Hospital Practices and Research

Abstract Patient safety is a fundamental principle in healthcare, enshrined as a basic right of patients and a core responsibility of nurses. Negligence in ensuring safety can lead to adverse outcomes for patients and healthcare providers alike. Within the discourse on patient safety, two related yet distinct concepts emerge: "safe care" and "care safety." While these terms may appear synonymous, their differences have significant implications for nursing practice. This letter explores these concepts, contrasts their applications, and argues for the prioritization of safe care, supported by empirical evidence and practical examples.

Abstract Background: The outbreak of COVID-19 has put more pressure on the medical staff.
Objectives: The current study was performed to determine the role of emotional exhaustion on self-compassion in nurses via the mediation of empathy during the outbreak of COVID-19.
Methods: The present study was a descriptive and analytical study conducted on 150 nurses working in Al-Zahra and Kashani hospitals in Isfahan, Iran in 2021. The data were collected by three standard questionnaires of Emotional exhaustion (Chen), Self-compassion (Neff), and Empathy (Davis) and were analyzed in SPSS version 24 and LISREL8 software.
Results: The results of the study revealed that the three variables of self-compassion, empathy and emotional exhaustion are not significantly different according to the demographic characteristics of nurses (P>0.05). There was a direct and significant relationship between empathy and emotional exhaustion (P<0.05). Ultimately, the proposed model has a good fit and in the direct and indirect relationships of the model, the role of empathy as a mediator between emotional exhaustion and self-compassion is confirmed.
Conclusion: In line with the obtained results, it is suggested that considering the spread of a deadly infectious disease, appropriate educational measures and strategies should be implemented to promote or boost the spirit of empathy among health sector employees, especially nurses.

Abstract Background: Hospital nurses are more exposed to health anxiety due to close contact with patients.
Objectives: This study aimed to determine the mediating role of mental toughness in the relationship between meta-emotion and co-rumination with nurses' health anxiety.
Methods: The research method was structural equations type correlation. The statistical sample of the research included 250 nurses from hospitals in West Azarbaijan province in 2022, who were selected by simple random sampling. Salkovskis and Warwick's (2002) health anxiety scale, Mitmansgruber et al.'s meta-emotion questionnaire (2009), Clough et al.'s (2002) mental toughness scale, and Davidson's co-rumination questionnaire (2014) were used to measure the variables. The data were analyzed using Pearson's correlation coefficient, Sobel test and bootstrap.
Results: Findings indicated that the meta-emotion and co-rumination variable interact with the mediating role of mental toughness which has a role in explaining the nurses’ model of health anxiety. In total, 38% of the variance of health anxiety was explained through the variables of negative and positive meta-emotion, co-rumination and psychological stability. The direct effect of positive meta-emotion (-0.327), negative meta-emotion (0.318), mental toughness (-0.452), and co-rumination (0.367) are significant in explaining the health anxiety model. Furthermore, the indirect effect of negative meta-emotion (0.158), positive meta-emotion (-0.161), and co-rumination (0.155) with the mediation of the role of mental toughness is significant.
Conclusion: Considering the direct and indirect effects of meta-emotion, mental toughness and co-rumination variables on the level of health anxiety variable, it seems that by strengthening positive meta-emotion and mental toughness, and improving co-rumination and negative meta-emotion, the health anxiety in nurses can be reduced.