Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1404
10
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gregorian
2026
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31
4
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fulltext
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بررسی ارتباط محیط کار سالم با شایستگی بالینی پرستاران شاغل در بخشهای مراقبت ویژه: یک مطالعه مقطعی
Relationship between a healthy work environment and the clinical competence of nurses working in intensive care units: A cross sectional study
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span b="" style="font-family:" titr=""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">سلامت محیط کار پرستاران می­تواند شایستگی بالینی آن­ها و به تبع آن کیفیت مراقبتهای ارایه شده توسط آنان را تحت تأثیر قرار دهد. لذا پژوهش حاضر با هدف تعیین ارتباط محیط کار سالم با شایستگی بالینی در پرستاران شاغل در بخشهای مراقبت ویژه بیمارستانهای آموزشی دانشگاه علوم پزشکی کردستان در سال 1402 انجام گرفت</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span b="" style="font-family:" titr=""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">مطالعه حاضر از نوع مقطعی است که به صورت سرشماری در مورد 245 پرستار شاغل در بخشهای مراقبت ویژه بیمارستان­های آموزشی کوثر، توحید و بعثت شهر سنندج در زمستان سال 1402 انجام گرفته است. دادهها با استفاده از فرم اطلاعات </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">جمعیت­شناختی، شغلی </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">و پرسشنامههای محیط کار سالم و شایستگی بالینی جمعآوری شد. برای تحلیل داده­های مطالعه از نسخه 12 نرمافزار </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">STATA</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> و آزمون­های آماری تی­مستقل، تحلیل واریانس یکطرفه و </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Kruskal-Wallis</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> استفاده شد</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span b="" style="font-family:" titr=""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">یافتهها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">در </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">مطالعه حاضر 198 نفر (1/81%) از پرستاران با بیش</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">ترین فراوانی سلامت محیط کار خود را در وضعیت پایین و 43 نفر (6/17%) در وضعیت مناسب و تنها 3 نفر (3/1%) در وضعیت بسیار مناسب توصیف کرده­اند. </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">پرستاران شایستگی بالینی خود را خوب (72/2</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">±</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">5/86) گزارش کردند.</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> بین محیط کار سالم با شایستگی بالینی کل و ابعاد آن ارتباط آماری معناداری مشاهده نشد (05/0</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">p></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">)</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span b="" style="font-family:" titr=""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">معنادار نبودن ارتباط آماری بین محیط کار سالم و شایستگی بالینی پرستاران در این مطالعه، از اهمیت تأمین محیط کار سالم برای پرستاران نمی­کاهد. نتایج نشان داد که میزان سلامت محیط کار مطلوب نیست، اما شایستگی بالینی پرستاران خوب است. با توجه به اهمیت محیط کار سالم، اتخاد تدابیری جهت افزایش سلامت محیط کار ضروری است.</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i></span></span></span></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">The health of nurses’ work environments can influence their clinical competence and accordingly the quality of care they provide. Therefore, this study aimed to determine the relationship between a healthy work environment and clinical competence among nurses working in intensive care units of the teaching hospitals affiliated with Kurdistan University of Medical Sciences in 2023</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials:</span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">This cross‑sectional study was conducted using a census method on 245 nurses working in the intensive care units of Kosar, Tohid, and Besat teaching hospitals in Sanandaj during the winter of 2023. Data were collected using a demographic and occupational information form, as well as the Healthy Work Environment and Clinical Competence questionnaires. Data analysis was performed using STATA software version 12, using independent <i>t</i>‑test, one‑way analysis of variance (ANOVA), and Kruskal-Wallis statistical tests</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">In the present study, 198 nurses (81.1%) reported their work environment health as low, 43 nurses (17.6%) as favorable, and only 3 nurses (1.3%) as very favorable. Nurses reported their clinical competence as good (86.5±2.72). No statistically significant relationship was found between a healthy work environment and overall clinical competence or its dimensions (<i>P</i>>0.05)</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">The lack of a significant relationship between a healthy work environment and nurses’ clinical competence in this study does not diminish the importance of providing a healthy work environment for nurses. The findings indicated that the level of work environment health was not desirable, whereas nurses’ clinical competence was good. Considering the importance of a healthy work environment, implementing measures to improve work environment health is essential.</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></span></span></span></span><br>
محیط کار سالم, شایستگی بالینی, پرستاران, مراقبت ویژه
healthy work environment, clinical competence, nurses, intensive care
423
436
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4677-4&slc_lang=fa&sid=1
Arezoo
Rozbahani
آرزو
روزبهانی