shima haghani

The majority of ICU patients require holistic care, neglecting which can lead to various issues, including eye-related problems. This research aimed to assess the impact of a designed educational program focusing on eye care for patients on the knowledge and practice of ICU nurses in selected hospitals affiliated with Iran University of Medical Sciences.

A semi-experimental study investigated the impact of a designed educational program on the knowledge and performance of 126 nurses working in the ICU departments in Tehran during the year 1402. The intervention consisted of three 2-hour educational sessions. The control group received standard hospital training. Data analysis utilized descriptive and analytical statistics, chi-square, independent t-tests, and paired t-tests with SPSS version 19 software. To adhere to research ethics, educational booklets were also provided to the nurses in the control group after the sessions.

Initially, there were no statistically significant demographic differences between the groups. Pre-intervention, both control and intervention groups exhibited similar average scores in knowledge and practice. However, following the training sessions, the intervention group's scores notably improved, leading to a statistically significant difference between the two groups (knowledge P= 0.000 and practice = P= 0.02).

Training on eye care proves effective in enhancing nurses' knowledge and skills. It appears essential to incorporate workshops and ongoing training sessions for sustained improvement and optimal outcomes. In this way, it is possible to prevent eye problems in patients hospitalized in ICUs, and if they occur, timely care can achieve favorable results.

Skin-to-skin contact between mother and baby is very important in the first minutes after birth. Despite the great emphasis on its implementation, due to the lack of manpower and the numerous responsibilities of midwives, it is not possible to implement it properly. The present study was conducted with aim to investigate the effect of companion presence during mother-infant skin-to-skin contact on breastfeeding and postpartum pain.

This two-group randomized clinical trial was conducted in 2019 on 92 pregnant women in two groups: one accompanied by a companion and the other attended by a midwife (46 participants in each group) in Zabul City. Skin-to-skin contact was initiated immediately after birth and maintained for one hour. Maternal pain was assessed using the Visual Analog Scale (VAS) at four time points: immediately after birth, and at 30, 60, and 90 minutes following the initiation of skin-to-skin contact. The onset time of breastfeeding and its duration during one hour were recorded in a checklist. Data analysis was performed by SPSS (version 21) and independent t-test, Fisher's exact test, chi-square and repeated measures analysis of variance tests. P<0.05 was considered significant.

There was no statistically significant difference between companion and midwife present groups in the mothers' pain scores immediately after the birth, 30, 60, and 90 minutes after the start of skin contact. Pain scores in both groups significantly decreased during 30, 60 and 90 minutes after the start of skin-to-skin contact (P<0.001). In the companion group, the mean interval from the time of delivery to the start of breastfeeding was significantly shorter and the mean duration of breastfeeding was significantly longer than in the midwife group (P<0.001).

Given the high workload of midwives, the presence of the mother's companion during skin-to-skin contact after delivery can be used to improve breastfeeding indicators, including earlier initiation of breastfeeding and increased duration of breastfeeding, in addition to the effect of skin-to-skin contact on reducing postpartum pain.

The transition to home after discharge of preterm neonates has been shown to be an important stage of care. Therefore, this study aimed to determine the relationship between mothers' social support from nurses and the quality of mothers' care of preterm infants discharged from the neonatal intensive care unit.

The present study was a descriptive cross-sectional-correlation study. The samples of this study were 200 mothers of preterm neonates discharged from the neonatal intensive care unit who referred to the clinics (Hazrat Ali Asghar, Shahid Akbar Abadi and Hazrat Rasool Akram hospitals) from February to November 2022 and met the study inclusion criteria. Data were collected using demographic information questionnaires, the Tarka Social Support Scale, and the Winstanley and Gattis Newborn Care Scale. Data were analyzed using SPSS version 23 software and using descriptive statistics methods (mean and standard deviation) and Pearson statistical test.

The results showed that the overall mean score of social support was 1 and the mean score of the affirmation dimension was 3.94, the emotional dimension was 4.10, and the objective dimension was 3.96. The overall mean score of the quality of maternal care was 2.52, the sleep dimension was 2.57, the feeding dimension was 2.47, the crying dimension was 2.52, the congruent dimension was 2.47, and the structural dimension was 2.56. Also, affirmative social support had a statistically significant correlation with infant feeding (p=0.015), and objective social support had a statistically significant correlation with congruence (p=0.021) and the overall quality of infant care (p=0.017).

According to the results, neonatal nurses will provide objective support, including information to mothers about the quality of feeding, sleep, and how to handle infants when they cry, to help mothers respond to their infants' needs. Organizational support is needed to fund and develop practical guidelines and protocols to ensure standardization of information for parents and staff.

