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Zahra FARSI Nahid DEHGHAN-NAYERI Reza NEGARANDEH Soheila BROOMAND 《Japan Journal of Nursing Science》2010,7(1):9-18
Aim: Iran's health-care system has witnessed profound changes in the last decades. Despite its progress, the system has currently faced many challenges in one of the important subsystems, nursing. The present review article aimed to present an overview of the opportunities and challenges of the Iranian nursing system, based on recent literature.
Methods: A broad search of the English and Persian-language literature was carried out, incorporating both electronic and manual components from 1999 to 2009. The results of the investigations among the searched literature are summarized.
Results: The major challenges are nursing shortages, job dissatisfaction, poor social position of nurses, the gap between theory and practice, lack of community-based nursing care, lack of an appropriate student recruiting system, and shortages in the nursing educational curriculums.
Conclusion: The authors believe that media, political and public support play a pivotal role in improving the image of nursing in society, increasing motivation among Iranian nurses, and promoting the sociocultural climate and the welfare of nurses, which will result in higher levels of quality of care as well as greater patient satisfaction. 相似文献
Methods: A broad search of the English and Persian-language literature was carried out, incorporating both electronic and manual components from 1999 to 2009. The results of the investigations among the searched literature are summarized.
Results: The major challenges are nursing shortages, job dissatisfaction, poor social position of nurses, the gap between theory and practice, lack of community-based nursing care, lack of an appropriate student recruiting system, and shortages in the nursing educational curriculums.
Conclusion: The authors believe that media, political and public support play a pivotal role in improving the image of nursing in society, increasing motivation among Iranian nurses, and promoting the sociocultural climate and the welfare of nurses, which will result in higher levels of quality of care as well as greater patient satisfaction. 相似文献
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Dr. Lawrence S. Linn PhD Robert H. Brook MD ScD Virginia A. Clark PhD Allyson Ross Davies PhD Arlene Fink PhD Jacqueline Kosecoff PhD Pam Salisbury 《Journal of general internal medicine》1986,1(2):104-108
This paper presents data on the characteristics, work activities, job-related stress, work satisfaction, and career aspirations
of 150 faculty and 595 housestaff physicians who regularly provide continuous primary care in 15 teaching hospital-based group
practices. The faculty were young, board-certified generalists; they had been recruited from local training programs and spent
the majority of their time seeing patients and supervising housestaff. Job satisfaction among faculty and housestaff was generally
high. Dissatisfaction occurred most often with aspects of work over which physicians had little control. Although work-related
stress was common, it was not related to job satisfaction. Compared with housestaff in traditional residency programs, housestaff
enrolled in special Primary Care Training Programs reported significantly greater job satisfaction. For all housestaff, satisfaction
with work in the group practice was consistently associated with decreased interest in subspecialty training.
assisted in preparing this report.
Received from the Department of Medicine and the School of Public Health, UCLA Center for the Health Sciences. Los Angeles.
California.
Supported by Grant #59082 from the Robert Wood Johnson Foundation.
The views expressed herein do not necessarily represent those of the Robert Wood Johnson Foundation. 相似文献
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目的:探讨应对方式、学习倦怠与学业拖延的关系。方法:采用简易应对方式问卷、大学生学习倦怠问卷、学生版拖延评估量表对331名大学生的应对方式、学习倦怠与学业拖延情况进行测量。结果:1大学生应对方式积极,学习倦怠得分处于中等水平并存在一定程度的学业拖延;2消极应对与学习倦怠(r=0.234,P<0.01)、学业拖延呈显著正相关(r=0.200,P<0.01),学习倦怠与学业拖延呈显著正相关(r=0.366,P<0.01);3中介检验发现,学习倦怠在消极应对方式与学业拖延之间起部分中介的作用,中介效应占总效应的42.38%。结论:学生的应对方式越消极,学习倦怠程度越高,进而导致学业拖延程度加深。 相似文献
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Ratanawongsa N Roter D Beach MC Laird SL Larson SM Carson KA Cooper LA 《Journal of general internal medicine》2008,23(10):1581-1588
Background Although previous studies suggest an association between provider burnout and suboptimal self-reported communication, no studies
relate physician burnout to observed patient-physician communication behaviors.
Objective To investigate the relationship between physician burnout and observed patient-physician communication outcomes in patient-physician
encounters.
Design Longitudinal study of enrollment data from a trial of interventions to improve patient adherence to hypertension treatment.
Setting Fifteen urban community-based clinics in Baltimore, MD.
Participants Forty physicians and 235 of their adult hypertensive patients, with oversampling of ethnic minorities and poor persons. Fifty-three
percent of physicians were women, and the average practice experience was 11.2 years. Among the 235 patients, 66% were women,
60% were African-American, and 90% were insured.
Measurements Audiotape analysis of communication during outpatient encounters (one per patient) using the Roter Interaction Analysis System
and patients’ ratings of satisfaction with and trust and confidence in the physician.
Results The median time between the physician burnout assessment and the patient encounter was 15.1 months (range 5.6–30). Multivariate
analyses revealed no significant differences in physician communication based on physician burnout. However, compared with
patients of low-burnout physicians, patients of high-burnout physicians gave twice as many negative rapport-building statements
(incident risk ratio 2.06, 95% CI 1.58 – 2.86, p < 0.001). Physician burnout was not significantly associated with physician
or patient affect, patient-centeredness, verbal dominance, or length of the encounter. Physician burnout was also not significantly
associated with patients’ ratings of their satisfaction, confidence, or trust.
Conclusions Physician burnout was not associated with physician communication behaviors nor with most measures of patient-centered communication.
However, patients engaged in more rapport-building behaviors. These findings suggest a complex relationship between physician
burnout and patient-physician communication, which should be investigated and linked to patient outcomes in future research. 相似文献
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