Showing 33 results for Nurses
Mis Masoomeh Mortaghi Ghasemi, Mis Zeinab Ghahremani, Mr Amir Vahedian Azimi, Mis Fatemeh Ghorbani,
Volume 8, Issue 1 (10-2011)
Abstract
Background and Objective : Nursing is an extremely stressful profession. Nurses are confronted with a variety of personal, communicational and organizational stresses, which affect on their health and job satisfaction reversely. The purpose of present study is to determine nurse's job stress in therapeutic-educational centers in Zanjan.
Material and Methods : In this cross sectional descriptive- analytical study 155 nurses of nursing staff of teaching hospitals of Zanjan were selected by stratified random sampling in 2010. The instruments were a demographic data sheet and Toft-Gray and Anderson's nursing stress scale. The Data were analyzed by SPSS-14.5 software, using descriptive statistics and Spearman & Pearson correlation coefficient.
Results: The results show that various occupational conditions lead to tensions, high level (57.4%), moderate (40%) and low intention (2.6 %). Based on Spearman, there is a significant relationship between levels of tension and education status (r= 0.192, P= 0.017). Other variables such as age, sex, ward, marital status, shift working, record of services, overtime and number of children show no significant relationship with occupational stress.
Conclusion: Regarding to the harmful effect of occupational stress on nursing staff, we recommend that the authorities to consider reducing the stressful factors such as dissatisfaction of salary and premium, job overload, ambiguous roles and lack of social support.
Ghanbar Rouhi, Seyyed Abedin Hosseini, Hossein Rahmani Anaraki, Einollah Mollaie, Hossein Nasiri,
Volume 9, Issue 2 (1-2013)
Abstract
Background and Objective: With the development of human societies, the needs for different types of health services are increasing. Because of limitations and shortage of national resources, the awareness of health administrators about appropriate allocation of resources leads to efficient use of assets. The aim of this study was to measure the workload and efficacy of nursing staff in internal ward.
Material and Methods: This descriptive and cross sectional study was conducted on, via census sampling, all nursing activities performed by 10 nurses for 94 patients in Panje-Azar Hospital of Gorgan. To determine the efficacy, we asked the subjects to fill out a researcher made, validated questionnaire and measured the time of their presence in the ward. Data analysis was performed by analysis variance, using SPSS-16 software.
Results: Of total time of presence, 20.3% is spent for documentary activities whereas only 0.49% for patient education. Overall, the spent time for direct and indirect nursing activities is 46.46% and 53.54%, respectively. The efficacy of nursing staff is 62%, the highest (66.6 %) for morning shift and the lowest for night shift (58.34 %). There is no significant difference, using analysis variance, in efficacy rates of work shifts (morning, evening and night).
Conclusion : In spit of efficacy of over 50 percent in different shifts, the educational programs related to time management, human resource development and electronic nursing are necessary to increase the efficacy.
Shiva Pejmankhah, Sheida Pejmankhah, Dr Hamid Alavi Majd,
Volume 10, Issue 1 (4-2013)
Abstract
Background and Objective: Nurses should be so determined and competent that, in the dynamic and changing conditions of the patients, they could use their technical skills and professional knowledge to make a rigorous clinical judgment about the patient's health status. Accordingly, a study was conducted to assess the health status of patients and nurses in the hospitals affiliated with the social security organization in Tehran, Iran.
Material and Methods: This descriptive – analytical study was conducted on 96 nurses working in medical-surgical and emergency wards of the hospitals affiliated with Social Security Organization in Tehran. The instrument was a questionnaire including two parts of demographic data and 11 questions for assessing nurses' performance. To analyze the data, we useddescriptive and inferential statistics.
Results: The mean age is 7.15 ± 32.8 and 75% of the patients are females. Their (53.1%) work of experience is between 73-96 months and their (52.1%) performance is observed poor. There is significant correlation between nurses' performance and variables such as gender, age, marital status, work experience and ward of hospital.
Conclusion: Because of low performance of the nurses, it is important for nurses to assess the health status of patients , the same as physicians using screening forms on the file of patients.
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.
Naser Rahimi, Dr Gholamali Ghasemi, Mohsen Eshaghian, Dr Azar Aghayari,
Volume 10, Issue 2 (10-2013)
Abstract
Background and Objective: Back pain is one of the most common and most costly occupational injuries. Due to the nature of nursing career, low- back pain is highly prevalent in nurses. The aim of this study was to survey the prevalence of low-back pain and its correlation with nurses’ demographic characteristics and occupational factors in hospitals of Isfahan, Iran.
