Z Cheginy | Tabriz University Of Medical Sciences (original) (raw)
Papers by Z Cheginy
Nursing Open
This is an open access article under the terms of the Creative Commons Attribution License, which... more This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Nursing Open, 2020
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-... more This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Open Access Macedonian Journal of Medical Sciences, 2019
BACKGROUND: Patient safety is crucial to the provision of quality healthcare and has become incre... more BACKGROUND: Patient safety is crucial to the provision of quality healthcare and has become increasingly important with the world health organisation recognising the significance of patient engagement in safety issues. Despite an increasing amount of literature examining the engagement of patients in addressing their safety, there has been little research examining the perspectives of patients and health professionals regarding the engagement of patients in safety issues. AIM: This protocol aimed to explore the perspectives of patients and health professionals regarding the engagement of patients in safety issues. METHODS: During February 2019, a literature search was conducted using four databases, PubMed/MEDLINE, Embase, Web of Science and Scopus. There were no limits on the year of publication. Two authors were screening the titles, abstracts and full texts of all the studies independently of each other and potential discrepancies will be resolved in consultation with the third a...
Journal of Advanced Nursing, 2019
AIM This paper outlines the protocol for a study aimed at exploring perspectives about the role o... more AIM This paper outlines the protocol for a study aimed at exploring perspectives about the role of patients' in the delivery of safe care in hospital. DESIGN Qualitative exploratory study. METHODS Research Ethics Committee approval for this study was obtained in October 2018. The study will be conducted between February-April 2019 with data collected through focus group discussions and semi-structured interviews and will involve patients and healthcare professionals from hospitals in Tabriz. A descriptive qualitative approach will be adopted, and the data will be managed and analysed using MAXQDA 10 software. DISCUSSION The role of patients in furthering their own safety whilst in hospital cannot be underestimated and the results from this study can be used to support the development of practical strategies that address the delivery of safe hospital care and which involve patients and their caregivers.
Nursing in Critical Care, 2019
In this paper, we investigate the complete moment convergence and complete convergence for random... more In this paper, we investigate the complete moment convergence and complete convergence for randomly weighted sums of negatively superadditive dependent (NSD, in short) random variables. The results obtained in the paper generalize the convergence theorem for constant weighted sums to randomly weighted sums of dependent random variables. In addition, strong law of large numbers for NSD sequence is obtained.
The purpose of this study was to survey The influence of employee's work experience on priority o... more The purpose of this study was to survey The influence of employee's work experience on priority of job motivation factors In Teaching Hospitals of Qazvin. In this Cross-sectional study, 269 cases from 1843 employees of Training Hospitals of Qazvin were evaluated. A random sampling share was used. Standard Questionnaire with ten motivational factors was used to determine the priority of motivational factors. Data analysis was carried out using SPSS software. Motivational factors such as"adequate salary", "suitable working condition" and "Job security" were The first three priorities and " Sense of participation and belonging at work" were The last priority from Employee's point of view. ANOVA results showed Relationship between "adequate salary"(p=0.046), "suitable working condition"(p=0.034) and "Respect and appreciation for work" with work experience. Hospital authorities should have pay more attention to these factors In order to meet the motivational needs of employees.
Nursing and Midwifery Studies, 2018
Background: Job security is a critical factor behind quality care delivery. However, it is still ... more Background: Job security is a critical factor behind quality care delivery. However, it is still unclear whether job security is related to turnover intention among Iranian nurses. Objectives: This study aimed to determine job security and turnover intention and also factors behind turnover intention among hospital nurses who worked in Tehran, Iran. Methods: This cross-sectional study was conducted from April to November 2015 in three public and three private tertiary hospitals in Tehran, Iran. A quota sample of hospital nurses was recruited and a researcher-made questionnaire was used for data collection. The data were analyzed through the Chi-square and the independent-sample t-tests, the one-way analysis of variance, Pearson correlation analysis, and multivariate logistic regression analysis. Results: The mean score of job security was 3.10 ± 0.38 (from a possible range of 1–5). Around 22.6% of nurses reported low job security. Job security among nurses in private hospitals was significantly greater than those in public hospitals (P = 0.001). Moreover, 32.7% of nurses reported that they will leave their profession if they find another job opportunity. Factors behind nurses' turnover intention were work experience (odds ratio [OR] = 1.30; confidence interval [CI]: 1.117–2.742), organizational justice (OR = 0.516; CI: 0.522–0.785), job prospect and stability (OR = 0.533; CI: 0.299–0.948), relationships with managers and colleagues (OR = 0.401; CI: 0.409–0.927), and work environment (OR = 0.414; CI: 0.227–0.856). Conclusions: Hospital managers need to develop and adopt effective policies to promote nurses' job security and reduce their turnover intention through improving their job satisfaction and working conditions, providing fair compensations, enhancing supportive nursing management, promoting job prospect and stability, and facilitating competence-based career advancement.
