nurse

Education is one of the most basic needs of human societies and one of the axes of development, and problem-solving is a vital skill for living in the present age. The present study was conducted to compare the effect of lecture (face-to-face) and multimedia (virtual) training on the problem-solving skills of nurses in 2023.

The present study is a quasi-experimental research design of the pre-test and post-test type with a control group. The research population consisted of all nurses working at the 15 Khordad Hospital affiliated with Shahid Beheshti University of Medical Sciences. Participants were conveniently sampled and divided into two groups: one receiving training through lectures (using PowerPoint and a whiteboard along with Q&A) and the other receiving multimedia training (educational content on problem-solving skills and techniques necessary for coping with challenging situations, delivered in a workshop format across 4 sessions of 2 hours over 2 days). In the multimedia training group, after the pre-test, the prepared educational content was also sent as scenario-based material in a compressed file via social media networks. After the training was conducted, both groups were re-evaluated in the post-test, and the data were analyzed using SPSS 25 with independent t-tests.

The findings showed that the mean age and standard deviation of nurses in the intervention group was 33.44 ± 4.19, and in the control group it was 33±5.29. In terms of education, 88% in the intervention group and 84% in the control group had bachelor's degrees. Moreover, 84% of participants in the intervention group and 76% in the control group were married. There was a significant difference between the two groups regarding problem-solving skills scores after the intervention, indicating that the intervention had a positive effect on problem-solving skills scores (p = 0.001).

According to the findings of the research, it can be concluded that education with a multimedia approach has a positive effect on the problem solving skills of nurses. It is recommended to use new and creative teaching methods such as multimedia approach to improve nurses’ problem-solving skills.

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.

Patient safety is one of the fundamental principles of health care. The investigation of patient safety culture is a step towards providing safe conditions for patient care. This study aims to explore the Iranian intensive care unit (ICU) nurses’ experiences of patient safety culture in hospitals.

This is a qualitative study using the conventional content analysis method. Participants were 18 ICU nurses from three hospitals affiliated to Tehran University of Medical Sciences in 2021-2022, who were selected using a purposive sampling method. In-depth semi-structured interviews was carried to collect data. Data were analyzed using Graneheim and Lundman’s content analysis method.

Three themes were extracted: Individual (sufficient knowledge and skills, observance of professional values, work experience), interpersonal (inter-departmental communication, intra-departmental communication), and organizational (supportive management versus punitive response to errors, equipment safety, irrational workload, and employee empowerment).

The results revealed that the concept of patient safety culture in Iranian hospitals is multidimensional (individual, interpersonal, and organizational). Integrating effective patient safety culture into all parts of the organization should be the priority of hospital management programs. To promote awareness in the field of patient safety culture while holding regular training courses, hospital managers should encourage non-punitive responses to errors and teamwork to clarify the performance and expectations of the health system about improving patient safety.

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.

Improving the mental condition of nurses exerts a direct effect on patient care, duration, and treatment process. Thus, this study aimed at determining the level of occupational burnout and moral conflicts among nurses, as well as the relationship between these two variables.

In this descriptive correlational study, the research population consisted of the nurses working in the intensive care unit of the selected hospitals affiliated to Tehran Islamic Azad University of Medical Sciences and the whole population was studied. Demographic Information Questionnaire, Maslach Burnout Inventory, and Falcó-Pegueroles Moral Conflict Questionnaire were used to collect data.

The mean frequency of occupational burnout of nurses working in ICU wards was 41.81 (SD=15.37) and the mean intensity of occupational burnout was 44.77 (SD=15.56). The mean frequency of moral conflict of the samples was 27.36 (SD=11.74) and the mean intensity of moral conflict was 27.46 (SD=10.24). Regarding frequency, there was a positive and significant relationship between moral conflict and occupational burnout and its dimensions except for “Individual adequacy”. Besides, the results suggested that regarding intensity, there was only a positive and significant relationship between moral conflict and depersonalization dimension.

The results of study revealed that frequency of occupational burnout and moral conflict are correlated, and frequency of moral conflicts in nurses working in intensive care unit has a significant effect on creating and increasing occupational burnout. Therefore, one of the most important ways to reduce occupational burnout and moral conflict is to reduce frequency of moral conflicts in intensive care unit and on nurses working in this ward.

Nurses encounter challenging conditions such as sleep deprivation, job stress, and multiple responsibilities. Given the crucial role of nurses in patient care and health promotion, attention has been drawn to topics such as their quality of work life. This study aimed to assess the quality of work life for nurses working in hospitals affiliated with the University of Rehabilitation Sciences and Social Health, Tehran City, Iran.

