Background & Aims: Nursing is a holistic practice, and patient care is an essential component of this practice. The main task of nurses is to interact with patients, which leads nursing to an integral part of health care. Nurses play a key role in determining the quality of hospital services. The concept of quality nursing care refers to the patient's access to physical, communicative, psychological, and social needs, which affect patient satisfaction and wellbeing, as well as the better performance of healthcare organizations. Excessive work shifts, personal conflicts, facing death, lack of psychological support, conflict with physicians, and ambiguity regarding authority are among the influential factors in the quality of nursing care. Nurses communicate with the patient in a fully personal environment, which may not always bring about positive outcomes. The long-term exposure of nurses to workplace stressors could adversely affect their mental and physical health and lead to burnout, which deteriorates the quality of patient care. The most comprehensive definition of burnout has been proposed by Maslach and Jackson, who consider this syndrome to consist of three dimensions, including emotional exhaustion, depersonalization, and personal accomplishment. The most prominent symptom of this syndrome is emotional exhaustion when the individual feels pressured, and their emotional resources are depleted. Compared to other occupations, nurses are prone to severe burnout due to direct patient care. The main consequences of burnout include chronic fatigue, insomnia, negative attitudes toward self and clients, absence from the workplace, and job dissatisfaction. The negative consequences of burnout affect patient satisfaction as they reduce the quality of nursing care. Considering the sensitivity of the nursing profession and the debilitative effects of burnout on the efficiency and mental health of nurses, the present study aimed to investigate the correlation between the quality of nursing care and burnout of nurses in the teaching hospitals affiliated to Mazandaran University of Medical Sciences, Iran. Materials & Methods: This cross-sectional, descriptive-correlational study was conducted on 125 nurses working in the teaching hospitals affiliated to Mazandaran University of Medical Sciences in Sari, Iran during June-August 2020. The sample size included 125 nurses who were selected via random sampling from four teaching hospitals in Sari. The inclusion criteria of the study were willingness to participate, having at least a bachelor's degree in nursing, and at least two years of work experience in the nursing profession. The exclusion criterion was incomplete questionnaires. After selecting the participants and obtaining their written informed consent, the objectives of the research were explained to the subjects, they were assured of confidentiality terms regarding their personal information and instructed on completing the questionnaires. Data were collected using a demographic questionnaire (age, gender, marital ...
Depression can lead to increased medical costs, impaired individual and social functioning, nonadherence to therapeutic proceeding, and even suicide and ultimately affect quality of life. It is important to know the extent of its prevalence for successful planning in this regard. This study was conducted to determine the prevalence of depression in the Iranian elderly. This systematic review and meta-analysis study was done through Medline via PubMed, SCOPUS, Web of Science, ProQuest, SID, Embase, and Magiran with determined keywords. Screening was done on the basis of relevance to the purpose of the study, titles, abstracts, full text, and inclusion and exclusion criteria. The quality of the articles was assessed using the Newcastle-Ottawa standard scale. After primary and secondary screening, 30 articles were finally included in the study. According to the 30 articles reviewed, the prevalence of depression in the Iranian elderly was 52 percent based on the random-effects model (CI 95%: 46–58). According to the results of the present study, depression in the Iranian elderly was moderate to high. Therefore, more exact assessment in terms of depression screening in elderly people seems necessary. Coherent and systematic programs, including psychosocial empowerment counselling for the elderly and workshops for their families, are also needed. Researchers can also use the results of this study for future research.
Background Providing quality care is of the fundamental elements of holistic nursing practice, and burnout and moral intelligence of nurses be mentioned as the important factors influencing the quality of nursing care. The present study was conducted to investigate the relationship between moral intelligence, burnout, and the quality of nursing care. Methods This descriptive-correlative study was conducted on 125 nurses working in Sari-based Educational hospitals affiliated to Mazandaran University of Medical Sciences, Iran, between June and August 2020. The sample was selected via random sampling. The data were collected by the Maslach Burnout Inventory, Lennick and Kiel Moral Intelligence Scale, and Quality of Patient Care Scale. The data were analyzed by SPSS-21 and Amos-24. Results A direct and significant relationship was found between the quality of nursing care and moral intelligence ( r = 0.285, p = 0.001). Quality of care had an inverse relationship with subscales of frequency of burnout including emotional exhaustion ( r = −0.369, p < 0.001) and depersonalization ( r = −0.471, p < 0.001) and also, a direct relationship with personal accomplishment ( r = 0.226, p = 0.011). The findings also showed an inverse relationship between quality of care and subscales of the intensity of burnout. Amos software yielded results that demonstrated moral intelligence as a robust mediator between burnout and the quality of care. Conclusion The findings implied the necessity for more attention to moral intelligence as a mediator in order to come up with properly managing the personality traits influencing the nurses’ burnout reduction, which can ultimately lead to improved quality of nursing care.
Background: Considering the importance of family participation in patients' treatment and the positive effects of simultaneous patient and family education, this study was conducted to determine the effect of a family and patient-oriented empowerment program on depression, anxiety, and stress in patients with Obsessive-Compulsive Disorder (OCD) and their caregivers' burden. Materials and Methods: This quasi-experimental study was conducted on 50 OCD patients along with their primary caregivers. The intervention group participated in eight sessions of training, each lasting from 60 to 90 min (twice a week), and the control group received the usual treatment. The Depression, Anxiety and Stress Scale, Maudsley's Obsessive-Compulsive Inventory, Goldberg's General Health Questionnaire, and Zarit's Burden Inventory were used to collect the data before, immediately after and 1 month after the intervention, and then the gathered data were analyzed with t -test and analysis of variance using the Statistical Package for the Social Sciences software, version 21. Results: The changes in the mean scores of depression (F 2,48 = 21.02, p < 0.001), anxiety (F 2,48 = 29.72, p < 0.001), and stress (F 2,48 = 16.52, p < 0.001) of the patients in the intervention group showed significant decrease over time; however, in the control group, there was no significant decrease in the mean scores of depression (F 2,48 = 1.69, p = 0.19), anxiety (F 2,48 = 0.47, p = 0.62), and stress (F 2,48 = 1.09, p = 0.34) over time. The changes in the caregiver's burden score in both groups indicated a significant decrease over time in the intervention group (F 2,48 = 24.70, p < 0.001) and the control group (F 2,48 = 33. 30, p < 0.001). Conclusions: The findings of this study revealed that concurrently training the patients and caregivers could reduce the negative emotions of the patients and their caregivers' burden.
Objectives: The present study aimed to assess the correlation between the sense of belonging and expectation regarding aging in the elderly. Methods: This cross-sectional study was conducted on 300 elderly residents in Tehran and Ghazvin, Iran. The expectations regarding aging (ERA-12) was used to evaluate the same variable, and the other measurement tool was the sense of belonging instrument. Results: The sense of belonging had a direct, significant correlation with expectation regarding aging (β = 0.466; P < 0.001), so that the sense of belonging could predict various dimensions of expectation regarding aging, such as physical health (β = 0.20; B = 0.08; P < 0.001), mental health (β = 0.40; B = 0.31; P < 0.001), and cognitive function (β = 0.40; B = 0.34; P < 0.001). Conclusions: Considering the obtained results, it is recommended that special attention be paid to psychological factors (e.g., sense of belonging) in order to improve interpersonal relations and healthy aging in the elderly. Furthermore, these factors have a significant impact on the life expectancy and quality of life of this population.
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