Today, delayed childbearing has become one of the most common patterns of reproductive behavior in the world. The first important factor in the formation of fertility intention is the person's attitude towards childbearing. This study aims to investigate the work-related stress and attitude towards childbearing in married women working in the hospitals affiliated to Iran University of Medical Sciences (IUMS), Tehran, Iran.

This is a cross-sectional correlational study conducted from August to December 2023 on 470 married female employees of hospitals affiliated to the IUMS, who were selected by a quota random sampling method. The data collection tools included a sociodemographic form, the health and safety executive (HSE) questionnaire, and Söderberg et al.’s attitudes toward fertility and childbearing scale (AFCS). Pearson's correlation test, independent t-test, and analysis of variance were used to analyze the data in SPSS v.20 software. 

The mean AFCS score was 65.89±12.24, and the mean HSE score was 106.08 ± 23.76. Among the HSE domains, the control domain had the highest score, and the peer support domain had the lowest score. The total HSE score (r=-0.684, P<0.001) and all its dimensions had a negative and significant relationship with the AFCS score (P<0.05). The AFCS score was significantly different based on shift work (P=0.002), employment status (P=0.035), number of children (P=0.015), having a job in other hospitals (P=0.004), and monthly income (P<0.001). The HSE score was significantly different based on work shift (P<0.001) and number of children (P=0.010). Job satisfaction had a significant relationship with the AFCS and HSE scores (P<0.001). 

Work-related stress can reduce the attitude of married female employees of hospitals towards childbearing. Since job satisfaction can improve this attitude, hospital managers should pay attention to this factor and use effective educational interventions to reduce their work-related stress and increase their positive attitudes towards childbearing.

Central line-associated bloodstream infections (CLABSI) are a common type of nosocomial infections, with a higher prevalence among healthcare providers, including nurses who play an important role in preventing these infections due to their responsibility for routine care of central venous catheters (CVCs). Regular evaluation of nurses' knowledge and compliance with evidence-based guidelines for CLABSI prevention are thus important. This study aims to determine the knowledge and practice of nurses in preventing CLABSI in intensive care units (ICUs) of hospitals for Iran University of Medical Sciences (IUMS), Tehran, Iran.

In this descriptive study, 200 nurses working in the ICUs of hospitals affiliated to the IUMS in 2023 were included using a convenience sampling method. To collect data, a demographic form, a self-report knowledge scale, and a practice checklist based on the clinical care guidelines of the New South Wales Institute for Clinical Innovation & Emergency Care for preventing CVC-related infections were used. The collected data were analyzed in SPSS software, version 16.

The nurses' mean knowledge score was 6.44 ± 1.44. There was a significant difference in the knowledge score based on age (P=0.006), work experience (P=0.001), and ICU work experience (P=0.006). The practice of nurses varies in different dimensions, and the most unfavorable practices were in the fields of "using 2% chlorhexidine gluconate in 70% isopropyl alcohol for cleaning the injection site during dressing changes", "using sterile gloves to put on a new dressing", and "disinfecting the injection port without needles and vascular access tools with a disposable applicator dipped in 70% isopropyl alcohol”.

The knowledge of ICU nurses from the IUMS hospitals regarding the prevention of CVC-related infections is at a moderate to high level. Older nurses and those with more work experience and ICU work experience have higher knowledge. Although the practice of these nurses are favorable in most cases, their poor practice in some areas should be considered as it can affect infection control, quality of care, and patient safety. Hospital managers should provide educational interventions for nurses regarding proper CVC care and the guidelines should be made available to all departments, especially ICUs.

Providing high-quality services in service organizations, especially in the healthcare sector, is essential for success. Quality services lead to patient satisfaction and reduced costs. Measuring quality, particularly evaluating the activities of nurses, is a key factor in improving the quality of care. The aim of this study is to determine the perception of nurses in educational and therapeutic centers of Iran University of Medical Sciences regarding the quality of nursing care.

This descriptive research was conducted on 265 nurses working in hospitals affiliated with Iran University of Medical Sciences in 2021. Stratified sampling with proportional allocation was performed. Research tools included demographic questionnaires and a questionnaire to assess nurses' perception of the quality of nursing services, which comprised 25 questions related to various dimensions of quality. Data collection was conducted after obtaining permission from the university's ethics committee.

Among the 265 nurses, 67.7% were female, with an average age of 34.32 years. The results indicated that the average quality of nursing services was 76.35, with the highest score (3.28) in the dimension of responsibility and accuracy, and the lowest score (2.79) in the dimension of health promotion.

The overall quality of nursing services is at a desirable level; however, nurses score higher in the dimensions of accuracy and responsibility. Attention to the dimensions of communication, satisfaction, and health promotion in nursing education is essential.

Pregnancy is an important event in a woman's life. Unplanned pregnancy significantly contributes to negative outcomes. Social support, particularly from the spouse, plays a vital role in preventing the negative outcomes of unplanned pregnancy. The spiritual well-being of women can help with managing stress during unplanned pregnancies. This study aims to compare the spiritual well-being and spouse social support in women with planned and unplanned pregnancies in Bushehr, South of Iran.

