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Showing 3 results for Nikravan
Malahat Nikravan-Mofrad, Sima Zohari Anboohi,
Volume 1, Issue 4 (3-2013)
Abstract
Abstract Aim. This study examined the effect of using simulation training method on enabling student nurses in advanced pre-hospital care. Background. Disaster nursing includes especial operational skills to manage disasters victims. These skills mainly include advanced pre-hospital care. To teach these skills, simulation in workshop environment is one of the most valuable and effective methods, one type of which is the use of live models in scenarios of various events that can be implemented and practiced in simulated environment. Method. This study was conducted by a quasi-experimental design in which 7 30th semester student nurses were recruited by census sampling and undergone training by simulation method. In this study, three tools (questionnaire, clinical evaluation form, and self-assessment form) were used. The data were managed and analyzed by SPSS, version 16. Findings. At the end of workshop in a simulated environment, %100 of students scored at good level. Also, in terms of pre-hospital skills, %100 of students scored at proficient level. In addition, after the workshop, %100 of students evaluated themselves at completely dominant level. Conclusion. The results of this study indicate that training by simulation method can teach student nurses the knowledge and necessary skills for pre-hospital emergency care in the best way. Besides, it can improve students' self-assessment on their capabilities.
Kamran Farhadi, Faezeh Ghaemipour, Melahat Nikravan, Hamid Alavimajd,
Volume 2, Issue 1 (6-2013)
Abstract
Abstract Aim. The aim of this study was to determine the current quality of triage in intensive care units for patients admitted to hospital emergency departments in ShahidBeheshti University of Medical Sciences in 2012. Background. Accurate and rapid patient triage in emergency departments is the key to a successful performance. The study and understanding of the current condition and evaluation of the educational needs of triage nurses are highly important. Method. This study is a retrospective descriptive study in which the data were gathered via in a list of ESI triage forms. To determine the content validity of data collection tools was used. In this study, the reliability of the test listed under triage nurse was both between observers and reliability with Intraclass Correlation Coefficient (ICC) : 0.857 was specified. Findings. In this study,23% of the case were undertriage and 11.7% were overtriage.The most of undertriage cases was level 3 based on Emergency Severity Index (ESI) system. There is a direct correlation between the mortality and hospitalization in the Intensive Care Unit (ICU) and undertriage. Conclusion. There was no statistically significant difference between proper triage and undertriage cases in mean length of hospital stay, duration of hospitalization and emergency department waiting time for the first visit of the emergency physician.
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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