program increases the rate of the patient satisfaction. Therefore, it is recommended to managers and staff of the health care centers and educational centers to apply comprehensive care program.
Masoomeh Imanipour, Hamid Peyrovi,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim.The purpose of this study was to evaluate nursing students’ skills in cardiopulmonary resuscitation (CPR) in their critical care master course. Background.CPR is a common procedure in intensive care settings and the nurses have an important role in this regard. To consider the aim of training critical care nursing students, and increasing quality of care in intensive care settings, the evaluation of students’ skills in CPR is essential to determine defects and plan for improvement. Method. In this descriptive study, nursing students’ performance was evaluated at the end of educational period of their critical care course using objective structured clinical examination (OSCE). The OSCE included five core skills in CPR: airway management, arterial blood gas (ABG) interpretation, basic life support, electrocardiography (ECG) interpretation and assessment of the level of consciousness. Findings. The study population consisted of 17 nursing students in the 4th semester of their critical care master course. The results showed the majority of students (64.7%) had moderate performance to do CPR skills. The best performance was related to assessment of the level of consciousness (52.9%). Basic life support (41.2%), airway management (35.3%) and ECG interpretation (11.8%) ranked as the next best skills, respectively. The worse performance was related to ABG interpretation with 0% pass score. Conclusion. According to the findings, the performance of the nursing students in CPR is moderate, globally and cognitive skills are lower than psychomotor skills. Problem-based educational strategies and encouragement of active thinking are suggested for improving cognitive skills and more practice to improve all competencies up to desirable level.
Behzad Momeni, Reza Golpira, Mahnaz Mayelafshar,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract Aim. This study aimed to assess the domains of patient safety culture issues at Rajaie Cardiovascular, Medical and Research Center in 2012. Background. Patient safety is a critical component of health care quality. As health care organizations continually strive to improve, there is a growing recognition of the importance of establishing a culture of safety. Method. This descriptive analytical cross-sectional study was conducted in Rajaie Cardiovascular, Medical and Research Center. Multi-stage random sampling, proportionate to the number of the hospital staff., was used to recruit the participants. The sample consisted of the physicians, nurses, and laboratory personnel. The questionnaire “Hospital Survey on Patient Safety Culture” was used to collect the data. Findings. The total mean score was 65%. The highest score was achieved by the paraclinical and diagnostic departments in the issue of team-work within organizational units (83%), and the lowest score belonged to the paraclinical and diagnostic departments in the issue of error occurrence (42%) and the intensive care units in the issue of staff affairs (42%). Conclusion. Overall, the assessment of patient safety culture in a hospital can serve various purposes, not only can it evaluate the status of patient safety culture in that hospital and identify its strong and weak points, but also it can raise the awareness of the staff vis-à-vis this significant issue and thus improve it. Those aspects of patient safety culture that scored less than 60% need augmentations.
Shahram Bakhshi-Hajikhajeloo, Sadraddin Sattari,
Volume 6, Issue 3 (12-2017)
Abstract
Abstract
Aim. The aim of this study was to evaluate the effectiveness of the cardiopulmonary cerebral resuscitation (CPCR) workshop for nurses in the clinical atmosphere of critical care wards of Ardabil Social Security Hospital based on Kirkpatrick model.
Background. Evaluating the effectiveness of training courses to determine the extent to which the objectives of the training course are realized is necessary.
Method. In this descriptive survey, accessible population included 65 critical care nurses and nursing managers of the hospital under study out of which 56 people were selected based on stratified random sampling using Morgan-Krejcie sample table. Data were collected using a questionnaire and its validity was confirmed by the views of the experts. The reliability of the questionnaire was 0.99 (Cronbach's alpha). Data were analyzed by descriptive and inferential statistics.
Findings. The mean score of the effectiveness of the CPCR workshop in clinical atmosphere from the perspective of critical care nurses and nurse managers was 3.89 out of 5 in the level of “reaction”. Moreover, the mean score of the effectiveness of “learning” level and “behavior” level were reported 3.97 and 4.02 out of 5, respectively. In the level of the “results” the mean score of the effectiveness was reported as 4.57. The total average of effectiveness of training in CPCR workshop was 4.11 out of 5.
Conclusion. The result of the study showed that CPCR workshop was evaluated as an effective program based on the Kirkpatrick model.
Shiva Khaleghparast, Mahnaz Mayelafshar, Zahra Hanifi, Leila Sari, Masoumeh Kalaei, Behrooz Ghanbari,
Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. This study aimed to determine barriers to patient education from the perspective of patients, nurses and doctors.
Background. Patient education is one of the indicators of quality of heath care services. Patient education could lead to a reduction in the cost of health care and increase the quality of care and ultimately, help the patient to become independent and self-sufficient.
Method. A cross-sectional descriptive study was carried out. The research population included physicians, nurses and patients admitted to different wards of the Rajaee cardiovascular medical and research center. The sampling method was stratified random sampling for each population of the participants (patients, nurses and doctors). Data collection tool was a researcher-made questionnaire that measured the obstacles to patient education. The collected data were analyzed by SPSS software.
Findings. According to physicians, the most important barriers to education for patients was related to patients, and then related to physicians. From the viewpoint of nurses, the most important barriers to patient education were related to nurses. Patients evaluated themselves as the most important barrier to patient education, and then, the most important barriers were related to nurses from patients’ perspectives.
Conclusion. Regarding the importance of teaching to the patient, it is suggested that the managers take actions to increase the number of nursing staff, provide patients with educational brochures, allocate sufficient funds for patient education, supervise and encourage nurses and doctors, and prioritize training in daily tasks.
Mahnaz Mayelafshar, Fereydoon Noohi, Leila Riahi, Aniseh Nikravan,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The purpose of this study was to investigate the key performance indicators in the emergency department.
Background. Health care organizations are confronted with various phenomena such as the rapid promotion of technology, changing demographic factors and changing lifestyles. On the other hand, the health care system has become one of the largest and most expensive industries in the world. These factors have led hospital management to require fundamental changes, including for organizations to measure performance to achieve organizational goals. Evaluation and monitoring of emergency department performance is one of the most important processes in health centers.
Methods. In this review study, the articles were searched out using the keywords “key performance indicators” and “emergency department” and their Persian equivalent in Jahad Daneshgahi Database, Iran Scientific Research Institute, Database of Iranian Journals, Springer, Medline, PubMed, and Google Scholar. Forty eight articles were found. These articles were reviewed and refined step by step and finally, 16 related articles were selected. Then, selected sources were included in the data collection form according to the purpose of the study and narrative analysis was performed.
Findings. Based on the results of this study, the articles have addressed three aspects of the importance of performance appraisal in the emergency department, key performance indicators and their types (input indicators, process indicators, outcome indicators) that are explained in detail.
Conclusion. Managers and decision makers are always faced with the problem of choosing the best index from a diverse set of indicators, and often because of data aggregation, not all of them can be used. For this reason, managers and employees have a negative view of performance evaluation systems, and it is necessary to identify a limited number of key indicators that can meet an organization's management goals.
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