Background & objectives: Patient safety is a crucial factor in the provision of quality healthcare and is therefore a global health concern. It is an area in which ethical concerns and high-quality clinical practice are inextricably linked. This study investigates the effect of education around ethical principles on nurses' perception of patient safety in a psychiatric unit. Materials & methods: This pre-and post-test descriptive study was conducted in a mental health inpatient unit in a hospital in Tehran, capital of Iran, in 2018. A total of 33 nurses, selected by census sampling, participated in the study. Data was collected using a demographics questionnaire and Hospital Survey on Patient Safety Culture (HSOPSC), and was analyzed with SPSS21. Results: The mean score of patient safety was 116.85 ± 9.98 before the educational intervention, 143.58 ± 7.21 immediately after intervention, and 153.12 ± 9.47 1 month after intervention. The rate of error report by most participants over the past 12 months was 3-5 and 6-10 events before intervention, and 6-10 events immediately after and 1 month after intervention. Also, 42.4% of the participants assessed patient safety after intervention as very good and 36.4% assessed it as acceptable and very good 1 month after intervention whereas most of the participants (45.5%) assessed patient safety as acceptable before intervention. Conclusion: Education on ethical principles exerts a positive effect on nurses' perception of patient safety culture. Thus, it is recommended as an effective method of promoting nurses' perception of this variable. In this way, healthcare quality and enhanced patient safety can be achieved.
RESEARCHPlease cite this paper as: Khorasanizadeh MH, Noee MG, Jamshidi T, Nasiri M. A comparative survey of the attitudes of nurses, nursing students, and patients as to the observance of the patients' dignity in the psychiatric ward. AMJ 2018;11 (5) ABSTRACT BackgroundPatients with mental health illness have a variety of physical, mental, social, and spiritual needs and respecting their dignity and status is of the most important. Nurses and nursing students might have different attitudes with regard to observation of status and dignity of mental patients.
Clinical nursing competence in mental health is one of the most Background: important topics in theoretical and practical nursing training with many factors affecting it. The purpose of this study is to determine the impact of the implementation of the "mental health nursing students' clinical competence model" on nursing students' academic performance.: This study is a semi experimental following one group of student Methods nurses. "mental health nursing students' clinical competence model" for undergraduate nursing student's education was applied. The study population included 50 nursing students, who were studying from fifth semester to seventh semester and selected through census sampling. During the seventh semester after the completion of theoretical and practical courses in mental health nursing, re-evaluation was conducted and the scores before and after the implementation of the clinical competence model were compared.Rate of clinical competency before the intervention, was estimated at Results: the level of non-mastered; and after intervention was at the level of mastered, demonstrating a significant difference (p<0.001). Areas of clinical competency scores before and after the intervention were compared which showed significant difference in all the areas except the mental competency areas (p<0.05).The implementation of the "mental health nursing students' Conclusions: clinical competence model" and appropriate planning for achievement of mental health nursing specialized competency can ensure the achievement of clinical competency by nursing students.
Background: Clinical nursing competence in mental health is one of the most important topics in theoretical and practical nursing training with many factors affecting it. The purpose of this study is to determine the impact of the implementation of the “mental health nursing students’ clinical competence model” on nursing students’ academic performance. Methods: This study is a semi experimental following one group of student nurses. “mental health nursing students’ clinical competence model” for undergraduate nursing student’s education was applied. The study population included 50 nursing students, who were studying from fifth semester to seventh semester and selected through census sampling. During the seventh semester after the completion of theoretical and practical courses in mental health nursing, re-evaluation was conducted and the scores before and after the implementation of the clinical competence model were compared. Results: Rate of clinical competency before the intervention, was estimated at the level of non-mastered; and after intervention was at the level of mastered, demonstrating a significant difference (p<0.001). Areas of clinical competency scores before and after the intervention were compared which showed significant difference in all the areas except the mental competency areas (p<0.05). Conclusions: The implementation of the “mental health nursing students’ clinical competence model” and appropriate planning for achievement of mental health nursing specialized competency can ensure the achievement of clinical competency by nursing students.
