fa مقایسه کیفیت عملکرد بالینی و مراقبت از بیماران در پرستاران شاغل در بخش‌های آنکولوژی و عمومی بیمارستان پرستاری nursing پرستاری داخلی جراحی Medical Surgical Nursing <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span style="color:black"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></span></b><b> </b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">مراقبت از بیماران سرطانی، به لحاظ نوع بیماری و نوع درمانی که دریافت می&shy;کنند، حائز اهمیت خاص است؛ با این حال، شرایط خاص بیماران و سختی کار در بخش انکولوژی، ممکن است بر عملکرد بالینی و کیفیت مراقبت پرستاران تاثیر گذار باشد. این مطالعه با هدف مقایسه عملکرد بالینی و کیفیت مراقبت در پرستاران شاغل در بخش‌های انکولوژی با پرستاران بخش‌های عمومی انجام 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 calibri="" style="font-family:"><span style="color:black"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">روش کار: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">در این مطالعه&shy;ی توصیفی- تحلیلی به روش نمونه&shy;گیری احتمالی دو مرحله&shy;ای </span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">طبقه&shy;ای و تصادفی ساده، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">تعداد </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">&nbsp;110 پرستار از بخش‌های انکولوژی و 110 پرستار از بخش‌های عمومی (بخش‌های داخلی و جراحی) شاغل در 3 بیمارستان‌ وابسته به دانشگاه علوم پزشکی مشهد در سال 1401 انتخاب شدند. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">عملکرد پرستاران در سه نوبت و در شیفت‌های مختلف (صبح، عصر و شب) با پرسشنامه عملکرد بالینی پرستاران (</span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">NCPQ</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">)</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> و پرسشنامه کیفیت مراقبت‌ پرستاری (</span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">QUALPAC</span></span><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">)</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> ارزیابی شد. داده&shy;ها با نرم افزار </span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">SPSS</span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> نسخه 21 مورد تجزیه و تحلیل آماری قرار گرفتند. </span></span></span><span dir="LTR" style="line-height:150%"><span style="font-family:"Times New Roman",serif"></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 calibri="" style="font-family:"><span style="color:black"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">یافته ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:.2pt"> در </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">پرستاران شاغل در بخش‌های انکولوژی و بخش‌های عمومی به ترتیب</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">میانگین و انحراف معیار نمره عملکرد بالینی 59/10</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&plusmn;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">57/74 و 62/8</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&plusmn;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">49/84(رضایت بخش) و نمره عملکرد کیفیت مراقبت 79/39</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&plusmn;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">10/243 و 68/30</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&plusmn;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">71/283 (متوسط) بود. بین دو گروه از نظر نمره عملکرد (001/0</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">></span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">) و کیفیت مراقبت (001/0</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">></span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">) تفاوت معنی&shy;دار مشاهده شد. از نظر کیفیت مراقبت پرستاری در پرستاران بخش&shy;های انکولوژی و عمومی،&nbsp; به ترتیب 9/0 درصد و صفر درصد کیفیت ضعیف، 5/75 درصد و 5/14 درصد متوسط و 6/23 درصد و 5/85 درصد کیفیت مراقبت پرستاری بسیار خوب داشتند (001/0</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">></span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">). در زمینه&shy;ی کیفیت عملکرد، به ترتیب&nbsp; 4/16 درصد و 4/6 درصد متوسط و 6/83 درصد و 6/93 درصد کیفیت عملکرد بسیار خوب (019/0=</span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">) داشتند. </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 calibri="" style="font-family:"><span style="color:black"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">نتیجه گیری:</span></span></span></b><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">عملکرد بالینی و کیفیت مراقبت پرستاری در پرستاران شاغل در بخش‌های انکولوژی به طور معنی&shy;داری کمتر از پرستاران بخش‌های عمومی است<span style="letter-spacing:.2pt">؛ </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">که ممکن است ناشی از </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">تنش‌های روانی و سختی‌های محیط کار</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> باشد. لذا اقدامات مدیریتی و حمایتی به منظور </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">ارتقای عملکرد بالینی و کیفیت مراقبت پرستاری در پرستاران شاغل در بخش‌های انکولوژی</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">توصیه می&shy;شود. </span></span></span></span></span></span></span></span></span><br> <br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span style="color:black"><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><span style="color:black"><b><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Introduction</span></span></b><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">: </span></span><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Caring for cancer patients is important in terms of the type of disease and the type of treatment they receive. However, the specific conditions of patients and the difficulty of working in the cancer department may affect the clinical performance and quality of care of nurses. This research was conducted with the aim of comparing clinical performance and quality of care in nurses working in oncology departments with nurses in general departments.</span></span><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><span style="color:black"><b><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Materials and Methods</span></span></b><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">: </span></span><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">In this descriptive-analytical study, the sampling method was two-stage, stratified and simple random. 110 nurses from cancer departments and 110 nurses from general departments (internal and surgical departments) working in 3 hospitals affiliated to Mashhad University of Medical Sciences were selected in 1401. Nurses&#39; performance was evaluated in three shifts in the morning, evening and night shifts with the Nurses&#39; Clinical Performance Questionnaire (NCPQ) and Nursing Care Quality Questionnaire (QUALPAC). The data was statistically analyzed with SPSS version 21 software.</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><span style="color:black"><b><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> In nurses working in oncology departments and general departments, the mean and standard deviation of the clinical performance score was 74.57&plusmn;10.59 and 84.49&plusmn;8.62, and the quality of care performance score was 243.10&plusmn;39.79 and 283.71&plusmn;30.68, respectively. A significant difference was observed between the two groups in terms of performance score (P<0.001) and quality of care (P<0.001). Regarding the quality of nursing care, 0.9% and 0% had poor quality, 75.5% and 14.5% had average quality, and 23.6% and 85.5% had very good nursing care quality, respectively (P>0.001). In terms of the performance quality, 16.4% and 6.4% had medium, and 83.6% and 93.6% had very good performance quality (P=0.019).</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><span style="color:black"><b><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></b><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">: </span></span><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">The clinical performance and quality of nursing care in nurses working in cancer wards is significantly lower than nurses in general wards; which may be caused by psychological tensions and hardships in the work environment. Therefore, management and support measures are recommended in order to improve the clinical performance and quality of nursing care in nurses working in cancer departments.</span></span></span></span></span></span><br> <br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><span style="color:black"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span><br> &nbsp; عملکرد بالینی, کیفیت مراقبت, پرستاران, بخش‌ انکولوژی, بخش‌های عمومی Keywords: clinical performance, quality of care, nurses, oncology department, general departments 28 37 http://ijnr.ir/browse.php?a_code=A-10-5799-1&slc_lang=fa&sid=1 Anahita Noori yekta آناهیتا نوری یکتا anahitanoori99@gmail.com 13700319475328460026098 13700319475328460026098 No sity of Medical Sc دانشگاه علوم پزشکی گناباد Habib Shareinia حبیب شارعی نیا habibshareinia@gmail.com 13700319475328460026099 13700319475328460026099 No sity of Medical Sc دانشگاه علوم پزشکی گناباد Moosa Sajjadi موسی سجادی : Sajjadi1975@gmail.com 13700319475328460026100 13700319475328460026100 Yes دانشگاه علوم پزشکی گناباد