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Showing 8 results for Emergency

Masomeh Delaram, Ali Hasanpoor Dehkordi, Kobra Noriyan, Afsaneh Kazemyan, Nasrin Fouroozandeh,
Volume 0, Issue 0 (2-2008)
Abstract

Background and Objectives: Emergency contraception methods used in a specilic time after an unprotected intercourse can reduce the incidence of unwanted pregnancy. Considering the role of health care provider's intercourse can extremely reduce the incidence of unwanted pregnancy, Considering the role of health- care providers in preventing unintended pregnancy, we decided to assess their knowledge, Attitude and Practice about emergency contraceptive methods in Shahr-e-kord, Irun.
Material and Methods: The subjects of this descriptive study were 102 lealth care providers engaged in all heath centers (N=9) and Hajar hospital of shahr-e-kord. After collecting the data by a researcher- made questionnaire, we used Chi-square and Pearson correlation coefficient to analyze the data
 Results: The results show that their knowledge of emergency contraceptive methods is inadequate (5.9%), moderate (37.3 %) and adequate (59.9%). Their attitude (80%) is positive and believe that these methods can not be considered abortion. More than 70% of them try to recommend these methods to the women. There is signilicant correlation between the level of knowledge and education level (P=0.002).
Conclusion: We recommend updating the people's knowledge about emergency contraceptive methods, mainly jud
Esmaeil Mohammadnejad, Seyyedeh Roghayeh Ehsani, Amir Salari, Azam Sajjadi, Ayeshe Hajiesmaeelpour,
Volume 10, Issue 1 (4-2013)
Abstract

  Background and Objective : Drug administration is considered an important aspect of patient care process and reporting the errors is needed to maintain safety. We aimed to investigate “Perspectives of Nurses about refusing to report the medication errors in Emergency Ward”.

  Material and Methods :­ In this descriptive study, 94 Emergency nurses were recruited by census in 2011-2012. The instrument was a researcher-made questionnaire including demographic data and questions related to the causes and factors affecting the reporting of medication errors. Using SPSS-16 software, the data was analyzed by applying descriptive and inferential statistics.

  Results: The nurses who did not report medication errors are 72%. The most common type of medication errors are infusion rate(33.3%) and wrong- drug dosage (23.8%). The most important reasons of medication errors are shortage of nursing staff (47.6%) and lack of pharmacological information (30.9%). Most common reasons for refusing to report the medication errors ­­are fear of its negative effect on financial advantages, inappropriate or negative attitude of managers toward reporting errors and lack of importance of ­reporting from nurses י perspective.

  Conclusion: Considering the high rate of refusing ­to report­,­ it is needed to be created ­some appropriate conditions ­to enhance­ the rate of reporting and removing the ­barriers. Nursing managers should have positive reaction to nurses’ reporting.

 


Zahra Moshtagh Eshgh , Ali Akbar Aghaeinejad, Akram Peyman, Dr Aref Amirkhani, Maryam Chehregosha,
Volume 12, Issue 1 (4-2015)
Abstract

Background and Objective: One of the environmental factors bringing about chronic stress is something that is related to occupation. Because mental health improvement of a society particularly in a productive group is a necessity for dynamics and progression of a community, we aimed to examine the relationship between occupational stress and mental health in medical emergency's Male staff of Golestan province, 2012-2013. 
Material and Methods: This correlational study was conducted, via census method, 206 pre-hospital personnel working in 44 emergency stations. The instruments were demographic checklist, Occupational stress questionnaire for nurses and Goldberg general health questionnaire. The data was analyzed by descriptive statistics, Pearson correlation coefficient, ANOVA, T-test, and Tukey Test, using SPSS 16 software. 
Results: One hundred and seventeen (75.5%) of emergency staff had a medium to high level of occupational stress and 145 of them (75.1%) a medium to low level of mental health. A significant inverse relationship was seen between the overall level of occupational stress and mental health. Occupational stress was significantly associated with the variables such as age and type of employment, and mental health with type of employment. Conclusion: Occupational stress can adversely affect clinical practice and mental health in pre-hospital personnel. Hence, the use of some strategies to reduce stress can improve the mental health in that it leads to increase the quality of nursing care.

Mohammad Heidari, Sara Shahbazi,
Volume 12, Issue 1 (4-2015)
Abstract

Background and Objective: Patient handling is a dynamic process in that the consideration of its principles is a paramount importance to safety of both patients and personnel. Hence, we aimed to evaluate EMS staff’s knowledge and practice about the principles and equipment used for patient handling in Isfahan EMS centres. 
Material and Methods: This descriptive-analytic study was conducted, via census method, on 80 EMS staff. The instruments were a demographic checklist and a questionnaire to assess the knowledge and practice of EMS staff about the principles and equipment for patient handling. 
Results: Based on the results, 82.5% had an adequate knowledge and 76.25% appropriate level of practice. The mean of knowledge was 17.79±3.14 and that of practice was 19.275±3052. All variables were not significantly associated with both knowledge and practice (P>0.05). 
Conclusion: Regardless of adequate level of knowledge and practice in the majority of EMS personnel, we recommend holding some in-service training.