Nursing in critical care, 2019
Background: Turnover intention is a frequent event in almost all institutions and is associated w... more Background: Turnover intention is a frequent event in almost all institutions and is associated with unfavourable consequences for employees. Aim: The aim of this study was to examine the relationship between occupational stress, quality of working life and turnover intention amongst nurses working in critical care units in Iran. Design: A cross-sectional survey design was used. Method: The study was conducted in the critical care units of 10 hospitals in Tabriz, Iran, between July and November 2017 using a sample of 203 nurses. Data were obtained using a self-administered questionnaire, and multiple logistic regression analysis was performed to determine the factors impacting turnover intention. Results: Overall, 64% of nurses had an intention to leave their job; 82⋅8% of respondents reported their job to be highly stressful, and 81⋅2% reported their quality of working life to be low. Binary logistic regression analysis indicated that age (p = 0⋅006), clinical experience (p = 0⋅005), duty stressors (p = 0⋅040), interpersonal relations stressors, (p = 0⋅029) communication (p = 0⋅007), motivation (p = 0⋅006), job security (p = 0⋅040) and job pride (p = 0⋅011) were factors affecting turnover intention. Conclusion: Occupational stress and quality of working life are associated with turnover intention amongst nurses working in critical care units. Further research is needed to determine the generalizability of these results to other settings and countries and to identify interventions that could reduce occupational stress and improve the quality of working life so that turnover intention might be reduced. Relevance to clinical practice: The findings of this research suggest that lower perceived occupational stress and higher quality of working life will result in less reported turnover intention in critical care unit nurses.
Nursing Open, 2020
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-... more This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. Abstract Aim: To appraise patient safety culture in emergency departments of Iranian public and private hospitals. Design: A comparative cross-sectional survey design was used. Methods: This cross-sectional study was conducted from January-March 2019. For data collection, the Hospital Patient Safety Culture (HSOPSC) questionnaire was employed. The study sample comprised 256 participants. Independent t test and analysis of variance were performed to report the mean differences in total patient safety culture perception according to the participants' characteristics and according to hospital ownership. Results: There was no significant difference in overall perceptions of patient safety culture in public and private sectors (2.94 vs. 2.84, p > .05). There are no solid areas regarding patient safety found neither in public nor in private sectors. Out of 12 dimensions of patient safety culture, different perceptions of nurses working in public and private hospitals belonged to "Organizational learning" (t = 2.13, p = .034) and "Handoffs and transitions" (t = 2.91, p = .004). Regarding the participants' characteristics , no significant difference was observed as to the perspectives of nurses on patient safety culture. However, there was a meaningful difference in the attitudes of nurses working in public hospitals according to their employment status (t = 2.07, p = .039). K E Y W O R D S emergency department, nurses, patient safety, patient safety culture, public and private hospitals
Nursing Open, 2019
Aim: To investigate barriers to patient engagement in the delivery of safe hospital care. Design:... more Aim: To investigate barriers to patient engagement in the delivery of safe hospital care. Design: Qualitative exploratory study. Methods: A qualitative study with 35 Iranian health professionals was conducted from February to April 2019 using semi-structured interviews to elicit their opinions. MAXQDA 11 software was used for data management, and the data were analysed using framework analysis. Results: Barriers, which potentially have negative impact on patient engagement in the delivery of safer care, were categorized into four themes. The first category included patient related barriers such as low levels of health literacy, ineffective education, patient unwillingness and cultural barriers. The second category included staff-related barriers such as the existence of negative attitudes towards engaging patients in matters relating to patient safety, ineffective communication, high workload and the reluctance on the part of physicians to engage with patients. Barriers created by limited resources and inadequate training provided by universities and in the workplace formed the third category and community-related barriers such as the inadequate dissemination of information via the mass media and a lack of community-based services formed the fourth category. Conclusion: Results demonstrate the multilayered nature of the significant barriers to the engagement of patients in the delivery of safe care and reflect the need for a collaborative approach between the recipients of care, researchers, care providers and policy makers if these are to be overcome. K E Y W O R D S expert opinion, Iran, nurses, patient engagement, patient involvement, patient participation, patient safety, qualitative research
Journal of Advanced Nursing, 2019
Abstract Aim: This paper outlines the protocol for a study aimed at exploring perspectives about ... more Abstract
Aim: This paper outlines the protocol for a study aimed at exploring perspectives
about the role of patients’ in the delivery of safe care in the hospital.
