Background Adverse attitudes and insufficient knowledge about organ donation after Circulatory Determined Death (DCD) among emergency staff can have important consequences for the proper identification of potential DCD donors. This is aided by the constant application of donation after Circulatory Determined Death policies, and the relative strength of support for this type of donation. Therefore, this study was conducted to investigate the awareness and attitude of emergency personnel about organ donation after Circulatory Determined Death. Methods This descriptive study was carried out with the participation of 49 physicians and 145 nurses working in the emergency departments of educational and medical centers of Tabriz University of Medical Sciences. Nurses were selected by simple random sampling, and all physicians working in the emergency departments were included in the study. The questionnaire of Knowledge and Attitude regarding Organ Donation after Circulatory Determined Death designed by Rodrigue et al. was used. Data were analyzed using descriptive statistics and independent samples t-test, one-way ANOVA, and chi-square test. Results Most of the nurses (62.8%) and physicians (66.7%) had a high level of knowledge about organ donation after circulatory determined death. The mean attitude score was 101.84 (SD: 9.88) out of 170 for nurses and 106.53 (SD: 11.77) for physicians. Physicians who carried organ donation cards had a more positive attitude toward organ donation after circulatory determined death. Conclusion According to this study findings, knowledge and attitude of the emergency staff about organ donation was both high and positive. It is recommended to devise necessary guidelines for organ donation in Iranian emergency departments to assist in the training of colleagues in organ donation ensuring no necessary measures are missed. The results of this study would support the development of guidelines for the successful introduction of DCD in Iran.
Purpose Premenstrual syndrome (PMS) can disrupt women’s work process, social activities and interpersonal communication and lead to a lower quality of life (QOL). This study aims to determine the effectiveness of happiness training based on Fordyce’s theory on QOL and the Positive and Negative Affect Schedule (PANAS) in women with PMS. Design/methodology/approach This randomized controlled trial was conducted on 100 women (intervention = 50, control = 50). The intervention group participated in eight 120-min sessions of training counseling based on Fordyce happiness training. The participants completed a sociodemographic questionnaire, the PANAS and the 36-Item Short Form Health Survey (SF-36). A general linear model was used to compare the mean scores of QOL and positive and negative affect after the intervention. Findings After the intervention, the mean scores of negative affect [MD = −6.12; 95% confidence interval (CI) = −12.10 to −1.49] and body pain (MD = −26.19; 95% CI = −38.63 to −13.72) were significantly lower in the intervention compared to the control group. Also, the mean scores of physical functioning (MD = 42.0; 95% CI = 16.37 to 67.64) and vitality (MD = 10.40; 95% CI = 4.86 to 15.39) were significantly higher in the intervention group compared to the controls. Practical implications Fordyce happiness training is recommended to be used in conjunction with other supportive and caregiving methods for women with PMS. Midwifes and nurses are the main source to give this training to women and can help them perform cognitive tasks, such as concentration, positive thinking and negative emotions. Originality/value This randomized controlled trial suggests Fordyce happiness training as a feasible and acceptable training program that can be beneficial in reducing negative affect in women with PMS.
Medication error reporting (MER) is an effective way to prevent their repetition in the future. The present study aimed to determine the frequency and factors associated with the causes of MEs and to identify barriers to and facilitators of MER. This descriptive-analytical cross- sectional study was conducted with proportional random sampling on 220 midwives or nurses working in public and private hospitals in Tabriz, Iran. In this study, data were collected using Haddon’s matrix. Data were analyzed using descriptive and inferential statistics. The prevalence of MEs in this study was 36.2%. The most common causes of MEs related to weakness of nurses, wards, management and physicians were nursing staff shortage (30.5%), ward work density (51.8%), low ratio of nurses and midwives per patient (70.7%), and illegible prescriptions (76.4%), respectively. Major barriers to MER reported by nurses and midwives were blaming the individual rather than the system (67.7%). Facilitators of MER were anonymous MRE system and feeling safe about working environment. Staff also reported that if reporting is beneficial (preventing future errors, correcting practice, increasing accountability), the odds of reporting MER will increase (54.5%). Given the underlying cause of MEs from the participants' point of view (staff shortage, fear of reprisal and reprimand), it is suggested that the system and health managers adopt appropriate strategies to reduce these important factors (reducing work density and creating a friendly environment).
Background: Adverse attitudes and insufficient knowledge about organ donation after cardiac death among emergency staffs can have important consequences for the proper identification of potential donors, constant application of donation after cardiac death policies, and the relative strength of support for this type of donation. Therefore, this study was conducted to investigate the awareness and attitude of emergency personnel about organ donation after cardiac death.Methods: This descriptive study was carried out with the participation of 49 physicians and 145 nurses working in the emergency departments of educational and medical centers of Tabriz University of Medical Sciences. Nurses were selected by simple random sampling, and all physicians working in the emergency departments were included in the study. The questionnaire of Knowledge and Attitude regarding Organ Donation after Cardiac Death designed by Rodrigue et al. was used. Data were analyzed using descriptive statistics and independent samples t-test, one-way ANOVA, and chi-square test.Results: Most of the nurses (62.8%) and physicians (66.7%) had high level of knowledge about organ donation after cardiac death. The mean attitude score was 101.84 (SD: 9.88) out of 170 for nurses and 106.53 (SD: 11.77) for physicians. Physicians who had organ donation card had a more positive attitude toward organ donation after cardiac death.Conclusion: According to this study findings, knowledge and attitude of the emergency staffs about organ donation was high and positive. It is recommended to devise necessary guidelines for organ donation in Iranian emergency departments to help the personnel for introducing qualified people for organ donation or taking the necessary measures.
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