Clinical competence means a person's ability to use techniques on time, to communicate effectively with others, and to benefit from the knowledge and clinical reasoning ability when responding to different clinical situations in such a way that a person can use these skills at all times. The aim of the study is the relationship between clinical competence and ethical reasoning and the factors affecting it in nurses working in therapeutic educational centers of Ilam. Methods: In this descriptive-analytical study, 110 nurses working in three therapeutic educational centers in Ilam city were randomly selected. Demographic information forms, standard nursing clinical competence questionnaire (NCCQ), and nursing dilemma test (NDT) were used to collect data. The results also showed a positive and significant relationship between age, level of education, years of work experience, employment status, and occupational role with clinical competence and ethical reasoning (P<0.05). On the other hand, there was an inverse and significant relationship between the workplace and clinical competence and ethical reasoning (P<0.05). Data analysis was carried out using Descriptive statistics (frequency, percentage, mean and standard deviation) and analytical tests (Pearson correlation tests and analysis of variance) in SPSS. P-value< 0.05 was considered as the significance level. Using the results of the present study, nursing education planners and managers can periodically organize workshops on nursing ethics and nursing problems in hospitals and universities. Moreover, clinical competence and ethical reasoning should be taken into account when training nursing personnel in university classrooms and in-service courses.
Background and Aim: Respiratory system diseases (RSDs) represent the major burden of disease, including death worldwide. The main purpose of this study was to model and forecast the death rate due to diseases of the respiratory system Based on Lee Carter's model during the years 2011-2028. Methods: The type of study was a secondary analysis based on available data. The statistical population included all deaths registered in the health department of Golestan University of Medical Sciences during the years 2011-2018. Data analysis was performed using Demography 18.1 and StMoMo packages in R3.6.2 software. Results: The death rate due to RSDs in 2011 in the total population was 0.22, in women 0.19, and in men 0.25 per 1000 population. The death rate due to these diseases shows an increasing trend in 2018 to 0.33 in the total population, 0.29 in women, and 0.36 in men per 1000 population. In general, the death rate due to these diseases increased by approximately 0.10 per 1000 population from the years 2011 to 2018. It is predicted that the increasing trend of deaths due to RSDs will continue and in 2028 it will reach 4.88 in the total population, 3.56 in women, and 2.27 in men per 1000 population. Conclusions: Our findings show a significant increase in respiratory disease mortality over the past eight years. A combination of prevention and treatment strategies through urban planning, including the control of environmental pollutants and environmental health programs, is essential for the effective control of respiratory diseases.
Background and Aim: Eating disorders are one of the most important issues in mental health that leading to many serious psychic and somatic problems and even death. These disorders were known for years as a disease of the western societies. Recent studies showed that they are also spreading in eastern countries. Limited studies are in Iran. The purpose of this study is to review the Iranian researches. The results of this study in Iran as a developing Asian country will helpful for other societies, especially similar Asian communities. Methods: The authors searched PubMed, ProQuest, Cochrane, Scopus, Web of Sciences, and SID and Magiran (In Persian) to find the relevant articles. The Joanna Briggs Institute Critical Appraisal Checklist was used to assess the quality of research. Results: Twenty- nine studies reported the prevalence or occurrence of eating disorders among the Iranian population. The samples consisted of 40 to 30,532 subjects. Forty papers examined eating disorders among females. Twenty-seven studies were in both genders, and only one was in males. Most eating disorders have significantly varied depending on the different studies and tools used. Most of these articles studied young people. This study breaks the determinants into three parts: demographic, psychosocial, and miscellaneous factors. The incidence of eating disorders in Iran is on the rise. Conclusions: It should be considered a significant health problem. Moreover, despite a clear cultural difference, eating disorders' factors were similar to those in western communities. This matter may be an essential health issue. In addition, despite noticeable cultural differences, the factors affecting eating disorders were similar to those of western communities.
