@article{ author = {Akbari, Esmaeel and Akbari, Esmaeel and Shabanloei, Reza and JabbarzadehTabrizi, Faranak}, title = {Perception and Practice of Emergency Nurses Regarding Technological Competency as Caring in Nursing: A Cross-Sectional Study}, abstract ={Background & aim: In introducing and using technology in nursing, there is a risk that the focus will be on technology over patient care. This issue is more important in the emergency department which requires quality care in order to save human life. This study was conducted with the aim of determining nurses' perception and practice of technological competency as caring in nursing and its predictive factors in emergency nurses. Methods: In this cross-sectional research, 218 nurses working in the emergency departments of educational hospitals of Tabriz were included by stratified random sampling method. The data was collected using the instruments of perception and practice of nurses about technological competency as caring in nursing. Results: The mean age of the nurses was 36.77 ± 7.92 years and most of the nurses (55%) were female. The mean and standard deviation of perception and practice scores were 138.13 ± 16.19 and 134.97 ± 15.27, respectively. According to the results, for one-unit increase in perception, practice significantly increased by 0.764 units. Conclusion: The mean score of perception and practice for emergency nurses in regards to technological competency as caring in nursing was above median. This reveals that the emergency nurses have the required knowledge and skills in order to use technology.}, Keywords = {Emergency Nursing, Medical Informatics, Nursing Care, Perception, Nurses}, volume = {16}, Number = {4}, pages = {1-11}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.1}, url = {http://jccnursing.com/article-1-754-en.html}, eprint = {http://jccnursing.com/article-1-754-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Mahbadi, Zahra and Norouzadeh, Reza and Alaee, Nasri}, title = {The Relationship between Spiritual Health with Occupational Stress and Job Satisfaction among Nurses Working in Critical Care Units of the Hospitals of the City of Varamin and Suburbs: A Cross-Sectional Study}, abstract ={Background & aim: Occupational stress in nurses of special departments, in addition to the health of nurses, has an impact on their job satisfaction, and spirituality as one of the components of health can lead to the improvement of occupational performance by controlling the stress caused by work, therefore, the present study aims to determine the relationship between health spirituality has been done with occupational stress and job satisfaction of special care nurses. Methods: This cross sectional study was conducted among a total of over 100 nurses working in the critical care units of hospitals in the city of Varamin and suburbs in 2021. Using census sampling, data were collected using Spiritual Well Being Scale (SWBS), Nursing Stress Scale (NSS), and Minnesota Job Satisfaction (MSQ) questionnaire. Descriptive and analytical statistics were performed using SPSS version 22 software. Results: The nurses had average levels of spiritual health (91.23 ± 13.27, range: 34-118), job stress (92.51 ± 21.11, range: 44-134), and job satisfaction (49.52 ± 10.89, range: 26-70). The Pearson correlation showed that religious health (r = 0.244, P = 0.014), existential health (r = 0.248, P = 0.013), and spiritual health (r = 0.207, P = 0.039) were positively related to job satisfaction in the domain of occupation type. There was no significant correlation between spiritual health and job stress (P>0.05). Conclusion: Higher spiritual health may be associated with greater job satisfaction in the type of job. It is suggested that the role of spiritual health and its relationship with job satisfaction and job stress should be analyzed in advanced analyses, taking into account intervening variables.}, Keywords = {Nurse, Critical Care, Spiritual Health, Job Stress, Job Satisfaction}, volume = {16}, Number = {4}, pages = {12-21}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.12}, url = {http://jccnursing.com/article-1-743-en.html}, eprint = {http://jccnursing.com/article-1-743-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Sharif-Nia, Hamid and Fatehi, Reza and Sadeghi, Niloofar and Nowrozi, Poory}, title = {Translation and Psychometrics of the Persian Version of the Thirst Distress Scale among Iranian Hemodialysis Patients: A Cross-Sectional Study}, abstract ={Background & aim: Thirst distress is a common complication in the final stage of kidney disease. The aim of this study was to analyze the network and psychometric properties of the thirst distress scale in the Iranian hemodialysis patients. Methods: In this cross-sectional study in 2023, 411 hemodialysis patients in Mazandaran were selected using the convenience sampling method. After translating the scale, its psychometric properties were evaluated through exploratory factor