Iranian nurses’ professional competence in spiritual care in 2014

2015 ◽  
Vol 24 (4) ◽  
pp. 462-473 ◽  
Author(s):  
Mohsen Adib-Hajbaghery ◽  
Samira Zehtabchi ◽  
Ismail Azizi Fini

Background: The holistic approach views the human as a bio-psycho-socio-spiritual being. Evidence suggests that among these dimensions, the spiritual one is largely ignored in healthcare settings. Objectives: This study aimed to evaluate Iranian nurses’ perceived professional competence in spiritual care, the relationship between perceived competence and nurses’ personal characteristics, and barriers to provide spiritual care. Research design: A cross-sectional study was conducted in the year 2014. Participants and research context: The study population consisted of nurses working in teaching hospitals in Kashan city. Using a stratified, systematic random method, 250 samples were selected from a total of 1400 nurses. An indigenous instrument was used to assess the nurses’ competencies in spiritual care. Ethical considerations: A research ethics committee approved the study. All the participants were briefed on the study aims, were assured of the confidentiality of their personal information, and signed a written informed consent. Results: Among a total of 250 nurses, 239 answered the questionnaire completely, and in total, 23%, 51%, and 26% had poor, moderate, and favorable competence in spiritual care, respectively. No significant differences were found between the mean competence scores of spiritual care in terms of gender, marital status, employment status, and level of qualification. Significant difference was found between nurses’ overall score of competence in spiritual care and receiving training on spiritual care, nurses’ position, and the ward they worked in. Discussion: Confirming the findings of the international literature, this study puts light on the situation of nurses’ perceived competence and barriers to providing spiritual care in Iran as an eastern and Islamic context. Conclusion: Three-quarters of the nurses had moderate or unfavorable competence in spiritual care. Due to the crucial role of spiritual care in quality of care and patient satisfaction, nurses should be trained and supported to provide spiritual care.

Author(s):  
Risma Maharani ◽  
Syahrul Rauf ◽  
Rina Masadah

Objective: To determine the expression of Phosphatase Regenerating Liver-3 (PRL-3) and E-Cadherin in the epithelial ovarian cancer on various stages and differentiation grades. Method: This was a cross-sectional study design conducted at Obstetrics and Gynecology Department of several teaching hospitals, Faculty of Medicine Universitas Hasanuddin from January to June 2015. The expression of PRL-3 and E-cadherin was assessed immunohistochemically in 40 patients with epithelial ovarian cancer including 15 patients in early stage and 25 patients in advanced stage. We used the Fisher’s exact test with the significance of p0.05). The significant difference was found in the expression of E-cadherin whereas the high expression was shown at early stage than advanced stage (p0.05). This study also pointed out no correlation between the expression of PRL-3 and E-cadherin in epithelial ovarian cancer (p>0.05). Conclusion: PRL-3 overexpression does not decrease E-cadherin expression in epithelial ovarian cancer. Keywords: E-cadherin, epithelial ovarian cancer, PRL-3


2017 ◽  
Vol 11 (1) ◽  
pp. 34-42 ◽  
Author(s):  
Farahnaz Joukar ◽  
Fariborz Mansour-Ghanaei ◽  
Mohammad Reza Naghipour ◽  
Tolou Hasandokht

Background: Health care workers (HCWs) represent high risk population for viral hepatitis infection. Objectives: This study sought to assess the knowledge of HCWs regarding hepatitis B (HBV) and hepatitis C (HCV) infection. Methods: In a multi-center cross sectional study, all HCWs from eight teaching hospitals were invited to participate in the study and to fill in a self-administered questionnaire. Results: A total of 1008 eligible HCWs have responded to the study. A high proportion of the study participants (55.4% and 52.9%) had unsatisfactory knowledge about HBV and HCV. Mean knowledge score toward HBV was significantly higher among more educated staff, p <0.001 and vaccinated personnel, P=0.02. Majority of responders answered correctly to transmission questions toward HBV and HCV (90% and 80%, respectively). There was statistically significant difference in only transmission domain score between various hospitals (p<0.05). The highest scores were related to surgical hospital. Conclusion: Although more than ninety percent of our participants were educated about HBV and HCV, knowledge about nature of disease, prevention, treatment and vaccine availability was unsatisfactory. Continuous training program toward viral infection is a matter of necessity.


