scholarly journals Evaluation of Emergency Nurses’ Knowledge and Performance about Hospital Triage

Author(s):  
Asghar Sherafat ◽  
Ali Akbar Vaezi ◽  
Mohammadreza Vafaeenasab ◽  
Mohammad Hassan Ehrampoush ◽  
Hossein Fallahzadeh ◽  
...  

Background and Objectives: By knowing the level of knowledge of triage nurses, we will be capable of making the right decision about allocating suitable resources for enriching the quality of the emergency department. So, the objective of our study is to evaluate triage knowledge and performance of emergency nurses in Yazd province of Iran. Materials and Methods: This was a cross-sectional study. The sampling was performed from all nurses responsible for triage in emergency departments of 8 educational hospitals of Yazd University of Medical Sciences were included for our sampling in the study. Data collection was done using a questionnaire whose validity and reliability have already been approved. After evaluating all the questionnaires, 84 of them were completed, and others were excluded from the study. Data were analyzed by descriptive and inferential statistics using the SPSS version 22 software. Results: According to statistical analysis results, there was no significant relationship between the knowledge score, performance and total score with demographic characteristics. Moreover, there was no significant relationship between educational courses, work experience and work shift with knowledge, performance and total score. Although female nurses’ scores in knowledge and performance areas was higher than male scores, the differences were not statistically significant. Conclusion: The level of knowledge of the nurses employed in the emergency departments of Shahid Sadoughi University of medical sciences in Yazd is moderate in terms of triage. However, the performance of nurses working in the emergency departments of the aforementioned centers is higher than average. It is concluded that there is an immediate need to reconsider nurses triage education and improve the triage knowledge and performance among nurses.

Background: Today, the use of dental radiography equipment in dental centers has increased due to its high application in the diagnosis of dental diseases. As a result, concerns are increasing regarding repeated exposure to this low dose level of radiation. Therefore, the knowledge and practice of dentists about radiation protection are essential for themselves and the patients. This study aimed to assess the knowledge and practice of dentists about radiation protection. Materials and Methods: This cross-sectional study was performed based on a questionnaire in several cities of Iran. The first part of the questionnaire included such information as gender, years of work experience, and participation in radiation protection workshops. The second, third, and fourth sections consisted of questions on radiobiology, radiation protection, and performance, respectively. Results: In this study, 94 dentists participated, and the mean scores of dentists (out of 5 points) for radiobiology knowledge, radiation protection knowledge, and performance were obtained at 2.66±1.1, 2.80±1.01, and 2.87±1.37, respectively. The results of Pearson analysis showed that general knowledge had a significant relationship with performance (P=0.014). There was also a significant relationship between the history of participation in radiation protection workshops and performance (P=0.01). Conclusion: It was found that more knowledge about the effects of ionizing radiation on the body and more awareness of the principles of radiation protection would help dentists to better observe the practical principles of radiation protection. Also, participating in radiation protection workshops could increase dentists' knowledge, and therefore, improve their performance.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Masoumeh Shohani ◽  
Maryam Chegeni ◽  
Abbas Nasrollahi ◽  
Leili Abedi Gheshlaghi

Background: University students' attitude and desire to use stimulants and hallucinogens are mainly aroused as a result of their ignorance or lack of knowledge. Objectives: The present study was to evaluate the knowledge, attitude, and performance of medical students in Ilam regarding the use of stimulants. Methods: This cross-sectional study encompassed 451 students from the Ilam University of Medical Sciences in 2019. The demographic information questionnaire, Addiction Susceptibility Questionnaire (ASQ), and Questionnaire of Knowledge, Attitude, and Behavior were used to collect the required data. Moreover, there were reports of mean and standard deviation for quantitative variables and frequency and percentage for qualitative variables. Chi-square, ANOVA, and independent-samples t-tests were used to examine the relationship among the research variables. Results: A majority of students were undergraduates (> 60%), and about 33% of the participants were medical students. About 8% of the participants reported the lifetime use of stimulants. Moreover, 40% of students had insufficient knowledge, and the participants’ mean score of attitude was 16. There was a significant relationship between students' knowledge with their age, marital status, faculty, and level of education. Moreover, there was a significant relationship between the participants’ performance with age, level of education, and faculty. A significant relationship was also detected between the students’ attitude with their faculty and level of education. Conclusions: The medical students’ knowledge level was not satisfactory. Accordingly, training sessions and counseling programs are recommended to increase their knowledge and improve their attitudes.


