نشریه پرستاری ایران
پیاپی 113 (شهریور 1397)

Spiritual healthcare team members, especially nurses, play a key role in providing holistic care. Spiritual wellbeing in students is essential to identifying the spiritual needs of patients and their spiritual support. Characteristics such as spiritual intelligence influence the attitude of individuals toward spiritual matters, as well as their spiritual wellbeing. The present study aimed to determine the association between spiritual intelligence and spiritual wellbeing in nursing students. This descriptive-analytical study was conducted on 178 students in Borujen Nursing College, Iran in 2015. Participants were selected via census sampling. Data were collected using a demographic questionnaire, spiritual intelligence questionnaire (Badi et al.), and spiritual wellbeing scale (Paloutzian and Ellison). Data analysis was performed in SPSS version 16 using descriptive and analytical statistics. A positive, significant correlation was observed between the spiritual intelligence and spiritual wellbeing of the students (r=0.7; P≤0.001). According to the regression analysis, spiritual intelligence could predict spiritual wellbeing (r2=0.54; P≤0.001). Mean total spiritual intelligence in the students was 3.63±0.3 (range: 1-5), and mean total spiritual wellbeing was 4.3±0.6 (range: 1-6). No significant correlations were observed between spiritual intelligence and spiritual wellbeing with demographic variables (P≥0.05). According to the results, spiritual intelligence results in the spiritual wellbeing of students. Moreover, spiritual intelligence could predict the improvement of spiritual wellbeing. Therefore, it is recommended that educational managers consider the role of spiritual intelligence in spiritual wellbeing and periodically review and improve these variables in students through proper planning

The incidence of cancer as one of the non-communicable, chronic, and wide-spread diseases is increasing day by day. About 60% of cancer patients undergo radiotherapy during their treatment, one of the disabling complications of which is fatigue.Due to the low impact of existing drugs for relieving fatigue and the many complications associated with drug therapy, complementary and alternative therapies such as aromatherapy massage can be used to reduce fatigue. this quasi- experimental research with control group was conducted at Firoozgar Hospital in Tehran. 70 patients with cancer, who had undergone radiotherapy, were selected based on the inclusion criteria and were divided into 2 groups: Massage Aromatherapy (35 persons) and control group (35 persons).
In the intervention group, 3 sessions /times (every other day in about 30 minutes) of Effleurage Massage with the aromatic oil on the back area was performed and in the control group, routine action was taken.
The data were collected using a multidimensional fatigue questionnaire before and immediately after the end of the intervention, and the obtained results were analyzed by Paired T-tests, Fisher’s exact, and Chi-square tests and using SPSS software version 16. Fatigue score in both groups was not significantly different before intervention (P value > 0.05); while Fatigue score in both groups was significantly different after intervention (P value < 0.05) which indicated a decrease in fatigue in the intervention group. The results of the study showed that the Aromatic Oil-based Effleurage Massage has a positive effect on the reduction of radiation-induced fatigue in cancer patients. Using this method, along with common treatments, can lead to relief of fatigue caused by treatment

Quality of care is one of the basic rights of patients. Since the survey of nurses and patients' viewpoint can provide more comprehensive information about the status of provision of services, this study aimed to assess the quality of nursing care from nurses and patients viewpoints. This applied descriptive-analytic study was conducted in Zanjan in 2016. In this study, 150 patients and 16 nurses working in the only dialysis center in Zanjan located in Valiasr Hospital were enrolled by census method. Data were completed using the SERVQUAL questionnaire (Service Quality). Paired t-test, independent t-test and ANOVA and SPSS 16 software were used to analyze the data. From the perspective of the patients participating in the study, the gap (i.e. the difference in what was expected of the patients and what they understood in practice) was in the quality of providing services in all aspects of perceptions and expectations, except for the guarantee of existence (P < 0.001). From the viewpoint of nurses, there was a gap in the quality of services in all aspects of perceptions and expectations (P < 0.001). There was a significant relationship between education (P = 0.027) and occupation (P = 0.002). The results of this study indicate that there is a gap in the quality of nursing care in the dimensions of perceptions and expectations of patients and nurses. Therefore, it is recommended to design and implement programs to improve the quality of nursing services after investigating and identifying the reasons for the lack of quality of services

In order to improve the quality and dynamics of nursing education programs, quantitative and qualitative evaluations should be carried out continuously. Comparative study is one of the methods which is widely used in many parts of the world as a prerequisite for designing new educational systems. Therefore, the present study compared the expected competencies of PhD students in nursing in Iran and top universities in the world. This study was conducted through a descriptive comparative manner and using the Beredy. Brought method in four stages of description, interpretation, and neighborhood. The Ph.D. nursing program at the top universities of the world was prepared on the basis of the Shanghai University rankings worldwide, from the websites of Iran’s Ministry of Health of Iran. In order to obtain more information, a broad electronic search of national and international databases was done at 2018 until 2007 using the databases of Google Scholars, PubMed, Science Direct, CINAHL IranMedex, SID, and Magiran. The expected abilities of PhD students in nursing in different programs and Iran are the acquisition of various educational, care, clinical, leadership, and philosophy and research abilities. All of these programs seek to train researchers who use research as a tool for developing leadership, management, nursing science and education. without enrichment of the curriculum and proper planning, it is impossible and unrealistic to expect a student to possess multiple abilities. Transferring some superficial theoretic materials, repeating what the students learned previously, ultimately would confuse the student and increase their worries toward their endpoint and would decrease their motivation toward learning. Then, such students cannot be expected to promote the nursing profession in Iran

