Nurses’ viewpoints on incivility in nursing in Iran

Background: Incivility behaviors in work environments are a serious threat and lead to shame and endanger the health of nurses and patients. Aim: The purpose of this study was to evaluate nurses' viewpoints on Incivility behaviors in clinical setting in Bam University of Medical Sciences. Method: This descriptive cross-sectional study was done on 221 nurses working in Pasteur Hospital in Bam. Data were collected through a demographic questionnaire and Nursing Incivility Scale by census sampling after obtaining the consent of the participants. Data were analyzed by SPSS 19 software using descriptive statistics, independent t-test, one-way ANOVA, Bonferroni post hoc and Spearman correlation tests with 95% confidence interval. Result: The results of this study showed that the mean score of uncivil behavior among nurses was 85.99 ± 27.26. The most uncivil behaviors in nurses were related to interaction with patients and visitors (20.79 ± 8.01), and the lowest uncivil behavior was related to interaction with supervisors (13.46 ± 6.29). Results indicated that nurses experience moderate levels of Incivility. Conclusion: Religious differences as one of the determinants of the occurrence of Incivility can lead to job pressures and job dissatisfaction. Therefore, specific attention should be paid to the factors that lead to the emergence of uncivil behavior in nurses' work environment. With training of religiosity, the strengthening of religious beliefs and religious conciliatory, it is possible to reduce the incidence of uncivil behaviors

The Estimation of Survival and Associated Factors in Self-Immolation Attempters in Ilam Province of Iran (2011-2015)

BACKGROUND: Self-immolation is the most common method of suicide in Ilam province. AIM: This study aimed to estimate the survival rate in self-immolation attempters in Ilam and identify the associated factors. METHODS: A descriptive-analytic study was conducted based on data collected at Taleghani Hospital in Ilam, Iran. All persons passed away due to self-immolation or those hospitalised in the centre of the self-burned patients located in Ilam during 2011 to 2015 were assessed. Survival rate was calculated based on Kaplan-Meier. To compare the survival rate between groups, Univariate Log Rank and for multivariate analysis, the Cox test of STATA12 software was used. RESULTS: During 2011 to 2015, 236 persons including 168 females and 69 males committed self-immolation. The mean and median of survival time in attempters were 32.2 ± 4.7 and 3 ± 0.33 days, respectively. In Univariate Log-Rank test, the following variables including age, sex, burn degree, Total Body Surface Area (TBSA), and burns in neck and head and lower limbs had a significantly meaningful relation with survival, while in multivariate Cox Regression test only two variables including Total Body Surface Area and age remained in the model. CONCLUSION: The mean and median survival rate in self-attempters are very low. Quickly hospitalisation without waste of time should be considered. Providing prompt treatments and compensating dehydration in early hours especially within the first 24 hours of self-immolation are very vital. Younger persons and those with lower burn surface have more chance for longer survival and recuperation

Comparison of music and vapocoolant spray in reducing the pain of venous cannulation in children age 6-12: a randomized clinical trial

BACKGROUND: Venous cannulation is among the most stressful and painful experiences of children hospitalization. Children with thalassemia need regular blood transfusion which needs venous access each time. The quality of care and quality of life of children will be improved if appropriate methods are used to reduce pain. This study aimed to compare vapocoolant spray and music in the reduction of pain of Venous cannulation in children with thalassemia. METHODS: The study was a randomized controlled clinical trial with a cross-over design. Thirty-six children with thalassemia from Thalassemia Patients of Pasteur Hospital in Bam from October to December 2020 and were recruited and randomly allocated to two arms. The pain of venous cannulation (no treatment) was measured in the first blood transfusion session as control. In the second and third sessions, two arms received music and vapocoolant spray before the venous cannulation with a cross-over design. The intensity of pain was measured by a Visual Analogue Scale (VAS). The change in pain scores was tested by ANOVA and Tukey post-hoc test between three measurements. RESULTS: During and after the cannulation, the pain was significantly lower in the vapocoolant measurement than in control and music (p \u3c 0.05). There was a significant effect of vapocoolant spray during the procedure F (2, 90) = 25.604, p = 0.001. Also, there was a significant effect of vapocoolant spray after the procedure F (2, 90) = 10.087, p = 0.004). Music did not reduce the pain during cannulation (p = 0.413) and after that (p = 0.807) significantly when compared with control. CONCLUSIONS: Vapocoolant was an effective method of pain reduction in the reduction of venous cannulation pain. Music was not effective in the reduction of venous cannulation pain when we compared it with controls. The pain of venous cannulation is rated as high and it can have negative effects on the children. There is a need to do more research on the methods of pain reduction of venous cannulation. TRIAL REGISTRATION: The trial is registered: IRCT20111019007844N13, 13/03/2020. Available at: https://en.irct.ir/trial/42904