Showing 18 results for Nurse
Mansour Ziaei, Hamed Yarmohammadi, Behzad Karamimatin, Soudabeh Yarmohammadi, Zeinab Nazari, Faramarz Gharagozlou,
Volume 2, Issue 2 (9-2014)
Abstract
Background: Nurses’ Burnout can lead to increasing absenteeism and also decreasing energy and quality of service that provided by them. The aim of this study was to determine the prevalence of occupational burnout and its related factors among nurses of a hospital in Kermanshah city in 2013.
Materials and Methods: In this cross-sectional and descriptive-analytical study 189 nurses were selected randomly. Data were collected by demographic questionnaire and Maslach Burnout Inventory (MBI). The gathered data were analyzed by Pearson, Independent T-test and ANOVA in statistical level of p≤0.05.
Results: Mean score of occupational burnout was 61.89. 39.2% nurses reported high emotional exhaustion, 37.6% high depersonalization and 73.5% of them had low personal accomplishment. There were statistical relationship between emotional exhaustion with employment status (p=0.015) and educational degree (p=0.041), between depersonalization with employment status (p=0.022) and working shift (p=0.023), and also between personal accomplishment with age (p=0.010), working experience (p=0.002) and shift working (p=0.045).
Conclusion: The level of nurses’ occupational burnout was average to high. The causes may be high workload, unsafe and boring work environment and high stress. It can be increased the commitment, positive sense to work and personal accomplishment can be reinforced by correct management of human resources including the determination of duties and strategies according to nurses’ ability, new approaches for encouragement and motivation as well as running stress management workshops.
Parisa Hosseini Koukamari, Abdolzahra Naami, Teimour Allahyari,
Volume 3, Issue 1 (6-2015)
Abstract
Introduction:
Adaptive performance is defined as an employee’s ability to deal with changes and new and unusual situations
in the workplace. The present study
mainly focused on factor analysis of the Adaptive Performance Scale (APS) and
determining its validity and reliability. Adaptive
performance is a multi-dimensional
structure with five
latent factors.
Materials and Methods: This method
validation study was conducted in Ahvaz, Iran. 210 randomly selected
public hospital nurses completed the Persian version of the APS. Exploratory factor analysis (varimax rotation) was used to explore the
factor structure of the scale. Confirmatory factor analysis and structural equation modeling were applied
to fit the model.
Results: The
overall reliability of the APS was confirmed (Cronbach’s alpha = 0.89). Factor
analysis was used to evaluate the factor structure of the scale. Kaiser-Meyer-Olkin index (0.88) and
Bartlett's sphericity test result (1639.093) were both significant.
Finally, varimax rotation showed all items to have significant factor loadings.
Conclusion: Our findings
confirmed the acceptable psychometric properties (reliability
and validity) of the APS for administration among nurses. Therefore, the
adaptive performance construct contains five distinct dimensions, namely dealing with emergency and
unexpected situations, work stress
management, creative problem solving,
learning, and interpersonal adaptability. These results are consistent
with previous studies.
Mostafa Barzideh, Alireza Choobineh, Hamidreza Tabatabaee,
Volume 3, Issue 3 (12-2015)
Abstract
Introduction: There is a dearth of information available on psychological job demands and control in the job (decision latitude) and their relationship with musculoskeletal disorders (MSDs) among Iranian nurses. The present study was conducted to investigate psychological job demands and control in the job and their relationship with the prevalence of MSD symptoms among nurses in hospitals affiliated with Shiraz University of Medical Sciences (SUMS).
Materials and Methods: The present cross-sectional study was conducted on 385 nurses at SUMS hospitals selected through systematic random sampling. Data were collected using the Persian version of the Job Content Questionnaire (P-JCQ), the standardized Nordic Musculoskeletal Questionnaire (NMQ) and a demographic questionnaire. The data obtained were then analyzed in SPSS-11.5 using descriptive statistics and logistic regression.
Results: The mean (SD) of the different dimensions of psychological job demands and control in the job were calculated as 38.19 (5.14) and 58.15 (6.50). The results revealed psychological job demands to be high and control in the job to be low. A total of 29.1% of the nurses suffered from a high job strain (a high demand and low control). Regression modeling showed that the chance of suffering from lower extremity disorders among the nurses placed in the cells indicating a high job strain cell was 2.35 times higher than those placed in the cells indicating a low job strain.
