مجله علوم مراقبتی نظامی
سال نهم شماره 4 (زمستان 1401)

Military nurses are at the frontline of responding to disasters. An incidentcommand system is a managerial structure that is used to control and reduce disaster risk. Military nurse's preparedness in the ICS area during the COVID19pandemic could affect their performance in the response phase.

the aim of this study was to evaluate nurses’ readiness in selected Military hospitals in the field of accident command system to manage the COVID-19 pandemic.

In this descriptive cross-sectional study, 308 military nurses were selected by quota random sampling. The data collection tool was nurses' readiness assessment questionnaire in response to the COVID-19 pandemic. The data obtained from the questionnaires were analyzed by SPSS Software version 23. The statistical significance level was considered P <0.05.

Most participants were male and in the age range of 20-30 years (57.5% and 50.3%, respectively). The majority of participants had a bachelor's degree (94.8%). The mean score of the total participants was 10.62 ± 24.95 that demonstrates a low level of preparedness among the study population. The accident command system readiness scores was significantly different between male and female nurses. The readiness scores of male and female nurses was 26.70 ±10.05 and 22.59± 10.95 ± 10.05, respectively. T-test with P = 0.001 showed a statistically significant difference. ANOVA test showed a significant difference between nurses' preparedness in different hospitals. No relationship was found between readiness and other demographic characteristics.

Military hospital nurses did not have sufficient preparation in the field of incident command systems; therefore, it is better to apply appropriate measures such as designing disaster-specific systems and training. Nurse’s preparedness is necessary for a flexible responsive structure against a crisis like COVID-19 and, because the accident command systems will increase their readiness, raising their preparedness should be one of the priorities of military hospitals.

Due to the increasing frequency of hospital hazards and proper preparation of nurses before, during and after such incidents, it is essential.

The aim of this study was to compare the effect of introductory tour training and workshop on nurses' knowledge and attitudes toward hospital risks in AJA selected hospital.

In this quasi-experimental study, which was conducted in 2016 at the selected AJA Hospital in Tehran, 52 nurses were enrolled by simple random sampling method and randomly assigned to two groups of tour introductory and training workshop. The researcher-made questionnaires of knowledge and attitude were completed by two groups before and after the intervention. Data were analyzed using independent statistical tests, Fisher and Kolmogrofasmirnov tests using SPSS-18 (P<0.05).

There was no significant difference in the mean scores between the two groups before the intervention (P=0.26), but the mean scores after the intervention were significantly higher in the network introductory group than the workshop group (P<0.001). Also, a significant difference was observed between the mean scores before and after the intervention in both groups (P<0.001). The study of attitude score in the two groups of introductory tour and workshop showed that there is no significant difference between the mean score of attitude of the two groups before the intervention (P=0.41) but the mean score of attitude after the intervention in the introductory tour group is significantly higher than the workshop group (P <0. 001). Also, a significant difference was observed between the mean scores before and after the intervention in both groups (P<0.001).

Hospital hazard training through network recognition and training workshop has been effective on the knowledge and attitude of nurses in AJA hospitals, but net education training has caused a significant increase in nurses' knowledge and attitude towards hospital hazards.

Due to the lack of adaptation skills, the military period is considered a challenging period for some young people, which can be a revealing factor for mental weaknesses.

This research developed a psychological enrichment training package and compare its effectiveness with executive function training on social-emotional and family-friendliness skills of soldiers.

This mixed method research was sequential exploratory, and it was conducted in 2022 on the soldiers of Isfahan city barracks. The qualitative part was carried out to develop a training-counseling package for the psychological enrichment of soldiers using the method of thematic analysis. The sample consisted of 12 participants who were purposefully selected. In the quantitative part, the research method was a semi-experimental type with a pre-test, post-test, and follow-up design with a control group. At this stage, 60 soldiers were selected by available sampling and randomly assigned to experimental and control groups (20 people in each group). Data collection tools included social-emotional and family-friendliness questionnaires. The data collected in SPSS software version 23 were analyzed using descriptive (means and standard deviation) and inferential (repeated measures and post hoc-test) (P<0.05) statistics at a significance level of P<0.05.