2019 ◽  
Vol 35 (2) ◽  
Author(s):  
Havva Yeşildere Sağlam ◽  
Fatma Basar

Objective: Premenstrual Syndrome (PMS) is a significant disorder affecting the daily life of women of reproductive age. The aims of this study was to determine the PMS prevalence and the examination of the relationship between PMS and anger. Methods: This was a cross sectional study. The study was carried out with 720 women between the ages of 15-49 living in the province of Kutahya, Turkey. A Personal Information Form, the Premenstrual Syndrome Scale (PMSS) and the State-Trait Anger Scale (STAS) were used to collect data. Results: The PMS prevalence was 48.75%. There was a statistically significant difference between the groups in terms of constant anger, anger-in, anger-out and anger control subscales (p <0.001). The average scores of women with PMS for constant anger anger-in and anger-out was significantly higher. The anger control scores were at a significantly lower level. Conclusion: Women with PMS had higher anger and lower anger control levels. It should be advisable to recommend anger control management and provide social support so these women can cope with the symptoms. The result of our study emphasizes the importance of careful assessment of anger in women with premenstrual symptoms. How to cite this:Saglam HY, Basar F. The relationship between premenstrual syndrome and anger. Pak J Med Sci. 2019;35(2):---------.  doi: https://doi.org/10.12669/pjms.35.2.232 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2016 ◽  
Vol 13 (1) ◽  
pp. 683 ◽  
Author(s):  
Sabahattin Tekingündüz ◽  
Aysu Kurtuldu ◽  
Çiğdem Eğilmez

<p>The efficiency, quality and productivity of health services depends on ‘labour’ Labour’s job performance can be affected by personal characteristics, work condition, attitudes of workers and managers. The first aim of this study is, to determine whether there is a relationship between labour performance, job alienation, job stress, social support (friend/parents/partner) and various personal characteristics such as gender, marital status, age, education status, lenght of working, income; the second aim is to determine whether job alienation, job stress, social support and various personal characteristices are affected labour’s performance. This study is a cross-sectional study. The study population was 583 voluntary hospital staffs at Adıyaman Public Hospital Association’s hospital which have  inpatient services. In this study, we used personal information form, Labour Performance Scale, Multi dimension social support scale, Job stress scale, Job alienation scale. Descriptive statistics, t-tests in independence group, Pearson Correlation analyse and Multiple Linear Regression Analyse have used for data analyzing. According to results of study, there was a significant differences between gender and labour performance; there was a negative significant relationship between labour performance, job alienation and friend support; there was a positive significant relationship between labour performance, partner support, parent support and length of working in institution. On the other hand job alienation affected labour performance negatively; partner support and parent support affected labour performance positively.</p><p> </p><p><strong>Özet</strong></p><p>Sağlık hizmetlerinin etkililiği, verimliliği ve kalitelisi “insan gücü”ne bağlıdır. İnsan gücünün iş performansı da kişisel özelliklerden, çalışma koşullarından, yöneticilerin ve çalışanların tutum ve davranışlardan etkilenebilmektedir. Yapılan bu çalışmanın birinci amacı, işgören performansı ile işe yabancılaşma, iş stresi, özel insan desteği, arkadaş desteği, aile desteği ve bazı kişisel özellikler arasında ilişki olup olmadığını belirlemek; ikinci amacı ise işe yabancılaşma, iş stresi, özel insan desteği, arkadaş desteği, aile desteği ve bazı kişisel özelliklerin işgören performansını etkileyip etkilemediğini belirlemektir. Çalışma kesitsel tipte bir alan çalışmasıdır. Adıyaman Kamu Hastaneleri Birliği’ne bağlı hastanelerde görev yapan ve çalışmaya gönüllü olarak katılan 583 kişi araştırma grubunu oluşturmaktadır. Araştırmada kişisel bilgi formu, işgören performans ölçeği, çok boyutlu sosyal destek ölçeği, işe yabancılaşma ölçeği ve iş stres ölçeği kullanılmıştır. Çalışmada, tanımlayıcı istatistikler, Bağımsız grup t testi, Pearson Korelasyon Analizi ve Çoklu Doğrusal Regresyon Analizi kullanılmıştır. Araştırma sonuçlarına göre; cinsiyet ile işgören performansı arasında anlamlı bir fark olduğu, işgören performansı ile işe yabancılaşma ve arkadaş desteği arasında negatif anlamlı ilişki olduğu; işgören performansı ile özel insan, aile desteği ve kurumda çalışma süresi arasında pozitif anlamlı ilişki olduğu belirlenmiştir. Ayrıca işgören performansını işe yabancılaşmanın negatif yönde; özel insan ve aile desteğinin ise pozitif yönde etkilediği saptanmıştır.</p>


