Jorjani Biomedicine Journal

Background and objectives: Despite the long history of cardiopulmonary resuscitation (CPR), there are still major concerns about poor CPR team performance in hospitals. While only 10-15 percent of those undergoing CPR leave the hospitals alive, the statistics vary in different countries. Since addressing the barriers to successful CPR may help prevent the potential risks to future patients, the present study aimed to identify such barriers from the perspective of nurses.

Methods: In a descriptive-analytic study in 2011, 200 nurses, including 68 men (34 percent) and 132 women (66 percent), employed at four teaching hospitals affiliated to Golestan University of Medical Sciences (Iran) were randomly selected. Data were collected through a researcher-made questionnaire. Descriptive (frequency, mean, and standard deviation) and inferential statistics were applied for data analysis. All analyses were performed with SPSS version 16 .

Results: The majority of nurses (83 percent) had an experience of working with a CPR team. The participating nurses suggested absence of timely clinical CPR (98 percent), lack of regular standard in-service training (98 percent), lack of CPR equipment and supplies in the wards (92 percent), lack of efficient communication among team members (90 percent), and underlying diseases of the patients (88 percent) as the most important barriers to successful CPR.

Conclusion: Considering the poor performance of CPR teams in hospitals, management of this challenge requires more attention of planners and hospital authorities. Holding standard retraining programs to update the staff’s knowledge and improve their skills would be essential to forming a competent and cohesive CPR team.

Background and objective:

Materials and Methods:

Results:

Conclusion:

Background and Objective: Obtaining the means of promoting nursing care quality have been always considered by nursing managers. The present study was conducted to determine the relationship between nursing care quality and patients satisfaction in the hospitals affiliated to Zahedan University of Medical Sciences in 2014.

Methods: The present cross-sectional study was accomplished on 68 employed nurses and 204 patients during a 4 month random sampling time interval. Three patients per nurse who had utilized at least 72 hours of nursing cares and were about to discharge at the time of research were chosen. Data collection tolls were the standardized questionnaires including nursing care quality measurement tool (Quality patient care scale: QUALPAC) and Patient Satisfaction Instrument (PSI). The data were analyzed using Chi-square, One-Way ANOVA and Pearson correlation coefficient tests.

Results: The average age of the nurses and patients were respectively 30.8±4.9 and 37.9±10.7. The average score for QUALPAC was 61.3±12.5 and the quality of care was desirable in 55% of cases. Moreover, the average score for the satisfaction of patients was 71.8±10.9 and the patients expressed an intermediate satisfaction in 61 percent of cases. There was a positive significant correlation between the nursing care and patient satisfaction (P=0001).

Conclusion: It seems as if the health care system can provide the satisfaction of patients by enhancing nursing care quality or to employing more skilled nurses.