Introduction Appropriate decision-making is essential in emergency situations; however, little information is available on how emergency decision-makers decide on the emergency status of the patients shifted to the emergency department of the hospital. This study aimed at explaining the factors that influence the emergency specialists' decision-making in case of emergency conditions in patients. Methods This study was carried out with a qualitative content analysis approach. The participants were selected based on purposive sampling by the emergency specialists. The data were collected through semistructured interviews and were analyzed using the method proposed by Graneheim and Lundman. Results The core theme of the study was “efforts to perceive the acute health threats of the patient.” This theme was derived from the main classes, including “the identification of the acute threats based on the patient's condition” and “the identification of the acute threats based on peripheral conditions.” Conclusions. The conditions governing the decision-making process about patients in the emergency department differ from the conditions in other health-care departments at hospitals. Emergency specialists may have several approaches to decide about the patients' emergency conditions. Therefore, notably, the emergency specialists' working conditions and the others' expectations from these specialists should be considered.
Background: Nurses' job stress can affect their physical and mental health. If sexual health is endangered, the sexual health of the sexual partner might be in trouble. Objectives: This study aimed to investigate sexual dysfunction and related factors in hospital emergency male nurses and its relationship with their spouses' sexual function. Methods: This study was a descriptive-analytic cross-sectional study. Data collection tools were the International Men's Erectile Performance Questionnaire and Women's Sexual Performance Index Questionnaire. Male nurses and their spouses completed the questionnaires separately and mailed them. Results: One hundred and ten people participated in this study. The prevalence of sexual dysfunction in emergency male nurses and their spouses was 40% and 92.7%, respectively. There was no significant relationship between the sexual dysfunction of male nurses and the sexual dysfunction of their spouses (P = 0.324). There was a statistically significant relationship between the mean score of male nurses' sexual dysfunction and the number of children (P = 0.002) and between the spouses of emergency male nurses' mean scores of sexual dysfunction and their employment (P = 0.032). Conclusions: Being a male emergency nurse could not play a role in developing sexual dysfunction in their spouses. The prevalence of sexual dysfunction in male nurses is almost equivalent in other men and their spouses higher than in other women in the community. While sexual dysfunction in the male emergency nurses was related to the number of children, their spouses' sexual dysfunction was related to their jobs.
Background and Aims: Due to the heavy working shifts, emergency nurses may have to sleep at unusual times of the day, affecting their spouse's sleep. This study proposed to detect the relationship between the woman emergency nurse's sleep quality and the sleep quality of their spouses. Methods: This cross-sectional descriptive-analytical study has lasted for 4 months since June 21, 2020. The study population was all women nurses working at a hospital emergency department. The data was collected by a demographic questionnaire and Pittsburgh sleep quality index (PSQI) for nurses and their spouses. The data were analyzed by descriptive and inferential statistics. Results: The prevalence of sleep quality disorder among female emergency department nurses and their husbands was 82.7% and 80.6%, respectively. The mean sleep quality score of female nurses and their husbands was 8.46 ± 4.43 and 6.50 ± 2.52, respectively. A strong and positive correlation was found between the PSQI score of female nurses and their husbands (p < 0.001). The regression model showed that increasing the body mass index (BMI) of female emergency nurses can decrease their sleep quality. However, increasing the BMI of female emergency nurses' spouses and their work experience in the emergency department can improve their sleep quality. Conclusion: The sleep quality of female emergency department nurses was directly correlated with their husbands' sleep quality. Therefore, the sleep quality of nurses working in the emergency departments and their spouses should be examined periodically.
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