analysis, network analysis, and confirmatory factor analysis, and the structural validity (convergent and divergent validity) was assessed. Internal consistency was calculated using Cronbach's alpha coefficient, McDonald's omega, and composite reliability. Results: The results of exploratory factor analysis showed two factors of distress due to thirst and dry mouth were extracted, explaining 80.46% of the variance in thirst distress among hemodialysis patients. Additionally, confirmatory factor analysis showed that the assumed model had a good fit (CFI = 0.971, IFI = 0.971, RFI = 0.923, NFI = 0.969). The extracted factors demonstrated good convergent validity (AVE above 0.50 for both factors) and high reliability (composite reliability above 0.70), and were appropriately divergent (HTMT ratio of 0.512). Finally, the internal stability of the thirst distress scale was deemed acceptable (Cronbach's alpha and composite reliability above 0.70). Conclusion: The psychometric results of the thirst distress scale indicated that chronic kidney disease patients undergoing hemodialysis experience and perceive distress with two concepts of thirst and dry mouth. This study confirmed the psychometric properties (appropriate validity and reliability) and suitable factor structure for the Persian version of the thirst distress scale in hemodialysis patients. It can be stated that healthcare providers can utilize it in future studies.}, Keywords = {Reliability, Localization, Psychometrics, Validity, Thirst Distress Scale, Hemodialysis}, volume = {16}, Number = {4}, pages = {22-32}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.22}, url = {http://jccnursing.com/article-1-753-en.html}, eprint = {http://jccnursing.com/article-1-753-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Jafari, Zahra and Esmaeili, Maryam and Bahramnejad, Fatemeh and Noie, Arezoo}, title = {The Relationship between Autonomy and Professional Commitment with the Level of Education in Critical Care Nurses: A Cross-Sectional Study}, abstract ={Background & aim: Professional autonomy and commitment are factors influencing the retention process in the nursing profession, job satisfaction and quality of care in Critical Care Units (CCUs). The level of education of nurses plays an important role in their ability to develop autonomy and commitment. This study was conducted with the aim of investigating the relationship between autonomy and professional commitment with the level of education. Methods: The present study is a cross-sectional study was conducted in the year 2021 in the CCUs of hospitals affiliated to Qom University of Medical Sciences. The study population consisted of 160 nurses working in CCUs who were selected by available method. Research tools included demographic questionnaire, autonomy and professional commitment questionnaire. In order to determine the relationship between the variables, Pearson correlation, analysis of variance and independent t tests were used. Results: According to the findings, the average score of professional commitment in the CCUs in general (12.82 ± 91.14) and the average score of professional autonomy in nurses (74.10 ± 15.35) was reported, which shows the commitment and high professional autonomy of the nurses working in these units. Among the different dimensions of professional commitment, the highest score was related to engagement with the nursing profession with an average of 3.63 ± 0.78 and the lowest score was related to understanding of nursing with an average of 3.02 ± 0.56. Professional autonomy in the performance-based autonomy dimension had the highest mean (25.26 ± 6.31) and value-based autonomy dimension had the lowest mean (23.87 ± 6.15). Professional autonomy had a significant relationship with the level of education (P = 0.020). Conclusion: The findings showed that there is a significant relationship between commitment and professional autonomy. Therefore, familiarizing nurses with the factors affecting professional autonomy, including increasing and updating knowledge, can be effective in increasing professional autonomy. Considering the autonomy in the performance of nurses in CCUs, it can increase the quality of care by increasing professional commitment. Also, the findings showed that considering the limited level of education, it cannot be concluded that nurses with a bachelor's degree show higher autonomy and professional commitment.