Conclusion: The demand-control model placed the majority of the nurses in the cells indicating a high job strain. Any interventional program designed for preventing MSDs among nurses should focus on increasing their control and changing their job conditions from a high strain condition to a low strain or active one.
Davood Nasiry Zarrin Ghabaee, Mehdi Haresabadi, Masoumeh Bagheri Nesami, Freshteh Talebpour Amiri ,
Volume 4, Issue 1 (6-2016)
Abstract
Introduction: Work-related musculoskeletal disorders (WMSDs) are the most common occupational health problems, reported with high costs and loss of productivity in nurses. On one hand, the quality of life is a multidimensional concept that affects factors such as physical and psychological ones. This study aimed to evaluate the relationship between WMSDs and quality of life in nurses.
Methods: This descriptive-analytical study was performed on 940 nursing staff in Hospitals of Sari, Iran. The samples were selected by census sampling method. Data were gathered using particular questionnaires of musculoskeletal disorders (Nordic) and quality of life (SF-36). Collected data were analyzed by analysis of variance (ANOVA), t-test and Pearson's correlation using SPSS software (version 18).
Results: The results showed that low back disorder with prevalence of 60.9% was the most prevalent disorder among nurses. All aspects of quality of life, except for social functioning, were significantly correlated with WMSDs (P<0.05). In addition, there was a statistically significant relationship in age, gender and education level with WMSDs as well as in gender and work with quality of life (P<0.05).
Conclusions: According to this study, the prevalence of WMSDs was relatively high in nurses. In the majority of nurses, moderate quality of life was observed. Therefore, any intervention to improve quality of life and prevent WMSDs should be focused on, to reduce the physical needs and psychological pressures.
Ehsanollah Habibi, Esmaeil Farrokhi, Marjan Mansourian,
Volume 4, Issue 1 (6-2016)
Abstract
Introduction: Musculoskeletal disorders are the major health problems in nurses. One of the main reasons is patient transfer. The work technique of nursing personnel during patient transfers has been evaluated using different methods. One of the most useful ones is Direct Nurse Observation Instrument (DINO). The purpose of the present study was to assess the musculoskeletal disorders risk related to patient transfer in nursing personnel using the DINO method.
Methods: This cross-sectional study was carried out among 250 nurses working in affiliated hospitals of Isfahan University of Medical Sciences, Isfahan, Iran in 2015. Data were collected by Nordic questioners and DINO index check list. The validity and reliability of DINO checklist were reviewed and approved. For data analysis, independent t-test, chi-squared test and logistic regression were used.
Results: The average result of DINO checklist was 9.73 points (SD = 1.8), which can suggest that the way in which the technical transfer was carried out might not have been the safest. The results showed that the occurrence of musculoskeletal disorders in nursing staff was significantly associated with final scoring of the DINO index (P < 0.001).
Conclusions: According to the findings, DINO was an appropriate tool to assess musculoskeletal disorders risk due to patient handling in the nursing personnel. This method can be used in the evaluation of patient transfer educational programs and also to identify and assess an unsafe work techniques used by nurses.
Fatemeh Baghipour Sarami, Ali Bozorgiamiri, Mohammad Amin Mououdi, Mohammad Taghipour,
Volume 4, Issue 1 (6-2016)
Abstract
Introduction: Many employees in different professions including nurses work with shifts. On the other hand, different and long shift work can endanger physical and mental health of nurses. This study, according to ergonomic standards, aimed to design a model for shift working in order to minimize the problems caused by shift work.
Methods: In this study, all 35 nurses working in the emergency ward of Imam Sajjad (AS) Hospital of Ramsar city, Iran, were considered. Then, the information gathered from answering the Morningness-Eveningness questionnaire (MEQ) (Circadian rhythm) and Survey Sampling International (SSI) (personal and social charactristics) questionnaire were changed to a model and then reconstruct after comparing it again with circadian rhythm principals. The final model was implemented with GAMS (gamma-glutamylaminomethylsulfonic acid) and at the end, shift working with ergonomic criteria were proposed.
Results: Shift working were designed for each nurse. Also, the obtained objective function value (Z=1.110223e-16) showed that the designed model was really close to ideal model. According to hospital rules and policies, if five more nurses get added to the currently employed ones, the proposed working program on one hand will improve satisfaction and efficiency of nurses and on the other hand it can decrease the effects of disorders on shift work.
