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Teymoori E, Fereidouni A, Zarei M, Babajani-Vafsi S, Zareiyan A. Development and validation of burnout factors questionnaire in the operating room nurses. Sci Rep 2024; 14:8216. [PMID: 38589442 PMCID: PMC11001876 DOI: 10.1038/s41598-024-56272-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Accepted: 03/04/2024] [Indexed: 04/10/2024] Open
Abstract
Nurses may experience burnout more than other professions. Occupational burnout is a serious concern considering the importance of nurses' jobs in patient care. This study was carried out with the aim of designing and validating the questionnaire of burnout factors in the operating room nurses. Mixed method study was done in two qualitative and quantitative phases in 2022 on Iranian operating room nurses. In the first stage, the concept of operating room nurses' burnout was explained using interviews and literature review, and items were generated. In the second stage, the face validity, content and construct validity of the questionnaire was examined with 342 operating room nurses, and also the reliability of the questionnaire was tested using internal consistency (Cronbach's alpha) and stability (test-retest). After conducting the interview and literature review, 65 questions were extracted. Based on face validity, 4 items were modified. After content validity, 40 items remained. In construct validity, after exploratory factor analysis, 34 items with 5 dimensions were extracted. These dimensions included Organizational, Individual, Interpersonal, Occupational Nature and Managerial factors. Cronbach's alpha and intra-class correlation coefficient were equal to 0.937 and 0.946, respectively. The designed tool based on understanding the concept of burnout in operating room nurses has appropriate and acceptable validity and reliability. Therefore, it can be used to measure burnout in operating room nurses.
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Affiliation(s)
- Esmaeil Teymoori
- Department of Operating Room Technology, School of Paramedical Sciences, Aja University of Medical Sciences, Tehran, Iran
| | - Armin Fereidouni
- Department of Operating room technology, Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammadreza Zarei
- Autoimmune Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran
| | - Saeed Babajani-Vafsi
- Department of Operating Room Technology, School of Paramedical Sciences, Aja University of Medical Sciences, Tehran, Iran.
| | - Armin Zareiyan
- Public Health Department, Health in Disaster & Emergencies Depatment, Aja University of Medical Sciences, Tehran, Iran.
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Rostami M, Babajani-Vafsi S, Ziapour A, Abbasian K, Mohammadimehr M, Zareiyan A. Experiences of operating room nurses in disaster preparedness of a great disaster in Iran: a qualitative study. BMC Emerg Med 2023; 23:138. [PMID: 37996807 PMCID: PMC10668482 DOI: 10.1186/s12873-023-00903-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Accepted: 10/30/2023] [Indexed: 11/25/2023] Open
Abstract
BACKGROUND In recent years, Iran has encountered a growing frequency of earthquake disasters. Given that nurses constitute the largest group of healthcare providers, it is imperative that they possess adequate disaster preparedness skills, irrespective of the location or time. Despite the operating room nurses' roles in disasters, their experiences and challenges in disaster preparedness have been overlooked. Consequently, this study aimed to investigate the experiences, challenges, perspectives, and factors influencing the disaster preparedness of operating room nurses during the 2017 earthquake in Kermanshah, Iran. METHODS The present qualitative research was carried out in Iran In 2022 utilizing conventional content analysis. The study involved conducting semi-structured interviews with 16 operating room nurses who had participated in disaster preparedness during the Kermanshah earthquake. The participants were selected using a purposive sampling approach that aimed to achieve maximum diversity. The interviews were continued until the point of data saturation was reached, and the verbatim transcripts were analyzed using conventional content analysis in MAXQDA software. To ensure the rigor of the research, Guba and Lincoln's criteria were employed. RESULTS The study conducted data analysis to identify the main theme as "insufficient disaster preparedness due to a faded preparedness", along with six major categories and eighteen subcategories related to earthquake disaster preparedness. The major categories included: knowledge and perception of preparedness for disasters; educational and training programs for disaster preparedness; equipment preparedness for disasters; managerial-organizational preparedness for disasters; clinical skills for responding to disasters; and resilient ability in disaster response situations. CONCLUSION The findings of the study provide valuable insights into the dimensions of disaster preparedness in earthquake disasters among operating room nurses. Nursing managers can utilize these findings to develop effective strategies and provide support in areas such as improving knowledge and educational level, equipment preparedness, strengthening plans and managerial structures, enhancing skills, and explaining resilience strategies to improve the disaster preparedness of operating room nurses and medical organizations' disaster response teams.
