Death Anxiety and Related Factors Among Iranian Critical Care Nurses: A Multicenter Cross-Sectional Study

2021 ◽  
pp. 003022282110623
Author(s):  
Samad Karkhah ◽  
Ali Jafari ◽  
Ezzat Paryad ◽  
Ehsan Kazemnejad leyli ◽  
Mohammad Javad Ghazanfari ◽  
...  

The aim of this study is to investigate death anxiety (DA) and related factors among critical care nurses. Using a cross-sectional research design, 325 critical care nurses in eight hospitals in Iran enrolled in the study. Multiple logistic regression analysis showed that deputy head nurse (OR = 18.299; CI: 1.764–189.817; p = .015), shift morning fixed (OR = 8.061; CI: 1.503–43.243; p = .015), surviving parents (OR = 3.281; CI: 1.072–10.037; p = .037), number of children (OR = 1.866; CI: 1.157–3.010; p = .011), years of working experience (OR = 1.143; CI: 1.048–1.246; p = .003), number of end-of-life patient care in the last 3 months (OR = .900; CI: .828–0.977; p = .012), age (OR = .809; CI: .732–.893; p < .001), CCU nurses (OR = .250; CI: .100–.628; p = .003), and mild stressful life events (SLEs) (OR = .167; CI: .046–.611; p = .007) were significantly related to high DA. Therefore, nurse managers and policymakers should pay special attention to these related factors in developing programs to maintain and promote the health of critical care nurses to improve the quality of nursing care.

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Monir Nobahar ◽  
Elnaz Talebi ◽  
Sara Amaniyan ◽  
Mansoreh Tarahomy

Background: The high incidence of COVID-19 has provided a challenge for healthcare systems in Iran, and may result in some psychological problems. Objectives: The study aims at describing depression, death anxiety, and the related factors in nurses caring for COVID-19 Patients at Kosar Hospital, Semnan, Iran. Methods: In this cross-sectional study, 89 nurses caring for COVID-19 patients were selected in October 2020 via the census method. A demographic questionnaire, Beck’s Depression inventory, and Templer Death Anxiety scale were used to collect the required data. The collected data were analyzed using SPSS software version 20. Results: The mean scores of death anxiety and depression among nurses were 7.32 ± 1.75 and 10.82 ± 8.50 respectively. The results of the Pearson’s correlation-coefficient showed a significant positive correlation between death anxiety and depression (P = 0.05), death anxiety and nurses’ age (P < 0.05), death anxiety, and nurses’ work experience (P < 0.05). Conclusions: The findings of the study revealed that nurses caring for COVID-19 patients are at high risk of death anxiety and depression. Thus, there is a need to identify these problems to prevent or reduce them with effective interventions.


2007 ◽  
Vol 47 (1) ◽  
pp. 21
Author(s):  
Oke Rina Ramayani ◽  
Ridwan M. Daulay ◽  
Sri Sofyani ◽  
Iskandar Z. Lubis

Background Missed opportunites for immunization is one of theimportant causes of low immunization coverage that should beprevented.Objective To investigate missed opportunities for immunizationand related factors at urban and suburban primary health centersin Medan.Methods A cross sectional study was conducted between January-March 2004. Primary health centers in Medan were divided intourban (20 primary health centers) and suburban (19 primaryhealth centers) groups. The sample size was 109 children whovisited primary health centers for immunization. Study was doneby a questionnaire taken after infants received immunization (exitinterview).Results The proportion of missed opportunities in urban andsuburban area was 22.3% (95% CI 16.9%;27.7%) and 29.9% (95%CI 24.0%;35.2%) (P=0.191), respectively. Factors such as age ofstarting immunization, number of children more than 4, and lowparental attitude about immunization (P=0.001) were related tomissed opportunities for immunization.Conclusions There is no difference between proportion of missedopportunities at primary health centers in urban and suburbanarea. Related factors to missed opportunities for immunizationare age of starting immunization older than 3 months, number ofchildren more than 4, and low parental attitude aboutimmunization.