Conclusions: Hospitals can have healthy and motivated workforce by applying the scientific approach to adjust a suitable working plan for their nurses and decrease the number of disabilities and also the rate of early retirement.
Vafa Feyzi, Akram Jafari Roodbandi, Salman Farahbakhsh, Hoshyar Rezaei,
Volume 4, Issue 3 (12-2016)
Abstract
Introduction: the quality of life of nurses and nurse aides is under the influence of various factors including the occupational ones, which affect the quality of their services. The purpose of this research was to investigate the occupational and demographic factors effective on the quality of life of nurses and nurse aides working in teaching hospitals affiliated to Kerman University of Medical Sciences.
Methods: the present research was a cross-sectional one conducted in 2014 on 620 nurses and nurse aides. Simple random sampling method was utilized. The data were collected via the World Health Organization Quality of Life short form (questionnaire). Shift working, having a second job, marital status, length of marriage and having a shift working spouse were the independent variables of this study. Data were analyzed in SPSS 18 software using analysis of variance (ANOVA), Pearson’s correlation coefficient, independent t and linear regression statistical tests.
Results: the average age, length of marriage and work experience in hospital were 32.81 ± 7.84, 10.61 ± 7.30 and 10.29 ± 7.68, respectively. The number of children, having a second job, satisfaction from the hours spent with family, and belief in the effect of night work on family life were factors effective on quality of life (P > 0.05). The highest relationship of quality of life was with environmental health (r = 0.87, P = 0.001) and the lowest was with social health (r = 0.75, P = 0.002).
Conclusions: Avoiding to have a second job, scientific planning of shift work schedules and trainings relevant to life skills in shift workers would help improve the quality of life of nurses and nurse aides.
Aram Tirgar, Simin Mohebbi, Fereshteh Shaneie, , Alireza Parhiz,
Volume 4, Issue 3 (12-2016)
Abstract
Introduction: Shift work, in addition to its effects on physical, psychological and social status, may impact on oral health. The aim of this research was to assess the relationship between shift work and oral health in nurses.
Methods: This cross-sectional study was carried out on 120 nurses working in a hospital affiliated to Tehran University of Medical Sciences during 2014-2015. Oral health status and DMFT index (Decayed, Missing and Filling Teeth) was assessed by a dentist through clinical examination. Data were analyzed using SPSS 22 software, chi-squared test, independent samples t-test and multiple logistic regressions test.
Results: The results showed that the means of DMFT index in shift work nurses and non-shift work nurses were 8.10 ± 4.10 and 9.41 ± 2.8, respectively. There was no significant difference between decayed, missing and filled teeth and periodontal DMFT index in both groups. Multiple logistic regression analysis revealed that age was a significant predictor of DMFT indictor (P<0.001). No significant relationship was found in DMFT index with gravid, parity, family income, anxiety and work experience.
Conclusions: This study demonstrated that shift work was not an independent factor affecting oral health. However, regarding the DMFT index mean differences and nurses’ job responsibilities, it seems necessary to pay more attention to this occupational group.
Samaneh Asadi, Teimour Allahyari, Hamidreza Khalkhali , Alireza Choobineh ,
Volume 5, Issue 2 (9-2017)
Abstract
Introduction: Psychosocial factors and fatigue are significant factors in nurses’ performance. Since the relationship between psychosocial factors and fatigue has been rarely studied, the aim of this study was investigating the relationship between psychosocial work factors and fatigue among nurses.
Method: In this cross-sectional study, 270 nurses from hospitals of Urmia University of Medical Sciences randomly participated. The Job Content Questionnaire and Swedish Occupational Fatigue Inventory were used for data collection. Pearson’s correlation coefficient and Structural Equation Modeling were used for data analysis.
Results: The mean (SD) of control was 66.32 (7.36), psychological job demand 35.47 (3.68), social support 22.31 (2.64), physical job demand 15.22 (2.18), and job insecurity 8.72 (4.06). Control and social support dimensions had low levels. Moreover, psychological and physical job demand had high levels, which indicates a high stress level. According to the results, psychological and physical job demand had a significant relationship with all dimensions of fatigue (P < 0.001).
