Journal of Research Development in Nursing and Midwifery
Volume:15 Issue: 1, Spring Summer 2018

Validity and reliability are essential criteria for clinical competency assessment tests. This study was conducted to determine the validity and reliability of the Objective Structured Clinical Examination (OSCE) for nursing pre-internship.
This methodological study was done on 36 pre-internship Nursing students of Golestan University of Medical Sciences in 2016. Census method was used for sampling. The face validity and content validity of the twelve-station checklist were conducted with the viewpoint and expertise of specialists. The criterion validity was determined by the correlation of the mean scores of theoretical and clinical courses with the total OSCE score, and construct validity was determined by the correlation between score of each stations with total score. The predictive validity was determined by multivariable regression and the reliability was determined through internal consistency.
The face validity and content validity of the test checklists were approved by the specialist’s panel of the nursing educational departments. The criterion validity was approved by the correlation of the total score of the test with the mean score of the theoretical courses (r = 0.48) and clinical courses (r=0.35). The correlation of the twelve stations with the total score of the test approved the construct validity, and the mean score was the only predictive variable of the test results (P=0.004, r=.68, β=0.49). The internal consistency of the test was (α=0.92).
Validity and reliability assessment of clinical competency tests can assure the tools used to determine the readiness of nursing students before entering the field and can resolve learning problems.

Collaborative care can be used as a component of self-care in reducing the complications of care in family caregivers of mental patients. Therefore, the present study aims to "determine the impact of the use of collaborative care model on the care burden parameters of the family of patients with mental disorders".
In this clinical trial, 66 households from family caregivers of mental patients participated who were eligible for inclusion in a study in the Shahid Rajaee Hospital of Yasuj in 2014. The samples were available and were divided into two groups of intervention (33 families) and control (33 families) based on simple random sampling. The instruments were demographic information sheet, primary needs assessment checklist, Novak’s caregiver burden inventory (CBI). Collaborative care model was implemented based on the motivation, preparation, involvement and evaluation phases in the intervention group for 11 sessions. No intervention was performed for control group during this period. Data analysis was performed based on descriptive and inferential statistics (Chi-square, independent t-test, and Mann-Whitney) using SPSS V.21 with a significant level (p The results showed that there was no significant difference in the scores of care burden between the two groups before intervention (P> 0.05); however, after implementation of the model, there was a significant difference between the mean care burden and all the components of the intervention group and the control group. (P Implementation of collaborative care model is effective in decreasing the care burden of the family of patients with mental disorders. Therefore, it is recommended using of this model in health care.

The effect of new teaching method on study skill of students results in a significant improvement in learning performances. The aim of study was to determine the effect of Team-Based Learning on study habits of nursing students.
The quasi-experimental study with a before-and-after design was conducted on nursing students of Golestan University of Medical Sciences in 2015. 101 students participated in this study through census sampling considering the inclusion criteria. The data was collected using Palsane and Sharma Study Habits Inventory (PSSHI) before and after intervention. The intervention was 16 sessions (a two-hour session per week) Team-based learning. The data was analyzed in SPSS-20 software using paired t-test.
Finding showed that most of the students were female (60.3%), and single (95%) with mean age of 21.47±1.5 years. When students were stratified into four groups based on the quartiles of the distribution of study habit, the number of students who had poor study habit decrease after intervention (%5.6) and the number of students with excellent study habit increase after intervention (%3.8). In addition, the mean and standard deviation scores of student's study habits of before and after the intervention were 42.53±7.46 and 48.75±8.94, respectively, which was significantly different (P The results showed that Team-Based learning improved their study habits, but the majority of students had poor study habits. In order to improve the study habits of students, student-centered learning is recommended.