In this descriptive-comparative study, 384 pregnant women (192 with planned pregnancy and 192 with unplanned pregnancy) participated. They were selected from mothers who visited comprehensive health centers in Bushehr from May to September 2023. Data collection tools included a sociodemographic/fertility form, Yildirim's spouse social support scale (SSS), and Paloutzian and Ellison's spiritual well-being scale (SWBS). Data analysis was performed in SPSS software, version 16 using descriptive and inferential statistics.

The mean total score of SSS was 72.26±4.92 in women with planned pregnancies and 69.93±6.56 in women with unplanned pregnancies. The SSS score and its dimensions in women with unplanned pregnancies were significantly lower than in women with planned pregnancies (P<0.001). The mean total score of SWBS was 67.9±2.89 in women with planned pregnancy and 68.12±12.68 in women with unplanned pregnancy. The SWBS score was not significantly different between the two groups (P=0.448). There was a significant correlation between the SSS and SWBS scores. The total SSS score was significantly related to religious well-being (P=0.017) and total SWBS score (P=0.037) in women with unplanned pregnancy, and the social support score of the SSS was significantly related to religious well-being (P=0.021) in women with planned pregnancy.

Increasing social support from the spouse can increase the religious and spiritual well-being of women with unplanned pregnancies. It can also increase the religious well-being of women with planned pregnancies. Trained midwives and healthcare providers can provide the couples with related education and help them adapt and enhance their spiritual well-being.

People with high resilience can easily tolerate pain and have less stress. This study aims to investigate the effect of the emotional freedom technique (EFT) on the stress and resilience of infertile women.

This quasi-experimental study was conducted from February to August 2023 on 98 women with infertility problems referred to two public and private clinics in Bandar Abbas, South of Iran. They were randomly allocated into two intervention and control groups on a 1:1 basis. Participants in the intervention group received the EFT at 4 training sessions with a 1-week interval. A sociodemographic form, Newton’s fertility problem inventory (FPI), and the Connor-Davidson resilience scale (CD-RISC) were completed before and after the intervention. Data analysis was performed in SPSS software, version 16 and independent and paired t-tests were used.

The mean score of FPI before and after the intervention were 168.06±34.06 and 134.59±26.02 in the intervention group, and 155.26±31.08 and 156.83±31.28 in the control group, respectively. After the intervention, the FPI score in the intervention group was significantly lower (P<0.001). The mean CD-RISC score before and after the intervention was 26.64±20.13 and 82.97±9.63 in the intervention group and 83.71±30.33 and 71.04±12.95 in the control group, respectively, indicating a significant increase in the resilience of the intervention group compared to the control (P<0.001). 

The EFT can reduce the stress of infertile women and increase their resilience. This cost-effective, safe, and easy method can be recommended by the medical staff to infertile women for better resilience and stress reduction.

Observance of patients’ rights by nurses is very important for patient satisfaction and the improvement of their health. This study aimed to determine and compare the level of the observance of patients’ rights by nurses from the perspective of nurses and clients referred to the emergency department (ED) of selected hospitals in Golestan province, Iran, in 2020.

In this descriptive cross-sectional study, 185 nurses and 370 clients referred to the EDs of five hospitals in Golestan province participated. A demographic checklist and a questionnaire for measuring the attitudes towards the observance based on the Patients’ Rights Charter were used for data collection. Data were analyzed in SPSS software, version 16.

The majority of nurses were 25-35 years old, male, married, and local residents with 4-6 years of work experience. The clients were mostly 25-35 years old, female, married, and local residents with moderate economic status. The rate of observance based on the nurses’ perceptions was higher than that based on patients’ perceptions (75.6% with a mean of 3.72±0.29 vs. 74.88% with a mean of 3.80±0.17), but it was not statistically significant (P= 0.31). In the domain of “priority of patients’ comfort”, the rate of observance based on the perceptions of nurses was significantly higher (P=0.04). According to both patients and nurses, “treating patients politely” had the highest score, while “the patient’s right to choose and decide freely” had the lowest score. 

The level of observance of patient rights in the EDs of hospitals in Golestan province is moderate and there is no difference in the level of observance perceived by patients and nurses. Hospital officials should provide a suitable environment for patients to be aware of their rights and implement laws related to the observance of patient rights by ED personnel.

Deciding to have children is based on the shared decision-making of the couples and their attitudes towards this issue. Several factors, including marital quality, can affect the couples’ attitudes towards having children. This study aims to determine the relationship between marital quality and the attitudes towards childbearing and fertility in married women from Kashan, Iran.

