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

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.

Kolaborasi Multidisiplin Pelaksanaan Discharge Planning

Discharge planning adalah suatu proses multidisplin yang melibatkan Profesioanal Pemberi Asuhan (PPA) dan Manajer Pelayanan Pasien (MPP) yang bertujuan untuk mengurangi lama tinggal atau perawatan di rumah sakit, mencegah terjadinya readmisi dan meningkatkan kordinasi layanan setelah keluar dari rumah sakit. Penelitian ini bertujuan untuk mengevaluasi kolaborasi multidisiplin pelaksanaan discharge planning di RSUD Haji Makassar dengan menggunakan pendekatan observasional pre-post implementasi pendokumentasian discharge planning dan metode wawancara dalam bentuk focus group discussion (FGD) terhadap kepala bidang keperawatan, kepala ruangan, ketua tim, perawat pelaksana dan tim pokja. Instrumen yang digunakan adalah instrumen wawancara dan instrumen discharge planning terintegrasi. Hasil yang didapatkan yaitu pendokumentasian discharge planning di RSUD Haji Makassar belum optimal sehingga dilakukan beberapa program kegiatan yaitu studi literature, penyegaran tim, pelatihan, pembuatan panduan, form dan SOP discharge planning, uji coba form dan evaluasi. Setelah implementasi didapatkan peningkatan pendokumentasian discharge planning menjadi 77.7%, Selain itu, discharge planning juga dilakukan pada saat pasien masuk di ruang rawat inap hingga pasien sebelum pulang. Oleh karena itu, pada penelitian selanjutnya dibutuhkan penelitian terkait pendokumenatsian discharge planning secara multidisiplin, serta perlunya monitoring dan evaluasi terhadap pelaksanaan discharge planning. Multidisciplinary Collaboration on Discharge Planning Implementation ABSTRACTDischarge planning is a multidisciplinary process that involves the Professional Care Provider (PPA) and the Patient Services Manager (MPP) aims to reduce the length of stay or treatment in the hospital, prevent readmissions and improve service coordination after discharge from the hospital. This research to evaluate multidisciplinary collaboration implementation of discharge planning in Haji Hospital Makassar using an observational approach pre-post implementation of discharge planning documentation and interview method in focus group discussions (FGD) of head nurse, chief nurse, team leader, nurse associate, and team. The instrument used was an interview instrument and an integrated discharge planning instrument. The results obtained were documentation of discharge planning in Haji Hospital Makassar was not optimal so that several program activities were literature study, team refreshment, training, making guidelines, form and SOP discharge planning, trial form, and evaluation. After implementation, there was an increase in the documentation of discharge planning to 77.7%. In addition, discharge planning was also carried out when the patient entered the inpatient room to the patient before leaving. Therefore, further research is needed in order to discharge planning documentation by a multidisciplinary team, monitoring, and evaluation of the discharge planning implementation. Keyword: Multidisciplinary Collaboration; Discharge Planning

Role model nursing leaders in COVID-19 crisis

BackgroundApplying the principles and skills of management, including planning, organising and leadership skills, will greatly help to improve the quality of nursing manager duties. This is even more important during crisis management, such as the COVID-19 crisis. The objective of the present study was to express the experiences of nursing managers in the COVID-19 crisis.MethodsA qualitative conventional content analysis approach was used to discover the nursing leadership style in the COVID-19 crisis. The present study was conducted in one hospital in Tehran, Iran. 20 Iranian nursing managers in all nursing management positions such as head nurse, matron and supervisor were interviewed. Semi-structured interview was conducted at one hospital in Iran, using reflective and open-ended questions. Interviews were audio recorded and transcribed. The study was carried out in 2020 while data saturation occurred, no new categories or codes have emerged and the study questions were answered. Credibility and conformability were established through member checking. The report of the analysis was returned to the participants in order to get the assurance that the researchers had portrayed their real world in codes and extracted categories.ResultsFour main themes emerged from data analysis including ‘managers as role model’, ‘full responsiveness’, ‘being in constant challenge’ and ‘post disaster growth’.ConclusionNursing management is one of the activities that the manager must be constantly aware of the activities of his subset. This requires a constant presence in the workplace and communication with nursing staff. Also, in times of crisis, the manager, in addition to having scientific ability, must also have sufficient experience. These two factors will lead to crisis management. Also, training staff and managers in crisis management is one of the most important issues in nursing management.

A new two-stage nurse scheduling approach based on occupational justice considering assurance attendance in works shifts by using Z-number method: A real case study

In this paper, a new binary integer programming mathematical model for scheduling nurses' problems in the emergency department of Kamkar Hospital in Qom province is developed. The manual arrangement of nurses by the head nurse and its time-consuming, occasional absences during the period and protests against injustices in the arrangement of nurses' work shifts were among the emergency department's challenges before implementing the model. Most relevant studies aimed to enhance nurses' satisfaction by creating a general balance considering occupational preferences. Thus, the present study pursued justice through considering preferences based on the results from periodical evaluations of each nurse's performance with the ultimate goal of improving nurses' satisfaction. Moreover, the lack of clarity in selecting shifts, which may cause irregular attendance, was improved using the Z-number method. After the run of the model, the rate of nurses' absences decreased by 40%, the rate of complaints about the performance of the nursing unit decreased by 50%. Also, nurses' satisfaction increased by 30% after the implementation of the model.