2018 ◽  
Vol 7 (2) ◽  
pp. 114-121
Author(s):  
Mohammad Reza Tamadon ◽  
Sajad Hasani ◽  
Ensieh Farhidzadeh ◽  
Majid Mirmohammadkhani

Introduction: Chronic kidney disease (CKD) in advanced stages leads to some changes in lifestyle, health status, and personal functioning and consequently affects the patients’ quality of life. Objectives: Given the high prevalence of CKD in the country, this study aimed to determine quality of life and its related factors in this group of patients. Since there has been low focus on quality of life in pre-dialysis stage, this study compared the two groups of pre-dialysis and hemodialysis patients regarding quality of life. Patients and Methods: This descriptive analytical research was conducted as a cross-sectional study. Using convenience sampling method, we selected a total of 60 kidney failure patients in pre-dialysis stage that referred to nephrology clinics in Semnan and 60 hemodialysis patients who referred to the dialysis center of Kosar hospital in Semnan. Using SF-36 questionnaire and a demographic form, the required data was collected via interviews. Results: The results showed that the majority of patients had a moderate quality of life. Concerning demographic variables, quality of life had a significant relationship with age, gender, marital status, number of children, employment status, education level, income level, hemoglobin, underlying disease, duration of disease, and duration of dialysis. Moreover, patients in pre-dialysis stage had a better score than hemodialysis patients regarding the overall quality of life (P≤0.05). Conclusion: This study showed, a design a framework for care services provided by medical staffs and supports provided by insurance organizations and other institutions is necessary. The framework must help to improve quality of life of patients and prevent the deterioration of quality of life in advanced stages of the disease.


2020 ◽  
Vol 20 (2) ◽  
pp. 682-689
Author(s):  
Anahit M Coşkun ◽  
Nebahat Özerdoğan ◽  
Eylem Karakaya ◽  
Eda Yakıt

Background: Women’s fertility characteristics are affected by many different factors. Aim: To gain an awareness of fertility characteristics of Syrian refugee women and the influential factors. Methods: This study was planned as a cross-sectional study to determine the efficiency and related factors of Syrian refugees living in Istanbul. The survey of 300 refugee women applying Arabs who migrated to Turkey, Kurds, Turkmen and Yezidi origin they receive. Results: Average age of the women studied was 34.26 ± 10.15, 34.6% of the participants had not received any education, 37% had less than two-year inter-pregnancy interval, 58.6% have not received “Safe Motherhood” service, 43.6% have conceived their last child unwillingly. Women in the study group had in average 3±2,4 children and the number of children they wanted was 3±1,59. These values were substantially affected negatively by the women’s education level and positively by the income level. Yezidis had significantly more children than other ethnic groups and did not have a “religious ban” on voluntary abortion. Conclusion: It has been noted that fertility characteristics of refugee women who migrated to Turkey changed according to their ethnic backgrounds and were sustained in the country they migrated to. Along with harsh living conditions and insufficient access to health services the situation has been observed to pose serious risks on reproductive health. Keywords: Syrian refugee woman; fertility characteristics; impacting factors.


Author(s):  
Lam Do Ai Nguyen ◽  
Thao Thi Thu Nguyen ◽  
Thuy Anh Vu Pham

<div><p class="AbstractTitle"><strong>Objectives:</strong> To compare periodontal status of chronic kidney disease patients with those in non-chronic kidney disease patients and to explore the relationship between periodontitis and chronic kidney disease in a group of Vietnamese.</p></div><p class="AbstractContent"><strong>Methods:</strong> A cross sectional study was conducted on 240 adults including 120 chronic kidney disease patients (group 1) and 120non-chronic kidney disease patients (group 2). The socio-demographic characteristic, dental and smoking habits were investigated by the questionnaire. Periodontal status (PPD, CAL, BOP) were examined. The periodontal status was compared between 2 groups. Multiple logistic regression analysis was performed to examine the relationship between chronic kidney disease and periodontitis after adjusting related factors.</p><p class="AbstractContent"><strong>Results</strong>: The clinically periodontal parameters in group 1 were all higher compared to those in group 2 (p&lt;0.001). The OR for periodontitis in patients who with age more than 60 years or brushed their teeth less than 2 times per day or had no scaling or in current smokers or with chronic kidney disease were 1.93; 4.27; 7.95; 4.21; 2.94 compared to counterparts, respectively (p&lt;0.05).</p><p class="AbstractContent"><strong>Conclusion:</strong> The periodontal status of chronic kidney disease patients was found worse than those in non-chronic kidney disease patients. The chronic kidney disease was significantly related to periodontitis.</p>


