background and purpose: considering the obstacles against the implementation of ethical decisions by nurses, experiencing moral distress is one of the major issues in this profession. moral distress could have negative effects on the physical and mental health of nurses, quality of patient care and performance of health organizations. given the importance of addressing moral distress in working...

background demand for icu beds is exceeding its supply. since the sources are limited in some centers, it is necessary to design a model to identify the patients who benefit more from icu beds. objectives the present study aimed to develop a model to prioritize adult patients according to their clinical indications by a three rounded delphi method study. patients and methods in this study, 22 p...

background critically ill patients under mechanical ventilation require frequent suctioning of airway secretion. closed suction permits suctioning without disconnection from ventilator; so it might decrease hypoxemia and infection rate. objectives this study aimed to evaluate the effect of closed tracheal suction system (ctss) versus open tracheal suction system (otss). patients and methods thi...

aims: the most important causes for mortality rate and poor quality of life in cardiovascular patients arise from insufficient and inappropriate self-care. this study aimed to examine the effect of an educational self-care program on awareness and performance in patients with coronary syndrome. materials & methods: this is an experimental study conducted in hospitals affiliated with qom univers...

objective: professional nursing is recognised for having high working anxiety levels due to continuous interaction with patients, their family and colleagues in a high stress working environment. as a compilation of non cognitive skills and abilities, emotional intelligent could be helpful in controlling stress and increasing the individual’s productivity at work. intensive care units’ employee...

Ambulance staff with advanced training in cardiopulmonary resuscitation and equipped with monitor/defibrillators were used as the initial responders to collapse calls within a medically based prehospital coronary care system. During 21 months, in a population of approximately 120,000, ambulance staff successfully resuscitated six patients from ventricular fibrillation; there were four long term...

objective one of the prominent microorganisms in several reports of nosocomial infections is staphylococcus aureus (s. aureus) which is carried by several health care workers (hcw) many times throughout the day. the present investigation was conducted to assess the nasal and hand carriage rate of s. aureus amongst medical personnel of loghman hakim hospital's toxicological intensive care unit (...