Material and Methods: This descriptive- co relational study was conducted on 244 out of 260 nurses selected via stratified random sampling. Using Visual Analogue Scale (VAS) and Oswestry Functional Disability Questionnaire (ODQ), the Pain and functional disability variables were measured, respectively. To analyze the data, we used independent t-test and correlation coefficient-(p<0.05).
Results: The findings showed that 55% of the nurses have different intensity of low back pain (LBP). The LBP and monthly working hours (r=0.55), LBP and functional disability (r=0.53), LBP and age(r =0.30), and LBP and record of services (0.29) were significantly correlated, But it was not the case for LBP and gender.
Conclusion: Based on the findings that about 55% of the nurses suffer from low- back pain, it seems that a comprehensive change in life style and physical activity pattern of the nurses are paramount importance.
Fahimeh Amini,
Volume 10, Issue 2 (10-2013)
Abstract
Background and objective: Burnout is one of the key factors in reducing efficiency and it causes loss of manpower and physical complications. Personality characteristics such as resiliency is abuffer against stressful events and work-related psychological problems such as burnout. Given the important role of nurses in health-caresystem , this study investigates The relationship between resiliency and burnout in nurses.
Material and Methods: This descriptive study was conducted on 304 nurses working in the hospitals in Tehran, 2010. The subjects were chosen by multi-stage cluster sampling. The instruments were Maslach burnout inventory (MBI), Connor-Davidson Resiliency Scale (CD-RISC) and a demographic check-list. The data was analyzed by SPSS-18.
Results: Overall, the findings showed high emotional exhaustion, (32.6% in frequency 9.9% in intensity), depersonalization (25.7% in frequency 18.1% in severity) and personal failure (42.1% in frequency 60.9% in severity). The relationship between burnout and resiliency was significant (0.01).
Conclusion: Given the resiliency is one of the predictors of burnout we recommend some workshops to increase the resiliency-related skills of the nurses.
Dr Gholam Reza Mahmoodi Shan , Hosein Rahmani, Ali Akbar Abdollahi, Dr Mohammad Ali Vakili, Houralnesa Sheikh, Hosein Nasiri,
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: There is an inevitable relationship between nurses' health and their lifestyle. Therefore, we intended to determin nurses’ lifestyle and its' relationship with some personal- professional characteristics.
Material and Methods: This descriptive-analytical investigation was conducted on 391 nurses selected via multi-stage random sampling in the Hospitals affiliated to Golestan University of medical sciences. The data was collected by a nurses lifestyle questionnaire having 6 subscales (internal consistency α=0.87 and stability r= 0.897). The data was analyzed by SPSS16 soft ware using independent t test, Kruskal-Wallis, Mann-Whitney U and chi-square tests( p<0.05).
Results: Of 391 , 20.2% were male and 79.2% female, and 85.4% have worked in rotation shift. The nurses (36.3 %) working experience was 6-10 years. The majority (78.1%) had optimal lifestyle. The highest score belonged to competency subscale (92.17%) and the lowest to personal life management subscale (64.82%). There was a significant relationship between a number of lifestyle subscales and some personal-professional characteristics such as nurse position,
Employing condition, work shift, overtime, night shift and holiday shifts (p≤ 0.05).
Conclusion: There is a relationship between nurses' lifestyle and some of the personal-professional status. Given that some professional conditions can decrease the personal life management and the role management of healthy lifestyle, we recommend that managers should be careful about working programs to provide healthy lifestyle.
Saeedeh Sadat Hosaini, Dr Saeed Ariapooran,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: Secondary traumatic stress is one of the problems in nurses and the role of coping styles is paramount importance. The purpose of current study was to investigate the severity of secondary traumatic stress in nurses and the role of coping styles on it.
Material and Methods: In this descriptive study, 323 nurses working in Kermanshah hospitals were selected via stratified sampling in 2012. The participants filled out Secondary Traumatic Stress Scale (STSS) and Coping Styles Inventory, and the data was analyzed by Pearson correlation and regression.
Results: The results showed that 16.7% of nurses had the severity of secondary traumatic stress symptoms. Problem-focused coping negatively (r=-0.47) and emotion focused coping positively (r=0.405) were correlated to secondary traumatic stress symptoms (p<0.05). The coping styles explained 0.31 of total variance of secondary traumatic stress symptoms in nurses.
Conclusion: Based on the results, the severity of secondary traumatic stress symptoms and their relationship with coping styles are verified.
Fahimeh Kashani, Maryam Moghimian, Shahin Salarvand , Parisa Kashani,
Volume 12, Issue 2 (12-2015)
Abstract
Background and Objective: Effective communication is an essential characteristic of nursing care carried out as a necessity in education to empower patients. Therefore, this study aimed to determine Nurses' knowledge, attitude and practice about effective communication skills in Patient education.
