Background: There is an acute shortage of nurses worldwide including Iran. Quality of work life is important for nurses as it affects the safety and quality of care provided for patients as well as organizational factors. The aim of this study was to describe the status of quality of work life and to explore its predictors among nurses in Iran. Methods: A cross-sectional study was conducted on 2391 nurses in 85 Iranian public hospitals, selected through the convenience sampling. Data were collected using demographic information and the quality of work life questionnaires. Results: The mean score for total quality of work life was 2.58, indicating a low level of self-reported quality of work life, with 69.3% of nurses dissatisfied with their work life. The major influencing factors were inadequate and unfair payment, lack of solving staff problems by organization and poor management support, job insecurity, high job stress, unfair promotion policies, and inadequate involvement in the decision-making. Significant predictors in the multivariate analysis for lower quality of work life were male gender, being single, older age, having lower educational levels, and working in teaching hospitals. Conclusion: The quality of nursing work life was at a low level and needs improvement interventions. The predictors identified allow for more targeted interventions. Nursing managers and policymakers should develop and implement successful strategies appropriately to improve the quality of work life. This includes the payments, organizational and managerial support, job security, fair promotion policies, and measures to reduce job stress.
Children's tv programs can be distinguished by the processing demands of their format and the pace with which changes occur. High-continuity programs are stories requiring temporal integration of successive scenes for full comprehension. Low-continuity programs are in "magazine" format: Successive bits are independent of one another, and temporal integration across bits is not required for comprehension. Pace is denned as rate of scene and character change in stones and rate of bit change in magazine shows. Sixteen children's tv programs varying in continuity (high vs. low), pace (high vs low), and animation (cartoon vs. live production) were made from broadcast material. Each lasted 15 minutes. Children (N = 160), half in grades K-l and half in grades 3-4, viewed two of the programs and were then tested for recall. The recall task required sequential senation of still photos taken from the program. Older children attended longer and reconstructed sequences better than younger children. High-continuity (story) programs led to greater attention and better recall than low-continuity (magazine) programs. Low-paced shows were recalled better than high-paced shows. Older children recalled best when shown either low pace or story format or both. Young children showed additive increments in recall due to low pace and high continuity: Either alone was better than none, and both was better than either alone. Younger children attended somewhat more to high-than to low-paced shows if they were in magazine format, a weak effect of perceptual salience. Older children attended to high-continuity programs in synchrony with their pace: longer looks to low-paced and shorter looks to high-paced programs. This effect was attributed to schematic and strategic processing by older children when the format justified it. Regression analyses indicated higher correlations between attention and recall for animated stories than for other types of programs, an effect attributed to their relatively high stereotypy in the medium. Age, continuity, and pace effects on recall were not fully accounted for by their effects on attention. Results were interpreted as indicating evidence for development of active, schematic processing of television by children and for strategic attending by older children, based on perceived processing demands. This research was made possible by a grant from the tention spans and need frequent change to Spencer Foundation, which is gratefully acknowledged, maintain their interest. Indeed many of the The authors would also like to express their gratitude to criticisms of fo^ programs are based on the the teachers, administrators, students, and parents of the , , Z ~~ _Uoii~,, Baldwin Elementary School, Baldwin, Kansas. We also Premise that such formats encourage shallow thank Mabel L. Rice, Alice Leary Reitz, Valeria Lovelace, or passive processing, reduced mental effort, and Ellen Wartella for their assistance short attention span, and a taste for percep-Requests for reprints should be sent to John C. Wnght, tua j gimm...
Background Patient safety culture is an important factor in determining hospitals’ ability to address and reduce the occurrence of adverse events (AEs). However, few studies have reported on the impact of nurses’ perceptions of patient safety culture on the occurrence of AEs. Our study aimed to assess the association between nurses’ perception of patient safety culture and their perceived proportion of adverse events. Methods A cross-sectional survey was carried out among 2295 nurses employed in thirty-two teaching hospitals in Iran. Nurses completed the Persian version of the hospital survey of patients’ safety culture between October 2018 and September 2019. Results Positive Response Rates of overall patient safety culture was 34.1% and dimensions of patient safety culture varied from 20.9 to 43.8%. Also, nurses estimated that the occurrence of six adverse events varied from 51.2–63.0% in the past year. The higher nurses’ perceptions of “Staffing”, “Hospital handoffs and transitions”, “Frequency of event reporting”, “Non-punitive response to error”, “Supervisor expectation and actions promoting safety”, “Communication openness”, “Organizational learning continuous improvement”, “Teamwork within units”, and “Hospital management support patient safety” were significantly related to lower the perceived occurrence at least two out of six AEs (OR = 0.69 to 1.46). Conclusions Our findings demonstrated that nurses’ perception regarding patient safety culture was low and the perceived occurrence of adverse events was high. The research has also shown that the higher level of nurses’ perception of patient safety culture was associated with lowered occurrence of AEs. Hence, managers could provide prerequisites to improve patient safety culture and reduce adverse events through different strategies, such as encouraging adverse events’ reporting and holding training courses for nurses. However, further research is needed to assess how interventions addressing patient safety culture might reduce the occurrence of adverse events.
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