Conclusions: The majority of nurses were exposed to high levels of job stress. Among psychosocial factors, physical demand was identified as the most effective factor on fatigue. Any comprehensive interventional program regarding psychosocial work factor in order to reduce job stress and fatigue can improve health care quality and also prevent medical errors.
Tayebe Rahimi Pordanjani, Ali Mohamadzade Ebrahimi,
Volume 5, Issue 2 (9-2017)
Abstract
Introduction: Nurses as the most important part of human resources in the health service system are often faced with problems associated with shift work. The present study aimed to examine a mediating role of sleep quality in the relationship between workload and physical and mental health among nurses.
Methods: This cross-sectional study was conducted on 236 nurses working in three educational hospitals in Bojnord city. To collect data, the survey of shiftworkers (SOS) questionnaire was used. Data were analyzed using the structural equation modeling by AMOS-21 and SPSS 19 software packages. In addition, the Preacher and Hayes’ SPSS Macro program was used for testing mediation.
Results: The results showed that the proposed model fitted the data properly. Also, workload directly affected only physical health, and the quality of sleep had a mediator role in the relationship between workload and physical and mental health.
Conclusions: Sleep quality as an important variable can mediate the relationship between workload and physical and mental health in nurses. So, it is suggested that interventional interventions to improve the health of the staff be focused on adjusting and shifting job shifts and teaching the principles of sleep hygiene to them.
Tahereh Gholami, Najmeh Rahnavard, Marziyeh Sadeghzadeh, Sepideh Tahmtan,
Volume 6, Issue 2 (9-2018)
Abstract
Introduction: Musculoskeletal disorders are major problems among hospital staff. One of the most important reasons for these disorders are patient handling tasks and psychosocial stressors. The aim of this study was to investigate the risk of musculoskeletal disorders and psychosocial stressors caused by patients handling among nurse aids.
Materials & Methods: This cross-sectional study was carried out among 56 nurse aids of Fasa University of Medical Sciences in 2017. The data were collected via Nordic questionnaire, MAPO index checklist and job content questionnaire. Descriptive statistics were used to describe the variables and the Chi-square test for analyzing the data.
Results: The results showed that the highest prevalence of musculoskeletal disorders was in the lower back (71.4%) and the least in the thigh and neck area (46.4%). The results of MAPO index for risk of musculoskeletal disorders showed that 9 out of 12 sections (63.2%) were in the 2nd level. Also, the average score of the dimensions of the psychological job demands and the physical job demands are high and the average score of social support is low, which indicates high stress. Also, the physical job demands (P=0.035), social support (P=0.002) and job insecurity (P=0.001) were related to the levels of MAPO risks.
Conclusion: According to the findings of the study, the prevalence of lower back pain is high and nurse aids experience many psychosocial stressors in their job life. So the training of ergonomic principles and the use of auxiliary equipment during the transport of patients, as well as the reduction of stressors such as the psychological and physical job demand and the lack of social support and job insecurity by authorities, the risk of musculoskeletal disorders can be reduced.
Fatemeh Rostami, Maryam Feiz Arefi, Amin Babaei-Pouya, Azam Ahangirimehr,
Volume 8, Issue 2 (6-2020)
Abstract
Background and Aim: Nurses are the main staff of the hospital. The large number of clients, the high volume of work and the shortage of staff increase the mental workload of nurses. On the other hand, reducing the control of the work process leads to mental stress. The purpose of this study was to investigate the mediating role of job control and explaining the relationship between job satisfaction and mental workload in nurses.
Methods: This descriptive-analytical study was performed on 188 nurses of educational hospitals in Shushtar and Ardabil cities, Iran, in 2019. Research tools included demographic information questionnaire, NASA-TLX questionnaire, Job description index (JDI) questionnaire, and job control questionnaire. For Data analysis the correlation coefficient and regression analysis with SPSS-18 and AMOS-18 software were used.
Results: Based on the results, the final model had good fitness (GFI=0.859, CFI=0.921, RMSEA=0.067). The results also showed that there is a significant relationship between mental workload and job satisfaction (P<0.001, r=-0.33) and this relationship has increased with the presence of job control (P<0.001, r=-0.42).
Conclusion: High levels of job control are associated with increased job satisfaction and reduced workload. As a result, in order to reduce the mental workload and increase job satisfaction, job control of nurses can be increased to improve working conditions.
