Context A high quality of nursing care is an important priority of nursing profession and directly associated with increased patient satisfaction. Evidence shows that ethical professional issues are challenging with significant influences on the quality of nursing care. Aims The aim of this study was to determine how quality of patient care relates to the nurses’ ethical reasoning as viewed by patients in medical wards. Settings and Design This study used a descriptive correlational design. Subjects and Methods Data collection tools included a Nursing Dilemma Test and Quality Patient Care Scale. In total, 180 hospitalized patients and 180 nurses who worked in medical wards of Hospitals in 2017 were enrolled. Sample selection was done by the census method. Statistical Analysis Used Data were analyzed by the SPSS software version 22. Results The means score for nurses’ quality care was 91.71 ± 14.81. Furthermore, the mean score for ethical reasoning among nurses was at an average level of 45.07 ± 6.12. There was no significant relationship between the quality of care and nurse’s ethical reasoning ( P > 0.05). Conclusions: The results revealed that factors other than ethical reasoning of nurses are related to quality of care. Furthermore, nurses showed an average ability in ethical reasoning. So to improve this situation, healthcare system administrators can offer professional training programs to increase ethical sensitivity and reasoning among the nurses who face daily ethical issues.

Background The persons with Mild Cognitive Impairment are more likely to develop dementia. This condition can lead to permanent memory impairment and dementia if left untreated. So far, several non-pharmacological treatments have been used to prevent the progression of this disorder, but their effectiveness needs to be further investigated. The aim of this study was to determine the effectiveness of low dose nicotine on working memory and positive emotion in patients with mild cognitive impairment. Methods This is a quasi-experimental study with a control group. Fifty male patients referred to neurology clinics in Tabriz city were selected by convenience sampling method and randomly assigned to the control and experimental groups. Data collection tools included Wechsler Memory Scale (WISC-IV) and Positive and Negative Affect Schedule (PANAS). Data were analyzed using SPSS software ver. 24. Results The findings indicated that the mean scores of working memory and positive emotion in experimental group were not statistically significantly different from the control group before intervention (P > 0.05). But after intervention the mean scores of working memory and positive emotion in experimental group were statistically significantly higher than the control group (P < 0.05). Conclusion The study findings indicated that low dose nicotine enhances working memory and increases positive emotions in patients with mild cognitive impairment. Therefore, the findings of this study can be used in the treatment and rehabilitation of patients with mild cognitive disorders.

Background: One of the new and effective methods of patient triage in the emergency department is the use of team triage including physician and nurse. Given that there is no conclusive evidence on the effectiveness of using team triage, therefore the aim of this study was to investigate the effect of team triage method on emergency department performance indexes. The present study is a quasi-interventional study in which 200 patients referred to the emergency department in XXX hospital of XXX in 2020.Methods: Participants were randomly assigned to two groups (team triage, conventional triage) and were evaluated. The patient demographic characteristics questionnaire, five-level triage form of Emergency Severity Index and Press-Ganey satisfaction questionnaire were used to collect data and evaluation of patient satisfaction about waiting time. Results: The results showed that there is a complete agreement between both groups and emergency physician about patient triage (kappa=1). The mean score of waiting time for the first physician visit in team triage was 3.5 minutes, which was statistically significantly lower than the conventional triage about 8.79 minutes (P=0.001, t=-8.65). Also, the mean score of waiting time for receiving the first treatment in team triage was 7.8 minutes, which was statistically significantly lower than the conventional triage about 17.9 minutes (P=0.001, t=-9.36). Finally, the mean score of patients' satisfaction in team and conventional triage was 95.15 and 73.91, respectively, which was statistically significantly higher in team triage (P=0.001, t=5.06). Conclusions: The findings indicate that team triage method in comparison to conventional triage, decreasing the waiting time for receiving the first service, length of stay and improving of patient's satisfaction. Therefore, in order to improve the performance indicators of the emergency department, it is recommended that hospital managers use the team triage method, and hold training workshops to train skilled and efficient personnel.

Background: Personnel working in emergency departments are exposed to a lot of burnout due to their nature and occupational factors; therefore, it is very important to pay attention to the factors that cause and aggravate burnout. In the meantime, the existence of organizational justice is an important principle in employee efficiency that can also affect the quality of employee services. Therefore, this study was conducted to investigate the relationship between organizational justice and burnout in emergency department personnel of Tabriz hospitals in 2019. Materials and Methods: The present study is a descriptive cross-sectional correlational study that was performed on 140 pre-hospital emergency personnel in Tabriz, Iran in 2021. The sampling method was census. Data were collected using a three-part questionnaire including participants’ personal demographic information form, Niehoff and Moorman organizational justice questionnaire, and Maslach burnout inventory (MBI). For data analysis, SPSS software, version 22 was used through descriptive statistics and analytical statistics. The significance level was considered at 0.05. Results: The results showed that the level of organizational justice and job burnout of participants was in the moderate range. Also, the results of the correlation statistical test showed that there was a significant reverse relationship between organizational justice and job burnout of pre-hospital emergency personnel (P<0.05). Conclusion: The findings of this study showed that organizational justice is not very desirable from the perspective of pre-hospital emergency personnel and their sense of burnout can be largely related to this situation. Therefore, based on the findings of the present study, it is suggested that managers and officials of pre-hospital medical centers and emergencies by adopting new administrative policies and creating a favorable organizational climate based on human dignity can take positive steps to improve organizational justice and reduce job burnout.