The qualitative results showed four main categories, which included intrapersonal weaknesses, family components, interpersonal causes, and environmental causes. The educational package was compiled and validated according to the management of these four main categories of mental  weakness. The research findings of the quantitative part showed that both methods had a significant effect on improving social-emotional skills (F=89.10 and P=0.001) but they were not effective on familyfriendliness. The results of the post hoc-test showed that the psychological enrichment method was more effective than the improving executive function.

The results obtained from the quantitative part confirmed the qualitative part and showed that the compiled package is valid. Both educational counseling packages for the psychological enrichment of soldiers and the improving executive function training have been effective in improving social-emotional skills, but they had no effect on family friendliness, and the psychological enrichment educational package showed a greater effect.

Nurses working in Intensive Care Units of COVID-19 are more exposed to occupational anxiety because of the limitations caused by the use of personal protective equipment.

This study was conducted to determine the effect of training on the use of personal protective equipment by simulation method on the level of occupational anxiety of nurses working in Intensive Care Units of COVID-19.

This semi-experimental study was conducted in 2021 with the participation of 50 nurses working in Intensive Care Units of COVID-19 in two selected Aja Hospitals in Tehran. The data collection tools were demographic and occupational anxiety questionnaire of Philip L. Rice (1992). Training on the use of personal protective equipment was conducted through interactive simulation during three 60-minute sessions in each work shift and two control groups (25 people) and test groups (25 people). Questionnaires were administered to people in the form of pre-test and post-test and one month after the intervention and were completed. The normal distribution of the data was performed using the Kolmogorov test and with the help of
SPSS software of version 21.

It is recommended to train the use of personal protective equipment by simulation method with the combination of other training methods in military hospital nurses in Intensive Care Units of COVID-19.

Improving the safety culture is one of the important requirements for safe care in healthcare systems.Considering the importance of improving safety, this study was conducted with the aim of the effect of electronic training on patient safety principles on patient safety culture by nurses in one of the selected military hospitals in Tehran.

The present study is a randomized clinical trial that was conducted on60 nurses working in a selected hospital in Tehran in 2021-2022. Nurses were assigned to two test and control groups(each group=30people)by simple random method Before the intervention, personal information questionnaire and patient safety culture assessment questionnaire were completed by nurses in both test and control groups. After holding a face-to-face meeting to introduce and explain the objectives of the study, the multimedia educational program was given to the test group in six two-hour sessions over a period of 6weeks.Also,the test group was provided with the possibility of questioning and answering on a web platform.The control group did not receive any intervention by the researchers.14 days after the training, the questionnaires were completed again by the nurses of the two groups.

The overall score of patient safety culture in the nurses of the two test groups (102.87±21.20)and control (105.5±21.91) before the intervention had no statistically significant difference(P=0.638);While after the intervention, the scores of the test group (183.97±11.7)were higher than the control group(120.40±21.91)(P<0.001).Also, the findings showed that the general score of patient safety culture in the nurses of the test group(P<0.001)and control(P=0.018)increased significantly after the intervention compared to before.

The implementation of the electronic training program of patient safety principles increases the patient safety culture among nurses. Therefore,it is suggested that planners and officials use this educational method regarding the promotion of safety culture.

Marital conflicts by creating psychological-emotional distance in military couples are one of the main reasons for reducing the quality of marital relations and the health of the society. Couple therapy based on the reality therapy approach is an effective intervention to overcome difficult or intractable marital challenges .

The present study was conducted with the aim of investigating the effectiveness of couple therapy based on the reality therapy approach on marital conflicts of military couples applying for divorce.

This study was a quasi-experimental type of pre- and posttest with a control group. The statistical population consisted of all military couples who visited the primary school psychology center in Hamadan city; formed. The samples of this research were 30 military from the mentioned community who were selected using the available sampling method and were assigned to two experimental and control (15 military) groups with the help of a simple random method. They responded to the marital conflict’s questionnaire of Barati and Sanai (2012). The experimental group was trained for 8 sessions, and the control group did not receive any intervention. Data were analyzed using mean, standard deviation and, covariance analysis with SPSS-24 software.