This cross-sectional study was conducted on 313 employed nurses in hospitals affiliated with the University of Rehabilitation Sciences and Social Health. They were selected by simple random sampling in 2022. The data collection tools included a demographic information questionnaire and the Richard Walton (1973) work-life quality questionnaire. The inclusion criterion for the study was nurses with a bachelor’s degree or higher. Data analysis was conducted using descriptive and analytical statistics, including t test, analysis of variance, and regression analysis, utilizing SPSS software, version 23.

More than 50% of the nurses participating in the study (53.4%) were male. About 45% of the participants were between 31 and 40. Also, 72.5% of the participants were married, and 77.6% had a bachelor’s degree. The nursing work-life quality was reported as moderate to low by 84% of nurses. The highest average score at Rofeideh Hospital belonged to the work and total life space domain (2.94), while at Razi Hospital, it belonged to the “opportunity for continued growth” and “security” domains (2.61). The lowest average score in both hospitals was related to the “adequate and fair compensation” domain (1.71 and 2.72, respectively). There was a significant relationship between the quality of work life, marital status, and the hospital of employment (P<0.001). Marital status and the hospital of employment were the most influential factors in predicting nurses’ quality of work life.

The nursing work-life quality in the hospitals affiliated with the University of Rehabilitation Sciences and Social Health was moderate to low. The results indicate a correlation between low work-life quality levels and nurses’ productivity and performance. Since the results of low quality of work life are associated with nurses’ productivity and performance, health managers should help develop appropriate strategies and plans, such as motivating nurses’ life quality as the largest workforce in health care organizations, thus facilitating the achievement of organizational goals.

Medication adherence remains a significant challenge for individuals with chronic illnesses, particularly those suffering from cardiovascular diseases. Despite various nursing strategies, optimal solutions to this issue have yet to be achieved.

This study aimed to evaluate the impact of the liaison nurse’s role on improving medication adherence among cardiovascular patients presenting to the emergency department of a selected Aja hospital in Tehran.

This experimental study employed a post-test-only control group design in 2023. The participants were cardiovascular patients visiting the emergency department of the selected Aja hospital between November and February 2023. Thirty-six patients were purposively selected and randomly divided into experimental and control groups. The experimental group received routine care alongside training and support from a liaison nurse via telephone, while the control group only received routine care. Two weeks after the intervention, medication adherence was measured using the Morisky Medication Adherence Scale (MMAS). Data analysis was performed using SPSS version 19, with a significance level of less than 0.05.

Baseline demographic characteristics did not differ significantly between the two groups (P<0.05). However, two weeks after the intervention, the experimental group demonstrated significantly greater medication adherence )mean score: 6.38±0.91 (compared to the control group) mean score: 4.39±1.64; P>0.001).

The findings underscore the effectiveness of the liaison nurse’s role in enhancing medication adherence among cardiac patients in the emergency department. It is recommended that nursing administrators and healthcare policymakers consider integrating the liaison nurse model into routine hospital care to support patients and improve outcomes.

The repercussions of emotional fatigue in nurses significantly influence the quality of patient care.

This study sought to evaluate the impact of mindfulness interventions on alleviating emotional exhaustion among nurses in specialized care units in the post-COVID-19 period.

This research utilized a quantitative design within a randomized controlled clinical trial framework. The study population  comprised 47 nurses who met the inclusion criteria and were employed in the Covid-19 specialized departments of two military hospitals in Tehran , IRAN in 2023. Participants were assigned randomly using a simple random sampling method. The intervention group received mindfulness training, whereas no intervention was applied to the control group. Both demographic data and emotional fatigue assessments were collected from participants pre- and post-intervention. Subsequently, the data underwent statistical analysis.

The findings revealed no significant demographic differences between the two groups. Results from the independent t-test indicated that, prior to the intervention, the mean level of emotional exhaustion in the intervention group (20.79±4.21) did not significantly differ from that of the control group (20.87±6.45) (P=0.961). However, post-intervention, the mean emotional exhaustion score of the intervention group (16.63±2.18) was  significantly lower than that of the control group (21.35±5.95) (P=0.001), underscoring the beneficial effect of mindfulness interventions in alleviating emotional exhaustion among participants.

The findings revealed that mindful engagement of the conscious mind effectively enhances emotional resilience among nurses in specialized hospital wards in the post-COVID era. Consequently, it is recommended to implement mindfulness-based interventions to boost job satisfaction and  alleviate emotional exhaustion for nurses working in these critical care areas.

