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Showing 9 results for Hospital
Reza Shahrabadi, Mahnaz Seydshohadai, Fatemeh Hosseini,
Volume 1, Issue 2 (9-2012)
Abstract
Aim. The aim of this study was to determine sharp instruments injuries in intensive and general wards of Rasoule-Akram hospital in Tehran in 2010. Background. Sharp instruments can cause transmission of blood-borne pathogens such as Human Immune Deficiency Virus (HIV), Hepatitis B (HBV) and Hepatitis C (HCV). Annually, there are 66000 HBV, 16000 HCV, and thousands of HIV cases as a results of contact with sharp instruments among health care personnel around the world. Nurses are almost involved in all sharp instrument injuries. Method. This descriptive-analytical study was conducted on 76 nurses of medical-surgical wards and 44 nurses of intensive care units. Data were collected by using Virginia University Questionnaire (Prevention Information Network) for assessing sharp instrument injuries. The data was analyzed by SPSS software. Findings. The finding showed that most injuries occur in patient's room and the lowest in the treatment room. Also, 55.8% of all patients have done no action after injury, %35 of them is followed by wards and 9.2% of them are not followed by wards. Conclusion. According to high frequency of sharp instrument injuries, it is necessary to provide health care personnel with educational programs. Appropriate education may have significant effect in decreasing injuries among health care personnel.
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.
Esmaeil Mohammadnejad,
Volume 2, Issue 3 (12-2013)
Abstract
Abstract Aim. The purpose of this review of article is to assess the reuse of angioplasty devices as a challenge to the health center. Background. Processing and reuse of disposable medical products began in the United States in 1970. Method. Nowadays, infection is one of the common post-operative complications which have different severities and types based on social, financial and cultural conditions in different countries. Ignoring the proper disinfection and sterilization of hospital devices and equipment is one of the most important sources for distribution and transmission of nosocomial infections. The papers from 1998 to 2013 were searched for based on the key words "Reuse", "Single Use Only", "Disposable", "Medical Equipment", and "Reuse of Single Used Devices (SUD)" (alone or in combination) in Cumulative Index of Nursing and Allied Health Literature (CINAHL), Scopus, Medline, EMBASE, and PsycINFO. Findings. The main problems in reusing angiography devices include the failure in cleaning, disinfection and sterilization of equipment due to structure design, lack of knowledge and not providing information to patients and families regarding to reuse of disposable devices, unclear cost for the equipment, ambiguous disinfection and sterilization techniques for disposable medical equipment due to lack of proper staff supervision, lack of informed consent for reusing equipment, contradiction to the principles of clinical governance, patient safety, JCI standardization, and negligence of the ethical issues of patient care. Conclusion. According to the lack of efficient reprocessing the angiography devices in country, lack of official license and policies issued by Ministry of Health and the Center of Medical Equipment, and the above mentioned risks, the reuse of these devices is not recommended.
Fatemeh Habibzadeh, Masoomeh Imanipour, Jaleh Mohammad Aliha, Abbas Mehran,
Volume 3, Issue 3 (12-2014)
Abstract
Aim. The aim of this study was to investigate the effect of applying checklist on intra-hospital transport of intensive care patients.
Background. Intra-hospital transport of intensive care patients who are at risk of cardiovascular and respiratory instability can lead to physical harm and death. Therefore, prevention through increasing awareness staff about the dangers is a necessity.
Method. A quasi-experimental before-after design was used to conduct the study. At first, in a hospital affiliated to Tehran University of Medical Sciences, the quality of 50 cases of intra-hospital transport observed using a checklist during day shifts. Then, intra-hospital transport checklist was given to critical care nurses to be used in cases of patient transport. One month later, the quality of 50 cases of intra-hospital transport observed using a checklist during day shifts. The data were analyzed by SPSS version 21.
Findings. The results showed a statistically significant difference between the mean score of the quality of intra-hospital transport, before and after intervention (49.26±9.87 against 54.95±10.27) (P=0.006).
Conclusion. Applying checklist improves intra-hospital transport of intensive care patients. It is recommended to use this checklist for intra-hospital transport of intensive care patients to increase patient safety and reduce the complications of in-hospital transport .
Nahideh Rahimi, Ahmad Amin, Behshid Ghadrdoost,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. This study was aimed to examine the effect of intravenous diuretic therapy hospitalization of people with heart failure patients.
Background. Heart failure is a progressive disease with a long term hospital admission; while having a standardized protocol can lead to a reduction in hospital costs and adverse effects of hospitalized days.
Method. This clinical trial (without control group) was conducted on 111 heart failure patients who received intravenous diuretic therapy (in 6 hours sessions) for at least one year in heart failure ward. This treatment was performed once a week in the first month, once in two weeks in the second to sixth month and once in month in the 7th to 12th month. During the treatment, patients were given training on nutrition, drug regimen and lifestyle modification. Outcomes included urine output, weight loss, hypokalemia, worsening of renal function, hospitalization and mortality rate.
Findings. The mean age of patients was 58.88±16.33. The minimum dose of prescribed diuretics was 20 mg and the maximum dose was 200 mg. Mean of urine output and weight loss were 1890±1101 ml and 3.04±5.91 kg, respectively. Transient worsening of renal function and hypokalemia occurred in 15 and 20 patients, respectively. During one year period, 31 patients (27.4%) need to be hospitalized.
Conclusion. Short courses of intravenous diuretic therapy in people with heart failure are a safe and effective method that may provide an alternative to hospitalization.
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Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This review study was conducted to explain the causes of prehospital delay in Iranian people experiencing myocardial infarction.
Background. While rapid diagnosis and treatment of myocardial infarction reduces mortality, improves heart function and most importantly, improves the patient's prognosis, studies show that some people experiencing the symptoms of myocardial infarction return to medical centers with delay.