}, Keywords = {Critical Care, Professional Autonomy, Professional Commitment, Level of Education, Nurse}, volume = {16}, Number = {4}, pages = {33-40}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.34}, url = {http://jccnursing.com/article-1-756-en.html}, eprint = {http://jccnursing.com/article-1-756-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {ParsianMehr, Mohammad Javad and Sayadi, Neda and Haghighizadeh, Mohammad Hosein and Rokhafrooz, Dariush}, title = {Evaluation the Relationship between Knowledge Management and Time Management in the Head Nurses of Intensive Care Units: A Cross Sectional Study}, abstract ={Background & aim: Time management and knowledge management are two important and influential components of the quality of care and the improvement of nurses' performance, especially in Intensive Care Units (ICUs). Therefore, this study was conducted with the aim of determining the relationship between knowledge management and time management among nurses working in ICUs in hospitals in the Khuzestan province. Methods: The present cross sectional study was conducted with the aim of determining the relationship between knowledge management and time management in 384 head nurses working in ICUs in educational and private hospitals in Khuzestan province, with the position of head nurse and with informed consent, using a census method. Demographic, time management, and knowledge management questionnaires were completed by the participants. Results: The findings indicated that the majority of participants were female (189 Individuals, 93.1%) and married (196 Individuals, 96.6%). Time management among the studied charge nurses in the ICUs was mostly at a moderate level, with 87.2% (177 Individuals) falling into this category. Regarding knowledge management scores, most of the studied charge nurses in the ICUs were weak, with 91.2% (186 Individuals) falling into this category. There was a significant relationship between knowledge management and time management (P<0.003). Conclusion: Since according to the findings of the current research, the score of time management was at an average level and the score of knowledge management was at a weak level, therefore, including the educational content related to these two subjects in the educational program of undergraduate students and designing in-service training courses, especially for nurses and supervisors is suggested. Actually, it is considered as one of the effective steps that can help improve the present situation.}, Keywords = {Knowledge Management, Time Management, Nursing, Intensive Care Unit}, volume = {16}, Number = {4}, pages = {41-49}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.42}, url = {http://jccnursing.com/article-1-757-en.html}, eprint = {http://jccnursing.com/article-1-757-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Mirahmadi, Sakineh and Hajibabaee, Fatemeh and Etemadifar, Shahram and Esmaeili, Maryam}, title = {The Association between the Needs and Resilience of Family Members of Patients in Intensive Care Units in Hospitals Affiliated to Shahrekord University of Medical Sciences: A Cross-Sectional Study}, abstract ={Background & aim: It is essential to provide family-centered care and pay attention to the families of critically ill patients. Consequently, the present study determined the relationship between the needs and resilience of family members of patients hospitalized in Intensive Care Units (ICUs) of hospitals affiliated to Shahrekord University of Medical Sciences in 2021. Methods: The present cross-sectional, descriptive-correlational study, was conducted in order to investigate the relationship between the needs and resilience of families of critically ill patients. The study population included the family members of all patients hospitalized in the ICUs of hospitals affiliated to Shahrekord University of Medical Sciences in 2021, who were selected by available sampling. For this purpose, 149 family members were selected and answered the demographic questionnaire, the Connor-Davidson Resilience Scale (CD-RISC) and Critical Care Family Needs Inventory (CCFNI). Results: Based on the findings, the average score of family needs was 143.14 ± 21.75, which showed a high level of needs. The highest need of family members was related to the dimension of assurance and information and the lowest need was related to the dimension of support. The mean resilience score was 70.04 ± 16.89, which shows that the family members had acceptable resilience. According to the adjusted resilience score of family members, the highest score was related to the dimension of spirituality and the lowest score was related to the dimension of control. There was a direct and significant relationship (P<0.05) between resilience and all the dimensions of family needs. Conclusion: Improving nurses' knowledge and awareness of the needs, mental health status and resilience of family members in ICUs can lead to improved resilience and reduction of negative psychological consequences of family members during hospitalization and even after discharge by adopting solutions to meet these needs, as well as implementing training programs. Supporting the family is essential to identify and understand the importance and priority of their needs to meet these needs properly and to pay attention to the mental health and resilience of families.