Correlation between Demographic Information and Rate of Conflict among Nurses in Emergency Department

AbstractIntroduction: The conflict phenomenon has been always problematic in the health system leading to reduced efficiency of the staff and increased health care costs. Conflicts in the hospital are high due to frequent interactions among nurses, physicians, and other members of the treatment team and their multiple roles. This study expunged upon the correlation between demographic information and the rate of conflict among the nurses in the emergency department (ED). Methods: A total of 147 nurses of teaching hospitals affiliated to Shahid Beheshti University of Medical Sciences participated in this descriptive-analytic study in October, 2015. The nurses were selected using the random cluster sampling method. The data were collected with a researcher-made instrument. The gleaned data were analyzed with descriptive statistics, Pearson product moment correlation coefficient, and one-way ANOVA. Results: Our findings demonstrated that the rate of conflict was higher in the intrapersonal dimension in nurses employed in ED of the hospitals under study compared to the other two dimensions, i.e., intraclass and interclass. There was significant correlation between gender and rate of conflict in intrapersonal and interclass dimensions while the rate of conflict was higher among the males than females. There was also a significant association between the rate of conflict in intraclass dimension and employment status. Conclusions: The results of this study can help managers to remove or diminish conflict-inducer factors. They may further adopt appropriate methods to manage conflict and promote nursing services through cooperative and supportive interaction

The Role of General Health and Health Literacy in Self-Care Behaviors of Patients with Covid-19

Background: Self-care is an important concept in controlling COVID-19 disease and a simple and effective way to maintain and improve health. This study aimed to examine the role of general health and health literacy in predicting the self-care behaviors of patients with COVID-19. Methods: This research was a cross-sectional study with a predictive correlational design. The sample consisted of 385 patients with mild to moderate COVID-19 infection referring to the COVID-19 diagnosis and treatment center in Shahid Beheshti Hospital in Kashan City, Iran, from June to September 2021. The subjects were under quarantine at home and were recruited by convenience sampling. The data were collected by the general health questionnaire (GHQ-28), the Iranian health literacy questionnaire (IHLQ), and a researcher-made questionnaire on self-care behaviors in patients with COVID-19 (SCB-COVID-19). The Pearson correlation coefficient, t-test, and logistic regression were used for data analysis in SPSS software, version 19. The significance level was set at P<0.05. Results: The Mean±SD scores of self-care behaviors, health literacy, and general health of the subjects were 224.89±21.49, 63.78±21.28, and 50.99±12.81, respectively. There were significant relationships between self-care behaviors and health literacy (r=0.567, P=0.001) and self-care behaviors and general health (r=235, P=0.001). Logistic regression showed that about 42% of self-care behaviors score changes are explained by health literacy and general health variables (R2=0.42) Conclusion: The results showed that self-care behaviors score changes are explained by health literacy and general health in COVID-19 patients. Our results can integrate into the body of knowledge to help improve the health and well-being of populations in the COVID-19 outbreak

Effect of music on postoperative physiological parameters in patients under open heart surgery

Music as a therapeutic non-invasive tool-could be used as an effective intervention in nursing practice. The aim of this study was to survey effect of music upon patients’ physiological parameters following open heart surgery. A quasi-experimental study was performed on 60 patients under open heart surgery referred to intensive care unit. Patients were randomly divided into two groups including experimental and control groups. Patients in experimental group listened to non verbal music for 30 minutes after surgery by headphones. The control group did not receive any intervention. Before and after intervention, physiological parameters was measured in two groups. A significant difference was demonstrated in pulse rate, systolic blood pressure and oxygen saturation of experimental group’s patients. But there was no significant difference in respiratory rate and diastolic blood pressure. As for music would reduce some of the physiological parameters, and have some advantages, it could be suggested to use for controlling physiological parameters following surgery

Effects of Aromatherapy Using Sour Lemon on Nausea in Patients Undergoing Chemotherapy: A Quasi-Experimental Study