Patients with rheumatoid arthritis (RA) are prone to depression due to several factors related to their RA, including chronic and persistent pain, functional disability, economic constraints, and the side effects of RA medication. Previous Iranian studies showed conflicting and inconclusive findings regarding the prevalence of depression among RA patients. Therefore, this systematic review and meta-analysis was conducted to estimate the true prevalence of depression in Iranian patients with RA. Search for eligible articles was performed using the keywords of depression, depressive disorder, dysthymic disorder, major depressive disorder, RA, and Iran, and their possible combinations in the following databases: Scientific Information Database, MagIran, Web of Science/ISI, PubMed, and Scopus. The search was restricted to articles published in Persian and English languages. The meta-analysis was performed using the random effects model, and the data were analyzed using the STATA software version 12. Overall, six articles were selected; the overall prevalence of depression among the Iranian patients with RA was 65.58% (95% CI: 56.53%–74.62%). There were no significant relationships between the prevalence of depression and articles’ methodological quality and year of publication, participants’ age, sample size, and duration of disease. More than half of RA patients suffer from depression. The overlap between the physical symptoms of RA and depression in this group of patients makes it difficult to correctly diagnose depression; therefore, initiative and efforts are required to improve the identification of early depression symptoms in RA patients in order to effectively manage their depression.
Objective: Obsessive compulsive disorder is one of the most common disorders affectig the individuals’ performance. Promotion of self-efficacy is important in these patients. This study determined the impact of family-centered empowerment model on self-efficacy in patients with obsessive compulsive disorder. Material and Methods: This was a quasi-experimental single group before-after intervention study, which conducted on 36 patients with Obsessive compulsive disorder. The samples were selected with purposive sampling method using inclusion criteria. The family-centered empowerment model was implemented in 5 sessions for 3 months focusing on four categories (perceived threat, self-efficacy, educational contribution, and assessment). The instrument used consisted of two parts including demographic information questionnaire and Self-efficacy Questionnaire which was completed before, immediately after, and 1.5 month after intervention by the study units. The data were analyzed with SPSS21 using descriptive Statistics, repeated measure ANOVA and paired t-test. Results: The mean selfefficacy scores were 47.78±8.71 and 51.44±10.83 before and after intervention, respectively (P=0.04). Also, a comparison of self-efficacy scores with t-test before and after intervention and follow-up indicated a significant correlation (P<0.05). Conclusion: Our findings showed the implementation of family-centered empowerment model could be recommended to increase the rate of self-efficacy in patients with obsessive compulsive disorder. Bangladesh Journal of Medical Science Vol.20(2) 2021 p.274-280
BackgroundDomestic violence is the third sociopathology after addiction and child abuse in Iran. Fifty-six percent of Iranian women in the range of 17–32 years old are exposed to the highest domestic violence. Objective: The aim of this study was to design and psychoanalyze a comprehensive questionnaire on coping with domestic violence against women in Iranian society.MethodsThis study was carried out on a random sample of women exposed to domestic violence and referred to the health and care center of Shahid Beheshti University of Medical Sciences in Tehran, and Forensic Medical Centers in Urmia city (Iran), in 2017. Two hundred questionnaires were distributed among the participants. One hundred sixty-eight questionnaires were returned to the researchers for data analysis. Eight of those were excluded from the analysis because of incompleteness. Finally, exploratory factor analysis was performed.ResultsAfter reviewing the literature, a questionnaire with 32 items was developed. Content validity ratio (0.95) and content validity index (0.97) were obtained. The results of exploratory factor analysis indicated that the questionnaire explained 69.34% of the data variance. Cronbach’s alpha coefficient, and test-retest methods were used for determining the reliability and the obtained value, which were 0.82 and 0.81, respectively.ConclusionValidity and reliability of the questionnaire with 32 items were confirmed. The tool can be utilized to measure how women cope with domestic violence.
Objectives: Suicide is a serious public health problem, especially among students as active members of the community. The present study aimed to determine the correlation among personality characteristics, family functioning, and suicidal ideation in students of Shahid Beheshti University of Medical Sciences in Tehran, Iran in 2018. Materials and Methods: The population of this descriptive correlational study included all 675 students of Shahid Beheshti University of Medical Sciences, from whom 244 students were selected using stratified random sampling. The required data was collected using four questionnaires, including demographic characteristics, personality traits, family functioning, and Beck Scale for Suicidal Ideation (BSSI). To analyze data, we used multiple linear regression and the Statistical Package for the Social Sciences (SPSS, version 22). Results: Examination of personality traits suggested that the correlation between psychosis and suicidal thoughts was positive and significant (P<0.05). The correlation coefficients between the components of extraversion-introversion, agreeability, and responsibility and suicidal ideation were negative and significant (P<0.05). There was also a positive and significant relationship between all components of family functioning and suicidal ideation (P<0.05). Conclusions: Effective steps can be taken to prevent suicide among students through providing optimal psychological healthcare and periodic screening of students in terms of suicidal thoughts and mental disorders.
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