Design: Qualitative exploratory study.
Methods: Research Ethics Committee approval for this study was obtained in
October 2018. The study will be conducted between February–April 2019 with data
collected through focus group discussions and semi‐structured interviews and will
involve patients and healthcare professionals from hospitals in Tabriz. A descriptive
qualitative approach will be adopted, and the data will be managed and analyzed
using MAXQDA 10 software.
Discussion: The role of patients in furthering their own safety whilst in hospital cannot
be underestimated and the results from this study can be used to support the
development of practical strategies that address the delivery of safe hospital care
and which involve patients and their caregivers.
K E Y W O R D S
Iran, nursing, patient engagement, patient involvement, patient participation, patient safety,
qualitative research
Background: Job security is a critical factor behind quality care delivery. However, it is still ... more Background: Job security is a critical factor behind quality care delivery. However, it is still unclear whether job security is related to turnover intention among Iranian nurses. Objectives: This study aimed to determine job security and turnover intention and also factors behind turnover intention among hospital nurses who worked in Tehran, Iran. Methods: This cross-sectional study was conducted from April to November 2015 in three public and three private tertiary hospitals in Tehran, Iran. A quota sample of hospital nurses was recruited and a researcher-made questionnaire was used for data collection. The data were analyzed through the Chi-square and the independent-sample t-tests, the one-way analysis of variance, Pearson correlation analysis, and multivariate logistic regression analysis. Results: The mean score of job security was 3.10 ± 0.38 (from a possible range of 1-5). Around 22.6% of nurses reported low job security. Job security among nurses in private hospitals was significantly greater than those in public hospitals (P = 0.001). Moreover, 32.7% of nurses reported that they will leave their profession if they find another job opportunity. Factors behind nurses' turnover intention were work experience (odds ratio [OR] = 1.30; confidence interval [CI]: 1.117-2.742), organizational justice (OR = 0.516; CI: 0.522-0.785), job prospect and stability (OR = 0.533; CI: 0.299-0.948), relationships with managers and colleagues (OR = 0.401; CI: 0.409-0.927), and work environment (OR = 0.414; CI: 0.227-0.856). Conclusions: Hospital managers need to develop and adopt effective policies to promote nurses' job security and reduce their turnover intention through improving their job satisfaction and working conditions, providing fair compensations, enhancing supportive nursing management, promoting job prospect and stability, and facilitating competence-based career advancement.
Available online at: http://npt.tums.ac.ir Background & Aim: Nursing shortage is a growing global... more Available online at: http://npt.tums.ac.ir Background & Aim: Nursing shortage is a growing global challenge in healthcare organizations. Promoting nurses' organizational commitment may help alleviate nursing shortage. This study sought to evaluate the relationships between organizational commitment, job satisfaction, organizational justice, and self-efficacy among nurses. Materials & Methods: This cross-sectional study was conducted on 401 Iranian nurses administered questionnaires and analyzed using the SPSS (v. 17.0) and the Amos (v. 17.0) software. Results: The goodness of fit indices were as the following: χ 2 /df = 2.76 (P < 0.001), GFI = 0.93; AGFI = 0.87, NFI = 0.96, RMSEA = 0.068, and CFI = 0.95. Organizational commitment had significant positive relationships with self-efficacy (β3 = 0.28, P < 0.001) and job satisfaction (γ3 = 0.73, P < 0.001), while organizational justice had significant positive relationship with job satisfaction (γ2 = 0.89, P < 0.001). Moreover, job satisfaction had a mediating role in the relationship of organizational justice with organizational commitment. Conclusion: Hospital managers can promote nurses' organizational commitment through employing strategies to enhance their perceived organizational justice and thereby, improving their job satisfaction.
BACKGROUND: Patient safety is crucial to the provision of quality healthcare and has become incre... more BACKGROUND: Patient safety is crucial to the provision of quality healthcare and has become increasingly important with the world health organisation recognising the significance of patient engagement in safety issues. Despite an increasing amount of literature examining the engagement of patients in addressing their safety, there has been little research examining the perspectives of patients and health professionals regarding the engagement of patients in safety issues.