This cross-sectional study was conducted on 280 married women aged 15-49 who referred to selected comprehensive health centers in Kashan city, Iran, in 2021, who were selected using a multi-stage sampling method. The data collection tools were a sociodemographic form and the Persian versions of the revised dyadic adjustment scale (RDAS) and the attitudes toward fertility and childbearing scale (AFCS). Descriptive statistics were used to describe the data, and Pearson’s correlation test, t-test, analysis of variance, and Kruskal-Wallis test were used to analyze the data in SPSS software, version 16. The significance level was set at 0.05.

The mean age of women was 29.97±6.48 years. Their mean AFCS and RDAS scores were 71.64±15.33 and 50.52±10.94, respectively; both were above average. Also, there was a positive and statistically significant correlation between the AFCS and RDAS scores and their domains (P=0.001), except for the dimension “fertility requires the fulfillment of prerequisites”.

The increase in marital quality can improve the attitude of couples towards childbearing and fertility.

With the spread of web-based applications among students, problematic Internet use (PIU) is increasing. This study aims of investigate the PIU rate among high school students in Tehran, Iran.

In this descriptive cross-sectional study, 256 second-year high school students in Tehran city were included using a convenience sampling method in 2022. The data collection tools were a demographic form and the problematic internet Use questionnaire (PIUQ). The collected data was analyzed in SPSS software, version 16 using descriptive and inferential statistics (independent t-test, analysis of variance).

The mean total score of PIUQ was 50.27±8.19 out of 100. Among the PIUQ domains, social interactions had the highest mean (2.59±0.55), while adverse effects had the lowest mean (2.44±0.51). There was no significant difference in the PIUQ score based on any demographic variables (P>0.05).

The development of educational programs by high school officials for students to reduce the adverse effects of PIU is recommended.

Sexual dysfunction is one of the problems of transition to menopause in women, which often begins at the age of 45. Virtual education is useful due to its availability, quick response, and attractive presentation methods. This study aims to evaluate the impact of online stress management training on the sexual function of perimenopausal women.

This is a clinical trial with a pre-test/post-test design that was conducted on 50 perimenopausal women aged 40-50 referring to Sohrab Ali Bakhshi comprehensive health center in Shahriar town, Tehran, Iran, in 2022, who were selected using a continuous sampling method. They were divided into five groups of 10 and received stress management training online using WhatsApp at 8 sessions of 30 minutes, two times per week, for four weeks. They completed a sociodemographic/obstetric form and the female sexual function index (FSFI) before, immediately after, 4 weeks after, and 8 weeks after the intervention through self-reporting. The data were analyzed using the paired t-test and ANOVA.

The FSFI score and the scores of its various domains changed significantly over time (P<0.001). Sexual desire decreased from 3.8 before the intervention to 2.3 at 8 weeks after the intervention (P<0.05). The scores of other domains, including sexual arousal, satisfaction, orgasm, pain, and lubrication, improved significantly (P<0.001). The mean total FSFI score increased from 22.91 before the intervention to 25.22 at 8 weeks after the intervention (P<0.001). No statistically significant differences were found between 4 and 8 weeks after intervention except for the orgasm domain (P=0.016) and the total score (P=0.015).

The online stress management training program can improve the sexual function of perimenopausal women in the areas of sexual arousal, sexual desire, satisfaction, orgasm, pain, and lubrication.

Neglecting the participation of family caregivers in intensive care units can have consequences such as delaying the patient's recovery process, reducing patient discharge, and increasing their costs. The present study was conducted with the aim of determining the barriers and facilitating factors in the active participation of family caregivers in the care of patients hospitalized in the intensive care unit.

In this cross-sectional study in 2024, 150 nurses working in intensive care affiliated with Tehran University of Medical Sciences were selected using a stratified sampling method. Two questionnaires were used to collect data, including demographic information and a questionnaire to investigate barriers and facilitating factors in the participation of caregivers in patient care. The data were analyzed using SPSS version 16 software and statistical tests and frequency tables.

The nurses participating in the study had a mean age of 34.6±7.88, and most of them were women (77.3%) and 62% were married. The average score of importance of barriers to caregiver participation was high (15.75 ± 2.41) and the highest score was related to "lack of time for nurses". The average score of importance of facilitating factors was moderate (12.7 ± 2.87) and the highest score was related to "creating a reward system for nurses who use the participation of family caregivers". 

According to the findings, it can be recommended to consider sufficient forces to provide care, use nursing forces with higher communication skills, and also consider rewards and privileges for active and capable nurses in this field by the care system, a valuable step can be taken towards promoting the active participation of family caregivers in care and promoting a culture of family-centered care.

Rehabilitation training after hip joint surgery is one of the priorities of nursing, and it can be helpful in today's world with the advancement of technology. This study was conducted to examine the effect of telerehabilitation Education on outcomes of hip osteoarthritis.