2020 ◽  
Vol 1 (1) ◽  
pp. 8
Author(s):  
Sri Sulastri

The purpose of this study was to determine the Factors That Influence The Level Of Healing In Injury Bone. This research uses descriptive correlation design with cross sectional approach. This research was conducted at the Dr.Reksodiwiriyo Padang Hospital with 30 people who had long fractures and were selected based on inclusion criteria. The measuring instrument is a questionnaire that has been tested for validity and reliability. The analysis used was univariate and bivariate using the Chi Square test. The results of this study indicate that there is a significant relationship between socioeconomic status (p value = 0.049) with patient anxiety, and there is no significant relationship between nursing services (p value = 0.440), level of knowledge (p value = 0.024), family support (p value = 0.127) with patient anxiety. The results of this study recommend that hospitals improve psychosocial nursing care and help direct the mechanism of adaptive treatment to patients treated at the hospital thereby reducing anxiety.


Author(s):  
Zahra Golestannejad ◽  
Rahman Nazeri ◽  
Marzieh Ghaiour ◽  
Mahdieh Mehrfar

Introduction: Injury to both the primary and permanent dentitions is one of the most common dental problems. The prognosis of dental trauma depends on the basic measures taken immediately after trauma. This study was designed to assess the level of knowledge, the attitude of kindergarten coaches about primary teeth trauma in Khorramabad city. Materials & Methods: In this Cross-sectional study, 100 kindergarten coaches in Khorramabad participated in this study in 2019-2020. A valid and reliable confirmed questionnaire was used for data collection. Data were analyzed with Pearson correlation coefficients and independent t-test (p value < 0.05). Results: In this study, the mean score of coaches’ attitude was 68.5 and the mean score of knowledge was 34.9. In the present study, the factors of gender, age, level of education had no significant relationship with their knowledge score (p value > 0.05) and attitude, but between work experience with knowledge scores (p value = 0.02) and attitude (p value = 0.004) and so between the level of knowledge (p value = 0.004) and attitude (p value = 0.008) and passing the dental emergency training course, a direct relationship was observed. In this study, there was a significant relationship 64% of the coaches experienced dental trauma and their mean score of knowledge (p value = 0.04) and attitude (p value = 0.001) was significantly higher than other coaches. Conclusion: The assessed level of dental knowledge of the coaches participating in this study was poor, whereas their attitude about primary tooth trauma was good. The great suggestion is to hold educational programs in this regard to increase the level of knowledge of kindergarten coaches in the field of dental trauma.


Author(s):  
Mahnaz Rakhshan ◽  
Fatemeh Mirshekari ◽  
Fereshteh Dehghanrad

Objective: Illness perception and self-care behaviors can result in higher levels of health behavior among hemodialysis patients. The present study aimed to assess the relationship between illness perception and self-care behaviors among hemodialysis patients who referred to the hospitals affiliated to Shiraz University of Medical Sciences in 2017. Method: In this descriptive cross sectional study, 216 hemodialysis patients who referred to the hemodialysis wards of the hospitals affiliated to Shiraz University of Medical Sciences were selected via convenience sampling. The study data were collected using a demographic information form, Brief Illness Perception Questionnaire (9 items), and a 15-item Self-care Behavior of Hemodialysis Patients Questionnaire. Then, the data were analyzed using independent t test and one-way ANOVA. Also, significance level was set at P < 0.05. Results: The mean age of the study participants was 30.15+6.65 years. Also, most of the participants were female (n = 125, 58%). The results revealed a significant relationship between illness perception and self-care behaviors among hemodialysis patients. A significant relationship was observed between the following items: daily weight control and perception of consequences (r = 0.200, p = 0.001), between contacting the physician at the time of shortness of breath and consequences (r = 0.209, p = 0.001), between weight control according to the physician’s order and consequences (r = 0.763, p = 0.001), and between adherence to fluids restriction and identity(r = 0.149, p < 0.05). Conclusion: Considering the relationship between illness perception and self-care, beliefs as illness perception have to be incorporated into self-care programs designed for hemodialysis patients so as to promote their self-care behaviors. These findings can be used for planning and implementing care for hemodialysis patients.  


