Introduction:Nurses' ethical distress means acting in contradiction with their ethical beliefs, which today has become one of the challenges of health systems because it has devastating effects on nurses and can lead them to abandon their jobs. Therefore, these factors should be considered together. The purpose of this study was to determine the relationship between ethical distress and willingness to leave their work among nurses working in Jahrom University of Medical Sciences in 2016.
Materials & Methods:This descriptive cross-sectional study was performed on nurses working in hospitals affiliated to Jahrom University of Medical Sciences in 2016. All nurses working in hospitals affiliated to Jahrom University of Medical Sciences were enrolled. Data collection tools included three demographic information questionnaires, Corley's ethical distress questionnaire and nurses' willingness to remain in the Nursing profession. Data were analyzed using SPSS software version 21 and descriptive and inferential statistical tests.
Results:The mean age of the participants was 285.4 years. Nurses' willingness to leave the service was 1.04±1.03 and ethical distress severity score was 0.72.±2.44%. Spearman test results showed that there was no significant relationship between tendency to quit work and moral distress in severity (p-value> 0.337) and repetition (p-value>0.444). Mann-Whitney test showed that there was no significant relationship between gender variables with variables of desire to quit, severity of moral distress and repetition of moral distress (p-value>0.05). The results of Kruskal-Wallis test showed that there was no significant relationship between educational level, service sector and type of employment with variables of tendency to quit, severity of moral distress and repetition of moral distress (p-value> 0.05).
Conclusion:The results of the present study showed that there was no significant relationship between mean moral distress in two dimensions of severity and repetition with the intention to quit nurses. Although the ethical distress reported in this study is moderate, this lack of relevance cannot be taken into account, but sometimes nurses have to be reluctant to quit due to lack of work and difficult economic
Introduction: Due to the high sensitivity, eye surgeries should have the least irritating reactions after anesthesia. On the other hand, due to the fact that the laryngeal mask is less irritated, using this device is always a good choice in cataract surgery. Postoperative stimulation the present study was designed to compare the two methods of using Lubricant gel, lidocaine gel during laryngeal mask airway (LMA) on hemodynamic symptoms and anesthesia reactions in patients undergoing cataract surgery.Materials and Methods: This randomized double-blind clinical trial study was performed on 120 patients undergoing cataract surgery. Patients were randomly divided into 60 equal groups of lidocaine gel and lubricant gel. Systolic and diastolic blood pressure, heart rate and arterial oxygen saturation before and immediately after induction 5 minutes after surgery 15 minutes after surgery, 30 minutes after surgery and were calculated in recovery. Episodes of cough, sore throat, nausea and vomiting in recovery, 2, 6, 12 and 24 hours after surgery were also recorded in the ophthalmology department.Results: The findings of the present study indicated that the groups were not significantly different in terms of demographic characteristics. There was no significant difference between cough, nausea and heart rate and oxygen saturation rate of arterial blood 30 minutes after surgery and recovery in the airway of the laryngeal mask after its exit, but in sore throat and saturation of arterial blood hemoglobin there is a significant difference. The intensity of sore throat in the lidocaine group decreased and the oxygen saturation of arterial blood increased in the 15 minutes after surgery in the lidocaine group.
Conclusion:The results showed that in general, the use of lidocaine could be effective in reducing the severity of sore throat after surgery compared to lubricant, although no significant difference was observed between other variables; it is recommended in future studies in surgery and Caesar with more facilitators for LMA.
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