The present study was a semi-experimental study conducted on patients after hip replacement in the first half of 2023. To perform the work, 70 available patients were included in the study and were divided into two intervention and control groups by a nonrandom method. Inclusion criteria included: a maximum of 6 months had passed since the hip joint replacement, age between 30-70 years, the ability to follow instructions by the subject, the absence of accompanying orthopedic lesions such as fractures, and having access to the Internet, a smartphone, and the Skype program. Exclusion criteria were severe speech disorder and non-participation in a training session. The research tool included a demographic profile form and Hip disability and osteoarthritis outcome score (HOOS), which were completed by the patients before and after the training. Training for people in the intervention group in 4 sessions, including introduction of the disease, risk factors, symptoms, management of disease symptoms, medication, diet, appropriate exercises, and pain relief methods, one session per week for 30 to 45 minutes in the groups 4 to 6 people were offered through Skype software. SPSS version 22 statistical software was used to analyze the data.

The average score of osteoarthritis outcomes in the patients before the intervention was 112.74±29.64 in the test group and 110.41±16.34 in the control group, which had no significant difference (P=0.682). After the intervention, it reached 85.25±21.43 and 109.94±15.74, respectively, and this difference was significant (P<0.001). The comparison of the average scores of osteoarthritis results in the test group indicated an essential difference from the pre-test to the post-test time (p<0.001). However, in the control group, this difference was not significant (p=0.130).

The results showed that telerehabilitation Education has a positive effect on reducing the outcomes of hip osteoarthritis, so it is recommended that nurses use telerehabilitation Education in their training to empower patients.

Pregnancy striae, or stretch marks, are highly prevalent and often a source of cosmetic concern for many women, presenting challenges in both prevention and treatment.

This study aimed to evaluate the effect of vitamin D cream on pregnancy striae in the thigh area of first-time pregnant women.

This triple-blind randomized clinical trial involved 60 primigravida women, aged 18 - 20 weeks, referred to Shahid Akbarabadi Hospital in Tehran, Iran, in 2022. Using blocked randomization, participants were assigned to two groups: The vitamin D cream intervention group (30 women) and the basic cream placebo group (30 women). Each cream was applied daily for 4 months, twice daily with a 12-hour interval. The severity of striae was assessed using the Atwal Scale before the intervention and at 4, 8, 12, and 16 weeks after the intervention commenced. Data analysis included descriptive statistics (frequency, minimum, maximum, mean, and standard deviation) and inferential statistics (chi-square, Fisher’s exact test, independent t -test, and Mann-Whitney test).

At the fourth, eighth, twelfth, and sixteenth weeks, the incidence of striae was as follows: Vitamin D group: 96.2%, 92.3%, 92.3%, and 88.5% without striae and 3.8%, 7.7%, 7.7%, and 11.5% with moderate erythema, respectively. Placebo group: 83.33%, 83.33%, 83.33%, and 66.67% without striae and 16.67%, 16.67%, 16.67%, and 33.33% with moderate erythema, respectively. No significant difference was found between the two groups regarding the severity of pregnancy striae at all follow-up times.

Over the 4-month follow-up period, vitamin D cream did not demonstrate greater effectiveness than placebo in preventing or reducing the severity of pregnancy striae in the thigh area.

Emergency department (ED) nurses are exposed to cognitive failures, which refers to impaired perception, memory and motor function. Their personality traits seem to have a role in the occurrence of these failures. This study aims to determine the relationship between cognitive failure and personality traits of ED nurses in Urmia, Iran.

This descriptive-correlational study was conducted on 165 nurses working in the EDs of hospitals affiliated to Urmia University of Medical Sciences from February to May 2021. Data were collected using the cognitive failure questionnaire (CFQ) and the NEO five-factor personality inventory. Descriptive statistics (frequency, percentage, mean, and standard deviation) were used to describe variables. Data were analyzed with one-way analysis of variance, independent t-test, Pearson correlation test, and multiple regression analysis in SPSS software, version 22. The significant level was set at 0.05

The mean total score of CFQ was 1.56±0.78. Regarding the dimensions of CFQ, the highest mean score was for the distractibility dimension (1.66±0.77), while the lowest mean score was for the dimension of false triggering (1.42±0.93). Regarding personality traits, the highest mean score was for conscientiousness (29.98±6.74), while the lowest mean score was for neuroticism (21.21±6.56). We found a significant and negative correlation between cognitive failure (and its dimensions) and all personality traits (P<0.001). Furthermore, we identified a significant relationship between nurses’ cognitive failures and the use of sedatives (P=0.001), work shift (P<0.001), and satisfaction with salary (P=0.041). 

The cognitive failure level of ED nurses in Urmia is moderate. There is a significant relationship between their cognitive failure and personality traits. The nurses with high conscientiousness have fewer occupational cognitive failures. In contrast, those with high neuroticism have more occupational cognitive failures.