Author(s):  
Jayran Zebardast ◽  
Nikzad Eisazadeh ◽  
Khorshid Vaskooi ◽  
Fatemeh Mirbazegh

Objective: The purpose of this study was to investigate the status of knowledge, attitude and practice of medical team about suitable " Healthcare personnel (HCP) attire". Materials and methods: This is a descriptive study that was approved by the Research Ethics Committee of Tehran University of Medical Sciences, and evaluated knowledge, attitude and performance of physicians and nurses about "Health care personnel (HCP) attire" by a questionnaire. In order to create the questionnaire a panel of experts’ reviews was set and a questionnaire was made through Focus group discussion (FGD). The Variables included age, gender, work experience, type of employees' time, type of jobs, education level, type of employee. Results: This study was conducted on 441 physicians and nurses who were working in Tehran University of Medical Sciences. The mean percent of KAP score was 72.6 ± 14.3. The score of the questionnaire in general was 14.91 ± 70.99 for knowledge, 73.5 ± 13.3 for attitude and 73.7 ± 17.1 for performance. Conclusion: According to this survey, the questionnaire score in the general knowledge, attitude and performance about the "Healthcare personnel (HCP) attire" is low.


2021 ◽  
Vol 15 (5) ◽  
pp. 1545-1550
Author(s):  
F. Talebian ◽  
T. Yaghoubi ◽  
R. Marzband

Introduction: Moral distress is one of the prevalent problems of nursing which causes stress, that leads to nurses being unable to show a proper moral function in the critical situations. Moreover, due to the stressful conditions in emergency department, caring behaviors of nurses is of great importance. This study aimed to determine the factors associated with moral distress and caring behaviors of nurses working in emergency departments in educational-medical centers of Mazandaran University of Medical Sciences during COVID-19 pandemic. Methodology: This study was descriptive-analytical which was conducted through stratified and convenience sampling, and by participation of 188 nurses working in emergency departments in 5 educational-medical centers of Mazandaran University of Medical Sciences in 2020. Data was collected through standard three-section questionnaire of demographic information, Corley moral distress and Wolf caring behaviors of nurses, and its validity and reliability was confirmed. Data was analyzed by using descriptive (mean and standard deviation, frequency and percentage) and analytical statistics (Mann–Whitney, Kruskal-Wallis, and Spearman correlation coefficient). Finding: Moral distress mean score of nurses working in emergency was 20/97±101/60 and they had 92/4% of average moral distress. Caring behavior of nurses was 8/62±101/60. Gender and marital status variables had a significant relation with caring behavior, in a way that male nurses and married nurses had a lower score (p<0.05). the relation between moral distress and caring behavior was NOT statistically significant. Final conclusion: Nursing staff must have a good command of their caring behavior so that caring will be presented in high quality, and patients and help-seekers’ satisfaction who come to the emergency, especially in COVID-19 pandemic, will be met. Thus, it is necessary that health and medical system managers provide educational programs to draw nurses’ attention to their caring behavior dimensions, especially in emergency departments. Key words: moral distress, caring behavior, emergency department nurse, COVID-19 pandemic


