|
|
|
 |
Search published articles |
 |
|
Showing 12 results for Performance
Heshmatolah Heydari, Marhamat Farhaninia, Mohammadtaghi Safdari, Hamid Haghani,
Volume 1, Issue 3 (12-2012)
Abstract
Aim. The aim of this study was to determine the family members’ performance in confront with patient's heart attack and its relationship with their knowledge in this filed. Background. Heart attack is one of the most common, serious and fatal diseases. It is growing rapidly worldwide and is the most leading cause of mortality. The performance of people who deal with the heart attack patients in the early minutes, is important in prognosis of disease and his/her life and death . Method. This correlational descriptive study was conducted on 300 family members of patients with heart attacks who hospitalized in teaching hospitals of Iran University of Medical Sciences. Data were collected by a questionnaire and continuous sampling. Validity of questionnaire was confirmed by content validity and its reliability were confirmed by test-retest and by internal consistency ( 0.92). Findings. The findings showed that there was good level of knowledge, but poor performance of the subjects in confront with patient's heart attack. There was statisticaly significant correlations between performance and the knowledge (p=0.004), but no significant correlations between performance and the knowledge with level of education, age and gender. Conclusion. Despite of good level of knowledge in target community, none of them have good performance in the confront with heart attack patients therefore it is recommended to educate the public on how to deal with heart attack patients and to perform more studies in this field in order to offer appropriate strategies to promote the knowledge and performance of family members and individuals in society.
Sedigheh Fayazi, Mohammad-Hashem Abdi, Neda Sayadi, Shahnaz Rostami,
Volume 1, Issue 3 (12-2012)
Abstract
Abstract Aim. The aim of this study was to evaluate cardiac intensive care nurses’ performance in usingintravenous Streptokinase for acute myocardial infarction patients. Background. Acute myocardial infarction is a common disease. Use of thrombolytic drug includingStreptokinase reduce mortality rate in these patients. Nurses have an important role in injectingthis drug. Method. This descriptive study was conducted on 68 nurses who work in cardiac emergency room andcoronary care unit. Data were collected by observation check list of nurses’ performance. The data wereanalyzed by descriptive statistic and Chi-square. Findings. The findings showed that the manner of presenting nursing care in pre- Streptokinase infusionstage was moderate in 52.9% of observations, but during the injection in 55.4% of observations and afterinjection, in 45.6% of observations was poor. Conclusion. The care of patients was moderate and poor, therefore it is recommended to paymore attention to education of nurses about using intravenous Streptokinase for acute myocardial
Arash Farahani, Ebrahim Masoudnia,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The present study aims to determine the relationship between family performance indices (cohesion, expressiveness, and conflict) and the risk of myocardial infraction.
Background. Cardiovascular diseases, especially myocardial infraction, is the first factor of fatality in the world and also in Iran. The etiology of myocardial infraction is a very complicated. One of the risk factors overlooked in the studies associated with the etiology of cardiovascular disorders is family and performance indices of the family.
Method. The present research was conducted by a case-control cross-sectional design. The data were collected from two groups, a group of 50 patients with myocardial infraction symptoms (case group) referring to Heshmat Specialized Hospital for Cardiology in Rasht and Tehran Specialized Heart Center, and a group of 50 healthy persons (control group) with no symptoms of myocardial infraction. The data gathering tool included Family Relationships Index. The data were analyzed by SPSS version 16 using MANOVA method.
Findings. There was a statistically significant difference between case and control groups in terms of control variables: history of myocardial infarction, education, history of smoking, history of cholesterol and hypertension (p<0.01), and history of diabetes (p<0.05). There was also a statistically significant difference between groups in terms of cohesion, and conflict indices (p<0.01).
Conclusion. Deficiency in family performance indices, including cohesion, and conflict in family relationships, are among the main risk factors of myocardial infarction. Therefore, it is necessary to prepare and implement social, behavioral and educational interventions in order to prevent negative effects of inadequacies in family performance indices.
Esmat Kardan Barzoki, Hooman Bakhshandeh, Akbar Nikpajouh, Elham Elahi, Majid Haghjoo,
Volume 4, Issue 4 (3-2016)
Abstract
Abstract
Aim.The aim of this study was to compare the effect of education through lecture and multimedia methods on knowledge, attitude, and performance of cardiac care nurses about temporary pacemaker care.