Nursing Open
This is an open access article under the terms of the Creative Commons Attribution License, which... more This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Nursing Open, 2020
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-... more This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Open Access Macedonian Journal of Medical Sciences, 2019
BACKGROUND: Patient safety is crucial to the provision of quality healthcare and has become incre... more BACKGROUND: Patient safety is crucial to the provision of quality healthcare and has become increasingly important with the world health organisation recognising the significance of patient engagement in safety issues. Despite an increasing amount of literature examining the engagement of patients in addressing their safety, there has been little research examining the perspectives of patients and health professionals regarding the engagement of patients in safety issues. AIM: This protocol aimed to explore the perspectives of patients and health professionals regarding the engagement of patients in safety issues. METHODS: During February 2019, a literature search was conducted using four databases, PubMed/MEDLINE, Embase, Web of Science and Scopus. There were no limits on the year of publication. Two authors were screening the titles, abstracts and full texts of all the studies independently of each other and potential discrepancies will be resolved in consultation with the third a...
Journal of Advanced Nursing, 2019
AIM This paper outlines the protocol for a study aimed at exploring perspectives about the role o... more AIM This paper outlines the protocol for a study aimed at exploring perspectives about the role of patients' in the delivery of safe care in hospital. DESIGN Qualitative exploratory study. METHODS Research Ethics Committee approval for this study was obtained in October 2018. The study will be conducted between February-April 2019 with data collected through focus group discussions and semi-structured interviews and will involve patients and healthcare professionals from hospitals in Tabriz. A descriptive qualitative approach will be adopted, and the data will be managed and analysed using MAXQDA 10 software. DISCUSSION The role of patients in furthering their own safety whilst in hospital cannot be underestimated and the results from this study can be used to support the development of practical strategies that address the delivery of safe hospital care and which involve patients and their caregivers.
Nursing in Critical Care, 2019
In this paper, we investigate the complete moment convergence and complete convergence for random... more In this paper, we investigate the complete moment convergence and complete convergence for randomly weighted sums of negatively superadditive dependent (NSD, in short) random variables. The results obtained in the paper generalize the convergence theorem for constant weighted sums to randomly weighted sums of dependent random variables. In addition, strong law of large numbers for NSD sequence is obtained.
The purpose of this study was to survey The influence of employee's work experience on priority o... more The purpose of this study was to survey The influence of employee's work experience on priority of job motivation factors In Teaching Hospitals of Qazvin. In this Cross-sectional study, 269 cases from 1843 employees of Training Hospitals of Qazvin were evaluated. A random sampling share was used. Standard Questionnaire with ten motivational factors was used to determine the priority of motivational factors. Data analysis was carried out using SPSS software. Motivational factors such as"adequate salary", "suitable working condition" and "Job security" were The first three priorities and " Sense of participation and belonging at work" were The last priority from Employee's point of view. ANOVA results showed Relationship between "adequate salary"(p=0.046), "suitable working condition"(p=0.034) and "Respect and appreciation for work" with work experience. Hospital authorities should have pay more attention to these factors In order to meet the motivational needs of employees.
Nursing and Midwifery Studies, 2018
Background: Job security is a critical factor behind quality care delivery. However, it is still ... more Background: Job security is a critical factor behind quality care delivery. However, it is still unclear whether job security is related to turnover intention among Iranian nurses. Objectives: This study aimed to determine job security and turnover intention and also factors behind turnover intention among hospital nurses who worked in Tehran, Iran. Methods: This cross-sectional study was conducted from April to November 2015 in three public and three private tertiary hospitals in Tehran, Iran. A quota sample of hospital nurses was recruited and a researcher-made questionnaire was used for data collection. The data were analyzed through the Chi-square and the independent-sample t-tests, the one-way analysis of variance, Pearson correlation analysis, and multivariate logistic regression analysis. Results: The mean score of job security was 3.10 ± 0.38 (from a possible range of 1–5). Around 22.6% of nurses reported low job security. Job security among nurses in private hospitals was significantly greater than those in public hospitals (P = 0.001). Moreover, 32.7% of nurses reported that they will leave their profession if they find another job opportunity. Factors behind nurses' turnover intention were work experience (odds ratio [OR] = 1.30; confidence interval [CI]: 1.117–2.742), organizational justice (OR = 0.516; CI: 0.522–0.785), job prospect and stability (OR = 0.533; CI: 0.299–0.948), relationships with managers and colleagues (OR = 0.401; CI: 0.409–0.927), and work environment (OR = 0.414; CI: 0.227–0.856). Conclusions: Hospital managers need to develop and adopt effective policies to promote nurses' job security and reduce their turnover intention through improving their job satisfaction and working conditions, providing fair compensations, enhancing supportive nursing management, promoting job prospect and stability, and facilitating competence-based career advancement.
