Background: Communication skills of nurses include two important verbal and non-verbal communication dimensions and have of great importance in hemodialysis patients. This study aimed to investigate the effect of nursing communication skills training on satisfaction of patients undergoing hemodialysis. Methods: This quasi-experimental (pretest and posttest design) was carried out on 64 nurses working in the dialysis ward and 90 hemodialysis patients in the hospitals affiliated with Alborz University of Medical Sciences. In this study, nurses and patients were selected by convenience and randomized sampling methods, respectively. In this regard, subjects were selected from the hemodialysis wards of Bahonar, Rajaei and Shariati hospitals in Karaj. Results: Most nurses were female (76.7%) and the age range of the participants was 23-54 years. Nurses achieved a high score in all dimensions of communication skills and a high total score of communication skills after the intervention, and none of them obtained a low score. There was a significant increase in nurses' communication skills after the intervention, compared to before the intervention (106.98±4.18 and 117.97±3.35) (P<0.001). Moreover, the results showed a significant change in nurses’ perception after the intervention in various dimensions of communication skills, such as ability to receive and send messages, emotional control, listening skills, nurses' insight into the communication process and assertive communication skills, compared to before the intervention (66.90±5.15 and 95.62±5.34) (P<0.001). Conclusion: Studying communication skills in the form of educational workshops could increase these skills in nurses and clinical personnel in general. More importantly, improved communication skills in nurses could increase patient satisfaction, which is the ultimate goal of healthcare centers.
BackgroundMost patients who present to medical centers due to chest pain do not suffer from acute coronary syndromes and do not need to be hospitalized in coronary care units (CCUs). This study was done to determine exploitation of resources and cardiovascular outcomes in low-risk patients with chest pain hospitalized in CCUs of educational hospitals affiliated with a major medical university.MethodsOver a 4-month period, 550 patients with chest pain who were hospitalized in the CCUs belonging to six hospitals affiliated to the authors’ medical university were recruited by census method. Using Thrombolysis in Myocardial Infarction risk score, 95 patients (17.27%) were categorized as low-risk patients. This group was evaluated with respect to demographics, bed occupancy rate, mean hospitalization period, expenses during admission, and cardiovascular outcomes in the 30-day period postdischarge.ResultsMean (± standard deviation) hospitalization duration was 3.04 (±0.71) days. No significant difference was seen between the six surveyed hospitals regarding hospitalization duration (P = 0.602). The highest bed occupancy rate was seen in Taleghani and Shohada Tajrish hospitals and the lowest was in Modarres Hospital. The mean paid treatment expenses by low-risk patients was IRR 2,050,000 (US$205). Mean total hospitalization expenses was US$205. No significant difference was seen between the six surveyed hospitals (P = 0.699). Of the patients studied, 89.5% did not show any cardiovascular complications in 1 month and no deaths occurred.ConclusionGiven the high bed-occupancy rate by low-risk patients, associated high hospitalization costs, and the lack of cardiovascular complications in patients observed at 1-month follow-up after discharge, it is recommended that appropriate evaluations be performed in emergency units to prevent unnecessary admissions.
Background: The knowledge of Emergency Medical Technicians (EMTs) plays a crucial role in the outcomes of traumatic patients. This study aimed to assess the knowledge of EMTs about the prehospital care intensity index of spinal cord trauma in Ilam Province, Iran. Materials and Methods: This cross-sectional study was conducted on 98 EMTs chosen by the census sampling method. The study data were collected using a researcher-made questionnaire on the prehospital care intensity index of spinal cord trauma and were analyzed with SPSS 16. Results: The knowledge of the prehospital care intensity index of spinal cord trauma was at the advanced level in 87.7% of EMTs and the intermediate level in 15.3% of EMTs. There was a significant relationship between the technician’s knowledge score and variables such as age, work record, overtime hours, and the number of missions (P˂0.05). Conclusion: EMTs needed more specialized information on spinal trauma. It was recommended to hold in-service training programs more precisely and consider the training of necessary skills that most EMTs require.
Background: Coronary angiography (CAG) is one of the procedures for diagnosis of coronary artery disease (CAD). It may have severe complications. Providing patient education based on standards can lead to reduction in complication risks and increase patient satisfaction. Objectives: Consequently, the present study was conducted to audit discharge education for CAG patients. Methods: In this descriptive study, 387 discharge educations of CAG patients were observed by event sampling. The data were collected using demographic information of nurses and patients and a checklist formulated on the basis of standards for discharge education of CAG patients. This checklist had 35 items in six dimensions. The validity and reliability of the checklist was examined using content and validity and the Inter-rater correlation coefficient (ICC = 97%). The data was analyzed using SPSS20. Results:The results showed that the discharge education of CAG patients was weak in all dimensions. The highest education was found for the CAG wound care sub-domain. Education of bleeding control education, nurse-patient communication, changing life style education, emergency events education, and drugs usage dimensions were low. Conclusions: The findings revealed that common CAG discharge education is not satisfactory in comparison with the standards. Factors that may contribute to this failure include not enough nursing staff, lack of education plan at the discharge time and ineffective supervision. Using this checklist is beneficial for better education outcomes. The findings recommend nurses to evaluate the economic, safety, and psychosocial situation of the patients as they may prevent the patient's and their family's ability to follow the discharge plans.
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