fa بررسی کیفیت اجرای فرایند پرستاری توسط پرستاران شاغل در بیمارستان شهید بهشتی کاشان در سال1399 : یک مطالعه توصیفی مقطعی پرستاری nursing مدیریت پرستاری Nursing Management and Administration <br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">مقدمه: </span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">فرایند پرستاری چارچوبی برای ارائه مراقبت با کیفیت مؤثر، هماهنگ و سازمان یافته برای بیماران می‌باشد</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span style="background-color:#ffffff;">.</span></span></span><span style="background-color:#ffffff;"> </span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">اجرای </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">فرایند پرستاری منجر به ارتقا مراقبت پرستاری و هماهنگی در جهت ارائه‌ی خدمات پرستاری می‌شود. این مطالعه با هدف</span></span></span></span><span style="background-color:#ffffff;"> </span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">بررسی کیفیت اجرای فرایند پرستاری توسط پرستاران شاغل در بیمارستان شهید بهشتی کاشان انجام شد.</span></span></span></span></span></span></span></span></span><br> <span style="line-height: 150%;"><span style="direction: rtl;"><span style="unicode-bidi: embed;"><span lang="AR-SA" style=""><span style="line-height: 150%;"><font face="B Mitra"><span style="font-size: 16px;"><b><span style="background-color:#ffffff;">روش</span></b></span></font><span sans-serif="" style="font-family: Arial, "><span style="background-color:#ffffff;">&nbsp;</span></span></span></span><b sans-serif="" style="font-family: Calibri, "><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">:</span></span></span></span></b><span style="background-color:#ffffff;"> </span><span lang="FA" sans-serif="" style="font-family: Calibri, "><span style="background:lime"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">در این مطالعه توصیفی مقطعی، تعداد 270 پرستار شاغل در بیمارستان شهید بهشتی کاشان با توجه به معیارهای ورود، طی بازه زمانی تقریبا 6 ماه (از آذر 1399 تا اردیبهشت ماه 1400 ) به روش تصادفی ساده&nbsp; وارد مطالعه شدند.</span></span></span></span></span><span lang="FA" sans-serif="" style="font-family: Calibri, "><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;"> جهت جمع‌آوری داده‌ها از ابزار محقق ساخته استفاده شد. پس از مرور گسترده متون و کتب مرتبط استخر گویه شامل 30 گویه تهیه شد و وارد مرحله روایی و پایایی گردید. در مرحله روایی، روایی صوری و محتوا با محاسبه </span></span></span></span><span dir="LTR" sans-serif="" style="font-family: Calibri, "><span style="line-height:150%"><span style="background-color:#ffffff;">CVR</span></span></span><span lang="FA" sans-serif="" style="font-family: Calibri, "><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">و</span></span></span></span><span dir="LTR" sans-serif="" style="font-family: Calibri, "><span style="line-height:150%"><span style="background-color:#ffffff;">CVI</span></span></span><span lang="FA" sans-serif="" style="font-family: Calibri, "><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;"> انجام شد که 7 گویه حذف یا ادغام شد</span></span></span></span><span style="background-color:#ffffff;"> </span><span lang="FA" sans-serif="" style="font-family: Calibri, "><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">و</span></span></span></span><span style="background-color:#ffffff;"> </span><span lang="FA" sans-serif="" style="font-family: Calibri, "><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">&nbsp;پایایی ابزار با استفاده از ضریب الفای کرونباخ 94/0 محاسبه شد. سپس ابزار 23 گویه‌ای در 5 حوزه کلی شناخت، تشخیص، برنامه ریزی، اجرا و ارزشیابی دسته‌بندی شد. داده‌ها با کمک نرم‌افزار </span></span></span></span><span dir="LTR" sans-serif="" style="font-family: Calibri, "><span style="line-height:150%"><span style="background-color:#ffffff;">SPSS</span></span></span><span lang="FA" sans-serif="" style="font-family: Calibri, "><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;"> نسخه 24، در سطح توصیفی شامل میانگین، انحراف استاندارد و فراوانی انجام شد. تجزیه و تحلیل دو متغیره در جهت کشف ارتباط بین متغیر وابسته و متغیرهای دموگرافیک استفاده شد.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">یافته ها:</span></span></span></span></b><span style="background-color:#ffffff;"> </span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">نتایج نشان داده میانگین سنی پرستاران 33 سال بود که </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">9/68</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">% متاهل، </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">2/62</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">% زن و </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">90% </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">دارای مدرک دانشگاهی لیسانس،بودند.</span></span></span></span><span style="background-color:#ffffff;"> </span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">2/65 % از پرستاران فرایند پرستاری را در سطح متوسط اجرا کردند. به تفکیک مراحل مختلف فرایند پرستاری 9/61 % پرستاران، مرحله شناخت فرایند پرستاری را در سطح ضعیف اجرا کردند و کیفیت اجرا در مراحل تشخیص پرستاری، برنامه ریزی، اجرا و ارزشیابی در سطح متوسط و به ترتیب 9/45 ، 7/70، 4/64&nbsp; و 6/62 درصد محاسبه شد. </span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">نتیجه گیری: </span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="background:lime"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">یافته ها&nbsp; </span></span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:lime"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">نشان دادند که علی رغم این که میزان اجرای خوب فرایند پرستاری بسیار پایین بود</span></span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:lime"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">ه</span></span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:lime"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;"> ولی </span></span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:lime"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">بیش از 50 درصد پرستاران</span></span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:lime"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;"> مراحل مختلف فرایند پرستاری را در حد متوسط اجرا می‌کردند. </span></span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="background-color:#ffffff;">به نظر می رسد، جهت ارتقای کیفیت اجرای فرایند پرستاری باید دانش و عملکرد پرستاران در مرحله شناخت تقویت گردد تا بتوان از این سلاح علمی در ارائه مراقبت پرستاری با کیفیت و ارتقای پیامدهای بیمار بهره جست.