Objectives: Health professions such as nursing are at high risk of work-related musculoskeletal disorders (WRMDs). This study aims to present the most common WRMSDs that occur in nursing personnel, investigate the risk factors associated with their occurrence, and identify preventive and therapeutic strategies. Material and Methods: A comprehensive literature search in PubMed, Scopus, and Google Scholar was performed using
In this descriptive-analytical study, 110 nurses working in educational hospitals of the Ilam University of Medical Sciences were included. Participants were selected using a random sampling method. The data collection tools were the demographic information form, the moral intelligence questionnaire of Lenik and Kiel (2005), and the standard clinical competency assessment questionnaire (CIRN). Data were analyzed using SPSS software, version 21. Descriptive and inferential statistical tests were used to analyze the data. The mean ± SD score of nurses' moral intelligence and clinical competency was estimated at 157.59 ± 26.60 and 136.65 ± 46.08, respectively. Fifty-one percent of participants had low clinical competency, and 46% had high clinical competency. There was a significant association between moral intelligence and clinical competency (p<0.001, r=0.517). The moral intelligence and clinical competency of nurses were significantly associated with age, education status, work experience, employment status, and rank/position (P<0.05). A negative association was found between working unit/ ward and clinical competency (P<0.05).
Conjunctivitis is one of the most common ocular diseases across the world. In this study, the prevalence of viral Conjunctivitis in patients who were referred to the Eye specialized Hospitals was evaluated. Some of the most important viruses that cause conjunctivitis are Human Adenoviruses (HAdV), Herpes Simplex 1, 2 (HSV-1, HSV-2), and Varicella Zoster Virus (VZV). The clinical diagnosis of eye viral infections is difficult and often controversial. Thus, research to experiment with these causative factors is of pivotal importance. In this cross-sectional study, 200 conjunctival swab samples were collected from symptomatic patients with signs of conjunctivitis who had been referred to two hospitals. After DNA extraction, Multiplex Real-Time PCR was carried out in two separate reactions for each sample. Among 200 collected samples, 34 (17%) and 8 (4%) were positive for Adenovirus and HSV-1 DNA, respectively. There were no HSV-2 and VZV conjunctivitis. No significant correlation was identified between gender and conjunctivitis (P-value: 0.845); however, there was a close correlation between age and conjunctivitis (P- value: 0.05). In this study, 66.3% of Adenoviral conjunctivitis occurs in the summer compared to 33.7% in spring. No significant seasonal variation was observed for HSV-1. Our results showed that adenovirus has a key role in causing viral conjunctivitis.
Background and aim: Nursing journal clubs have a proven value in nursing education and continuing education, which has expanded widely in the promotion of evidence-based clinical care in recent years. This study aimed to evaluate the clinical nursing journal clubs from the viewpoints of nurses. Methods: This descriptive study was conducted from July 2019- October 2020. This study was conducted in two phases, consisting of designing the format and flowchart and implementing nursing journal clubs and the second phase was evaluation. Results: Format and executive flowchart prepared by the research team and reviewed and approved in the group. In terms of evaluation, minimum (33) and maximum (165) scores with a mean± SD total score of 123.49 ± 19.91 calculated for nursing journal clubs indicate an optimum quality. Conclusions: The qualities of nursing journal clubs were evaluated to be favorable. Accordingly, authorities and planners should consider appropriate actions to facilitate Nursing journal clubs, such as credit points in rank promotion for faculty members, and inclusive in continuing education privileges for nurses, to adapt these activities to the roles of the clinical faculty and the benefits of this educational method in nursing.