Material and Methods: This cross-sectional study was conducted on 275 nurses selected via stratified random sampling in teaching and therapeutic centers of Esfahan University of medical sciences, 2013.We collected the data by a research-made questionnaire related to knowledge and attitude, and a checklist to observe nurses' communication skills. To analyze the data , Central indices were calculated.
Results: of 275 nurses , 86.7 % made a friendly atmosphere with their patients and 72.2% showed positive feedback, while their knowledge about communication components were 79.6 % . They (67.3%) were active listeners and they (96.7%) had close communication during patient education.
Conclusion: given that nurses' communication skills are moderate, we recommend holding communication-skills workshops especially in patient education.
Dr Zahra Nikmanesh, Shahnaz Kiekha,
Volume 12, Issue 3 (2-2016)
Abstract
Background and Objective: Given that nurses need numerous skills and high concentration in their job, they endure a lot of stress leading to serious physical and psychological consequences. We aimed to investigate the effect spiritual intelligence and self-efficacy on nurses’ resilience.
Material and Methods: This correlation study was conducted on 180 nurses (149 females and 31 males) selected via stratified random sampling in Zahedan University of Medical Sciences’ Hospitals, 2013. The questionnaires were resiliency of Connor and Davidson, spiritual intelligence of King, and self-efficacy of Sherer and Maddux. The data was analyzed by Pearson Correlation and Step-wise Regression.
Results: Nurses self-efficacy (r=0.59, p≤0.001) and nurses spiritual intelligence (r=0.50, p≤0.001) had a positive significant correlation with resiliency. Regression showed that in first step self-efficacy (0.35) and in next step self-efficacy and spiritual intelligence (0.46) were the positive predictors for resiliency.
Conclusion: It seemes that by developing self-efficacy and spiritual intelligence, we can increase the resilincy and consequently minimize the level of nurses' job stress.
Nasrin Alipour Hamze Kandi , Dr Ali Zeinali,
Volume 14, Issue 1 (11-2017)
Abstract
Background: Psychological characteristics affect the quality of life. This study aimed at determining the relationship between personal characteristics, internal locus of control , psychological hardiness and nurses’ quality of life.
Methods: In this correlation study, 297 nurses were selected based on Curgesy and Morgan table via multistage cluster sampling among 1023 nurses of the public hospitals of the Urmia city in the year 2015. All of them filled out the questionnaires of personality characteristics (including neuroticism, extroversion, openness, agreeableness, and conscientiousness), internal locus of control, psychological hardiness and quality of life. The data was analyzed by correlation and multiple regression methods with step-by-step model.
Results: The findings showed a significant negative relationship between neuroticism and the nurses’ quality of life. Furthermore , there was a positive correlation between extroversion, openness, agreeableness , conscientiousness , internal locus of control, psychological hardiness and their quality of life. Among the predictor variables, psychological hardiness, neuroticism, internal locus of control and openness could meaningfully predict 64.7% of the changes of nurses’ quality of life. (P<0.01).
Conclusion: According to the results, by increasing the psychological hardiness, internal locus of control and openness and by decreasing the neuroticism, the nurses’ quality of life could be increased.
Dr Khadijeh Hatamipour, Fatemeh Hoveida, Dr Flora Rahimaghaee, Dr Nahid Babaeiamiri, Dr Jamal Ashoori,
Volume 14, Issue 1 (11-2017)
Abstract
Background: Nurses are responsible for maintaining and improving the health and quality of life of patients. Therefore, it is important to assess the quality of life of nurses in order to improve it. Quality of life is affected by many variables and among them burnout, perceived social support and psychological hardiness are the leading ones. This study aimed at predicting the quality of life of nurses based on job burnout, perceived social support and psychological hardiness.
Methods: This cross-sectional study was carried out on nurses working in governmental hospitals in Tehran , 2015. Four-hundred nurses were selected by multistage cluster sampling. The instruments were burnout, perceived social support, psychological hardiness and quality of life questionnaires. The data was analyzed using Pearson correlation and multiple regression model simultaneously.
Results: The results showed that the burnout and quality of life of the nurses had a significant and negative relationship (r=-0.39) and the perceived social support (r =0.61) and psychological hardiness (r =0.45) had a positive and significant correlation with quality of life of nurses (P<0.01). In a predictive model of burnout, perceived social support and psychological hardiness could predict 59.3 percent of the changes in quality of life (R2=0.593).
