Effectiveness of group cognitive-behavioral training on physiological indicators and communication skills in the hospital staffs (original) (raw)
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MEDICAL SCIENCES JOURNAL, 2020
Background: The aim of this qualitative study was identifying the effective factors and components in transferring learning to the work environment in in-service training of nurses in hospitals affiliated to the Social Security Organization. Materials and methods: The method was exploratory research and Data analysis was fundamental. The sample includes 35 members of hospital supervisor, head nurses, master manager of education and academic professors who work and expert in training transfer. Data were collected by open interview until theoretical saturation was reached. Open and semi-structured interviews were used to collect information and simultaneous analyses of the interview were conducted using open, axial and selective coding. The obtained model was validated by all 35 people and the learning transfer model was developed. Finally, using the feedback method of the participants and the analyst triangulation technique, the validity of the analysis was ensured. In order to measure the reliability of the coding, re-test reliability methods and intra-subject agreement were used. Results: The factors affecting training transfer could be in 4 dimensions, including personal factors, educational factors, organizational factors and meta-organizational or environment factors. Conclusion: The results showed this fact that in educational performance process in hospital and achieve the efficiency and effectiveness of education in nurses' performance , we must consider factors affecting training transfer. Because the lack of attention to these factors influencing the transfer process has shown that learning is forgotten over time and eventually a small percentage is transferred to the workplace and a lot of costs are imposed on the hospital without any benefit.
Research in Medical Education, 2019
Introduction: Team-based learning (TBL) is a new teaching strategy in participatory and active learning that uses in individual or groups of students in problem-solving method. This study aimed to compare the effect of two methods of teaching classical lecture and TBL method on midwifery students´ knowledge and attitude in midwifery emergencies course. Method: In this clinical trial, post-test evaluation was conducted on 30 undergraduate midwifery students of Zahedan University of Medical Sciences. The students were divided into two groups according to grade point average and then were randomly assigned to the groups of teaching, classical lecture (15 students) and the other group teaching to TBL (15 students). Educational intervention for each group was done separately for 2 hours in 5 sessions. The effect of methods assessed on the attitude by a 20-item questionnaire and on the knowledge by the final exam which was completed in 5 sessions in both methods. Data were analyzed using independent t-test by SPSS. Results: Results showed a significant difference between the mean scores of knowledge in lecture group (16/95) and TBL group (22.53) (t = 6.07, P <0.001). Same trends occurred between the mean scores of individual assessment in TBL group (23.60) and group evaluation (25.80) (t = 7.35, P <0.001). There was a significant difference between the mean scores of students' attitudes in lecture group (34.53) and TBL group (78) in favor of TBL (P <0.001, t = 15.749). Conclusion: Based on findings, TBL enhanced the knowledge and the positive attitude of the students. Therefore, teachers should be encouraged to use this method especially for the midwifery student for particular lessons.
Relationship between spiritual intelligence and perceived stress among critical care nurses
The Journal of Qazvin University of Medical Sciences
Background: Spiritual intelligence as a basis of individual beliefs plays a fundamental role in various areas of human life, especially mental health promotion. Objective: This study investigated the relationship between spiritual intelligence and perceived stress among critical care nurses. Methods: This descriptive-analytical study was carried out on 115 nurses who were selected by nonrandom sampling method in a correlation manner. Data were gathered by using three questionnaires: demographic information, king's spiritual intelligence and Cohen's perceived stress questionnaire and analyzed by linear regression and correlation coefficient analysis. Findings: In this study 13 men and 102 women participated. The mean score of perceived stress (25.7±5.96) and spiritual intelligence score (50.28±14.35) were moderate. There was a reverse and significant relationship between spiritual intelligence and its subscales with perceived stress (r=-0.243 and P= 0.009). The study showed that spiritual intelligence and education level can be considered as predictive variables for perceived stress (P<0.001). Conclusion: Considering the significant relationship between spiritual intelligence and perceived stress and the predictive role of spiritual intelligence, one of the effective strategies in reducing stress can be shifting the attention of nurses towards spiritual intelligence and attempt to promote it.
The Journal of Qazvin University of Medical Sciences, 2014
Background: Rapid response nursing team assesses patients at an earlier stage of clinical deterioration and reduces mortality rate. Objective: The aim of this study was to determine the effect of setting up rapid response nursing team on cardiopulmonary arrest and unexpected death in patients admitted to emergency department. Methods: This randomized clinical trial was performed on 714 patients in the emergency department of selected hospital affiliated to Alborz University of Medical Sciences during 2013. Patients were randomly allocated to two groups. Rapid response nursing team consisted of a critical care nurse and an anesthesia technician that attended in the emergency department during work shifts 24 hours a day. The control group was cared by the department staff as routine. The intervention group was cared by the rapid response nursing team when the patient condition was deteriorating and after a careful evaluation. Results of the interventions were recorded for both groups....