Rheumatoid arthritis is an inflammatory, autoimmune, chronic and progressive disease with variable clinical symptoms, which has a negative impact on the life dimensions of affected people. This study aims to determine the impact of self-care training based on a conceptual map on the quality of life of rheumatoid arthritis patients.

The present study is a non-randomized clinical trial study. The sampling method is accessible and continuous. The samples will be taken from patients with rheumatoid arthritis referring to rheumatology clinics of selected hospitals of Tehran University of Medical Sciences. First, 35 people will be in the control group and the next 35 people will be in the test group. Data collection tools in this research include demographic information questionnaire, quality of life questionnaire in rheumatoid arthritis patients (RAQoL). The intervention in the test group is carried out in the form of two sessions of self-care training in the concept map method and one week apart. The control group receives routine training. The quality of life of the patients will be done in two stages: pre-test and post-test (one month after the last training) for both control and test groups. Data analysis is done in SPSS version 16 software.

This intervention can probably change and improve the quality of life of patients with rheumatoid arthritis.

The use of new educational methods in self-care education of patients with rheumatoid arthritis seems necessary to improve the quality of life. Therefore, the present study will be conducted on self-care training based on conceptual map in rheumatoid arthritis patients. Rheumatoid arthritis (RA) is a systemic autoimmune disease characterized by chronic peripheral and extra-articular synovitis. Manifestations of this can lead to reduced functional independence, work capacity and quality of life, partly due to pain and joint deformities.

Nursing managers play a key role in healthcare organizations. The effective execution of nursing managers' roles is influenced by various factors, including managerial competence. In today's complex organizations, determining the level of competence of head nurses is essential for improving their performance.

This study aimed to determine the managerial competence of head nurses in medical centers of Iran University of Medical Sciences.

 This research was a descriptive cross-sectional study. A total of 150 head nurses working in hospitals affiliated with Iran University of Medical Sciences participated in the study in 2024, utilizing a census sampling method. The data collection tools included a demographic information form and the nursing managerial competence assessment questionnaire developed by Moghadam et al. (2019). Data were analyzed using SPSS version 26, applying both descriptive and inferential statistics.

The mean and standard deviation of the age of the participants in the research was )42.53±5.24( years. The average managerial competence of head nurses was reported at a high level (330.05±37.04) through self-evaluation. Among them, the organizational domain had the highest average (4.36) and the problem-solving domain (4.11) had the lowest average. There was a statistically significant relationship between the managerial competence of supervisors and passing the management course (p=0.042).

 Head nurses in the hospitals of Iran University of Medical Sciences exhibit a high level of managerial competencies. The results indicate that participation in managerial training programs positively impacts the enhancement of managerial competencies among head nurses, particularly in the organizing domain. The role of managers is significantly important among the various factors contributing to organizational success. To develop an effective and efficient management system, it is essential to have competent and capable managers. Understanding the strengths and weaknesses in each dimension of managerial competence can empower head nurses to strengthen their capabilities, address weaknesses, and ultimately improve the quality of nursing services.

The coronavirus caused much anxiety, and it seems that personality characteristics play an influential role in anxiety. As a result, this study aimed to determine the role of personality characteristics in predicting corona anxiety in vaccinated people.

This was a cross-sectional correlational study. The research population was vaccinated people referred to the Payambar Azam Complex vaccination center of the Islamic Azad University of West Tehran Branch in the autumn of 2021. In this research, among the people receiving the second dose of the Corona vaccine based on G Power software, 400 people were selected by simple random sampling method. Data were collected using demographic information form, corona anxiety scale, and personality characteristics inventory. The data were then analyzed using Pearson correlation coefficients and multiple regression with an enter model in SPSS-26 software.

The findings showed that neuroticism and extroversion had a positive and significant relationship with Corona anxiety in vaccinated people, and agreeableness, openness, and conscientiousness had a negative and significant relationship with Corona anxiety in them (P<0.01). Also, the personality characteristics significantly predicted 39.4% of the changes in Corona anxiety in vaccinated people (P<0.001).

This study's results highlight the practical implications of understanding the role of personality characteristics in predicting Coronavirus anxiety in vaccinated individuals. This knowledge empowers us to plan and implement targeted interventions to reduce Coronavirus anxiety based on individual personality traits.

Nurses face various stressors such as shift work disorders, excessive responsibility, lack of vacations, and distressing patient experiences, all of which can significantly impact their sleep health. Therefore, resilience in the occupational path can help nurses effectively cope with these stressors. This study aimed to investigate the relationship between resiliency of career pathways and sleep health among nurses working in selected educational-medical centers affiliated with Iran University of Medical Sciences.