2020 ◽  
Author(s):  
Adriano Friganović ◽  
Polona Selič

Background: Burnout syndrome occurs in people who work in jobs which involve frequent and intense contact with people, especially healthcare workers. High dependency departments such as critical care units are very stressful environments, and this can lead to a greater incidence of burnout, especially of emotional exhaustion and poor personal accomplishment. Nurses are the largest group of healthcare workers, and so it is reasonable to expect they would have a high prevalence of burnout.Subjects and methods: The aim of this study was to assess the prevalence of burnout in critical care nurses in Croatia and explore its association with demographic features. A cross-sectional study of 620 nurses was conducted in several university hospitals, using convenience sampling. The Maslach Burnout Inventory was administered, together with questions about the sociodemographic and work characteristics of the participants (age, gender, length of work in ICU, education, type of ICU).Results: The majority of the sample were female nursing staff (87.7%), aged 26-35 (38.9%). The results showed that approximately every fifth nurse (22.1%) expressed a high emotional exhaustion (EE), with lesser burden of a high depersonalisation (D) in 7.9%, yet every third nurse (34.5%) scored low on PA. Male nurses reported more depersonalisation (p=0.045), yet neither EE nor the PA dimensions differed by gender.Conclusion: The results of this study concerning burnout are comparable to those of studies of other professions, but the results vary with regard to the sample and the working conditions of the countries.


2022 ◽  
Author(s):  
Syeril Nadia Rosli ◽  
Kim Lam Soh ◽  
Swee Leong Ong ◽  
Azura Abdul Halain ◽  
Rosna Abdul Raman ◽  
...  

2020 ◽  
Vol 2 (4) ◽  
Author(s):  
Sarah Fawaz ◽  
Stephen Barton ◽  
Laura Whitney ◽  
Shereen Nabhani-Gebara

Abstract Background With the discovery of new antibiotics diminishing, optimizing the administration of existing antibiotics has become a necessity. Critical care nurses play a crucial role in combating antimicrobial resistance and are involved in preparing and administering antibiotics as well as monitoring their effects on patients. A dosing strategy proposed to reduce the development of ever-evolving antimicrobial resistance involves differential dosing regimens such as prolonged/continuous infusions. Objectives To assess critical care nurses’ knowledge, perceptions, comfort and experience in relation to prolonged/continuous infusion antibiotics. Methods A descriptive cross-sectional study was conducted using an investigator-developed, self-administered survey consisting of open- and closed-ended questions. Obtained data were computed using SPSS. Descriptive and inferential statistics were used to analyse the data. Results Fifty-two critical care nurses participated in the survey. Data revealed that nurses have adequate levels of knowledge and comfort relating to the use of prolonged/continuous infusion antibiotics along with the ability to communicate effectively on the topic. Results indicate there is a need for further learning, especially in terms of multiplicity of methods for preparing and administering prolonged/continuous infusions and dose calculations. Overall, results are promising as nurses support the wider implementation of prolonged/continuous infusion treatment regimens in critical care. Conclusion Although critical care nurses had a good understanding surrounding the use of prolonged/continuous infusion antibiotics, there is a need for further learning beyond information gained from nursing education courses. Findings from this study indicate that nurses are supportive of prolonged/continuous infusion antibiotics. However, further research is needed to determine the most effective mode of antibiotic administration.


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