Background: Today, the role of expert clinical nurses is highlighted because their presence is necessary for guaranteeing the quality of nursing care provided for the patients. However, there are no proper instruments for measuring the clinical competence of postgraduate students in intensive care nursing. Objectives: The present study aimed at development and psychometric evaluation of the clinical-competence inventory for postgraduate students of intensive care nursing. Patients and Methods: A methodological study was conducted at state nursing schools of Iran. The participants were postgraduate students of intensive care nursing, who were being trained at 16 nursing schools throughout Iran, during year 2014. After examining some relevant texts, the first draft of the inventory was designed with 60 items. In order to confirm its face and content validity, a panel of experts and students examined the inventory. The final draft, which contained 44 items, was distributed among postgraduate students of intensive care nursing, and 217 students answered the inventory. The construct validity was verified using exploratory factor analysis. The reliability of the inventory was verified using consistency tests. Results: Firstly an instrument with 60 items was developed. Next, the face and content validity of the instrument was assessed by 15 students and 11 experts. Overall, 16 items were removed through validity assessment and 44 items remained in the final draft. The content validity index of the final draft was 0.90. Moreover, the content validity ration of 44 items ranged between 0.75 and 1. The Cronbach's alpha coefficient of the inventory was 0.95 and the intraclass correlation coefficient (ICC) of the test-retest results was 0.96. To examine the construct validity of the final draft, it was administered for 217 postgraduate students of intensive care nursing and five factors, with Eigenvalues above one and loading level equal to or above 0.4, were extracted through exploratory factor analysis. Conclusions: The inventory developed in this study is a suitable index for evaluating the efficacy of postgraduate students in the field of intensive care nursing.
Introduction: Recent studies suggest that liaison nurse intervention might be effective to solve the gap between intensive care unit and wards, but little studies are known about the effect of this intervention. The aim of this study was to investigate the effect of liaison nurse service on patient outcomes after discharging from intensive care unit. Methods: In this single blinded randomized controlled trial, a total of 80 patients were selected by convenience sampling method from two teaching hospitals located in Tehran, Iran. Patients were randomly allocated to either the experimental or the control groups. Patients in the experimental group received post-ICU care from a liaison nurse and patients in the control group received the routine care. After the intervention, patients’ vital signs, level of consciousness, length of hospital stay, need for re-hospitalization in ICU, and satisfaction with care were measure. Data were analyzed by SPSS Ver.13 software. Results: None of the participants experienced ICU re-hospitalization. According to the result and there were no significant differences between the study groups regarding heart rate, respiratory rate, systolic blood pressure, post-ICU level of consciousness, satisfaction with care, and length of hospitalization in medical-surgical wards. However, the study groups differed significantly in terms of body temperature. Conclusion: Care services provided by an ICU liaison nurse has limited effects on patient outcomes. However, considering the contradictions among the studies, further studies are needed for providing clear evidence about the effectiveness of the liaison nurse strategy.
Context: Considering the pivotal role of telemedicine in providing healthcare services for remote areas, some of the military medical centers, especially in developed countries, use different types of telemedicine programs. Objectives: The present study aimed at identifying the implemented telemedicine projects in military medicine worldwide and introducing their features. Evidence Acquisition: The current systematic review was performed in 2018. PubMed, Scopus, Embase, and Web of Science databases were searched for articles published from 2014 to 2018 by a combination of related keywords, and the related original articles were then selected based on the inclusion and exclusion criteria. Data were collected by a data extraction form, and then the data were summarized and reported based on the study objectives. Results: Of the 173 articles retrieved from the first round of search, 12 were included in the study; five (41.66%) studies had used the synchronous (real-time telemedicine) method. The United States, with nine studies, had the highest number of projects in military telemedicine. Most studies (n = 7) were performed on tele-psychology and the application of telemedicine in psychology. All selected studies reported the positive effects of telemedicine on providing healthcare for military forces. Conclusions: The proper utilization of telemedicine equipment is effective in saving time for both patients and healthcare providers, reducing costs, supporting in natural disasters, and satisfying patients with military medicine. To achieve telemedicine program objectives, they should be set precisely. Considering the importance of timely healthcare services, it is suggested to utilize synchronous methods and tools such as video conferencing.
Introduction: Quality of work life among nurses can affect organizational productivity and quality of care. This study aimed to review the outcome of research conducted in this field. Methods: In this study, five major databases, including Google Scholar, PubMed, ScienceDirect, Scopus, and Web of Science were searched for relevant papers published between 2000 and October 2020 using the following keywords: ‘nurse’, ‘nursing work life’, ‘quality of work life’, ‘nurses' quality of work life’, and ‘scale’. Finally, ten relevant studies were included in the study and the tools introduced in the selected articles were assessed according to the COSMIN checklist. Results: Out of 298 retrieved articles, nine related studies were analyzed based on the COSMIN checklist. None of these tools had all the features listed in COSMIN checklist. However, all tools had acceptable internal consistency and construct validity. Conclusions: Designing a valid and special tool to measure the quality of work life among the nurses is necessary to improve the quality of mental and physical conditions, prevent leaving the nursing job, increase motivation and willingness to work as a nurse, and increase productivity for nurses and organizations.
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