Conclusion: According to the results, it is suggested that nursing executives, counselors, therapists and policy makers pay attention to the signs and the effects of these variables , and conduct some appropriate programs for improving the quality of life of nurses.
Behnaz Torkan , Sayed Mehdi Razavi Vanani,
Volume 14, Issue 1 (11-2017)
Abstract
Background and objective: Improving quality of work- life of nurses requires existence of an organizational culture with collaborative and compatible features and with purpose and prospect. Human resources in different organizations such as hospitals with different organizational cultures have different interpretations about quality of work- life ; therefore, the aim of this study is to investigate the relationship between organizational culture and quality of work- life of the nurses in the hospitals of Shahrekord University of Medical Sciences.
Methods: This study was a descriptive-correlation study, which was conducted in 2015 on 295 nurses at the hospitals of Shahrekord University of Medical Sciences. Sampling was performed by using convenience sampling method. Data collection tools were Walton’s quality of work-life questionnaire and Denison’s organizational culture survey. To analyze data, descriptive and analytic statistics methods were used and Spearman correlation coefficient and regression coefficient were also applied.
Results: Results indicated that organizational culture of 76.9% of nurses (227 persons) was mediocre. Also, quality of work life of 72.92 of nurses was mediocre and only 1.4% enjoyed a good work life and 25/8% had a low level of work life. Results also showed that there is a significant positive correlation between quality of work life and all components of organizational culture (p<0/05). Also, results of regression analysis showed a positive linear correlation between organizational culture and quality of work- life .
Conclusion: Based on the results of this study, improvement in quality of work life of nurses requires changes in the components of organizational culture and participation of employees in the organization.
Narges Khatoon Zabihi Hesari , Zahra Dashtbozorgi , Farideh Hashemiannejad , Khadijeh Hatamipour ,
Volume 15, Issue 1 (2-2018)
Abstract
Background: Mental health is an essential requirement for any profession, especially nursing and plays an important role in improving positive psychological characteristics. Some variables related to mental health can be social capital and organizational citizenship behavior. Thus, the aim of this study was the prediction of mental health based on social capital and organizational citizenship behavior in female nurses.
Methods: This correlational cross-sectional study was carried out on 180 female nurses, selected via simple random sampling, of state hospital in the west of Mazandaran province, 2017. The questionnaires were short form of mental symptoms, social capital and organizational citizenship behavior. Data was analyzed by SPSS-19 software using Pearson correlation and multivariate regression with enter model methods (p≤0.01).
Results: The average age of the participants was 35.94±4.36 years, most of them (90.56%) married and undergraduate education (80.56%). The results showed that social capital (r=-0/381) and organizational citizenship behavior (r=-0/456) have a negative and significant relationship with mental health in female nurses. Given that the high score in mental health questionnaire means low mental health, mental health in female nurses enhances by increasing social capital and organizational citizenship behavior. In addition, both social capital and organizational citizenship behavior variables could predict 25.4 percent of variance of mental health in female nurses and the share of organizational citizenship behavior was higher than social capital (p≤0.01).
Conclusion: The results verified the role of social capital and organizational citizenship behavior in predicting mental health of nurses. Thus, officials should pay attention to the indications of social capital and organizational citizenship behavior to design and implement appropriate programs to improve the mental health of nurses.
Amirjafar Nazari, Khalil Alimohammadzadeh, Seyed Mojtaba Hosseini,
Volume 16, Issue 1 (1-2019)
Abstract
Background and objectives: Nurses' productivity is a worthy goal of organizations tending to grow. Improving nurse’ QWL is a prerequisite to increase their productivity. The purpose of this study was to explore the relationship between quality of work-life (QWL) and productivity among nursing staff of hospitals of Qom, Iran.
Methods: This descriptive-analytical study was performed on 250 individuals among nursing staff of private, public and social security hospitals of Qom, during 2016. The samples were selected by random sampling method. Data was collected using Mosadeghrad’s survey of Quality of Work Life, Dehghan Nayeryand’s productivity of questionnaire and demographic data questions. Using SPSS software (V22), data analysis was performed by Spearman correlation.
Results: Hospital nurses reported low QWL and moderate levels productivity. There were significant correlations between productivity and participation, job promotion, disturbance handling, communication, motivation for work, job security and job stress (P < 0.05). In addition, the result of spearman showed a significant relationship between productivity and one’s QWL (p < 0.001, r=0.469).
Conclusion: It is important to consider the QWL of the nurses to improve productivity and performance of the nurses. In addition, the managers should adopt appropriate policies to promote the QWL and productivity.
