فصلنامه آموزش و اخلاق در پرستاری
سال سوم شماره 3 (پاییز 1393)

Nurses in infants and children wards, like other nurses, are permanently involved with death issue. Several factors influencing the attitudes of nurses to care for dying patients have been mentioned in various sources. Due to cultural differences among different nations, the researcher tried to explore the relationship between demographic characteristics of nurses in department of infants and children participating in the training course of caring for dying patient's and their attitudes toward caring for dying patientsin order to find a number of influential factors on the attitude of nurses. Materials & Methods This study is a quasi-experimental single-group study with 60 eligible nurses of infants and children wards who attended in the study and participated in a training course on caring for dying patients. To measure nurse's attitudes, reliable questionnaires related to infants and children departments and demographic questionnaire were used. The variables of age (0.485), work experience (0.318), and attended University (0.720), marital status (0.414) and the service sector (0.852) were analyzed by using the Mann-Whitney test and the variables of hospital service (0.172) and the frequency of exposure to dying patients (0.552) were analyzed through using Kruskal-Wallis test and it was found that there was no significant relationship between demographic charectristics and attitude of nurses. Since there were no meaningful difference between demographic characteristics and nurse's attitudes, death education for nursing society seems to be essential.

Internships in the bedside Plays an essential role in Achievement students to Professional ability With regard to Importance of Viewpoint students in the education process for improving the quality of clinical education, this present study with the aim of study of Viewpoint of Final year bachelor operation room and Anesthesia students about internships in the clinical was performed. This is a cross - sectional study that Performed on 59 Final year bachelor operation room and Anesthesia students of you University of Medical Sciences in 2014. This sample of research’s equal to Research community. Data collection tool is Researcher made, valid and reliable questionnaire consists of two parts, Include Demographic information and viewpoint of students about internships in clinical. Data collected by SPSS version 18 and Descriptive and inferential statistical methods was analyzed. Results showed that 28. 8 percent of students status of internships in clinical at low level, 23. 72 percent at average level and 47.48 percent at good level Have stated so that 42.37 percent of Samples Stated Domain of Lecturer Poorly, 54.23 percent Stated Domain of Learner Poorly and 89.83 percent (Samples) Stated Domain of Environment Poorly. Between the sex, Field of Study and Grade point average with status of internships in clinical wasn’t statistically significant difference. Based on findings of this study, Strengthening of existing programs, Providing Experienced human resources for environment clinical and Providing Standard educational environments is Recommended.

Quality performance and employee satisfaction is the main issue of professional ethic in the clinics. The effectiveness of the role and functions of managers is the key to success in achieving objectives. The aim of this study was to assess the correlation between directional performance head nurses and job satisfaction of nurses working in hospitals of Qom University of Medical Sciences. This is a descriptive – correlation study. All nurses (N=202) in teaching hospitals of Qom in 2014 were selected by consensus method. Data was collected through job satisfaction questionnaire (20 items) and researcher making questionnaire (directional performance head nurses) that valid and reliable by alpha – Cronbach = 0.96. Data analysis was done by descriptive and analytical statistics and used software SPSS: 21. Nurses (%53.5) believed that head nurses have optimal performance in the implementation of the guidance. The more nurses (%66.8) demonstrate moderate level of job satisfaction. There was a significant relationship between a job satisfaction and nurses’ perceptions of head nurses’ directional performance (P<0.001). Head nurse's performance in directional role playing as a professional and ethical action has a significant relationship with job satisfaction, hence empower of managers in directional performance is necessary.