Nursing in critical care, 2019
Background: Turnover intention is a frequent event in almost all institutions and is associated w... more Background: Turnover intention is a frequent event in almost all institutions and is associated with unfavourable consequences for employees. Aim: The aim of this study was to examine the relationship between occupational stress, quality of working life and turnover intention amongst nurses working in critical care units in Iran. Design: A cross-sectional survey design was used. Method: The study was conducted in the critical care units of 10 hospitals in Tabriz, Iran, between July and November 2017 using a sample of 203 nurses. Data were obtained using a self-administered questionnaire, and multiple logistic regression analysis was performed to determine the factors impacting turnover intention. Results: Overall, 64% of nurses had an intention to leave their job; 82⋅8% of respondents reported their job to be highly stressful, and 81⋅2% reported their quality of working life to be low. Binary logistic regression analysis indicated that age (p = 0⋅006), clinical experience (p = 0⋅005), duty stressors (p = 0⋅040), interpersonal relations stressors, (p = 0⋅029) communication (p = 0⋅007), motivation (p = 0⋅006), job security (p = 0⋅040) and job pride (p = 0⋅011) were factors affecting turnover intention. Conclusion: Occupational stress and quality of working life are associated with turnover intention amongst nurses working in critical care units. Further research is needed to determine the generalizability of these results to other settings and countries and to identify interventions that could reduce occupational stress and improve the quality of working life so that turnover intention might be reduced. Relevance to clinical practice: The findings of this research suggest that lower perceived occupational stress and higher quality of working life will result in less reported turnover intention in critical care unit nurses.
Nursing Open, 2020
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-... more This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. Abstract Aim: To appraise patient safety culture in emergency departments of Iranian public and private hospitals. Design: A comparative cross-sectional survey design was used. Methods: This cross-sectional study was conducted from January-March 2019. For data collection, the Hospital Patient Safety Culture (HSOPSC) questionnaire was employed. The study sample comprised 256 participants. Independent t test and analysis of variance were performed to report the mean differences in total patient safety culture perception according to the participants' characteristics and according to hospital ownership. Results: There was no significant difference in overall perceptions of patient safety culture in public and private sectors (2.94 vs. 2.84, p > .05). There are no solid areas regarding patient safety found neither in public nor in private sectors. Out of 12 dimensions of patient safety culture, different perceptions of nurses working in public and private hospitals belonged to "Organizational learning" (t = 2.13, p = .034) and "Handoffs and transitions" (t = 2.91, p = .004). Regarding the participants' characteristics , no significant difference was observed as to the perspectives of nurses on patient safety culture. However, there was a meaningful difference in the attitudes of nurses working in public hospitals according to their employment status (t = 2.07, p = .039). K E Y W O R D S emergency department, nurses, patient safety, patient safety culture, public and private hospitals
Nursing Open, 2019
Aim: To investigate barriers to patient engagement in the delivery of safe hospital care. Design:... more Aim: To investigate barriers to patient engagement in the delivery of safe hospital care. Design: Qualitative exploratory study. Methods: A qualitative study with 35 Iranian health professionals was conducted from February to April 2019 using semi-structured interviews to elicit their opinions. MAXQDA 11 software was used for data management, and the data were analysed using framework analysis. Results: Barriers, which potentially have negative impact on patient engagement in the delivery of safer care, were categorized into four themes. The first category included patient related barriers such as low levels of health literacy, ineffective education, patient unwillingness and cultural barriers. The second category included staff-related barriers such as the existence of negative attitudes towards engaging patients in matters relating to patient safety, ineffective communication, high workload and the reluctance on the part of physicians to engage with patients. Barriers created by limited resources and inadequate training provided by universities and in the workplace formed the third category and community-related barriers such as the inadequate dissemination of information via the mass media and a lack of community-based services formed the fourth category. Conclusion: Results demonstrate the multilayered nature of the significant barriers to the engagement of patients in the delivery of safe care and reflect the need for a collaborative approach between the recipients of care, researchers, care providers and policy makers if these are to be overcome. K E Y W O R D S expert opinion, Iran, nurses, patient engagement, patient involvement, patient participation, patient safety, qualitative research
Journal of Advanced Nursing, 2019
Abstract Aim: This paper outlines the protocol for a study aimed at exploring perspectives about ... more Abstract
Aim: This paper outlines the protocol for a study aimed at exploring perspectives
about the role of patients’ in the delivery of safe care in the hospital.