Fahimeh Dehghani, Fatemeh Foroughian Yazdi, Rohollah Askari,
Volume 16, Issue 2 (11-2019)
Abstract

Background: The quality of hospital systems depends greatly on the performance of nurses, and the performance of nurses has a significant effect on individual patients` satisfaction. Therefore, it is important to examine the factors related to nurses' performance. This study was designed to investigate the relationship between spiritual intelligence and occupational hardiness and the job performance in pre-hospital and hospital emergency nurses in Yazd.
Methods: This cross-sectional study was carried out on 132 nurses working in pre-hospital and hospital emergency in Yazd University of Medical Sciences, who were selected using stratified sampling with proportional allocation in 2016. Data were collected through three questionnaires including spiritual intelligence, occupational hardiness and job performance. Data was analyzed using descriptive statistics and multiple regression in SPSS version 19.0 (IBM, USA).
Results: The mean score of job performance, spiritual intelligence and occupational hardiness were 52.46±11.16, 121.32±12.59, and 53.29±8.72, respectively. According to the results, spiritual intelligence and occupational hardiness can predict the job performance. (R2=%18, P<0.01). Both spiritual intelligence (β=0.32, P=0.001) and occupational hardiness (β=0.24, P=0.004) showed significant positive contribution in the prediction of the job performance.
Conclusions: According to the results, developing spiritual intelligence and occupational hardiness can help to improve the job performance of the pre-hospital and hospital emergency nurses.

Atif Mahmood, Mahvish Mansoor Ali, Farahnaz Shoukat Ali Punjwani, Sana Sadruddin Bardai, Sonia Sultan, Omar Shamim,
Volume 17, Issue 2 (4-2020)
Abstract

Background: Stressful situation are among the challenging experiences especially in clinical setting. The aim of this study was to compare the level of work-related stress among nurses working in Intensive Care Units (ICUs), General ward and Emergency setting.
Methods: This cross-sectional study was conducted at different private tertiary hospitals of Karachi in 2017-2018. Two stage sampling technique including quota and convenient sampling technique was used to collect the data. A total of 225 participants were recruited. Pre-validated questionnaire was used which contained different stress related categories. Midwives, nursing assistants, part time nurses and nurses employed at management positions were excluded from the study. Data were presented as frequency and percentage and mean and standard deviation. The chi-square test was used for examine association of categorical variables. The SPSS used for data analysis.  
Results: The mean age of participants was 26.5±2.4 years. Stress among nurses working in emergency department was found to be highest in all categories. Management related stress was 77.3% and 69.3% due to criticism by supervisor and inadequate support by supervisor, respectively. Patient related stress was 72% and 64% due to health risk posed by patient contact and communication about death to patient. About 81.3% of the nurses of emergency department reported high level of stress due to covering work for another employee followed by 66.7% related to working overtime. Moreover, 86.7% and 62.7% of participants had high level of stress due to inadequate salary and lack of recognition.
Conclusion: The study concludes that the level of stress varies within different departments in the hospitals.  There are several work-related stressors that found more in Emergency department than ICU or General ward.

Hadi Hassankhani, Hamidreza Haririan, Joanne E Porter, Abraham Oshni Alvandi,
Volume 20, Issue 1 (4-2023)
Abstract

Background: Patient handover in the emergency department (ED) is a 2-way communication process between the paramedics and in-hospital emergency personnel, which can result in miscommunication and delivery challenges. This study aimed to explore the lived experience of paramedics on patient handover to the ED.
Methods: Over a period of 5 months, an interpretative phenomenological analysis (IPA) was used to explore the lived experiences of 15 paramedics in Tabriz, Iran. Semi-structured interviews were conducted in the emergency medical stations using the Smith approach for data collection and analysis. The researcher used 4 criteria to ensure rigor, including credibility, dependability, confirmability, and transferability, according to Lincoln and Guba.
Results: Three main themes emerged from the data analysis, including “the hole of hope,” “the boring issues,” and “paramedics are only a driver.” A further 11 sub-themes emerged under the main themes.
Conclusion: The highlighted issues that need to be considered during the process are the presence of staff in front of the ED's door to welcome the patient, removal of structural defects and defective hospital equipment, the presence of medical supplies in emergency triage to prevent the paramedics from stumbling, and listening to paramedics by physicians and nurses to obtain the patients’ history.

Azam Mohammadi Sangsari , Ghanbar Roohi, Zahra Sabzi, Ali Akbar Abdollahi , Naser Behnampour ,
Volume 20, Issue 2 (10-2023)
Abstract

Background: Swift diagnosis and treatment of cardiac patients can avert unnecessary hospitalizations. Emergency departments routinely assess patients using the Emergency Severity Index (ESI) method. This study compares the effects of two triage methods, cardiac triage, and ESI, on the admission time of acute coronary syndrome patients.
Methods: This intervention study aimed to enhance the quality of therapeutic interventions through an intervention design featuring a control group. The research sample comprised all patients referred to the Sayad Shirazi Educational and Medical Center triage unit in Gorgan, Iran. All patients were randomly allocated into two groups: the control group (23 patients) and the intervention group (46 patients), utilizing a simple random allocation method. The control group underwent triage using the Emergency Severity Index, whereas the intervention group received cardiac triage. Triage forms and time-related indices were completed for both groups. Statistical analysis was conducted using descriptive statistics, the Shapiro-Wilk, and the Mann-Whitney tests to compare these characteristics between the two groups, utilizing SPSS version 18.
Results: Significant statistical differences were observed between the two groups in several aspects: the average time from the emergency department to the cardiac intensive care unit (p < 0.001), the average duration of presence of a cardiac specialist physician (p < 0.001), the average time from arrival to triage room exit (p < 0.001), and the average hospitalization time (p < 0.001). These time intervals were shorter in the cardiac triage group.
Conclusion: Implementing specialized cardiac triage for cardiac patients plays a pivotal role in reducing response times. Cardiac triage can furnish the medical team with more comprehensive information, thereby improving the management of these patients in the emergency department.


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