f. borhani

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

Moral distress in educational environments can be associated with multiple effects. Students who faced with this ethical challenge feel insecurity and dissatisfaction and so school dropout and failure will be increased in them. Low quality of teaching in these conditions could potentially cause a lack of scientific and clinical sufficiency and thus the performance of health systems to achieve the health goals will be at risk. This study aimed to assess the student's moral distress in Birjand paramedical school students. The Cross - Sectional study took on 600 students of paramedical school who were selected by census. To collect data, it was used a questionnaire of 20 questions. The validity and reliability of this questionnaire was evaluated and Cronbach's Alfa was calculated 81 percent. Data were collected by Spss16 software and were analyzed with descriptive and inferential statistics. The findings showed that the average of moral distress from total score was 0-5, (3/12±0/88) in the intensity and (3/5±1/2) in the frequency. There was a significant relationship between moral distress with years of educations and sex (P>0/05). Moderate level of moral distress in students requires the planning and some actions as students’ awareness to this phenomenon. Identification and control of this phenomenon in educational environments and investigating its reasons may play an important role in the control of this phenomenon and the prevention of its adverse effects in future.

Moral distress is a prevailing phenomenon in nursing which can cause conflict on care and facing the patient and presenting qualified care and this case can interfere in the process of access to care system objectives and finally have negative impacts on the society health model too. In this descriptive study, 153 of nurses employed in selected training hospitals of Shaheed Beheshti University of Medical Science have been studied in census method. In order to study the data, the questionnaire of individual data and standard Corley's Moral Distress questionnaire were used. The reliability of the questionnaire was studied through intra-class correlation coefficient which was equal to 0.88,Also in order to determine the internal stability of the tools, Cronbach's alpha coefficient has been used which was equal to α=0.87. The results of the research showed that the average score of moral distress of nurses was 44.8±16.6 which shows the moderate level of moral distress. Considering the outcomes of moral distress in nurses, further familiarity with this phenomenon and presenting approaches to combat against it seems to be essential.

Moral distress is one of the ethical problems in Care - Health professional that can will be various affected in on nursing. One of subject that can on intensive of moral distress and response of nursing the effect is them empowerment in the work environment. So this study has been aimed to determine the relationship between moral distress & Empowerment environment for nurses. The present association study has been made on 300 nurses in teaching hospitals of Kerman. Units of study were selected according to a quota method and inclusion criteria. Data collection tools included a questionnaire of 21 questions of moral distress corly and questionnaire of 30 questions of environment empowerment Randolph and Blanchard. The data collected were analyzed by the software Spss16 and using descriptive and inferential statistics. The results showed a significant negative correlation between the severity & frequency of moral distress & environmental empowerment of the nurses (p<0.05). The mean severity of Moral distress were 3 (range 0-5) and mean frequency of moral distress 2.44 (range 0-5). Average empowerment environment was calculated for nurses 4/65 (range 1-7). A significant negative correlation between the variables implies that enabling a more moral distress of nurses in clinical settings can reduce their risk of unpleasant consequences that should be avoided. This attention to the planning empowers nurses in clinical settings to detect.

Asthma is a common chronic illness in children that effects patients` and their families` quality of life. The aim of this study was to determine the effect of family-centered Empowerment Model on quality of life of school aged children with asthma.

This study was a quasi-experimental research on 172 children between 6 and12 years old، whom were referred to asthma clinic in Kerman Afzalipoor Hospital. For this purpose، in control and experimental group were selected based on convenience sampling. Data was gathered using «Pediatric Asthma Quality of Life Questionnaire» and was approved with content validity and reliability (α=0. 80). The model has four stages (increase knowledge، self-empowerment، self-steam and evaluation) and was used in discussions، demonstrations and cooperative leanings with experimental group. The participants completed questionnaire before and after intervention. For data analysis SPSS/16 was used.

Results showed that before intervention there was not any significant difference between two groups in quality of life scores. However، after intervention، quality of life scores in experimental and between two groups was different (p<0. 05).

Findings showed that the designed model has improved quality of life in children (symptoms، activity limitation، and emotional function). Hence، usage of this model is also suggested for other chronic illness.

Nurses are confronted with practice dilemmas that evoke distress. Moral distress understood as a functional concern. Work engagement is an approach to gaining better understanding of nurse's work experiences. The purpose of this study identifies relation between moral distress and work engagement in nurses.This study designed with Cross-sectional correlation method. Data were collected using the moral distress scale and Utrecht Work Engagement Scale. The instruments were distributed 184 nurses who work in Sirjan's hospitals. The findings indicate that nurses experienced average intensity moral distress and there is significant positive correlation between intensity moral distresses with frequency moral distress. Also show the significant positive correlation between moral distress and work engagement (p=0.011, R=0.188). So we recommend nursing managers to plan strategies in order to increase nurses Work Engagement and experience less moral distress.