The results indicated a significant difference in the average and standard deviation of marital conflicts of military couples (P<0.01) in the experimental group compared with the control group in the post-test. Based on eta squares, the effect of couple therapy based on the reality therapy approach on marital conflicts of couples was 51.8%.

Couples therapy based on reality therapy approach was effective in reducing marital conflicts among military couples. Therefore, it is suggested to hold couple therapy sessions based on the reality therapy approach to prevent and solve marital problems in counseling centers

Every organization has common values to achieve its goals and eachemploye behaves well by citing them and moving within the framework of their professional values. In other words, values show the correct way of doing work and distinguish between good and bad and will lead to rofessional performance to benefit patients.

The present study was conducted to investigate the relationship between professional values and professional behavior of nurses. 

This descriptive cross-sectional study was conducted on 150 nurses working in selected hospitals in Hamadan province using the convenience sampling method. Data collection tools included a demographic information form, Revised Nurses’ Professional Values questionnaire (NPVS-R) and professional behavior questionnaire Goze. Data analysis was performed using SPSS software version 26.

Data analysis shows that there is a positive and significant relationship between professional values and professional behavior of nurses  (r=0.454, P=0.0001). Also, the dimension of caring for professional values showed the highest correlation with the professional behavior of participants (P=0.0001, r=0.5). Simple linear regression test statistics show that the independent variable (occupational value) explains %20 of the variance of the occupational behavior variable in employed nurses. In other words, a standard deviation of a change in professional values will cause a 34% standard
deviation in the nurses’ professional behaviors variable.

Nurses provide professional values, and desirable behaviors in accordance with organizational rules and regulations, including compliance with professional standards, skills in performing job duties, and improving their scientific and practical knowledge. Managers and officials can play an important role in the professionalization of nurses and the emergence of behaviors based on the principles of the profession through educational planning and explaining the values of the nursing profession in retraining classes.

Dependence on the material has gradually become one of the most common public health problems worldwide. 

The aim of this study was to assesse the pattern of causal relationships based on dysfunctional personality beliefs: The mediating role of ego resilience in substance-dependent people.

The research was applied in terms of purpose and in the category of correlational research. The statistical population included all substancedependent people who were referred to Ardabil addiction treatment camps in 2021. A total of 200 people were selected by convenience sampling method and answered the questionnaires about craving, ego resilience and dysfunctional personality beliefs. SPSS software version 25 and Lisrel version 8.8 were used for data analysis.

The results showed that craving has a positive relationship with dysfunctional personality beliefs and a negative and significant relationship with ego resilience. Ego resilience also has a negative and significant relationship with dysfunctional personality beliefs (P<0.001). Model fit indices also confirmed the effect of dysfunctional personality beliefs on cravings mediated by ego resilience.

According to the results of the present study, the design of programs based on resilience, taking into account the personality of people who are leaving, is recommended by psychologists and counselors.

Nursing is Scientific that has many philosophical foundations and originally governing philosophy of nursing has led to the development of nursing science. Like other philosophies, the philosophy of nursing has historically been influenced governing philosophy of society. One of these societies is Islamic societies.

In this study, we try to examine the Islamic philosophy in nursing and to pay attention to it necessity in this field.

This study reviews the available sources with Persian keywords philosophy, nursing, Islam, in internal sources Magiran, SID, and Latin keywords, Philosophy, Nursing, Islam in external sources Scopus, PubMedand the Google scholar search engine was done without time limit. English or Persian articles and articles that have access to the full text were included in the study. Finally, 52 related articles were used in the article.

Islam is a religion that considers all aspects of human growth and sublimity and offers various recommendations. One of these areas is the area of care and treatment. Familiarity with the culture and religion of Muslims is necessary for medical staff that working in Islamic societies because the religious beliefs of Muslims have caused changes in their social relations and lifestyle and these factors have overshadowed on promotion of their health. 

Islamic philosophy is a worldview that is able to provide the necessary infrastructure for a theory. But the philosophy of nursing has not been explained based to the Islamic school. Designing nursing care based on religious teachings is vital and without considering spiritual and religious issues, it is not possible to make progress in healthcare of Islamic countries.