Ali Reza Yusefi, Zahra Ebrahim, Sanaz Zargar Balaye Jame, Peivand Bastani,
Volume 16, Issue 1 (1-2019)
Abstract
Introduction: Workload is one of the most important occupational factors of anxiety. The present study aimed to investigate workload and its associated factors among nurses working in teaching hospitals of Shiraz University of Medical Sciences in Iran.
Methods: This cross-sectional descriptive-analytic study was conducted in 2017. A total of 340 nurses from the hospitals were selected using the stratified random sampling method, and finally 312 individuals were recruited in this study. The data collection instrument included the National Aeronautics and Space Administration Task Load Index. The data were also analyzed through descriptive indices as well as t-test, analysis of variance, Pearson’s correlation coefficient, and multiple linear regression. SPSS Software, Version 16, was used to analyze the data at a significance level of 0.05 (α=0.05).
Results: The mean score of workload was 73.47±21.81. The mean scores of the effort rate (79.09±21.81) and frustration and failure level (59.51±30.76) also received the highest and the lowest values, respectively. Moreover, statistically significant relationships were observed between level of education (p=0.03), employment relationships (p=0.001), number of patients under the nurses’ monitoring per work shift, and the mean score assigned to workload among nurses (p=0.04, r=0.117).
Conclusion: The workload among nurses examined in this study was reported at a high level. Therefore, managers should implement programs such as motivational incentives and welfare services to moderate the workload in nursing.
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.
Seyed Ali Majidi, Shiva Alizadeh, Sobhaneh Kouchakzadeh Talami, Hamideh Safarmohammadi, Ehsan Kazemnezhad Leily, Monika Motagi, Mehdi Barzegar,
Volume 16, Issue 2 (11-2019)
Abstract
Background: Patient safety is one of the main components of the health care services quality that implies avoidance of any harm or damage to the patient during the delivery of health care. The purpose of this study was to determine the patient safety culture from the view point of nurses in the hospitals of Guilan province in 2016.
Methods: This cross-sectional study was done on 400 nurses from the nurse community in Guilan province, Iran in 2016. The sampling was performed as the two-stage cluster sampling method. Data were collected using a modified questionnaire based on the Hospital Survey on Patient Safety Culture (HSOPSC). Data were presented with descriptive statistics analysis using in SPSS-14. The significant level was considered less than 0.05.
Results: Most of the nurses were female (89%), with a mean age of 34.28±6.86 years. The most response to the items was related to “Please give your work area/unit in this hospital an overall grade on patient safety” that was the acceptable option (47.5%). The mean score of the patient safety was 3.28 ±0.86.
Conclusions: The results showed two dimensions including staffing and teamwork within units. Feedback and communication about errors were the most important dimensions of the patient safety culture. Accordingly, it should be noted that paying more attention to the patient safety culture can lead to improve hospital condition levels.
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.
Azade Safa, Farzaneh Saberi, Mahdieh Sabery, Neda Mirbagher Ajorpaz,
Volume 19, Issue 1 (1-2022)
Abstract
Background: Promoting self-efficacy behaviors in self-care and people's true understanding of these behaviors are effective in controlling the disease, reducing the rate of transmission, and empowering patients. The aim of this study was to determine the effect of telephone counseling on self-efficacy in self-care behaviors of patients with coronavirus disease 2019 (COVID-19).
Methods: This experimental study was conducted on patients with COVID-19 who had been referred to Shahid Beheshti hospital in Kashan, Iran, from May 2020 to August 2020. Eligible patients were recruited through convenience sampling and then allocated into an experimental (n=30) and a control (n=30) group using block randomization. In the experimental group, patients were trained through telephone counseling one, five, and 10 days after discharge. The control group received the usual training in the hospital. Data were gathered using a self-care questionnaire at different time intervals. The collected data were analyzed with SPSS software (version 11.5) using the Chi-square, one-way analysis of variance (ANOVA), and t-test. The significance level was set at 0.05.
Results: The mean score of self-care at time of discharge and two and four weeks later were 47.86±6.84, 62.23±5.24 and 78.46±3.38, respectively. There was a significant difference in self-efficacy scores between the study groups at time of discharge (P=0.29). In addition, there was a significant difference in self-efficacy scores two weeks (P=0.01) and four weeks (P=0.001) after discharge from the hospital. The self-efficacy score in the experimental group increased significantly over time. Furthermore, group and time had significant effects on the self-efficacy score (P<0.05) two weeks (P=0.01) and four weeks (P=0.001) after discharge from the hospital between two groups.
Conclusion: Telenursing could improve COVID-19 patients' self-efficacy in self-care. Therefore, it is recommended to use telenursing in the treatment protocol of COVID-19 patients for improving self-care.
