Mansour Ali-Mohammadi, Ali Samadi, Maryam Jadid-Milani,
Volume 34, Issue 133 (January 2022)
Abstract
Background & Aims The elderly population in the world as well as in Iran is growing, which may lead to a significant increase in chronic diseases, especially kidney failure and its related complications such as sleep disorders; this can result in disturbance of daily activities and poor quality of life. Therefore, the present study aimed to determine the effect of exercise during dialysis on sleep quality in the elderly people undergoing hemodialysis.
Materials & Methods This is an experimental study that was performed on 30 elderly people undergoing hemodialysis (15 in the experimental group and 15 in the control group) in Ghiasi Charity Center in Tehran in 2010-2011. Demographic information form, cognitive abilities screening instrument-short form and Pittsburg sleep quality index were used for data collection. In the experimental group, aerobic and resistance exercise was performed for 8 weeks and 3 times a week during dialysis. In the control group, routine care was performed and no additional intervention was implemented.
Results In comparison with pre-test (before the first week), at post-test (after the eighth week) the quality of sleep improved significantly in the experimental group (P<0.0001), but in the control group the sleep quality scores decreased significantly (P=0.001), which suggests the quality of sleep was worsened. Between group comparisons revealed that at baseline there was a significant difference between groups and the control group had better sleep quality (P=0.035), but in the post-test sleep quality was significantly in the experimental group (P<0.0001).
Conclusion As exercise had a positive effect on sleep quality in elderly people under hemodialysis, it seems that it may be used as a safe low-cost and effective treatment for improving the sleep quality in this population.
Tahereh Najafi Ghezeljeh, Zohreh Samadi Beiram, Soghra Omrani, Shima Haghani,
Volume 35, Issue 136 (July 2022)
Abstract
Background & Aims: Maintaining patient safety (PS) is one of professional and ethical duties of health care providers. Nurses, as the largest professional group in the health system, have a potential and significant power in influencing the health care quality. Their competency in PS is essential to ensure quality and safe care. Education plays a vital role in improving PS and providing high quality nursing care. Due to the prevalence of COVID-19 and the need to observe social distancing, it is not possible to hold face-to-face courses. Hence, e-learning is a valuable option during this pandemic. This study aims to evaluate the effectiveness of online PS education on the competence of nurses in intensive care units (ICUs).
Materials & Methods: This is a single-group quasi-experimental study with a pre-test/post-test design that was conducted in 2020 in Tehran, Iran. Participants were 50 nurses working in the ICUs of Hazrate Rasoole Akram Hospital and Firoozgar Hospital affiliated to Iran University of Medical Sciences, who were by a proportional stratified sampling method. The content of the educational program was prepared using clinical guidelines and the literature which included materials about (1) PS and its different aspects (medication error, hemovigilance, pressure ulcer, fall, nosocomial infections, hand hygiene, surface and equipment disinfection, and waste management), (2) PS culture, (3) the effects of human factors and teamwork on error incidence, (4) importance of communication with patients before and after the occurrence of errors and giving appropriate feedback on errors, (5) root cause analysis of errors, (6) activity analysis after an adverse event, and (7) risk management. The program was prepared using Storyline version 3 software. Educational content was provided to participants on Telegram application. Before and three months after the intervention, data were collected using the Patient Safety Competency Self-evaluation (PSCSE) questionnaire. Data were analyzed by descriptive statistics (frequency, mean, and standard deviation) and inferential statistics (paired t-test) in SPSS software, version 22.
Results: The mean scores of PS knowledge (21.75±3.28), attitude (61.52±4.19) and skill (84.66±53.7) after the intervention were significantly higher compared to their pretest scores (P<0.001). The mean of total competency score (167.93±11.61) was also significantly higher after the intervention. Results showed that the educational program improved the nurses' competence by 17.86%. The education had the highest effect on PS knowledge, followed by PS skills and attitudes.
Conclusion: Online education can increase PS knowledge, skills, and attitudes in ICU nurses and can ultimately promote their competence in PS. Nursing managers can use e-learning method to provide in-service training and retraining courses on familiarity with PS concepts, which can help manage medical errors caused by nurses. This learning method is recommended for nurses working in ICUs, especially during the COVID-19 pandemic.