Method. In this review study, SID database was used to search out articles published from 2001 to 2019. The keywords “acute myocardial infarction” and prehospital delay” was uysed to searching out the articles. Articles with accessible full text were reviewed in this study.
Findings. The review of articles related to the factors of prehospital delay in Iranian people experiencing acute myocardial infarction included expecting spontaneous recovery, attributing the disease to non-cardiovascular causes, unawareness of the symptoms of cardiovascular disease, not paying attention to the symptoms of the disease and taking medication arbitrarily, having an underlying disease such as diabetes, low level of pain in the onset, sex, old age, low education, low income, place of residence, insignificance of pain, being alone at the time of acute myocardial infarction, onset of symptoms from midnight to early morning, negative history of heart disease, and the gradual onset of symptoms.
Conclusion. The results of this review showed that the most important factors in prehospital delay of Iranian people experiencing myocardial infarction individual factors and misunderstanding of the disease. Health care team should work to improve public awareness of the signs and symptoms of cardiovascular disease.
Mohammad Abbasi, Seyed Ali Tabaei,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. This review study was conducted to explain the causes of prehospital delay in Iranian people experiencing myocardial infarction.
Background. While rapid diagnosis and treatment of myocardial infarction reduces mortality, improves heart function and most importantly, improves the patient's prognosis, studies show that some people experiencing the symptoms of myocardial infarction return to medical centers with delay.
Method. In this review study, SID database was used to search out articles published from 2001 to 2019. The keywords “acute myocardial infarction” and prehospital delay” was uysed to searching out the articles. Articles with accessible full text were reviewed in this study.
Findings. The review of articles related to the factors of prehospital delay in Iranian people experiencing acute myocardial infarction included expecting spontaneous recovery, attributing the disease to non-cardiovascular causes, unawareness of the symptoms of cardiovascular disease, not paying attention to the symptoms of the disease and taking medication arbitrarily, having an underlying disease such as diabetes, low level of pain in the onset, sex, old age, low education, low income, place of residence, insignificance of pain, being alone at the time of acute myocardial infarction, onset of symptoms from midnight to early morning, negative history of heart disease, and the gradual onset of symptoms.
Conclusion. The results of this review showed that the most important factors in prehospital delay of Iranian people experiencing myocardial infarction individual factors and misunderstanding of the disease. Health care team should work to improve public awareness of the signs and symptoms of cardiovascular disease.
Mahin Roohani, Omid Omid Aghazadeh Godello, Mohammadreza Dinmohammadi, Asma Ghorbani, Seyede Fatemeh Gheiasi,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This study aimed to investigate the effect of individual and group self-care training on self-care behaviors and readmission in patients with heart failure.
Background. Teaching patients with heart failure plays an important role in achieving favorable treatment outcome, management of disease complications and reduction in readmission.
Method. This semi-experimental study was conducted with a pre-test post-test design with a control group and follow-up on 75 patients with heart failure. In individual education group, educational intervention was done individually and in another experimental group, it was done in groups of 3-5 people in two sessions. In control group, routine training was delivered. Self-care behaviors were evaluated using the European Heart Failure Self-care Behavior Scale (EHFScBs) at the beginning, and 30 and 90 days after discharge. The frequency of readmission was evaluated 30, 60 and 90 days after discharge. Data analysis was done in SPSS version 21 using Chi-square and Kruskal-Wallis statistical tests.
Findings. Self-care behaviors in 30 and 90 days after the intervention showed a statistically significant difference between experimental and control groups (p=0.002 and p=0.027, respectively). Regarding the frequency of readmission, at the end of 30, 60 and 90 days after discharge, there was no statistically significant difference between groups.
Conclusion. Providing educational intervention (in individual and group forms) is recommended to improve self-care behaviors in patients with heart failure. The effect of these educational interventions on the frequency of readmission was not significant; therefore, it is suggested to conduct future studies with more samples and in a longer period of time.
Soheil Saeed, Neda Sanaie, Mahbobeh Abdolrahimi,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The present descriptive study was conducted with the aim of evaluating the knowledge and skill of pre-hospital emergency technicians in Neyshabour, Iran, in the management of patients with acute coronary syndrome.
Background. Pre-hospital emergency personnel who have sufficient knowledge and skill to diagnose, giving care and transfer of patients can increase the chance of survival and decrease the possibility of acute and chronic complications of the disease.
Method. In this descriptive cross-sectional study, 126 operational personnel working in the emergency medical center of Neyshabour City, Iran, were recruited by census sampling and participated in the study during a one year period in 2021. The data was collected using a researcher-made questionnaire including demographic information, knowledge level questionnaire, and a pre-hospital emergency personnel skill checklist measuring the management of patients with acute coronary syndrome. The data were analyzed in SPSS version 19 through descriptive statistics.
Findings. The overall knowledge score of the majority of participants in the management of patients with acute coronary syndrome was at a good level (58.7 percent); the highest knowledge score was reported in the interpretation of electrocardiography and the lowest knowledge score was in diagnosing the symptoms of acute coronary syndrome. Finally, the overall skill score of the majority of pre-hospital emergency technicians was at a good level (79.4 percent); the highest skill score was reported in the principles of cardiopulmonary resuscitation and the lowest skill score was in performing cardiac monitoring and detecting arrhythmias.
Conclusion. The majority of pre-hospital emergency technicians had an acceptable level of knowledge and skill in the field of managing patients with acute coronary syndrome, but some skills were far from the desired level. Therefore, due to the importance of strengthening the knowledge and skills of pre-hospital emergency personnel, as the first members of the emergency team dealing with cardiac patients, in the management of patients with acute coronary syndrome, regular training and awareness of updated guidelines are recommended.
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