2 خبوکٍ حمیذرضب 3 حسیىی محمذعلی 4 محسه یسداوی 5 چکیده هدف: و زمینه تبظٜ پطؾتبضاٖ وبض قٛ٘س ٔی ٔتحُٕ ضا ظیبزی اؾتطؼ ٞسف ٌصاضز. ربی ثط ای حطفٝ ٚ فطزی اثؼبز زض ضا ٘بذٛقبیٙسی آحبض تٛا٘س ٔی وٝ تبحیط ثطضؾی حبضط پػٚٞف ثٛز. وبض تبظٜ پطؾتبضاٖ اؾتطؼ ٔیعاٖ ثط ٌطٚٞی قیٜٛ ثٝ ضفتبضی قٙبذتی ٔساذّٝ 1 ایران تُران، تًاوبخشی، ي بُسیستی علًم داوشگبٌ پرستبری، ريان مذیریت ارشذ کبرشىبسی داوشجًی 2 تُران، تًاوبخشی، ي بُسیستی علًم داوشگبٌ پرستبری، گريٌ داوشیبر، ( ایران ٭ مسئًل وًیسىذٌ تمبس شمبرٌ .) : 05125052144 Email: msflir@yahoo.com 3 ایران تُران، تًاوبخشی، ي بُسیستی علًم داوشگبٌ پرستبری، گريٌ داوشیبر، . 4 ایران تُران، تًاوبخشی، ي بُسیستی علًم داوشگبٌ پرستبری، گريٌ استبدیبر، . 5 AbstractBackground & Aim: New graduate nurses bear high levels of stress which could lead to unpleasant personal and professional outcomes. This study aimed to determine the effectiveness of cognitive behavioral group intervention on the stress levels of new graduate nurses. Material & Methods: It was a quasi-experimental pretest-posttest study with control group. A total of 80 new graduate nurses were first recruited by purposeful sampling and then were randomly assigned into two experimental and control groups (n=40). Eight, 90 minutes sessions of cognitive behavioral group intervention was performed for the experimental group two times a week. Control group received no intervention. The data was collected before and after the intervention by -Expanded Nursing Stress Scale‖ and analyzed by inferential statistics such as chi-square and independent T test using . Results: The findings showed that the mean score of stress level has reduced significantly after the intervention (from 44/44 to 29/44) (p<0/001). No significant reduction was found in the stress levels of control group (p=0/276). There was also a significant difference between the mean score of stress levels of the two groups after intervention (p<0/001). Conclusion: According to the findings cognitive behavioral group intervention can reduce the stress levels of new graduate nurses. Therefore, using this intervention in the beginning of new graduate nurses' work is suggested.
Background: Disaster response is an emergency nursing responsibility. Responding to disasters, however, is hazardous as terrorism, pandemics and chemical industrial accidents challenge the safety of nurses and their families. International experience has shown that nurses can become victims of disasters and that fear of contaminating family and friends may prevent nurses from attending work or returning home during a disaster response. An understanding of the factors that enable or disable their disaster preparedness will underpin future disaster policy and planning for Australian and international health care organizations. Methods: This study examines the willingness of Australian emergency nurses to attend work to respond to a health care disaster, using a 3-phase mixed-method design. Phase 1 was a national online survey, with 451 responses. Phase 2 involved 6 focus groups at 4 hospital sites, with 41 participants and Phase 3 involved in-depth interviews with emergency nurses at different sites, with 11 participants. This presentation will highlight results from the study on the willingness of Australian emergency nurses to respond to a health care disaster. Results: Preliminary findings indicate that emergency nurses' willingness to respond to health care disasters was dependent on a number of factors, including their out-of-work responsibilities, the changes to their roles and responsibilities at work, their confidence in management and their work team, the information they are given about the disaster, the type of disaster and the degree of risk involved. Conclusions:The contribution the findings this study will make to disaster planning and preparedness for nursing staff, health planners and administrators will be outlined.
Objectives: Psychological disorder such as anxiety and depression have been related to increased mortality in both healthy individuals and medical patients. This study has been done for evaluation of prevalence of anxiety and depression and comparison with a control group (A&E's patients (1)). Materials & methods: We checked three hundred patients of internal medicine and A&E (as a control group) department. They have chosen by a Purposive accessible sampling method. The psychopathological profile was assessed using the SCL-90 questionnaire by Iranian version. Data have been computed and analyzed by SPSS V.17 and we used Student t test for parametric variables and Mann-Whitney for the analysis of nonparametric variables and Linear regression was used to identify the impact of independent variables. The results have been considered significant when the two tailed pvalue was less than 0.05. Results: In internal ward 69.3% and A&E department 42% of patient have had depression (OR= 3.5; 95% CI, 1.9 to 6.5). Anxiety were observed in 50.7% of internal medicine patients and 12% of A&E's patients (OR= 1.94; 95% CI, 5.1 to 23.7). Conclusion: Prevalence of the depression and anxiety in internal ward patients was significantly higher in compare to A&E's patients. Therefore, it's necessary to consider these patients in order to diagnosing for the early treatment.
Objectives: Some psychological disorder-comorbid with a medical diagnosis-presents a challenge for treatment because of diagnostic and treatment dilemmas. This study investigated associations between Psychoticism and Paranoid ideas in internal medicine and A&E (1) patient in a university hospital. Methods: In this cross-sectional study, we checked 150 patients of internal medicine department and 150 patients, who have admitted to the A&E department as a control group. They have chosen by a Purposive accessible sampling method. The psychopathological profile was assessed using the SCL-90 questionnaire by Iranian version. Data have been computed and analyzed by SPSS V.17 and we used tstudent, Mann-Whitney tests and logistic regression methods. The results have been considered significant when the two tailed p-value was less than 0.05. Results: In internal ward 70% and A&E department 43.3% of patient have had Paranoid ideas (OR= 4.2; 95% CI, 1.9 to 8.9). Psychoticism were observed in 38% of internal medicine patients and 20% of A&E's patients (OR= 7.64; 95% CI, 3.2 to 17.8). Conclusion: The present results confirm the high prevalence rate of Psychoticism and Paranoid ideas in patients that hospitalized in internal to A & E ward. Recommendation are made to further investigate by greater sample size and different setting in this field is warranted.
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