Nurses’ trust in managers and its relationship with nurses’ performance behaviors: a descriptive- correlational study

Background Organizational trust is one of the most important issues in human relations that its importance in organizations is well known. Effective communication and cooperation between individuals require trust. On the other hand, the quality of a nurse’s trust in his/ her manager affects the behavior and performance of the nurse. The purpose of this study was to determine nurses’trust in managers (head-nurses and supervisors) and its relationship with nurses’ performance behavior. Methods This descriptive-correlational study was performed with the participation of 431 nurses working in educational centers of Ardabil, Iran. The sampling method was stratified randomly. Questionnaires of the McAllister Trust and Paterson Job Performance were used. Data analysiswas performed using descriptive statistics (mean, standard deviation, frequency) and Chi-square testin SPSS v.22. Results The results showed that the majority of nurses trusted head-nurses (80.3%) and supervisors (61.9%). In addition, most nurses’ functional behavior (92.1%) was reported as excellent. There was no significant relationship between nurse trust in head-nurse and nurses’functional behavior (P = 0.58), while it was significant between nurse-supervisor trust and nurses’ functional behavior (P = 0.03). Conclusion The results of this study showed a relationship between nurse-supervisor trust and nurses’ functional behavior. Therefore, it is recommended ways to improve the trust between the treatment team, especially among nurses and supervisors are considered as one of the factors influencing the nurses’ behavioral performance.

Nursing Knowledge Level, Are There Room for Improvement in Hepatitis Prevention at Suez Canal Area?

Background: Healthcare workers are at increased risk of contracting and spreading hepatitis C virus (HCV), and HBV to others. Objective: The aim of study is to evaluate nursing staff and paramedics knowledge, concerning HCV, HBV and its relationship to institutional infection control facilities. Methodology: A self- administered questionnaire was distributed at fever hospital, infectious diseases hospital, Suez Canal university hospital, blood center, primary health care centers and hospitals affiliated to ministry of health, with a convenient sample of 479 nursing staff and paramedics in Suez Canal region. A knowledge score was developed about hepatitis B, C source of infections and different domains of infection control facilities and procedures, with a maximum of 17. Results: The mean age of the participating nursing staff and paramedics was 29.55 + 8. 31. Knowledge score about mode of transmission of hepatitis, reveals that the highest level was among the student nurse which was 17.07. Concerning exposure including blood contact, blood spills and needle stick, the nurse was 61 %, while mainly head nurse to be 83% stated receiving training about infection control and care of sharp. Conclusion: We can prevent the transmission of infection at the occupational level through standard precautions.

Leadership Style of Head Nurses against Job Satisfaction and Organizational Commitment of Staff Nurses

The leadership and motivation styleis an essential factor in supporting the performance of nurses. The study was undertaken to determine the correlation between the leadership style to the job satisfaction, and organizational commitment among the head nurses and staff nurses from the government and private hospitals in Serang, Banten, Indonesia. The study used descriptive corelational design. The samples were limited, involving 289 respondents from dr. Drajat Prawiranegara Hospital, Serang (18 head nurses and 183 staff nurses) and Sari Asih Hospital, Serang (6 head nurses and 82 staff nurses). The study found a low positive relationship of the head nurses' transformational leadership style and transactional leadership style against the staff nurses' job satisfaction, r-coefficients of 0.370 and 0.485, respectively. Also, a moderate positive correlation was found on transformational leadership style and transactional leadership style of the head nurses against the organizational commitment of the staff nurses, rcoefficient of 0.606 and 0.609, respectively. It suggested that the staff nurses should be more responsive to the duty inseparable from the rights and obligations as an employee while the head nurse needs to pay attention to physical readiness, mental and psychological of subordinates.

Factors Associated with the Implementation of Patient Safety at X Hospital, Karawang, Indonesia

Patient safety is a significant global health problem and a top priority for incidents prevention. Data revealed that the patient safety goals’ average implementation was only 33.5%, far away from the 100% target. The compliance of hand hygiene among nurses, meanwhile, was only 28.6%. This study aims to analyze factors associated with the implementation of patient safety goals among nurses at X Hospital Karawang. A cross-sectional approach with a simple random sampling technique was implemented in this study. A total of 117 nurses in the inpatient room were recruited in this study. A significant relationship showed knowledge, supervision, motivation, and the implementation of patient safety goals (p-value < 0.05). Supervision from the head nurse is the most associated factor. By improving the quality of Supervision, will influence the application of patient safety goals; therefore, that a patient safety culture is created and achieved well. recommend to define clearly the significant of patient safety and what kind of indicators we can use to measure this? and evaluate qualitatively (not using percetange) to indicate the extent to which patient safety is applied. Keywords: patient safety goals, Supervision, knowledge, motivati