Moral turmoil is considered as effective variable in nurses’ performance. Moreover, job-demand and job-control can be influenced by moral turmoil. The aim of the present study was to investigate the relationship between job demand-control and moral chaos. The present study was a cross-sectional study carried out through correlation. The studied statistical population consisted of all nurses in hospitals in the city of Tabriz in 2014 and through stratified random sampling, 145 subjects were selected. For data collection, Corli moral turmoil questionnaire and Occupational demand control questionnaire of Wall, Jackson was Molarky were used. Data were analyzed step by step using correlation coefficient methods and multiple regression analysis. Based on the findings, the mean and standard deviation of variables of frequency of moral turmoil 2.99 and 0.60, respectively and the intensity of moral turmoil was 2.65 and 0.77, job demand was 4.93 and 0.97 and job control was 3.42 and 0.86. Moreover, the correlation coefficient between moral turmoil and job demands was r = 0.304 and the correlation coefficient between moral turmoil and job control was r =-0.368. Stepwise multiple regression analysis showed that components of moral turmoil (frequency and severity) can control and predict job demand. Moral turmoil had a significant positive correlation with job demands and a significant negative correlation with job control. Therefore, the high degree of moral turmoil is associated with loss of job control and increase in job demand. As a result, to decrease demand for employment and improve job quality, we can enhance the moral status of nurses through training of nursing ethics.

The nursing staff, compared to other professions, have less healthy work environment and always face a lot of job stress. The quality of the relationship between nurses and physicians has a significant impact on nurses. Thus, the aim of the present study was to determine the correlation between job stress for nurses with professional communication between nurses and physicians. All nurses working in three hospitals of Bonan and Maragheh in 20111 with a minimum of one year clinical experience were invited to participate in the study. Finally, data were collected from 90 nurses. In this descriptive – correlation study, data were collected using Physician-nurse collaboration questionnaire and occupational stress questionnaire. Data analysis was performed using SPSS software and descriptive statistics (proportion, percentage, frequency, mean and standard deviation) and inferential statistics (Pearson correlation test). The mean age of the nurses was 32.5 ± 7.80 years and the mean duration of their clinical work was 8.83 ± 7.74 years. Furthermore, Pearson correlation test showed that there was a significant correlation between job stress for nurses with their views on their professional relationships with physicians (correlation coefficient 0.22 and significant level 0.02). From the perspective of nurses, their professional communications with physicians were moderate. So it seems that planning to improve the quality of the relationship between doctors and nurses can lead to reduction in occupational stress.

Effective communication is an essential feature of nursing care. Identifying factors that prevent effective communication between nurse and patient makes the orientation of necessary measures for eliminating or modifying barriers to health planners and administrators possible. Moreover, developing and maintenance of effective communication between nurses and patients has always been of high interest and the success in creating this relationship is of high importance in health services and improving treatment of patients. Therefore, considering the importance of this relationship, the present study was done with the aim of determining the factors influencing communication between nurses and patients in one of Shahid Beheshti University hospitals. In this cross-sectional study 94 nurses participated. The data collection, interview and tools all were researcher-made questionnaire. The validity of questionnaire was examined through content validity and its reliability was obtained using test-retest. The obtained data using SPSS16 software and descriptive statistics and chi-square test with a significance level of less than 0.05 were analyzed. The results showed that 69.1% of nurses consider communication with the patient to be very effective in providing appropriate clinical services. Furthermore, the conversational language and cultural differences and gender differences have been proposed as the most important factors in effective communication between nurses and patients. Considering the patients’ need for health services and satisfying their emotional needs, having a good relationship between nurses and patients is pivotal and, thus, health manager should focus their attempt to remove or adjust the most important barriers mentioned above.

Peer evaluation is a method in which students evaluate their classmates. Experts recommend using this method. This study was conducted with the aim of evaluating the effect of cooperative assessment method on nursing student's learning in the operation room. In this quasi-experimental study, 30 operation room internship students were randomly classified into two groups of sample (assessment by the team member and instructor) and control (assessment by the instructor). Evaluation was performed by the check list and its validity was confirmed by instructors. Finally, data were compared between the two groups using t test and SPSS 13 software. Comparing the mean scores resulting from classmate assessment and that of the instructor showed no significant difference (t= 0.43, p <0.08, 18.50±1.25 vs. 19±0.75). The group assessed by the instructor and the team member (18.5±1.25) has acquired higher scores compared with the control group (18.25±1.50). However, this finding was not statistically significant. Although it seems that the classmate assessment has no significant effect on the final score, considering the similarity between classmate’s assessment scores and those of the instructor, it seems that the student’s assessment of his team member can be a reliable measure in the evaluation of students.