Objectives: Nausea is one of the most important symptoms of patients undergoing chemotherapy. This study aims to determine the effects of aromatherapy with sour lemon on nausea in patients undergoing chemotherapy. Methods: A total of 50 patients undergoing chemotherapy were randomly assigned to experimental and placebo (control) groups. The two groups completed the visual analogue scale for nausea before and the first to the fourth week after starting the intervention. The intervention was performed during chemotherapy. Using a dropper, a paper towel was saturated with 3 drops of sour lemon essential oil; however, for the control group, 3 mL of water as a placebo was spread on a paper towel. The intervention in the experimental and control groups was performed once a week for 4 weeks during weekly chemotherapy sessions.  Results: At the beginning of the study, no significant difference was observed between the mean score of nausea in the two groups (P>0.05). The first to the fourth week after starting the intervention, significant differences were observed between the mean score of nausea in the two groups (P<0.05). The results of the repeated measures analysis of variance indicated that the mean score of nausea changed over time in the experimental group, indicating a gradual decrease in the mean score of nausea (P<0.05). Discussion: Our findings indicated that aromatherapy with sour lemon can be effective in reducing nausea in patients undergoing chemotherapy

The effect of listening to Vaghe\'a Surah and its translation on the state and trait anxiety before general surgeries: a Randomized Controlled Clinical Trial

Background and Objectives: Patients experience moderate to high level of anxiety before general surgery. There are differences in studies on the effect of listening Quran to decrease anxiety in general surgery patients. The purpose of this study was to evaluate the effects of Vaghe'a Surah and its translation on the state - trait anxiety before general surgeries. Methods: In this randomized controlled trial study, 60 patients who met the inclusion criteria were randomly allocated to the experiment and control groups. In the experiment group, Fifth researcher read Vaghe'a Surah and its translation for patients during 30 minutes in one day before surgery, whereas in the control group, patients had 30 minutes of rest in bed. The level of anxiety was measured before and after intervention and 30 minutes before surgery in two groups and was analyzed using Chi-Square, t-tests and repeated measure ANOVA. Results: In the experimental group, mean scores of state anxiety decreased from 43.3&plusmn;3.1 to 29.8&plusmn;2.1 following intervention (p=0.03). However, mean scores did not significantly change in the control group (p=0.5). Conclusion: The findings of the study demonstrated that the listening to Vaghe'a Surah and its translation can reduce anxiety before surgery. &nbsp

The effect of acupressure at third liver point on the anxiety level in patients with primary dysmenorrhea

Background: Primary dysmenorrhea may lead to severe anxiety and pain relief during menstruation may reduce the anxiety levels. This study was aimed to determine the effect of acupressure at third liver and placebo points on the anxiety level in patients with primary dysmenorrhea. Materials and Methods: This clinical trial was conducted in parallel in the control and treatment groups for three menstrual periods at the dormitory of Kashan University of Medical Sciences between March and June 2012. Students with pain score equal to or greater than 4 were selected and divided into groups based on severity of pain using a randomized block design with the allocation ratio of 1:1. Acupressure was applied in two acupoints including third Liver point (Liv3) and placebo points. Spielberg (STAI) anxiety questionnaire was completed before and after intervention. Randomization, subjects, and data analyzer were blinded to the analysis. Chi-square tests, t-test, Mann-Whitney, paired sample t-test, and univariate analysis of variance were used for statistical analysis. P values <0.05 were considered statistically significant. Results: Mean [standard deviation (SD)] values of apparent anxiety levels before and after intervention for liv3 were 45.100 (9.769) and 38.100 (10.608), respectively. For the control group, they were 41.200 (9.795) and 38.900(10.140), respectively. Difference was significant only in the intervention group (P < 0.001). Hidden anxiety did not show a significant change before and after intervention. There was no difference between groups in apparent or hidden anxiety after intervention. Conclusions: Pressure on liv3 point reduces anxiety. As there are no previous studies on this topic, further studies with more samples are recommended