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Affiliation(s)
- Mohammad Rostami
- Department of Surgical Technology, AJA University of Medical Sciences, Tehran, Iran
| | - Saeed Babajani-Vafsi
- Department of Surgical Technology, Faculty of Paramedical Sciences, AJA University of Medical Sciences, Tehran, Iran
| | - Arash Ziapour
- Cardiovascular Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Kourosh Abbasian
- Management and Health Economics Department, AJA University of Medical Sciences, Tehran, Iran
| | - Mojgan Mohammadimehr
- Department of Laboratory Sciences, Faculty of Paramedical Sciences, AJA University of Medical Sciences, Tehran, Iran
| | - Armin Zareiyan
- Public Health Department, Health in Disaster and Emergencies Department, AJA University of Medical Sciences, Tehran, Iran.
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Teymoori E, Zareiyan A, Babajani-Vafsi S, Laripour R. Viewpoint of operating room nurses about factors associated with the occupational burnout: A qualitative study. Front Psychol 2022; 13:947189. [PMID: 36033007 PMCID: PMC9403988 DOI: 10.3389/fpsyg.2022.947189] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 07/22/2022] [Indexed: 02/03/2023] Open
Abstract
Background Occupational burnout is a mental health problem that among nurses may lead not only to physical and psychological complications, but also to a decrease in the quality of patient care. Considering the stressful nature of surgery, operating room nurses may be at a greater risk. Therefore, the present study aimed to identifying factors associated with the occupational burnout from the perspective of operating room nurses. Materials and methods This qualitative study was conducted in Iran in 2021 using conventional content analysis. Sampling was performed using purposeful sampling method with maximum variation. In order to collect data, individual, semi-structured interviews were performed with 18 operating room nurses. Interviews continued until data saturation. Data were recorded, transcribed and analyzed using steps proposed by Graneheim and Lundman. Data management was performed using MAXQDA-2020 software. Four criteria provided by Guba and Lincoln were used to improve the study’s trustworthiness and rigor. Results A main theme, 4 categories and 15 subcategories were extracted from the data. The main theme is “gradual burnout due to job tension” and categories and subcategories include organizational factors (manager incompetence, organizational indifference, ambiguity in organizational role, organizational inconsistency), interpersonal factors (surgeon aggression, surgeon authoritarianism, surgeon failure to manage stress, unprofessional behavior of nurses), Occupational nature factors (psychological factors and occupational hazards) as well as individual factors (occupational attitude, unprofessional behavior, emotional involvement, demographic factors, physical factors). Conclusion Numerous factors associated with burnout in operating room nurses, which may put the personnel under more pressure. According to these factors, nursing managers and operating room nurses can consider effective strategies to prevent or coping with burnout.
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Affiliation(s)
- Esmaeil Teymoori
- Department of Surgical Technology, Faculty of Paramedical Sciences, AJA University of Medical Sciences, Tehran, Iran
| | - Armin Zareiyan
- Public Health Department, Health in Disaster and Emergencies Department, AJA University of Medical Sciences, Tehran, Iran
- *Correspondence: Armin Zareiyan,
| | - Saeed Babajani-Vafsi
- Department of Surgical Technology, Faculty of Paramedical Sciences, AJA University of Medical Sciences, Tehran, Iran
- Saeed Babajani-Vafsi,
| | - Reza Laripour
- Social and Preventive Medicine Department, School of Medicine, AJA University of Medical Sciences, Tehran, Iran
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Zarei M, Babajani-Vafsi S, Kazemi-Galougahi MH, Bakhshi A, Ajorpaz NM, Ghorbani M. The safety of a novel single-drape cover for sterile back tables in the operating room compared to the standard two-drape method: an experimental study. Patient Saf Surg 2022; 16:18. [PMID: 35655219 PMCID: PMC9161583 DOI: 10.1186/s13037-022-00330-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Accepted: 05/24/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Covering the prepared sterile back tables (PSBTs) during periods of nonuse and during active surgeries may decrease contamination of sterile surgical instruments that have direct contact to surgical wound. The Association of periOperative Registered Nurses (AORN) declared that an easy method for covering and removing the drape will ultimately be most effective (e.g. standard two-drape method). Hence, this study was designed to test the hypothesis that using a novel single-drape cover had more efficiency and safety in decreasing airborne bacteria-carrying particles (ABCPs) settling on the PSBTs during static and dynamic periods than the standard two-drape method. METHODS This experimental study was conducted with using 918 agar plates to detect contamination of the PSBTs with ABCPs on two conditions (static and dynamic) at an academic medical center in Kashan, Iran, from September 25, 2021, to January 20, 2022. The contamination of PSBTs was evaluated by 6 agar settle plates (n = 918 in total) on each PSBT in static and dynamic operating room (OR) conditions. At each time-point, this set-up was repeated on two occasions else during data collection, establishing 81 PSBTs in total. Tested groups included the PSBTs covered with the standard two-drape method, the novel single-drape cover, or no cover. The plates were collected after 15, 30, 45, 60, 120, 180, 240 min and 24 h. The primary outcome measured was comparison of mean bioburden of ABCPs settling on covered PSBTs on two conditions by using agar settle plates. The secondary outcomes measured were to determine the role of covering in decreasing contamination of PSBTs and the estimation of time-dependent surgical instrument contamination in the uncovered PSBTs on two conditions by using agar settle plates. RESULTS Covering the PSBTs during static and dynamic OR conditions lead to a significantly decreased bioburden of ABCPs on them (P < 0.05). No differences were seen between the standard two-drape method and the novel single-drape cover (P > 0.05). CONCLUSIONS We found that there is no preference for using the novel single-drape cover than the standard two-drape method. Our results showed a significant decrease in bioburden of ABCPs on the PSBTs when those were covered during static and dynamic OR conditions, indicating the efficiency for covering the PSBTs during periods of nonuse and during active surgery.