2016 ◽  
Vol 34 (26_suppl) ◽  
pp. 231-231
Author(s):  
Harminder Singh ◽  
Raja Banipal

231 Background: The State of Punjab is experiencing a rising burden of cancer. The objective of this study was to analyze and compare depression, anxiety and stress levels and their impacting factors in heterogenous surviving cancer patients. Methods: this is a cross sectional study, data collection was performed by Depression, anxiety, stress scale 21-DASS 21. Results: study population include 300 cancer patients and 300 matched controls. The mean age of the cases and controls were 50.58 years ± 13. 64 and 46.1 years ± 11.78 (M ± SD). A Statistical significant difference was observed in mean scoring of depression, anxiety and stress in cancer patients when compared to control groups. Anxiety mean score significantly affected by chemotherapy cycles and duration of disease. Conclusions: Holistic approach in cancer management is a need of time as the present study revealed, the range of depression, anxiety and stress was 90%, 56% and 28% respectively. [Table: see text]


2017 ◽  
Vol 7 (2) ◽  
pp. 17-22
Author(s):  
Syed Golam Samdani ◽  
Tahmina Begum

This descriptive cross-sectional study was conducted to explore the status of professionalism regarding knowledge, attitude and practice among intern doctors of different medical college Hospitals in Bangladesh. Study period was July 2015 June 2016.Sample size was 300 and convenient sampling technique was adopted. Study was carried out among all Bangladeshi intern doctors of 4 governments and 2 non-governments selected medical college Hospitals of Dhaka and outside Dhaka. Total 300 intern doctors responded to a self-administered questionnaire. Male female ratio was almost 1:1. Concept of professionalism and level of knowledge regarding its various aspects are not satisfactory in large extends. But attitude towards most of the major principles of professionalism are as much as positive like USA and UK physicians. However, regarding honesty with patients, one statement like physicians should disclose all significant medical errors to affected patients and/or guardians, only 36.9% agreed with this. Similarly, only 43% agreed the statement of re-certification examination to maintain professional competence. Regarding attitude and practice of major attributes & responsibilities of professionalism there is no significant difference (p>0.05) between male and female intern doctors working in different medical college hospitals; but regarding practice there is a significant difference (p<0.05) among intern doctors working in government and non-government hospitals. This study recommended that institutional agreement should be on a definition, setting expectations & curriculum framework regarding professionalism to increase scope of teaching & learning in our undergraduate & post-graduate students.Bangladesh Journal of Medical Education Vol.7(2) 2016: 17-22


Author(s):  
Emre Ozan TİNGAZ ◽  
Oktay KIZAR ◽  
Celal BULĞAY ◽  
Ebru Çetin

The present study aims to determine whether mindfulness shows a significant difference based on the male soccer players' amateur/ professional status, position, playing experience, history of receiving mentorship, psychological performance counselling or therapy from a sports psychologist, and status of performing mental training. The study was carried out with 233 adult male soccer players and the Mindfulness Inventory for Sport and Personal Information Form was applied to the participants. As a result of the study, it was found that professional soccer players had higher mindfulness levels compared to amateur soccer players. It was observed that mindfulness levels differed in favor of soccer players who received mentorship or psychological performance counselling, performed mental training and had more experience in sports. It was also observed that attackers had higher mindfulness levels compared to midfielders.


2013 ◽  
Vol 2 (2) ◽  
pp. 82-85
Author(s):  
Somayyeh Azimi ◽  
Jamile Bigom Taheri ◽  
Ashok Mathew ◽  
Mahdiye Pishgahi