</span></span></span></span></span></span></span></span></span> <div> <div><div class="msocomtxt" id="_com_1" language="JavaScript" on=""></div></div> </div> <span style="font-size:11pt"><span style="line-height:150%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="EN" new="" roman="" style="font-family:" times="">Introduction</span></b><span lang="EN" new="" roman="" style="font-family:" times="">: The nursing process is a framework for providing effective, coordinated and organized quality care for patients. The implementation of the nursing process leads to the promotion of nursing care and coordination in the direction of providing nursing services. This study was conducted with the aim of evaluating the quality of nursing process implementation in nurses working in Shahid Beheshti Hospital, Kashan.</span><span lang="AR-SA" dir="RTL" style="font-family:"Times New Roman","serif""></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span sans-serif="" style="font-family:Calibri,"><b><span new="" roman="" style="font-family:" times=""><span style="background-color:#ffffff;">Methods</span></span></b><span style="background:lime"><span new="" roman="" style="font-family:" times=""><span style="background-color:#ffffff;">: In this cross-sectional descriptive study, 270 nurses working in Shahid Beheshti Hospital of Kashan were included in the study by a simple random method during a period of almost 6 months (from December 2020 to May 2021) according to the inclusion criteria</span></span></span><span new="" roman="" style="font-family:" times=""><span style="background-color:#ffffff;">.</span></span><span style="background-color:#ffffff;"> </span><span new="" roman="" style="font-family:" times=""><span style="background-color:#ffffff;">A researcher-made tool was used to collect data. After an extensive review of related texts and books, an item pool including 30 items was prepared and entered the validity and reliability stage. In the validity stage, face and content validity was done by calculating CVR and CVI, 7 items were deleted or integrated, and the reliability of the tool was calculated using Cronbach&#39;s alpha coefficient of 0.94. Then, the 23-item tool was categorized into 5 general areas of cognition, diagnosis, planning, implementation and evaluation. The data were analyzed using SPSS version 24 software, at the descriptive level including mean, standard deviation and frequency. Bivariate analysis was used to discover the relationship between dependent variable and demographic variables.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="EN" new="" roman="" style="font-family:" times="">Results</span></b><span lang="EN" new="" roman="" style="font-family:" times="">: The results showed that the average age of the nurses was 33 years, 68.9% were married, 62.2% were female, and 90% had a bachelor&#39;s degree. 65.2% of the nurses performed the nursing process at an average level. According to the different stages of the nursing process, 61.9% of nurses performed the recognition stage of the nursing process at a poor level, and the quality of implementation in the stages of nursing diagnosis, planning, implementation and evaluation was at an average level, respectively 45.9%, 70.7%. %, 64.4% and 62.6% were calculated</span><span lang="AR-SA" dir="RTL" style="font-family:"Times New Roman","serif""></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="EN" new="" roman="" style="font-family:" times=""><span style="background-color:#ffffff;">Conclusion</span></span></b><span lang="EN" new="" roman="" style="font-family:" times=""><span style="background-color:#ffffff;">: </span><span style="background:lime"><span style="background-color:#ffffff;">The findings showed that despite the fact that the level of good implementation of the nursing process was very low, more than 50% of the nurses implemented the different stages of the nursing process at an average level</span></span><span style="background-color:#ffffff;">. It seems that in order to improve the quality of the nursing process, the knowledge and performance of nurses should be strengthened in the cognitive stage so that this scientific weapon can be used in providing quality nursing care and improving patient outcomes.</span></span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br> &nbsp; فرایند پرستاری, مراقبت پرستاری, پرستار nursing process, nursing care, nurse 39 49 http://ijnr.ir/browse.php?a_code=A-10-5655-1&slc_lang=fa&sid=1 zahra sadat Sirousi nejad زهرا سادات سیروسی نژاد zahra.sirosi4131@gmail.com 13700319475328460025915 13700319475328460025915 Yes دانشگاه علوم پزشکی کاشان Mahdieh Sabery مهدیه صابری dsabery@yahoo.com 13700319475328460025916 13700319475328460025916 No دانشگاه علوم پزشکی کاشان Mohsen Taghadosi محسن تقدسی taghadosi_1345@yahoo.com 13700319475328460025917 13700319475328460025917 No دانشگاه علوم پزشکی کاشان Hosein Akbari حسین اکبری akbari1350_h@yahoo.com 13700319475328460025918 13700319475328460025918 No دانشگاه علوم پزشکی کاشان