mohsen faseleh jahromi

One of the ways to reduce ethical conflicts is to teach professional ethics to nurses. This study was conducted with the aim of determining the effect of the ethics training program on the moral conflict of special care nurses.

This study was a semi-experimental research of a single group before and after, which was conducted with the participation of 21 nurses working in the special departments of Peymaniyeh Jahrom Hospital in 2019. The samples were included in the study by census. Ethics training program was held during 4 sessions of 90 minutes during one month for research samples. The data collection tool was Persian version of the moral conflict questionnaire of nurses in the special department. In order to measure the average moral conflict of nurses before and one month after the end of the training, questionnaires were completed by the participants. Then, the collected data were analyzed using the paired t-test in spss software version 20. A significance level of less than 0.5 was considered.

The average moral conflict score before the intervention was 232.33±19.47 and the average moral conflict score of the nurses after one month of intervention was 174.76±22.63, which was statistically significant (P <0.001).

Ethics training program reduced the moral conflict of nurses in intensive care units. Therefore, it is suggested to use an ethics training program to reduce the moral conflict of nurses in intensive care units.

Interprofessional communication between nurses and paramedics is a crucial and challenging issue for safe and effective patient care, but it has not been addressed enough. The most important action for improving these communications is to identify their obstacles and challenges.

The aim of this study was to explain the obstacles to interprofessional communications between nurses and paramedics.

This study used the qualitative content analysis method. The participants of this research were 11 nurses and paramedics who were selected using purposeful sampling and took part in semi-structured in-depth interviews. The data were collected from May to September 2022. Data analysis was carried out by the conventional content analysis method proposed by Graneheim and Lundman. Guba and Lincoln’s criteria were used to assess the rigor and accuracy of the collected data.

The findings of this research disclosed 3 main themes; human resources challenges, lack of coordination between nursing and paramedics departments, and emergency situations.

The challenges of interprofessional communication between nurses and paramedics are influenced by different human and managerial factors, and identifying them is a significant step toward improving this communication. With regard to the findings of this study, managers and planners of healthcare centers can mitigate challenging factors and improve the communication between nurses and paramedical staff and, therefore, prepare the context for high-quality care of patients and boost the satisfaction of health professionals with their work conditions.

Patients undergoing hemodialysis require a proactive program aimed at improving compliance with dietary and fluid restrictions. The current study was conducted with the aim of investigating the effect of implementing the continuous care model on the attitude related to adherence to diet and fluids in hemodialysis patients.

This semi-experimental research with intervention and control groups was conducted on 64 hemodialysis patients. The samples in this study were initially selected through convenience sampling and then randomly divided into two groups of the intervention group and the control group. Initially, demographic information and compliance-related attitude questionnaires were completed by the patients in both groups during the pre-test phase. Then, after providing an educational booklet, the follow-up care model was implemented in the intervention group. At the end of each month and until the end of the third month, the compliance-related attitude questionnaire was completed in both groups. Subsequently, the collected data were analyzed using statistical tests in SPSS software version 21.

The results of statistical analysis showed that there was no statistically significant difference in the mean score of compliance-related attitude toward dietary and fluid restrictions between the intervention and control groups before the intervention (p = 0.343); however, this score had significantly increased one month after the intervention (p = 0.005).

The results showed that by implementing the continuous care model one month after the intervention, patients exhibited greater adherence to diet and fluid restrictions; therefore, it is recommended that nurses use care models such as continuous care model in caring for patients.

 Nurses, as health advocates and front-line fighters in the coronavirus disease 2019 (COVID-19) pandemic, experience severe professional stress and psychological crises.

 The present study was conducted to explain the nurses’ perception of expected organizational and professional support during the COVID-19 pandemic.

 In this qualitative study, data collection was performed through semi-structured, individual, and in-depth interviews. A total of 20 nurses participated in the study through purposive sampling. The data were collected within June-October 2021. The collected data were analyzed based on Granheim and Lundman’s method.