This was a descriptive-correlational cross-sectional study conducted in different hospital departments of educational-medical centers affiliated with the Iran University of Medical Sciences in Tehran. A total of 265 nurses with at least 6 months of work experience were selected through quota sampling. Data were collected using demographic questionnaires, Lyons' resiliency of career pathway, and Becker et al.'s Sleep Health Scale. Descriptive statistics, Pearson correlation coefficient, independent samples t-test, and one-way ANOVA were used for data analysis. The data was analyzed by SPSS version 22 software.

The findings indicated a moderate level of sleep health and occupational resilience among nurses. There was a statistically significant positive correlation (r= 0.17،P< 0.01) between sleep health and resiliency of career pathway. Regarding demographic variables, there were no significant differences in sleep health based on gender, marital status, education, employment status, or number of children. However, significant positive correlations were observed between sleep health and age (r= 0.16، P< 0.01) and work experience (r= 0.14، P< 0.05). There was no significant relationship between resiliency of career pathway and demographic variables (P> 0.05).

According to the results, it is suggested that proper planning, training and management of the variables investigated in this study can play an important role in increasing the sleep health of nurses and consequently improving their services to patients.

There are several researches which indicated the effect of various variables on the severity of menopause symptoms in women. However, the role of self-knowledge, life satisfaction, psychological readiness, taste, aesthetic sense, self-efficacy and hope in women as an integrated model has been neglected. Menopause is a new period of women's life, in order to adapt and understand the changes resulting from it, the level of awareness and knowledge of women, family members and of course society should be increased. Considering the effects of variable dimensions of happiness on the severity of menopause symptoms, it seems that a more detailed examination of the psychological aspects of menopause is useful and important. This study was conducted with the aim of determining happiness and severity of menopausal symptoms in menopausal women referring to rural health centers in Saveh city.

his descriptive By receiving the code of ethics on IR.IUMS.REC.1402.112 on 02/24/1402 as- analitical cross-sectional study was conducted in 1402, 440 postmenopausal women referred to rural health centers and health homes in Saveh city were selected by quota method with proportional allocation. Demographic information form, Oxford Happiness Questionnaire and Heinemann et al. Menopause Symptoms Severity Questionnaire were completed by women participating in the research. In this study, half an hour of time was allocated for each participant, and full oral explanations were given on how to fill in the questionnaires. The participants filled out their questionnaires after receiving them, at home or in a private room, during fifty days, every ten days, and each time for 30 minutes, time was set to fill these questionnaires. After the given time, the questionnaires were collected. Data analysis was done using descriptive statistical methods, Pearson correlation tests and multivariate regression by spss24 software..

The results showed that all articles have a positive and significant correlation with the severity of menopause symptoms. The research findings show that there was a negative and significant correlation between "happiness" and "menopause symptom severity" at the 0.01 level. (self-concept, p<0.001 and r=-0.338), (satisfaction with life, p<0.001 and r=-0.3), (mental readiness, p<0.001 and r=-0.286), (being in good taste, p<0.001 and r=-0.217), (aesthetic, p<0.001 and r=-0.296), (self-efficacy, p<0.001 and
 r=-0.295), (Hopefully, p<0.001 and r=-0.204). Therefore, the hypothesis was zero and with 99% confidence, there was a negative and significant relationship between self-concept, life satisfaction, psychological readiness, enjoyment, aesthetic feeling, self-efficacy, and hope with the severity of menopausal symptoms in menopausal women. That is, as the severity of menopause symptoms increases, happiness also decreases..

It seems that happiness and its dimensions can play an effective role as a functional variable in the severity of menopause symptoms in women and their quality of life. As it turned out, happiness dimensions had a significant correlation with the severity of menopause symptoms. Considering the lack of sufficient studies in this field, in this research, the dimensions of happiness were investigated and its relationship with the severity of menopause symptoms was used. Therefore, the results of this study can be used in training to increase the level of happiness in menopausal women in order to effectively reduce the severity of menopausal symptoms and improve the lifestyle of these women in research environments.

The purpose of this study was to investigate the relationship between pregnant women's anxiety and their knowledge and attitude about COVID-19.

This cross-sectional study was conducted on 458 pregnant women in Tehran between 2020 and 2021. The research tools included a researcher-made questionnaire and Beck's standard anxiety questionnaire. Questionnaires were provided to pregnant women through social networks and data were analyzed using SPSS software.

Resualts: 

In this study, the average scores of women's knowledge and attitude about Corona infection were 18.22±5.13 and 4.62±2.61, respectively, and their anxiety score was 11.14±6.46. There was a statistically significant relationship between the average score of awareness with mother's age; the average score of attitude with mother's education and spouse's education and employment; and the average score of anxiety with mother's age, the number and weeks of pregnancy and the type of previous births. Anxiety and awareness (P=0.15 and attitude (P=0.97) had no statistically significant relationship, but the two variables of awareness and attitude had a significant positive correlation (P=0.004). Social media (60.9%) and social networks (43.4%) were the most commmen sources of COVID-19 information.