2021 ◽  
Author(s):  
Mina Pooresmaeil ◽  
Masoumeh Aghamohammadi

Abstract Background Covid-19 is an emerging disease, which has confronted nurses with new moral distress. This study aims to determine the moral distress and its related factors among nurses working in the covid-19 wards of Ardabil city in Iran. Methods This cross-sectional descriptive study evaluated 159 nurses working in the covid-19 wards of Imam Khomeini hospital -as the only hospitalization center for the patients with covid-19 in Ardabil, 2021. The instruments used included a personal-occupational information form and Corley's moral distress scale. Data analysis was performed using descriptive and inferential statistics (Pearson correlation coefficient, independent t-test and one-way analysis of variance) in SPSS v22. Results The mean and standard deviation of the frequency and intensity of the nurses' moral distress were estimated 52.28 ± 5.24 and 51.54 ± 5.86, respectively, which indicated the moderate level of moral distress in the both dimensions. The item "I hesitate to tell the patient or the patient's family about his condition and treatment" (4.74 ± 0.75) showed the most moral distress based on the intensity and the phrase "too much work reduces the quality of my work” (4.81 ± 0.55) caused the most moral distress in the frequency dimension. The results indicated a significant relationship between the intensity and frequency of moral distress with the type of nurses' employment (P < 0.05). Moreover, a significant relationship was observed between the nurses’ position and the frequency (P = 0.04), and the nurses’ work experience and the intensity of moral distress (P = 0.02). Conclusions It seems that providing the necessary training for how to deal with the moral distress in new waves of the disease and using the experiences of the experienced nurses in this field are essential due to observing the moderate level of moral distress among nurses working in covid-19 wards.


2019 ◽  
Author(s):  
Neda Dolatkhah ◽  
Seyed Kazem Shakouri ◽  
Azizeh Farshbaf Khalili ◽  
Majid Hajifaraji ◽  
Maryam Hashemian ◽  
...  

Abstract Objectives : In this cross-sectional study among 220 medical students we aimed to determine the nutritional knowledge and attitude of medical students through clinical training courses (externship and internship) of Tabriz University of Medical Sciences, Iran. A nutritional knowledge questionnaire included 51 questions was used to determine the correct, perceived and accuracy of knowledge of the participant in different aspects of nutrition sciences. Nutritional knowledge was calculated as percentage of correct responses. The nutrition attitude questionnaire included 30 questions. Both questionnaires were confirmed in terms of the validity and reliability for assessing nutritional knowledge and attitude in this sample of Iranian medical students. Results: The mean score of correct knowledge was not significantly different among externs and interns (68.20±7.50% and 67.87±6.04% respectively, p=0.729). Results showed that most of the participants (49.61% of externs and 57.14% of inters) had a poor nutritional knowledge, significantly varied by age (p=0.035). The mean attitude index of the subjects was not significantly different among externs and interns (106.37±13.66 and 108.16±13.35 out of 145 respectively, p=0.337). Most students (92.7%) had a very appropriate attitude toward nutrition, significantly varied by sex (p=0.010). These findings indicate that there are multiple deficiencies in nutrition knowledge of medical students.


2020 ◽  
Vol 13 (1) ◽  
pp. 441-446
Author(s):  
Sedighe S. T. Far ◽  
Milad A. Marzaleh ◽  
Nasrin Shokrpour ◽  
Ramin Ravangard

Background: Iran is a disaster-prone country in which many natural and man-made disasters happen every year. Because the health sector is vital due to its nature of treatment and rehabilitation of the injured after the disasters, all health care providers, especially hospital nurses, should be prepared to provide the services they need. Objective: The present study aimed to determine the level of knowledge, attitude, and performance of nurses about disaster management in teaching hospitals affiliated to Iran, Shiraz University of Medical Sciences in 2019. Methods: This cross-sectional and descriptive-analytical study was conducted on a sample of 230 nurses working in the teaching hospitals of Iran, Shiraz University of Medical Sciences, who were selected using the stratified sampling proportional to size and simple random sampling methods. The data were collected using a valid and reliable questionnaire containing 20 questions in three dimensions of knowledge, attitude, and performance. Then, the collected data were analyzed using SPSS 25.0 through independent samples t-test, ANOVA and Tukey tests at the significance level of 5%. Results: The results showed that the highest and lowest mean scores were related to the attitude (2.38±0.19) and knowledge (1.70±0.50) of the nurses, respectively. However, all three dimensions were at a moderate level. The results showed significant relationships between the mean score of performance and the gender, marital status, age, and work experience of the nurses. In addition, statistically significant relationships were found between the mean score of knowledge and their age and work experience (p<0.05). Conclusion: According to the findings, the following suggestions can be made to increase the knowledge and performance of the nurses for being prepared in critical situations: reducing the duration and increasing the quality of training classes and workshops on disaster preparedness; providing some incentives for nurses, especially female, married, older, and more experienced ones to attend these classes; and improving the methods of training materials related to disaster management.


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