Hamid Rahimi,
Volume 8, Issue 2 (6-2020)
Abstract
Background and Aim: Job adjustment is an important factor for the successful employment of nurses. The job nature can be a factor influencing job adjustment. The aim of the present study was to investigate the effect of job nature on job adjustment among a sample of nurses.
Methods: This cross-sectional study was conducted among 542 nurses working in hospitals affiliated to Kashan University of Medical Sciences. Using Cochran's formula and stratified random sampling method, 190 nurses were selected as a sample. Two standard and validated questionnaires were used for gathering data associated with job nature and job adjustment. The reliability of the questionnaires was estimated through Cronbach's alpha coefficient. Data analysis was performed at both descriptive and inferential levels using SPSS 22.
Results: Findings revealed that means of job nature (70.43±45.07) was higher than average (60) and mean of job adjustment (3.23±0.42) was higher than average (3). Pearson correlation coefficient showed that there is a positive and significant relationship between job nature and job adjustment (r=0.29). The regression coefficient showed that the job nature was able to predict the job adjustment of nurses.
Conclusion: The average job nature and adjustment of nurses were favorable and there was a positive relationship between job nature and job adjustment of nurses. Therefore, in order to increase the adjustment of nurses, managers should pay more attention to nurses' perceptions of their job characteristics and provide them with diversity, feedback and the opportunity to create friendly relationships at work.
Mohsen Arefnejad, Fariborz Fathi Chegeni, Mostafa Omidnejad,
Volume 9, Issue 2 (10-2021)
Abstract
Background & Objectives: The nursing profession is basically stressful in nature. In the meantime, the spread of the coronavirus and its rapid spread throughout the country has caused the over-normal influx of patients infected with this virus to hospitals and increased nurses' work stress. Therefore, the aim of this study was to investigate the effect of Coronavirus Stress on Job burnout in nurses with the moderating role of psychological capital in Khorramabad Shohadaye Ashayer Hospital, Iran.
Methods: The present study is a descriptive research in the field of studies in terms of applied purpose; data collection was performed using surveys. The statistical population of the study was 230 nurses working in Khorramabad Shohadaye Ashayer Hospital, Iran. Based on Krejcie and Morgan table, a sample size of 140 people were selected by stratified random sampling method. To measure the variables of the research, a questionnaire was used which included three sections of Coronavirus Stress, Job burnout and psychological capital. The reliability of the questionnaire was confirmed using Cronbach's alpha method and its validity was confirmed using convergent validity. For data analysis, structural equation modeling and SPSS and PLS software were used.
Results: The results showed that at the 95% confidence level, Coronavirus Stress has a positive and significant effect on nurses' Job burnout and psychological capital has a moderating role in relation to Coronavirus Stress and Job burnout.
Conclusion: According to the findings, it can be said that Coronavirus Stress has a significant role in increasing nurses' Job burnout, and in the meantime, nurses with stronger psychological capital suffer less burnout than nurses with weaker psychological capital. Therefore, it is necessary to reduce the stress of Coronavirus disease by strengthening the psychological capital of nurses, which is a teachable component, and also equipping nurses with the best equipment.
Seyed Najmoddin Mousavi, Fariborz Fathi Chegeni,
Volume 9, Issue 4 (3-2022)
Abstract
Background and Objectives: The widespread and contagious nature of the covid-19 virus with it's daunting number of hospital admissions has had ill effects on the psychological well-being of nurses as front line workers. The aim of this study was to investigate the effect of fear of COVID-19 on psychological well- being in nurses with the moderating role of resilience, in Khorramabad Shohadaye Ashayer Hospital.
Methods: The present research is a descriptive study in the branch of field studies in terms of applied purpose and data collection, using survey. The statistical population of the study included 230 nurses working in Khorramabad Shohadaye Ashayer Hospital. Based on Krejcie and Morgan's table, a sample size of 140 people was selected via stratified random sampling method. To measure the variables of the research, a questionnaire was used which included three sections of Fear of COVID-19, psychological well- being and resilience. The reliability of the questionnaire was confirmed using Cronbach's alpha method and its validity was confirmed using convergent validity. For data analysis, structural equation modeling and PLS software have been used.
Results: The results show that at the 95% confidence level, Fear of COVID-19 has a negative and significant effect on nurses' psychological well- being (P < 0.05; β = -0.509) and resilience has a moderating role in relation to Fear of COVID- 19 and psychological well- being (P < 0.05; β = -0.225).