 The findings of the study were presented in the form of 4 main themes and 10 subthemes, including lack of physical support (i.e., lack of tools and equipment and problems concerning using personal protective equipment to care for COVID-19 patients), lack of psychological support (i.e., paying attention to nurses’ job stress and mutual understanding of managers and nurses), lack of welfare support (i.e., high workload, financial support, providing facilities for nurses for employment, and providing facilities to support staff in childcare), and weakness in efficient crisis management (i.e., insufficient attention of managers to the principles of crisis management and the lack of a standard infectious disease hospital for COVID-19 patients).

 Health system policymakers should provide comprehensive physical, psychological, and welfare support for nurses, effective professional and organizational context, and efficient crisis management to improve the quality of care.

Assessment of nurses’ social responsibility is necessary for improving their social responsibility and accountability. Valid and reliable culturally appropriate instruments are needed for such an assessment.

This study aimed to develop and validate the Nurse Social Responsibility Questionnaire (NSRQ) for Iranian nurses.

This methodological study was conducted in a qualitative and a quantitative phase. In the qualitative phase, the concept of social responsibility was explored using a grounded theory study and the item pool of NSRQ was generated. In the quantitative phase, the psychometric properties of the questionnaire (namely face, content, and construct validity and reliability) were evaluated.

Exploratory factor analysis revealed that NSRQ consisted of four factors which were labeled ethical commitment, clinical care management, professional competence, and divine satisfaction. The Cronbach’s alpha and the test–retest intraclass correlation coefficients of NSRQ were 0.92 and 0.95, respectively.

The 27‑item NSRQ is a valid and reliable instrument for social responsibility measurement among nurses.

PTSD is an anxiety disorder which after severe stressful events such as war, earthquake, flood, aggression, accident as well as in occupations where there is human, medical and educational communication and there is more stress, it can be seen. Since the medical emergency personnel in most cases are a first-line service provider to patients and victims are exposed to stress and psychological trauma we decided to research on the prevalence of PTSD and its contributing factors to the medical emergency personnel of Jahrom. In a descriptive cross-sectional study, 100 medical emergency medical personnel in Jahrom, who work as technicians and drivers in these units, were investigated and after receiving satisfaction from the participants, they were given a questionnaire. Mississippi PTSD questionnaire and demographic questionnaire to diagnoses and collect personal information was used. The data were analyzed using SPSS software and descriptive and analytic statistics. The mean age of subjects was 32.1 ± 4.8 years and most of them were bachelor's degrees. Among participants, 2.4% of people were with mild PTSD and the rest were 97.9% with moderate PTSD and no one had severe type of disorder. Among the four dimensions of the post-traumatic stress disorder questionnaire, the highest score was obtained in dimension of emotional control disorder and then the highest score was followed by disruptions in personal relationships. There was no significant correlation between post-traumatic stress disorder with age, level of education, working hours, marital status, place of mission and work experience (P> 0.05). Based on the results of the study, most medical emergency personnel in Jahrom, suffer from moderate PTSD that given the importance of their job, it is recommended that training be provided on emotional self-efficacy and coping skills and other emotional readiness.

Nursing is always accompanied by shift working and nurses in Iran have to work night shifts in some stages of their professional life. Therefore, the present study aimed to describe the novice nurses’ perception of working night shifts. The present qualitative study was conducted on 20 novice nurses working in two university hospitals of Jahrom, Iran. The study data were collected through focus group interviews. All the interviews were recorded, transcribed, and analyzed using constant comparative analysis and qualitative content analysis. The study findings revealed five major themes of value system, physical and psychological problems, social relationships, organizational problems, and appropriate opportunity. The study presented a deep understanding of the novice nurses’ perception of working night shifts, which can be used by the managers as a basis for organizing health and treatment systems.

Prescriptive authority for nurses has moved forward significantly in some countries. However this authority hasn''t come about for Iranian nurses. We aimed to perform this study in order to find out factors that affecting on prescriptive authority in Iranian nurses. A qualitative approach was used in Jahrom and Shiraz. A sample was chosen based on purposeful sampling method amongst stuff and student nurses. Sample size was dependent on the data saturation with a total 10 participants at the end. Data gathering was done using semi-structured interviews، then data were analyzed by qualitative content analysis. Four main themes emerged: (a) competency، (b) legal license، (c) change and (d) promotion. The results of this study revealed that prescription by Iranian nurses is possible if the law centers support and verify the prescription task. But since these conditions has not been achieved thus they are needed to more thinking planning and training