Health system policymakers can enhance the performance of healthcare systems by strengthening governance. This study aims to compare the performance of healthcare systems in successful countries to provide a suitable model for improving Iran's health system. This research employed a comparative study design. To gather relevant information, Persian keywords related to health system governance, along with their English equivalents (e.g., organizational structure, evaluation, stewardship, planning, accreditation), were utilized. Updated articles were sourced from databases such as Scopus, Web of Science, Magiran, Elsevier, PubMed, SID, Medline, Iranmedex, as well as Google Scholar and search engines. The findings revealed that countries like Iran and China have ministries of health responsible for overseeing their health systems, while countries like the United States operate a national public health system. Continuous control and validation processes are implemented in both Iran and Turkey. Most countries examine quantitative and qualitative control indicators to ensure health system performance. Furthermore, all countries have emphasized the importance of information technology to enhance the quality and effectiveness of healthcare services. Iran's health system faces numerous challenges. Adapting the experiences of successful countries can strengthen the governance of Iran's health system, laying the groundwork for achieving sustainable healthcare goals.

The COVID-19 pandemic has brought a significant shock to healthcare systems worldwide, including Iran. The mental health of nurses, who have been at the forefront of the fight against the virus, has been profoundly impacted. This study aims to examine the mental health status of Iranian nurses during the pandemic.

This rapid review was conducted by searching keywords such as "Mental Health," "Nurse," and "COVID-19" in databases including Google Scholar, PubMed, ScienceDirect, ProQuest, Mag Iran, and Civilica. Articles were selected based on their titles, abstracts, and full texts in alignment with the study’s research objectives.

The reviewed studies revealed a range of mental health disorders among nurses working in COVID-19 wards, with stress, anxiety, and depression being the most common. Several factors, such as demographic variables and the specific departments where nurses served, were identified as influencing their mental health. Given that the mental health of nurses affects the quality of care, resilience, and job satisfaction, various strategies have been proposed to improve their mental health.

The findings suggest that the mental health status of nurses is not at an optimal level, and neglecting this issue could lead to long-term harm to the healthcare system and its economic stability. It is recommended that healthcare managers and policymakers implement appropriate measures to address this critical concern.

Spiritual intelligence is a key factor in coping with the challenges and stress that come with working in demanding environments, such as nursing. This study aimed to assess the level of spiritual intelligence among nurses in Iran.

In this systematic review, an electronic search was conducted for English articles using the keywords "Nurse", "Spiritual Intelligence", "Iran", and "Hospital" in the PubMed, Google Scholar, Scopus, ScienceDirect, and Ovid databases. Additionally, Persian articles were searched using the keywords "Spiritual Intelligence", "Nurse", "Iran", and "Hospital" in the academic databases of Jihad University (Scientific Information Database; SID), the Iranian Nursing Publications Index (Iranian Nursing Index; Nindex), Magiran, and Iranmedex, covering the period from 2010 to 2022. Articles were extracted in 2023.

A total of 142 articles were extracted, and finally, 30 articles were analyzed. Most of the studies reported the general scores of nurses' spiritual intelligence as being in the average or higher range. Spiritual intelligence was found to have a statistically significant relationship with various variables, including clinical competence, quality of nursing care, nursing performance, emotional intelligence, self-efficacy, mental health, resilience, stress, anxiety, depression, burnout, empathy, physical activity, general health, moral behavior, psychological well-being, patient support, life satisfaction, job stress, perceived stress, nurses' talent management, and happiness (p>0.05).

Since spiritual intelligence can effectively enhance the quality of services, it is recommended that policymakers in the healthcare system implement necessary planning and training programs to improve and promote spiritual intelligence.

Neonatal pain can have serious consequences for infants' health. The aim of this study was to evaluate the effect of an empowerment program on improving nurses' knowledge, attitude, and performance in managing neonatal pain.

This semi-experimental, pre-post intervention study without a control group was conducted on nurses working in the neonatal intensive care unit of Shahid Montazeri Hospital, Najafabad, and Shahid Beheshti Hospital, Kashan, in 2022. Nurses were divided into 4 groups of 10 and received 4 empowerment sessions (in the form of educational classes and two 90-minute sessions per week) on neonatal pain management. Before, immediately after, and one month after the educational intervention, nurses completed questionnaires on knowledge, attitude, and performance. Data were analyzed using t-tests and repeated measures ANOVA using SPSS version 21 software.

Intra-group analysis showed a significant effect of time on knowledge, attitude, and performance scores, and the mean scores of nurses' knowledge, attitude, and performance differed significantly between the three time points (P=0.001). Moreover, the Bonferroni post hoc test showed that the comparison of the mean scores of knowledge (F=65.82), attitude (F=24.42), and performance (F=49.88) between the pre- and immediate post-intervention, as well as the mean scores of these scores before and one month after the intervention, showed a significant increase (P=0.001). However, the comparison of the mean scores of knowledge (P=0.07), attitude (P=0.98), and performance (P=0.99) immediately after and one month after the intervention was not significant.

According to the results of the present study, the empowerment program led to a significant increase in nurses' knowledge, a more positive attitude, and improved performance in the field of neonatal pain management, and this improvement was sustained over time. Therefore, it seems that holding empowerment sessions for nurses can lead to improved quality of care for infants and reduce their pain experience.