Relationship betweeh Health Locus of Control, slip Memory and Physician– Patient relationship with Adherence in Type II Diabetic Patients

Introduction: One of the important challenges in patient with chronic diseases specially diabetes is adherence to therapy of treatment. While the patients don’t follow the treatment program, They get into critical consequences like relapse of illness, intensification of disability, necessity of emergency and hospitalization. So the present study intended to investigate the relationship between health locus of control, slip memory and physician – patient relationship with aherence to therapy. Methods: To carry out this research, 115 adults with type Π diabetes(men and women) who had referred to Glands clinic of Sina hospital in Tabriz from June to August 2010, completed the following five research questionnaires: demographic information questions, patient – doctor relationship questionnaire(PDRQ-19), General Aherence to therapy Scale(GAS), Prospective and retrospective memory questionnaire(PRMQ), and Multidimensional health locus of control(MHLC). In order to analyze the data, both descriptive and inferred statistics were applied including Pearsons correlation coefficient and multiple regression analysis methods. Results: The study findings indicated that there exist a positive significant relation between external health locus of control(other- powerful), internal health locus of control and desired physician- patient relationship with adherence to therapy in diabetic patients of type Π. However, results revealed a negative significant relationship between slip memory and adherence to therapy. Conclusion: The study results proposed that the patients with diabetes type Π, who regard more powerful individuals as responsible for their health like their physician, believe in their own role in control of their health in the second place. Furthermore, they had a desired relationship with their physicians, showed less slip memory, and displayed more adherence to therapy

The prevalence of workplace violence against Iranian nurses: A systematic review and meta-analysis

Background: Workplace violence is one of the major health concerns and managerial issues that, by creating insecurity at the workplace, would affect the performance of the health personnel and their professional relations. Due to the close contact with patients and their companions, nurses are more exposed to workplace violence. The aim of the present study was to determine the prevalence of workplace violence against Iranian nurses. Methods: In the present systematic review and meta-analysis, 22 Iranian articles, which were published in Farsi and English until February 2017, were selected. National and international databases were searched using “nursing”, “aggression”, “physical violence”, “verbal violence”, and “workplace violence” keywords and their possible combinations. Data were analyzed using meta-analysis and random effects model. Heterogeneity between the studies was evaluated using I2 test. Results: Analyzing the 22 selected articles with a sample size of 5639 showed that the general prevalence of verbal violence was 74 (95 CI: 66-83) and of physical violence was 28 (95 CI: 21-35). The prevalence of unreported workplace violence by the nurses was 48 (95 CI: 28-68). Conclusions: The prevalence of verbal and physical violence against nurses is high and about half of the nurses do not report workplace violence to the hospitals’ authorities. © 2018, Shiraz E-Medical Journal

Investigating the relationship between organizational justice, job satisfaction, and intention to leave the nursing profession: A cross-sectional study

Aims: This study aims to test a hypothetical model linking various dimensions of organizational justice to the job satisfaction and nurses' intention to leave the profession based on the theoretical assumptions of the Alexander model of voluntary turnover. Design: A cross-sectional survey. Methods: This study was conducted on 317 inpatient ward nurses of six teaching hospitals in Tehran, Iran during 1 September 2017�14 November 2018. Clinical nurses were recruited by a multistage random sampling. Data were collected using structured questionnaires of organizational justice, job satisfaction, and nurses' intention to leave. Data were analysed by structural equation modelling using Amos 22 statistical program. Results: The structural equation model demonstrated adequate fit and the hypothesized correlations were partially supported. The findings suggested that the distributive justice (p <.001; β = 0.24) and interactional justice (p <.001; β = 0.44) could indirectly affect the nurses' intention to leave the nursing profession via the direct impact on job satisfaction, while job satisfaction had a significant, negative effect on the nurses' intention to leave (p <.001; β = �0.71). Conclusions: According to the results, the model fit was acceptable, suggesting the validity of the final model. Furthermore, distributive and interactional justice could reduce the intention to leave the nursing profession by influencing the job satisfaction of the clinical nurses. Impact: This was one of the first studies to determine the aspects of justice that must be further emphasized by healthcare managers to increase the job satisfaction of nurses and their retention in healthcare systems. The findings indicated that fair interactions have a greater impact on job satisfaction and retention of nurses than procedural and distributive justice. The results of this study provide valuable references for nursing managers to increase the job satisfaction of nurses and their retention in healthcare settings. © 2020 John Wiley & Sons Lt