Objective: One of the areas of impairment in childhood autism spectrum disorders is delayed imitation. Due to the defect in the social function of imitation in these children and its negative consequences on lexical and verbal skills, Researchers in the field of educating autistic children consider increasing imitation skills to be a very important therapeutic goal. Previous studies have shown the effects of improving imitation on increasing the social, linguistic, and verbal skills of these children. In the present study, the effect of reciprocal imitation training on increasing the vocabulary of autistic children was investigated. Materials and Methods: This was an interventional study with a pretest-posttest design. 16 autistic children were trained in cross- border imitation based on expressive vocabulary in 96 sessions. After performing post-test and data collection in data analysis from the McNemar test to determine the changes of each word before and after the intervention and the Wilcoxon Marked Test was used to determine changes in vocabulary categories before and after the intervention and the level of statistical significance was considered (P> 0.05). Results: The results of data analysis show that the average number of responses "expresses" in each of the words after the intervention increased significantly in all vocabulary groups (P> 0.05). It seems that the intervention resulted in significant changes in participants. Conclusion: The results of this study show that teaching the method of reciprocal imitation has a significant effect on increasing the number of expressive words in autistic children.
The purpose of this study was to establish the relationship between the tolerance for uncertainty level and several psychophysiological and psychological qualities of military specialists for determining additional approaches to occupational selection. The study was conducted on a group of servicemen who performed special tasks and were capable of responding to terrorism – 49 men (main group) and 19 military doctors (control group) – men aged 25-34 years. Tolerance for uncertainty was studied based on the modified S. Badnder’s method. The level of manipulation score (MAC) was assessed by the adapted I.A. Romanova and O.O. Zhdanov questionnaire (estimated by the so-called "MacScale"). Psycho-physiological parameters were determined using a special computer program. Statistical analysis of data was performed by descriptive and nonparametric statistics, as well as a cluster, stepwise discriminant, and correlation analysis. A personality trait “tolerance for uncertainty” was valuable for the occupational activity of servicemen performing special tasks. The such feature had 63.3% of servicemen in the studied group. The specificity of the occupational activity of military doctors was the quality of manipulation of people. Moreover, those who were the most tolerant of uncertainty had an inverse relationship with Machiavellianism, which indicates the existence of compensatory psychological mechanisms balancing and harmonizing service and personal relationships among micro-teams of servicemen. Servicemen with a lower level of tolerance for uncertainty had positive relationships with several psychophysiological functions (strength and mobility of nervous processes, quality of dynamic memorization), which confirms the idea of psychophysiological mechanisms to enhance tolerance for uncertainty by increasing the working capacity of these people. Such personal quality as tolerance for uncertainty is a valuable occupationally important feature that allows performing the selection of servicemen who are more efficient and reliable in the performance of official duties tasks.
Following the crisis of coronavirus outbreak in numerous regions of the world, this epidemic enhanced promptly in most countries, including Iran, and sent a host of patients in need of medical services to hospitals. This study aimed to investigate the challenges of operational management of a reference military hospital during the pandemic COVID-19. Methods: This research is a qualitative study with the content analysis method with a deductive and guided approach. Data collection was conducted through a semi-structured interview method and utilizing a questionnaire designed based on the management functions of the Hospital Incident Command System (HICS). The targeted sampling method and participants in this study included senior-middle managers working in organizational positions of the reference hospital in 2020 employed during the organizational position in Covid-19 Pandemic. Classifications and coding were performed employing MAXQDA 2018 software. Results: The findings of this study were explored in the form of strengths, weaknesses, and challenges. Weaknesses included taking surprise, early and non-missionary entry into the COVID-19 crisis, lack of appropriate depot, instant management, deficiencies in the training of patients and staff, poor functioning of the crisis management system, deficiencies in monitoring, and poor provision of psychological support. The strengths were the devoted and altruistic presence of the medical staff and managers, the financial support of the headquarters, the effective field research of the management team of the organization, and the proper management of the volunteer forces. The most significant challenge was the poor coordination with the relevant organizations, including the headquarters, the Defense Organization, and the Ministry of Health. Conclusions: The findings of this study demonstrate that in the peak period of the COVID-19 pandemic to promote the operational management of the hospital, sticking to the general policies of the organization, structured coordination with internal and external organizations, organized management of equipment and human resources, generating a robust documentation structure and decision-making based on the evidence, effective and practical use of the crisis management system, systematic training of staff and patients, prioritizing the safety of patients and staff, organized dissemination of information and systematic monitoring as well as evaluation are the most significant points to deal with the epidemic crisis.