Design: Qualitative exploratory study.
Methods: Research Ethics Committee approval for this study was obtained in
October 2018. The study will be conducted between February–April 2019 with data
collected through focus group discussions and semi‐structured interviews and will
involve patients and healthcare professionals from hospitals in Tabriz. A descriptive
qualitative approach will be adopted, and the data will be managed and analyzed
using MAXQDA 10 software.
Discussion: The role of patients in furthering their own safety whilst in hospital cannot
be underestimated and the results from this study can be used to support the
development of practical strategies that address the delivery of safe hospital care
and which involve patients and their caregivers.
K E Y W O R D S
Iran, nursing, patient engagement, patient involvement, patient participation, patient safety,
qualitative research
Background: Job security is a critical factor behind quality care delivery. However, it is still ... more Background: Job security is a critical factor behind quality care delivery. However, it is still unclear whether job security is related to turnover intention among Iranian nurses. Objectives: This study aimed to determine job security and turnover intention and also factors behind turnover intention among hospital nurses who worked in Tehran, Iran. Methods: This cross-sectional study was conducted from April to November 2015 in three public and three private tertiary hospitals in Tehran, Iran. A quota sample of hospital nurses was recruited and a researcher-made questionnaire was used for data collection. The data were analyzed through the Chi-square and the independent-sample t-tests, the one-way analysis of variance, Pearson correlation analysis, and multivariate logistic regression analysis. Results: The mean score of job security was 3.10 ± 0.38 (from a possible range of 1-5). Around 22.6% of nurses reported low job security. Job security among nurses in private hospitals was significantly greater than those in public hospitals (P = 0.001). Moreover, 32.7% of nurses reported that they will leave their profession if they find another job opportunity. Factors behind nurses' turnover intention were work experience (odds ratio [OR] = 1.30; confidence interval [CI]: 1.117-2.742), organizational justice (OR = 0.516; CI: 0.522-0.785), job prospect and stability (OR = 0.533; CI: 0.299-0.948), relationships with managers and colleagues (OR = 0.401; CI: 0.409-0.927), and work environment (OR = 0.414; CI: 0.227-0.856). Conclusions: Hospital managers need to develop and adopt effective policies to promote nurses' job security and reduce their turnover intention through improving their job satisfaction and working conditions, providing fair compensations, enhancing supportive nursing management, promoting job prospect and stability, and facilitating competence-based career advancement.
Available online at: http://npt.tums.ac.ir Background & Aim: Nursing shortage is a growing global... more Available online at: http://npt.tums.ac.ir Background & Aim: Nursing shortage is a growing global challenge in healthcare organizations. Promoting nurses' organizational commitment may help alleviate nursing shortage. This study sought to evaluate the relationships between organizational commitment, job satisfaction, organizational justice, and self-efficacy among nurses. Materials & Methods: This cross-sectional study was conducted on 401 Iranian nurses administered questionnaires and analyzed using the SPSS (v. 17.0) and the Amos (v. 17.0) software. Results: The goodness of fit indices were as the following: χ 2 /df = 2.76 (P < 0.001), GFI = 0.93; AGFI = 0.87, NFI = 0.96, RMSEA = 0.068, and CFI = 0.95. Organizational commitment had significant positive relationships with self-efficacy (β3 = 0.28, P < 0.001) and job satisfaction (γ3 = 0.73, P < 0.001), while organizational justice had significant positive relationship with job satisfaction (γ2 = 0.89, P < 0.001). Moreover, job satisfaction had a mediating role in the relationship of organizational justice with organizational commitment. Conclusion: Hospital managers can promote nurses' organizational commitment through employing strategies to enhance their perceived organizational justice and thereby, improving their job satisfaction.
BACKGROUND: Patient safety is crucial to the provision of quality healthcare and has become incre... more BACKGROUND: Patient safety is crucial to the provision of quality healthcare and has become increasingly important with the world health organisation recognising the significance of patient engagement in safety issues. Despite an increasing amount of literature examining the engagement of patients in addressing their safety, there has been little research examining the perspectives of patients and health professionals regarding the engagement of patients in safety issues.