Aim: Patient safety is one of the most important parameters of quality health care. The role of health care workers in providing safe care is essential, and their positive attitudes towards this issue will positively affect patient safety. This review aimed to investigate the attitudes of health care workers towards patient safety in Iran.
Method and Materials:The Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) guideline was used to conduct the present review. Data resources including SID, Magiran, Scopus, PubMed, ISC, Web of science, and Google Scholar were chosen to conduct the literature search both in Persian and English without any time limit until the end of January 2021. Inclusion criteria included all English or Persian language studies in which the Safety Attitude Questionnaire (SAQ) was used to assess the attitude of Iranian health care workers towards patient safety. Findings: In the primary search, 342 studies were obtained, finally 11 of which were reviewed. Among these, 10 studies had cross-sectional designs, and one study was a quasi-experimental research. Overall, 2162 health care workers were analyzed. The results of the present study showed that most health care workers in Iran had unfavorable attitudes towards patient safety. Conclusion: As upgrading health care workers' attitudes seems necessary to improve patients' safety, it is recommended that health organizations provide regular patients' safety training, both at employment time and during service to the health care workers who are in direct and indirect contact with patients.
Context: Fever is one of the most common problems in patients. There are a variety of fever control interventions with different levels of efficacy and side effects across patients, especially among critically ill individuals. In this regard, the current review study was conducted to examine the evidence regarding the nursing interventions used to control fever. Evidence Acquisition: For the current study, the articles on fever control methods were searched throughout several databases including SID, Irandoc, Google Scholar, PubMed, Medline, Scopus, Cochrane Library, and ScienceDirect. The search process was accomplished using the following keywords: "management of fever", hyperthermia", and "nursing intervention". The electronic search was performed without any time limit. The exclusion criteria were the duplicate and incomplete studies, animal studies, the ones without clear statistical analysis, and those with a sample size of < 30 subjects (due to low statistical power). Results: The electronic search resulted in the inclusion of 22 articles. In most of the studies, acetaminophen was introduced as the first choice of therapists to control fever. The adoption of physical methods to manage fever varied across different centers depending on the available facilities and hospital routines. Conclusions: As the findings of the reviewed studies indicated, pharmaceutical and physical methods to manage fever should be selected according to patient's conditions. It is recommended that a combination of physical and pharmaceutical interventions for this purpose be utilized. It is also suggested that proper protocols be presented for the appropriate treatment and management of fever under different conditions.
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