Impaired performance and poor quality of life may deteriorate the psychological health of the patients undergoing hemodialysis. Spiritual behaviors, especially bonding with God, could improve spiritual energy and create a positive attitude in these patients. The present study aimed to assess the association between spiritual wellbeing and quality of life in hemodialysis patients. This descriptive-analytical study was conducted on 82 hemodialysis patients in the Hemodialysis Center of Motahari Hospital in Jahrom, Iran in 2016. The subjects were selected via convenience sampling. Data were collected using the quality of life questionnaire for renal patients and the spiritual wellbeing scale by Paloutzian and Ellison. Data analysis was performed in SPSS version 20 using descriptive (mean and standard deviation) and inferential statistics (Pearson’s correlation-coefficient). Positive, significant correlations were observed between the dimensions of quality of life, including physical functioning (0.222), role impairment due to emotional problems (0.260), energy/fatigue (0.393), general health (0.394), and physical health (0.293), and domains of spiritual wellbeing. According to the results, it is critical to enhance spiritual wellbeing as an important influential factor in the quality of life of individuals. Paying attention to the key role of spiritual health in a country like Iran, where cultural values and religious beliefs prevail, could be beneficial in developing effective healthcare programs for hemodialysis patients

Nurses are exposed to significant occupational stress compared to other healthcare professionals, which predisposes them to the risk of cognitive failure and the incidence of clinical errors. The present study aimed to assess the correlation of occupational stress and cognitive failure in the incidence of clinical errors among nurses. This cross-sectional study was conducted on 367 nurses at eight hospitals in Tehran, Iran in 2017. The participants were full-time nurses employed in the selected hospitals with more than six months of clinical experience. Demographic data of the participants were collected, and the scores of occupational stress and cognitive failure and frequency of medical errors were determined using self-administered questionnaires. Moreover, a binary logistic regression model was applied to verify the influential factors in the incidents associated with patient safety among the nurses. In total, there were 367 valid responses, and 19.61% of the nurses had experienced clinical errors. Mean total scores of occupational stress and cognitive failure were 3.48 and 1.98, respectively. According to the binary logistic regression analysis, the most important influential factors in the incidence of clinical errors were the received wages (odds ratio [OR]=0.066), clinical experience (OR=2.114), cognitive failure (OR=3.897), duty-related stressors (OR=2.837), and interpersonal relations associated with stressors (OR=0.340). According to the results, the incidence of clinical errors was influenced by cognitive failure, occupational stress, received wages, and clinical experience. Therefore it is recommended that hospital managers retire the nurses with higher clinical experience and recruit younger nursing staff. In addition, nursing managers should develop and apply appropriate policies and strategies to reduce occupational stress, which in turn diminishes the incidence of clinical errors

The main focus of social construction is on the procedures by which individuals and groups participate in developing meaning and social products. Since infertility leads to the inability to properly play social roles, it is often associated with socio-psychological consequences. The present study aimed to perform a constructivist analysis of the process of managing infertility in Iranian women. This qualitative study was based on the constructivist grounded theory. Purposive sampling was initiated at Valiasr and Avicenna fertility centers in Tehran, Iran and continued theoretically. Data were collected via semi-structured interviews with 30 infertile women, as well as observation and field notes. Data analysis was performed using the MAXQDA10 software and the method developed by Charmaz. Based on the principles of social constructivism by the changes in each of the elements of the social construction of infertility, changes in the other factors and their effects on each other lead to various experiences of infertility. The constructivist analysis of the management process of infertility in the present study indicated that infertility has a complex interaction with social relations, expectations, and social needs. Therefore, social feedback is of paramount importance to infertile women. According to social constructivism, the most important decisions regarding infertility (e.g., treatment and its type, terminating treatment, adoption, and other relevant issues) reflect the ideology and social structure of the community where infertile women live. From the perspective of social constructivism, the process of managing infertility is a social construct that is influenced by several factors. In addition, the elements of social and cultural structures play a pivotal role in developing, maintaining, and changing this process. Therefore, all the influential factors and elements of infertility must be considered in the codification of supportive systems for infertile individuals.

Socialization is a constant process throughout human life. The enhancers of socialization must be identified in order to promote this process. The present study aimed to investigate the correlation between the emotional intelligence and professional socialization of the operating room students at Isfahan University of Medical Sciences, Iran. This cross-sectional, correlational study was conducted on 93 operating room students at Isfahan University of Medical Sciences after determining the sample size. Data were collected using a demographic questionnaire, Shirring and Siberia self-report questionnaire of emotional intelligence, and professional socialization questionnaire by Toit. Data analysis was performed in SPSS version 16 using descriptive and inferential statistics. The results of Pearson’s correlation-coefficient indicated direct correlations between the professional socialization of students and the total score of emotional intelligence (P=0.04), social component (P<0.001), empathy (P=0.04), and self-awareness (P=0.045). However, no significant associations were observed between emotional intelligence and the other components (P>0.05). According to the results, it seems that the professional socialization of operating room students is remarkably influenced by emotional intelligence and the level of learning in the academic environment. Given the importance of intelligence and socialization in the clinical environment and comprehensive patient care, clinical students must be adequately trained on emotional intelligence skills.