Journal of Medical Education and Development
Introduction: During the COVID-19 pandemic era, adhering to professional commitments can be a major challenge. This study aims to document the experiences of medical residents and faculty members on the challenges of adhering to professional commitments during the COVID-19 pandemia and its impacts on clinical education. Methods: This qualitative study (using a descriptive phenomenology and purposive sampling method) was conducted in 2020, comprising 14 participants (faculty members and infectious diseases residents of Qazvin University of Medical Sciences) to share their experiences on the challenges of strict adherence to professional behavior. Data were collected through in-depth semi-structured interviews. The transcribed interviews were analyzed based on the Colaizzi approach. Result: Ninety extracted primary codes are classified to two main areas: problems in adherence to professional commitments and the impact of COVID-19 pandemia on educational and research activities mand...
The Journal of Qazvin University of Medical Sciences, 2016
Background: Quality of work life is the reaction of employees to their work specially the individual results at work and mental health that affects their personal experience and work results. Objective: The aim of this study was to determine the effect of workload on quality of work life in staff of the teaching hospitals affiliated to Shahid Beheshti University of Medical Sciences, Tehran. Methods: This analytical study was conducted in 530 staff of four hospitals affiliated to the Shahid Beheshti University of Medical Sciences that were selected by Cochrane sampling method during 2014. The measurement tools were demographic questionnaire, Walton's quality of work life questionnaire (including 32 questions and eight dimensions), and the NASA TLX workload scale. Data were analyzed using Pearson’s correlation coefficient. Findings: The mean scores of quality of work life and workload were 48.21±13.34 and 64.70±11.44, respectively. There was negative significant correlation betwee...
Journal of Rafsanjan University of Medical Sciences, 2013
Evaluation, as one of the quality progress tools, makes it possible to identify strengths and weakness points by taking appropriate steps in the evolution and reform in the workflow by strengthening the positive aspects of the programs and eliminating the failures. This Study was based on the CIPP model in 2010 with the objective of evaluation of Medical School faculty at Rafsanjan university of medical sciences. Materials and Methods: This Study was a descriptive-cross sectional and study population consisted of 63 students, 28 faculty members and 10 graduates students. The researcher-made questionnaire was used for data gathering. The questionnaire included two parts: demographic information and questions. Zero score to 1.5 (unfavorable status), 1.51 to 3.50 (relatively favorable), and 3.51 to 5 was considered desirable status. Data were analyzed using descriptive and inferential statistics. Results: From the perspective of the participants the status at the context, input, process, and whole medical school was considered to be relatively favorable. The results showed that in general, as in the areas of context, process and product of medical school, there was a significant differences between Instructors and students (p≤0.05). Students evaluated context better than instructors and instructors evaluated input, process and product and whole medical school better than the students. Conclusion: The final results of the evaluation of medical school showed that the status is desirable. In order to achieve quite desirable results it's optimal that officials of this university and colleges improve the important factors such as reviewing the material and educational content have regulars instruction for new teaching methods hold assessments and teach communication skills to their instructors.
Assessment of burnout rate and related factors in selected wards
Advances in Nursing & Midwifery, 2015
Background and Aims: Nurses experience numerous stresses in their work which may cause burnout .The goal of present study was to determine the prevalence and factors associated with burnout in nurses working in selected departments of teaching hospitals of University of Medical Sciences and Health Services in Fasa and Jahrom cities. Materials and Methods: In this cross – sectional study,120 nurses working in teaching hospitals Fasa and Jahrom cities were included. Data were collected by a questionnaire which consisted a demographic information section , the Copenhagen Burnout Inventory (CBI) and a list factors related to burnout. Internal consistency of the questionnaires were obtained by calculating cronbach alpha which was = 0.7 and =0.76 for "Copenhagen Burnout Inventory" and "related factors with burnout questionnaire " respectively .Test –re test reliability was r=0. 89 and r=0.70 for "Copenhagen Burnout Inventory" and "related factors with ...
بررسی تأثیر گروه درمانی شناختی برکاهش افسردگی دانشآموزان
مجله دانش و تندرستي, 2011
Introduction: Depending on its etiology, many methods have been established for the treatment of depression among adolescents; cognitive therapy is one of them. The purpose of the present research was to investigate the effect of cognitive group therapy on decreasing depression among high school students. Methods: From the male students of a boarding high school in Tarom district of Gazvin province, a sample of 16 students were randomly selected and assigned into experimental and control groups. The measurement tool was Beck depression inventory. The experimental group participated in 8 sessions of cognitive therapy, while the control group did not receive any treatment. The mean scores of the two groups were compared through independent t-test. Results: The results of the study showed significant differences between the mean scores of the pre-tests and post-tests of the experimental and control groups, so that cognitive group therapy had reduced the depression mean score in the experimental group (-2.1 vs.-0.25). Conclusion: The findings of the study indicate that cognitive group therapy can reduce the depression among students. These findings can be used for therapeutic planning within the cognitive paradigm to reduce or prevent depression among students.