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Affiliation(s)
- Mohammadreza Zarei
- Department of Surgical Technology, Faculty of Paramedical Sciences, Aja University of medical sciences, Tehran, Iran
| | - Saeed Babajani-Vafsi
- Department of Surgical Technology, Faculty of Paramedical Sciences, Aja University of medical sciences, Tehran, Iran
| | | | - Ashraf Bakhshi
- Department of Microbiology, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Neda Mirbagher Ajorpaz
- Autoimmune Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran
| | - Mahdi Ghorbani
- Department of Medical Laboratory sciences, Aja University of Medical Sciences, Tehran, Iran.
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Babajani-Vafsi S, Mokhtari Nouri J, Ebadi A, Zolfaghari M. Factors Influencing The Participation Of Nurses In Knowledge-Sharing Within Mobile Instant Messaging Based Virtual Communities Of Practice: A Qualitative Content Analysis. Adv Med Educ Pract 2019; 10:897-905. [PMID: 31695551 PMCID: PMC6821066 DOI: 10.2147/amep.s222779] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/11/2019] [Accepted: 10/12/2019] [Indexed: 06/10/2023]
Abstract
INTRODUCTION The emergence of mobile instant messaging (MIM) based virtual communities of practice (VCoPs) has provided new opportunities for nurses to share their knowledge and promote collaborative learning. This study was conducted with the aim of exploring the factors influencing nurses' participation in knowledge-sharing within MIM-based VCoPs. MATERIAL AND METHODS This is a qualitative study conducted in Tehran, Iran, between April 2017 and July 2018. The participants were 18 nurses that selected through purposeful sampling technique; then, in-depth and semi-structured interviews were conducted with them. Data was analyzed using conventional content analysis based on Graneheim and Lundman (2004). Accordingly, all interviews were transcribed and read several times; then, meaning units were identified from the transcribed text based on the aim of the study and codes were extracted from them. Finally, the codes were classified into categories and themes. RESULTS A total of 26 sub-categories, seven categories, and two themes were extracted. Motivations for nurses' participating in knowledge-sharing activities within MIM-based VCoPs included the theme "Stimuli for professional interactions" with three categories: "The individual drives", "Attractive interactive environment", and "User-friendly media". On the other hand, participation barriers included the theme "Impediments for professional interactions" with four categories of "Individual hindrances", "Social harm", "Unprofessional interactive environment" and "Undesirable media". CONCLUSION The findings of this exploratory study indicated that individual, social and technological factors as well as factors associated with the virtual-community interactive environment could influence nurses' participation in knowledge-sharing within MIM-based VcoPs as motivations and barriers. The insights obtained from this study can be a guide for administrators and educators in the nursing profession to facilitate and enhance nurses' participation in knowledge-sharing within MIM-based VCoPs by strengthening motivations and minimizing barriers.
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Affiliation(s)
- Saeed Babajani-Vafsi
- Nursing Management Department, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Jamileh Mokhtari Nouri
- Nursing Management Department, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
- Medicine, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Abbas Ebadi
- Nursing Management Department, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
- Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mitra Zolfaghari
- Nursing and Midwifery Care Research Center, Department of Electronic Learning in Medical Sciences, Virtual School, Tehran University of Medical Sciences, Tehran, Iran
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