ABSTRACT Aim Providing complete oral health care for pregnant women is essential. Purpose of this study was to determine the periodontal diseases in pregnant and nonpregnant women in United Arab Emirates (UAE). Materials and methods A cross-sectional study was carried out in UAE. The sample consisted of two groups of women resident in UAE were selected, one pregnant (mean age 28 years) and nonpregnant (mean age of 23 years). The questionnaires which include personal information, habit, medical and dental history were distributed among women attending the outpatient clinics of Iranian Hospital Dubai and Fujairah AUST Campus. In periodontal chart debris and calculus score for teeth #16, 11, 26, 46, 31, 36 were recorded and simplified oral hygiene index was determined. The periodontal parameters like bleeding on probing and loss of attachment of same teeth were independently checked and recorded. Results Based on the findings over the questionnaires that were distributed between two groups of 80 volunteers one pregnant and nonpregnant woman, bleeding on probing and loss of attachment is seen more in pregnant women (p = 0.00). Conclusion There was a significant difference between the periodontal status between pregnant and nonpregnant women in UAE. Thus, pregnant women are more in danger of periodontal diseases and they need more dental care and preventive dentistry programs. How to cite this article Taheri JB, Azimi S, Mathew A, Pishgahi M. Comparison of Periodontal Status between Pregnant and Nonpregnant Women. Int J Experiment Dent Sci 2013;2(2):82-85.


BMJ Open ◽  
2018 ◽  
Vol 8 (1) ◽  
pp. e018042 ◽  
Author(s):  
Eirik Hugaas Ofstad ◽  
Jan C Frich ◽  
Edvin Schei ◽  
Richard M Frankel ◽  
Jūratė Šaltytė Benth ◽  
...  

ObjectiveTo identify and classify all clinical decisions that emerged in a sample of patient–physician encounters and compare different categories of decisions across clinical settings and personal characteristics.DesignCross-sectional descriptive evaluation of hospital encounters videotaped in 2007–2008 using a novel taxonomy to identify and classify clinically relevant decisions (both actions and judgements).Participants and setting372 patients and 58 physicians from 17 clinical specialties in ward round (WR), emergency room (ER) and outpatient (OP) encounters in a Norwegian university hospital.ResultsThe 372 encounters contained 4976 clinically relevant decisions. The average number of decisions per encounter was 13.4 (min–max 2–40, SD 6.8). The overall distribution of the 10 topical categories in all encounters was: defining problem: 30%, evaluating test result: 17%, drug related: 13%, gathering additional information: 10%, contact related: 10%, advice and precaution: 8%, therapeutic procedure related: 5%, deferment: 4%, legal and insurance related: 2% and treatment goal: 1%. Across three temporal categories, the distribution of decisions was 71% here-and-now, 16% preformed and 13% conditional. On average, there were 15.7 decisions per encounter in internal medicine specialties, 7.1 in ear–nose–throat encounters and 11.0–13.6 in the remaining specialties. WR encounters contained significantly more drug-related decisions than OP encounters (P=0.031) and preformed decisions than ER and OP encounters (P<0.001). ER encounters contained significantly more gathering additional information decisions than OP and WR encounters (P<0.001) and fewer problem defining decisions than WR encounters (P=0.028). There was no significant difference in the average number of decisions related to the physician’s and patient’s age or gender.ConclusionsPatient–physician encounters contain a larger number of clinically relevant decisions than described in previous studies. Comprehensive descriptions of how decisions, both as judgements and actions, are communicated in medical encounters may serve as a first step in assessing clinical practice with respect to efficiency and quality on a provider or system level.


2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Khadijah Hasanah Abang Abdullah ◽  
Suriati Mohamed Saini ◽  
Shalisah Sharip ◽  
Mohamed Hatta Shaharom

Introduction: Traditional medicine which includes Islamic faith healing centre is still an important place to seek treatment whether for psychiatric reasons or others. This study aims to determine the prevalence of psychiatric illness among attenders of an Islamic spiritual healing centre and to understand patients’ illness attribution and their religiosity. Methods: A cross-sectional study was done with a systematic random sampling to obtain the prevalence of psychiatric illness which was diagnosed using Malay version of Mini International Neuropsychiatric Interview (M.I.N.I). Religiosity was measured using Hatta Islamic Religiosity Scale 1996 (HIRS96) and illness perception using Brief Illness Perception Questionnaire (BIPQ). Results: The prevalence of psychiatric illness among the attenders was 53.5%. Depressive disorder were more prevalent (41.5%) followed by anxiety disorder (28.3%), bipolar disorder (16.8%) and psychotic disorders (5.9%). More than half (58.8%) of attenders attributed their illness to supernatural causes but there were no significant difference between those with psychiatric illness and those without in terms of their attribution to supernatural causes, p=0.197.Generally, the patients had  a higher religiosity score. Conclusion : This high prevalence shows a need for collaboration with the spiritual healing practitioners to improve delivery of treatment to patient and this would be a more holistic approach.


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