Background.Cardiac dysrhythmias are among the most common cardiovascular disorders. Temporary pacemaker insertion is a treatment or prevention method for cardiac dysrhythmia. Nurses are the main group to provide the care for patients with temporary pacemaker, so it is necessary to educate them in an effective and efficient way.
Method.This was an experimental study conducted in 2015 on 52 cardiac care nurses working in ShaheedRajaei cardiovascular center. All 52 nurses were randomly divided in 2 groups of education through lecture and multimedia. The level of nurses' knowledge, attitude and performance was evaluated before and three weeks after education and the effect of education was examined using Mann-Whitney and Wilcoxon Signed Ranks Test through SPSS version 22.
Findings.Before intervention, the median and interquartile range of knowledge levels for lecture and mul-timedia groups were 12.5 (10-14) and 11 (9-12), respectively, and after that, they increased to 17 (15- 19) and 17 (13- 19). The median and interquartile range of performance levels for lecture and multimedia groups changed from 29 (26- 30) and 30 (26- 31) to 34 (32- 35) and 34 (32- 35), respectively. The knowledge and performance levels increased in both methods. But there was no statistically significant difference between these two methods. Before intervention, the median and interquartile range of attitude levels for lecture and multimedia groups were 62.5 (60-64) and 64 (63-66) and after that, they changed to 64 (60-64) and 63 (61-64), showing that intervention has no effect on attitude level in any of these two groups.
Conclusion.There is no difference between the effectiveness of education through two methods of lecture and multimedia software on cardiac care nurses' knowledge, attitude and performance. In the other words, multimedia software method is as effective as lecture method. Education using multimedia software can be considered as a proper method for increasing demand in staff education. Proper infrastructure and optimal training programs are prerequisites to effectiveness of education through multimedia software method.
Ali Zahedmehr, Zahra Daram, Mohamadziae Totonchi,
Volume 4, Issue 4 (3-2016)
Abstract
Abstract Aim. This study aimed to examine the effect of education by video self-assessment on nurses’ knowledge and performance about cardiopulmonary resuscitation (CPR). Background.Cardiopulmonary arrest is one of the main medical emergencies and one of the major causes of death around the world. Cardiopulmonary resuscitation is the critical components of basic life support in response tocardiopulmonary arrest. The success ofcardiopulmonary resuscitationrequiresproficiencyandperformance of resuscitation group. Method. This was a clinical trial study conducted on 80 nurses that were randomly divided into experimental and control group. Participants in control group received traditional training and experimental group experienced video self-assessment after traditional training. Knowledge on CPR was evaluated with a valid questionnaire including multiple choice questions. Psycho-motor skills were measured through a visual checklist observing CPR performance of the participants on a manikin. Outcome variables were measured three times (before, immediately after, and two months after training). Data were analyzed by the SPSS through repeated measures analysis. Findings. Comparing the mean score of knowledge between the groups at before, immediately after, and 2 months after training did not show any statistical significant difference. Immediately, and two months after intervention, the mean score of performance of the experimental group was significantly higher than that of control group. Conclusion.Education by Video self-assessment is an effective method to improve nurses’ performance in CPR.
Amirhosein Abdi-Doorbashi, Mitra Zolfaghari, Azam Mahmoudi, Abbas Mehran,
Volume 5, Issue 1 (6-2016)
Abstract
Abstract
Aim. This study
aimed to examine the effect of application of Braden pressure ulcers risk
assessment tool on performance of critical care nurses.
Background. Pressure ulcer
is a common phenomenon in patients admitted to intensive care unit. The
management of pressure ulcers in these patients is a challenging task.
Therefore, pressure ulcer prediction tools are used when dealing with these
patients.
Method. This
quasi-experimental study was conducted in the intensive care units. The study
sample consisted 68 critical care nurses working inintensive care units of
selected hospitals of Tehran University of Medical Sciences in 2013. After
determining the sample size and obtaining permission from theethics committee
of Tehran University of Medical Sciences, the participants were recruited
through convenience sampling based on inclusion criteria. Critical care nurses
of two intensive care units of general hospitals of Tehran University of
Medical Sciences were selected as experimental and control group. In both
groups, after collecting demographic characteristics, their performance in the
management of patients who were at risk for pressure ulcers was evaluated by the
checklist whose validity and reliability was evaluated by the faculty members
of Tehran University of Medical Sciences. The data were analyzed by
descriptive and inferential statistics in SPSS version 19.
