Intensive Care Unit (ICU) nurses prescribe medication for patients in many countries. However, there is still no evidence on the legitimacy of nurse prescribing roles in the healthcare system of Iran. This qualitative study with 30 experts was conducted to explore the experiences regarding the expanding role of prescribing medication by the ICU nurses. Data were collected through 31 individual semi-structured interviews and analyzed using the conventional content analysis method by MAXQDA 10. One major theme, “applicability of prescribing medication by ICU nurses”, together with three sub-themes of “facilitators”, “potential risks of nurse prescribing” and “the professional pathway”, emerged. The use of successful global experiences, patient-oriented healthcare system policies, current culture and positive professional position of nurses, physician shortage, and high capacity of ICU nurses appeared as facilitators to perform the new role in our context. For the expansion of the new role, different professional pathways such as discussion with physicians and special groups with conflicts of interests, training qualified nurses in this area, and gradual development were proposed by the participants. The next step of the research is to prepare a set of standards for the prescription of medication by the ICU nurses in our context.
In the cation of the title compound, [Cu(C2H8N2)2(CH3OH)2](C8H4O4)·2CH3OH, the CuII atom lies on an inversion centre. The four N atoms of two ethylenediamine ligands around the CuII atom form the equatorial plane, while two methanol O atoms in the axial positions complete a Jahn–Teller distorted octahedral coordination. The benzene-1,4-dicarboxylate anion is centrosymmetric. In the crystal, C—H⋯O, N—H⋯O and O—H⋯O hydrogen bonds link the cations, the anions and the methanol solvent molecules.
Aim and Objectives This study aimed to develop and examine psychometric properties of the safety feeling scale (SFS) in adult patients to assess their sense of safety during a hospital stay. Design Mixed methods design. A SQUIRE checklist was used. Methods This is a study with two phases of scale development and evaluation of the psychometric properties of the scale. In the first phase, the concept of ‘safety feeling’ was analysed using a hybrid model. Thus, a systematic review and then a qualitative study with hospitalized patients (n = 31) were conducted by conventional content analysis. In the psychometric phase, factorial validity, reliability, feasibility, and responsiveness of the scale were evaluated by different tests in various samples. Results After integrating the results of the systematic review and qualitative study, a scale item pool with 84 items was developed. In the psychometric phase, 12 items with four factors were specified; ‘effective care,’ ‘confidence in the healthcare team,’ ‘emotional enrichment’ and ‘hygienic facilities,’ explaining 51% of the total variance of the scale. They were confirmed by confirmatory factor analysis. Internal consistency and stability of the scale were satisfactory. Feasibility and responsiveness were also acceptable.
Background: Incivility is a kind of disrespect to people. Students and faculty members agree on the growing trend of incivility. Uncivil behaviors in online nursing classes are a serious global issue that can influence the learning-teaching process and threaten patient safety in the clinical setting. This study aimed to identify incivility in the online learning environment from the perspective of nursing faculty members and students. Methods: This descriptive qualitative study was conducted in 2021. A total of 20 participants were selected from among nursing students and faculty through purposive sampling. Data were collected using in-depth semi-structured interviews and analyzed via a qualitative content analysis approach. Results: Data analysis revealed five categories including ghost students, unconditional freedom, disruptive learning behaviors, academic dishonesty, and ignoring the rules of the online learning environment. Conclusion: Incivility in the online learning environment disrupts the teaching-learning process and undermines instructor-student relationships. Given that disrespectful and threatening behaviors, even to a small degree, can significantly affect the learning environment, it is essential to recognize such behaviors. As uncivil behaviors in virtual nursing education can affect education by developing inappropriate behavioral and communication patterns in students, leading to the violation of professional ethics and patients’ rights, it is necessary to pay attention to this critical issue by conducting further studies and designing interventions to correct it.
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