Conclusion: According to the findings, it can be said that fear of Covid- 19 played a significant role in reducing the psychological well- being of nurses and, nurses with higher resilience showed less psychological well- being than nurses with lower resilience.
Davood Afshari, Maryam Nourollahi-Darabad, Noorollah Karimi, Maryam Seyed Tabib,
Volume 10, Issue 1 (7-2022)
Abstract
Objectives: Nurses are at the front line of treatment and coping with COVID-19 pandemic. Therefore, the present study investigates the pandemic’s impact on nurses ’mental workload and determines its predictive factors.
Methods: This descriptive-analytical study was done on 234 nurses in two groups working at COVID-19 and non-COVID-19 wards in 2020. The criteria for entering the study were the absence of psychological problems. Data was gathered using the General Health Questionnaire, NASA-TLX, and Demographic Questionnaire.
Results: The mean of the overall mental workload score in the group of nurses working at the Covid-19 wards (70.09 ± 2.51) was higher than the group of nurses working in the non-COVID-19 wards (66.55 ± 2.02). This difference was significant (P = 0.01). There was a significant difference between the mean score of the mental demand, the physical demand, the temporal demand, and the frustration level of the two groups. With the exception of performance, the group of nurses working in the corona ward had a higher mean score in all aspects. In the proposed linear model, 16% of the overall changes in mental workload depended on two variables, which were age and work experience. The work experience was the most influential factor in predicting nurses' mental workload.
Conclusion: The findings of the present study showed the importance of paying attention to the mental workload of nurses as well as personal and occupational factors affecting mental workload in the conditions of the COVID-19 pandemic. Therefore, control and management of effective factors can help reduce mental workload, especially during pandemic conditions.
Zeinab Akhavan, Amirsaman Kheirkhah,
Volume 10, Issue 3 (12-2022)
Abstract
Objectives: Hospitals are one of the most important organizations in the country, and nurses are one of their main pillars with high workloads and stress, nurses are exposed to many injuries. Ergonomic load on nurses can be reduced by an optimal job rotation and shift scheduling plan. Although these two approaches have been proposed separately, in past research articles, they have not been considered at the same time.
Methods: In this article, a two-objective mathematical model is presented for simultaneous optimization of job rotation and shift scheduling of nurses. The first objective is to minimize the maximum ergonomic load and the second objective is to minimize the total mental-psychological load on nurses. The comprehensive criterion approach has been used to integrate the objectives and reach a single objective model. The proposed model has been used in a case study and the parameters of the model have been quantified using the Movement and Assistance of Hospital Patients (MAPO) index and the Nordic questionnaire as well as the Depression- Anxiety- Stress Scale )DASS( method.
Results: The program obtained from the mathematical model was compared with the program available in the studied hospital, which was done manually. The results showed a decrease in the ergonomic load of nurses in the new program compared to the existing situation.
Conclusion: Compared to the conventional method, the proposed integrated method can lead to a greater reduction of occupational injuries.
Niloofar Chinisaz, Marzieh Sadeghian, Amir Akbari, Maryam Yazdi,
Volume 12, Issue 2 (7-2024)
Abstract
Objectives: High workload, shift work, risk of disease, and mental workload caused by the possibility of transmission can create challenging and stressful situations for nurses. The present study aimed to assess the cognitive performance of nurses before and after working in COVID-19 wards to understand the potential effects.
Methods: A total of 250 nurses from hospitals in Ahvaz in 2020 who had more than two years of work experience and had not worked in departments in direct contact with COVID-19 patients were included in the study. The participants were asked to complete the cognitive ability assessment questionnaire before starting to work in COVID-19 departments and after two months of their work. The results before and after working in COVID-19 wards were compared using paired t-tests.
Results: The cognitive ability score after working in COVID-19 wards decreased significantly (mean difference±standard deviation: 23.92±12.00; P<0.001). The scores of all cognitive ability subscales except social cognition (mean difference±standard deviation: 3.03±2.43; P< 0.001) also decreased after working in COVID-19 wards.
Conclusion: Working in COVID-19 wards leads to a marked decrease in cognitive abilities of nurses. Given that the weakening of nurses' cognitive ability has a significant role in the quality of patient care measures, it is necessary to prioritize measures to improve their working conditions in order to improve cognitive abilities.
