Introduction: Occupational stress is one of the predictors of psychological and physical complications among nurses. High working pressure, lack of pharmacotherapy and the rate of transmission of coronavirus are the major causes of stress in nurses in coronavirus wards. Resilience is the process of coping with stressful events. The present study aims to investigate the relationship between resilience and occupational stress among nurses in coronavirus wards. Material and methods: In this descriptive cross-sectional study, 150 nurses working in the coronavirus wards for at least one month were selected and examined using the available sampling method. The data collection instruments were the Demographic Questionnaire, the Connor and Davidson Resilience Questionnaire, and French's Expanded Nursing Stress Scale (ENSS). Results: The mean and standard deviation of occupational stress level of nurses were 147.12 ±27.19 and the mean and standard deviation of resilience rate of nurses were 67.43 ±10.25. Spearman's correlation coefficient test showed a significant and inverse relationship between occupational stress and resilience of nurses (r = -0.187, p = 0.022). Conclusions: The highest stressor for nurses in the coronavirus ward was the uncertainty about treatments, patients and their families. As nurses' resilience increases, so does their occupational stress. Resilience is a modifier of nursing occupational stress. To empower nurses against stress, it is recommended that resilience is taken into account in nursing education.
Background Epidermolysis bullosa is an inherited disease that causes bleeding blisters on the skin tissues and mucosal membranes. This study reports a case of epidermolysis bullosa with clinical manifestations of sepsis and pneumonia. Case report A 17-month-old female with epidermolysis bullosa presented with clinical manifestations of sepsis and pneumonia, including increased body temperature, anorexia, and wheezing. Blood test results included the following: white blood cell (WBC) count, 24,000/μl; hemoglobin level, 7.9 mg/dl; erythrocyte sedimentation rate (ESR), 99 mm/h; and C-reactive protein level, +2. The patient was given ceftriaxone, vancomycin, hydrocortisone, and acetaminophen. The patient's fever resolved on the third day of hospitalization, and the ESR and WBC count reached 25 mm/h and 9900/μl, respectively. Conclusions According to the report, it is recommended to consider an increase in body temperature, WBC count, and ESR, and perform the required attempts in patients with epidermolysis bullosa.
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