}, Keywords = {Intensive Care Unit, Family, Resilience, Need}, volume = {16}, Number = {4}, pages = {50-60}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.51}, url = {http://jccnursing.com/article-1-746-en.html}, eprint = {http://jccnursing.com/article-1-746-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Taheri, Hamid and Mahmoudi, Mokhtar and Valiee, Sina and Goudarzi, Fateme and Moradi, Yousef}, title = {Evaluation of the Performance Emergency Severity Index in the Triage of Trauma Patients Referred to the Emergency Department of Ashayer Shohada Khorramabad Hospital in 2023: A Cross-Sectional Study}, abstract ={Background & aim: The triage system of the emergency department prioritizes patients to receive medical care, and errors in prioritizing patients can have serious consequences. This study aims to evaluate the Performance Emergency Severity Index in the triage of trauma patients referred to the emergency department of Ashayer Shohada Khorramabad Hospital in 2023. Methods: The current cross-sectional study was conducted using an available sampling method on 375 trauma patients referred to the emergency department. First, the reliability of the Emergency Severity Index (ESI) triage was calculated by examining the agreement between observers (inter-rater reliability) and Cohen's kappa statistical test. Then, to validate the levels of severity, in the absence of a gold standard, the outcome of trauma patients was used as an alternative marker. Researchers compared the results of nurse's triage for each of the outcomes, and based on this comparison, the validity of ESI triage was evaluated in terms of heavy and light triage. The obtained data were analyzed using STATA-17 software, and the chi-square test was used to validate the triage. A value of P<0.05 was considered statistically significant. Results: The findings of the present study showed that the percentage of patients assigned to levels one; two, three, four, and five were 2.94, 15.2, 61.6, 12.53, and 7.73, respectively. Kappa calculated from the inter-rater agreement for ESI triage was determined to be 0.7. The ESI triage system generally had an error in 23.2% of the performed care prioritization. Conclusion: According to findings, ESI triage has high inter-rater reliability in performance. In terms of validity however, it needs a serious review, and most of the trauma patients are placed at the level of three ESI triages, and a large collection of undifferentiated patients is created, which weakens the main purpose of triage.}, Keywords = {Triage, Emergency Severity Index, Trauma, Emergency Department}, volume = {16}, Number = {4}, pages = {61-68}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.62}, url = {http://jccnursing.com/article-1-752-en.html}, eprint = {http://jccnursing.com/article-1-752-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Asghari, Elnaz}, title = {The Related Factors with to Quality of Nursing Documentation of Patients Diagnosed with Poisoning in the Emergency Department: A Cross-Sectional Study}, abstract ={Background & aim: One of the most important and controversial roles of nurses is documentation, which is especially of great importance in the emergency department. Patients with a diagnosis of poisoning are one of the most common and challenging emergency department patients, which involve many ethical and legal issues. This research aimed to determine the related factors to the quality of nursing documentation of patients diagnosed with poisoning in the emergency department. Methods: The present research is a cross-sectional study. Sampling among 1402 emergency cases (384 cases) in the first half of the year was done by simple random sampling. In order to collect data, the nursing documentation quality checklist was used with two dimensions’ report writing and medication administration. Results: The evaluation of the patients’ documents showed that the average and standard deviation of the age of the patients were 29.96 ± 9.93 years and most of the patients (60.2%) were women. The mean and standard deviation of the documentation quality were 8.75 ± 6.82 from the range of -48 to 48. The quality of nursing documentation had a statistically significant relationship with some characteristics of patients, including age, education, history of alcohol consumption, and history of admission to the emergency room. Conclusion: Based on the findings of the study and considering the importance of nurse documentation as the most important document in judicial authorities, it is necessary to take basic steps to improve the documentation knowledge of nurses in the emergency department and specifically for patients diagnosed with poisoning. It is also necessary to pay more attention to elderly, illiterate patients and those with alcohol consumption.}, Keywords = {Quality Indicators, Documentation, Patients, Poisoning, Emergency Service}, volume = {16}, Number = {4}, pages = {69-76}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.16.4.70}, url = {http://jccnursing.com/article-1-755-en.html}, eprint = {http://jccnursing.com/article-1-755-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} }