Findings. There was no
statistically significant difference between the groups in terms of demographic
characteristics. After the intervention, the mean score of nurses performance
in the experimental group was 66.21±0.47 and that of control group was
62.59±1.31 (p≤0.0001). After intervention, all nurses in the experimental group
had very good performance and nurses in the control group had good performance.
Conclusion. Using the
pressure ulcers risk assessment tool (Braden scale) increases the sensitivity
of critical care nurses to the risk of ulceration in the intensive care unit
patients and forces them to comply with the standard caring measures and
consequently, lead to prevention of bed sores. It is recommended to use this
tool in order to enhance the care management of patients prone to pressure sore.
Nasrin Bahramnejad, Mr Meysam Nematikhah,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. This study aimed to examine the effect of participation-based education program on nurses' knowledge and practice of critical care nurses about central venous catheter care in intensive care units in teaching hospitals of Zanjan University of Medical Sciences, Iran.
Background. Improving the quality care of central venous catheters requires the promotion of nurses’ knowledge of standard guidelines and manuals of catheter care and also the knowledge of latest findings in this field.
Method. In this quasi-experimental study with pretest-posttest design, 46 nurses working in intense care unit of two teaching hospitals (Ayatollah Mousavi and Vali-e-Asr hospital) were recruited into experimental group (n=28) and control group (n=18). Before intervention, nurses' knowledge and performance regarding central venous catheter care were measured by the questionnaire developed by Labio et al. in 2008 and a researcher-made observational checklist. Then, educational intervention based on participation was implemented for the experimental group for 1 month, and routine intervention (taking part in one session lecture) was also carried out for the control group. Three months after intervention, nurses' knowledge and performance were measured again through questionnaire and checklist by the co-researcher. Data were analyzed by SPSS (version 16) utilizing Chi-square, Fisher, ANOVA, and independent t-test and paired-sample t- test.
Findings. After intervention, there was a statistically significant difference between experimental and control group in mean change of knowledge score (experimental group, 2.82 against control group, 1.67)(p=0.004) and performance score (experimental group, 11.69 against control group, 10.85) (p≤0.0001) about central venous catheter care.
Conclusion. Educational intervention based on participation is more effective than the other conventional retraining programs in improving the nurses' knowledge and performance about central venous catheter care. It is suggested to apply participation-based education program for in-service training.
Asghar Khalifehzadeh-Esfahani, Zahra Moeini, Jafar Golshahi,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. The present study was conducted to compare the effect of e-learning and lecture education on critical care nurses' performance about cardiovascular medication.
Background. The present time is known as the technology development time, and the educational institutions have undergone major changes. The complex learning process should not be limited to classroom and the use of e-learning can help to overcome some barriers of traditional methods of education in nursing.
Method. This quasi-experimental study was conducted on 70 nurses working in intensive care units of social security hospitals in Isfahan province in 2017. They were recruited to the study and allocated randomly to either lecture (n=35) or e-learning (n=35) group. Nurses’ performance was evaluated by the questionnaire of cardiovascular medication before and after the interventions, and the effect of two methods of e-learning and lecture training on nurses’ performance scores was compared.
Findings. Both lecture and e-learning methods had a statistically significant effect on nurses' medication performance (P≤0.0001). However, no statistical significant difference was observed between the two groups in terms of changes in nurses' medication performance.
Conclusion. E-learning can be a substitute for lecture education in-service-training of pharmacology topics for critical care nurses.
Mohammad Davarpanah, Tahereh Nasr-Abadi, Sepideh Nasrollah, Ebrahim Ebrahimi-Abyaneh,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This study aimed to assess knowledge and practice of nurses about nursing care before and after cardiac catheterization
Background. The most common cause of death in most countries around the world is cardiovascular disease. Coronary angiography is an invasive procedure that is used to diagnose and/or treatment of coronary artery disease. Considering complications of cardiac catheterization, nursing care is of great importance in preventing and identifying complications. Standards are the least acceptable, expected and achievable levels of performance based on which it is possible to evaluate performance. Nurses and health care providers should work according to standard protocols.