This study showed that there was a moderate awareness and attitude about COVID-19 among pregnant women in Tehran and their level of anxiety had increased compared to before the pandemic. From the results of this study, government could identify the needs of pregnant women at the time of pandemics, and by introducing and providing correct information resources, it can increase the awareness and attitude of them about the pandemic, reduce their anxiety and improve their pregnancy outcomes.

Diagnosis with cancer can change the meaning of life. When people with cancer correctly perceive the meaning of life, they learn how to fight the disease and finally. The present study aims to investigate the meaning of life in Iranian people with leukemia.

This is a descriptive research. The study population consists of all people with leukemia admitted to the oncology departments of two hospitals in Tehran in 2022. Of these, 200 eligible patients were selected using a continuous sampling method. The data collection tools included a demographic form and Steger’s meaning of life questionnaire (MLQ), as a self-report tool. Descriptive and inferential statistics (analysis of variance, independent t-test) were used for data analysis in SPSS v.16 software. 

The mean MLQ score was 57.13±11.39. Also, the mean score for the dimension of the presence of meaning (29.14±5.90) was higher than the score for the dimension of the search for meaning (27.98±6.21). The MLQ score was significantly different only based on the marital status (P=0.011); the mean MLQ score in married patients was significantly higher.

The results of this research can be a step towards the implementation of training programs based on meaning of life by nurses for people with leukemia to improve the presence of meaning in life and the search for it in these patients.

Alzheimer's disease, which affects memory and cognition, makes patients increasingly dependent on their caregivers. Informal caregivers feel socially rejected due to the presence of the patient in their family and this causes affiliated stigma towards them. This study aimed to investigate the affiliate stigma and its associated factors among family caregivers of older adults with Alzheimer's disease.

This cross-sectional study was conducted on 203 family caregivers of older adults with Alzheimer's disease in dementia and Alzheimer's association in Tehran, Iran. Data collection tools included the Demographic Information Sheet and Affiliate Stigma Scale (ASS). Data were analyzed using SPSS version 16 using descriptive statistics and Pearson correlation coefficient tests, independent t-tests, and analysis of variance.

 According to the results, the mean ages of the older adults with Alzheimer's disease and their caregivers was 76.62±7.87 and 55.59±13.66 years, respectively. The mean score of the affiliated stigma among the family caregivers of the older adults with Alzheimer's disease was 37.14±10.35. The affectional domain of ​​stigma with a score of 2.09±0.59 and the behavioral domain of ​​stigma with a score of 1.5±0.49 were the highest and the lowest rated dimensions, respectively. Additionally, affiliated stigma was significantly associated with caregivers’ demographic variables such as age, educational level, occupation, and relationship with the patient (p<0.05).

The results of this study showed that the affiliated stigma in family caregivers of patients with Alzheimer's disease is limited, but regardless of the level of stigma, it is considered a major problem and can affect many different aspects of caregivers and patients’ lives. Therefore, it is necessary to develop appropriate plans to provide effective services for family caregivers of the older adults with Alzheimer's disease and improve the quality of life of this vulnerable group.

Nurses on the frontline of fight against COVID-19 faced with many stressors. The unpredictability of the situation and the seriousness of the risk can lead to intolerance of uncertainty (IU) in them. Nurses with IU perceive uncertainties about COVID-19 as distressing and stressful, and experience severe anxiety and worry. Anxiety in such situations leads to cognitive avoidance, rumination or other maladaptive coping strategies. The present study aims to determine the IU status during the COVID-19 pandemic in nurses working in teaching hospitals in Tehran, Iran.

This descriptive cross-sectional study was conducted in 2020 on 240 nurses working in the coronavirus wards of teaching hospitals affiliated to Iran University of Medical Sciences, whowere selected by a census sampling method and based on the inclusion criteria. A demographic form and Freeston et al.’s intolerance of uncertainty scale (IUS) were completed by them. Data analysis was performed in SPSS software, version 16, using descriptive and inferential statistics.

The mean score of IU was 62.58±20.36. The stress dimension of IUS showed the highest score (2.49±0.78) while the dimension of inability to take action showed the lowest score (2.15±0.80). The COVID-19 infection was significantly associated with IU (P=0.048).

The nurses working in the coronavirus wards of selected teaching hospitals had IU during the COVID-19 pandemic such that they had more IU regarding stress, but the amount of IU was not so high that can make them unable to perform their duties. Providing education to nurses on how to break the cycle of anxiety and IU, changing their beliefs about IU, reducing their negative orientation to problems, controlling and monitoring their performance, and facilitating the provision of care can help optimize nursing care and achieve quality patient care during health-related crises.