Method. This descriptive analytical study was conducted on 65 nurses who were selected by census sampling method and based on inclusion criteria from cardiac catheterization wards of selected hospitals in Tehran, Iran. Data were collected by a questionnaire and a checklist prepared in accordance with the standards provided by the Ministry of Health and the Iranian Nursing Organization. The data were analyzed in SPSS version 21 using descriptive and inferential statistics.
Findings. Most of participants were female (63 percent). The mean score of knowledge about nursing care before and after angiography were 10.95±1.30 and 15.23±1.88, respectively. The mean score of performance about nursing care before and after angiography were 26.16±2.92 and 25.77±4.78, respectively; according to these findings the knowledge and practice of nurses about nursing care before and after angiography were evaluated as good. There was no statistically significant difference between female and male nurses in terms of knowledge and practice. Also, no statistically significant relationship was found between the knowledge and practice, before and after angiography.
Conclusion. Although most nurses had good scores of knowledge and practice about nursing care before and after angiography, but due to lack of some principles of care in their performance, further studies is recommended. Also, it is necessary for managers to provide nurses with care protocols.
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.
Tahereh Najafi Gezelje, Seyedeh Marziyeh Moosavi, Peyman Saberian, Shima Haghani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The present study aims to determine the performance of “Tehran 115 medical emergency” dispatchers in providing services to patients with chest pain.
Background. Chest pain is one of the most common problems for which individuals call medical emergency services. The pace, accuracy, and integration of services by medical emergency dispatchers are highly important to decrease mortality and disability rates.
Method. A cross-sectional descriptive study was carried out on 397 voice records of 80 dispatchers in “Tehran 115 medical emergency services” about chest pain in January 2019. Data gathering was done using the Dispatcher Performance Assessment Checklist. All the obtained scores by the checklist were analyzed in SPSS (V.22).
Findings. All voice records demonstrated an acceptable performance of the dispatchers. The mean score of performance in consultation section was 18±2.66 ranged from 9 to 20. The mean score of performance in key questions section was 35.95±2.16 with a score range from 28 to 38. The total mean score of performance was 53.95±3.57 with a score range from 43 to 58. In addition, employment status (P=0.039) and work experience (P=0.020) were significantly related to dispatchers’ performance in terms of assessing chest pain.
Conclusion. Assessment according to the checklist items and provision of proper consultation services to the patients and patient companions by the 115 dispatchers resulted in a better and timely diagnosis, faster dispatch of ambulance, less damages sustained by heart patients, and prevention of death. The findings emphasized on the necessity of adhering to the questions algorithm and uniform work procedure by dispatchers nationwide. This should be an integral part of telephone triage. Observation of national standard prevents probable damages to patients due to wrong or personalized decision making.
Fatemeh Nemati, Amir Tabatabaee, Zahra Salehi, Esmaeil Mohammadnejad,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The purpose of this study is to review studies that have investigated the effect of CardioPulmonary Cerebral Resuscitation (CPCR) training on nurses' knowledge and performance.
Background. CPCR is a systematic procedure and a set of targeted measures have been used by nurses to restore the vital functions of the body's central organs, such as the heart, lungs, and brain. The application of teaching is a suggested method for improving the knowledge and skills of nurses PCPR in most published articles.
Method. In this r eview study, a comprehensive search of scientific databases and sear ch engines such as Science Direct, PubMed, Cochrane, Medline, SID, Scopus, CINAHL, OVID, Iran Doc and Magiran using the keywords cardiopulmonary resuscitation, nurses, practice, knowledge in both Persian and English languages was done to find articles published between 2010 and 2022.
Results: CPCR training in both face-to-face and virtual form can be effective on the knowledge and performance of nurses, and in all studies there was a significant relationship between the scores before and after the training. The implementation of these trainings should be repeated for nurses permanently and every six months.
Conclusion: Basic training can lead to increasing the knowledge of nurses in the field of basic and advanced cardiopulmonary resuscitation. Based on this, regular theoretical and practical workshops and training courses are recommended.
|
|