Depression is the most common psychological problem in patients with chronic renal failure, which has a negative effect on the outcome of treatment and life quality. The aim of this study was to compare the symptoms of depression in patients referring to the Kidney Transplant Unit of Babol Shahid Beheshti Hospital before transplantation, at discharge and three months after transplantation.
This descriptive analytical study was conducted on 51 patients receiving renal transplant from November 2014 to February 2015 in Babol Shahid Beheshti Hospital. The non-random sampling method was used. Data were collected using demographic questionnaire and Beck Depression Inventory distributed in three stages. Descriptive and inferential statistics and SPSS18 were used to analyze the data. P=0.05 was considered significant level.
Before, at and three months after renal transplantation, 70.6%, 56.9% and 52.9% of the patients had mild to very severe depression, respectively. Mean scores of depression were 19.25 ± 11.99, 14.78 ± 11.45 and 12.82 ± 9.96 before transplantation, at discharge and three months after transplantation, respectively. Paired t-test showed a significant difference between the mean scores of depression before transplantation and at discharge after transplantation (P=0.006), before and three months after kidney transplantation (P = 0.000). There was no significant difference between the time of discharge and three months after transplantation (P=0.135). In addition, no significant difference was found between the scores of depression with gender, marital status, education, occupation and income (p = 0.391).
The results indicated a lower incidence of depression in kidney transplanted patients. It is recommended that the patients awaiting transplantation and subsequently their depression status should be intermittently examined and drug or non-drug treatment should be designated for these patients based on the results.

The success of therapeutic results of assisted reproductive techniques is related to several factors, including the extent of female anxiety. The aim of this study was to determine the effect of training problem solving skills on the anxiety of female candidates for intrauterine insemination in Moheb Yas Hospital in Tehran (2015).
This experimental study was a two-group design (intervention and control) of pre-test and post-test type. The data collection tool was a sociodemographic form and Beck Anxiety Inventory. The samples comprised of 49 female candidates for assisted reproductive technique of intrauterine insemination, with the least Anxiety Score of eight from Beck Anxiety Inventory. Based on this inventory, participants were homogenized in terms of different levels of anxiety and were randomly assigned into intervention and control groups. For intervention group, the problem-solving skills were trained for three sessions of 2-2.5 hours. Then, Beck's Anxiety Inventory was filled in both intervention and control groups, one day and 9 weeks after the end of the intervention. The data was analyzed in SPSS version 16, using the descriptive and analytical statistics (Mann-Whitney, Wilcoxon, and Paired t-test).
There was no significant difference in the anxiety score among the two intervention and control groups before intervention, whereas the anxiety score indicated a significant difference between the two groups (P=0.001) one day and 9 weeks after the end of the intervention. Training problem-solving skills significantly reduced the anxiety of the intervention group one day after the intervention, and the decrease also remained stable at 9 weeks after the end of the intervention (p = 0.001).
By training problem-solving skills, we can reduce the anxiety among female candidates for intrauterine insemination.

Mental health is an essential requirement for any profession, especially nursing and plays an important role in improving positive psychological characteristics. Some variables related to mental health can be social capital and organizational citizenship behavior. Thus, the aim of this study was the prediction of mental health based on social capital and organizational citizenship behavior in female nurses.
This correlational cross-sectional study was carried out on 180 female nurses, selected via simple random sampling, of state hospital in the west of Mazandaran province, 2017. The questionnaires were short form of mental symptoms, social capital and organizational citizenship behavior. Data was analyzed by SPSS-19 software using Pearson correlation and multivariate regression with enter model methods (p≤0.01).
The average age of the participants was 35.94±4.36 years, most of them (90.56%) married and undergraduate education (80.56%). The results showed that social capital (r=-0/381) and organizational citizenship behavior (r=-0/456) have a negative and significant relationship with mental health in female nurses. Given that the high score in mental health questionnaire means low mental health, mental health in female nurses enhances by increasing social capital and organizational citizenship behavior. In addition, both social capital and organizational citizenship behavior variables could predict 25.4 percent of variance of mental health in female nurses and the share of organizational citizenship behavior was higher than social capital (p≤0.01).
The results verified the role of social capital and organizational citizenship behavior in predicting mental health of nurses. Thus, officials should pay attention to the indications of social capital and organizational citizenship behavior to design and implement appropriate programs to improve the mental health of nurses.

Since health-promoting lifestyle is an important determinant of health status, this study aimed to compare the health-promoting lifestyle in medical and non-medical students of Guilan, Iran.
This is a cross-sectional study with a descriptive-analytical approach that was performed on 1319 students of medical sciences and non-medical sciences in Guilan, 2014. The data collection tool was 52-item HPLP Π in six dimensions (health responsibility, physical activity, nutritional habits, stress management, spiritual growth, and interpersonal relationships). Data was analyzed using one-way ANOVA, T-test, and Kruskal–Wallis test.
The mean health-promoting lifestyle among students of Guilan University and Guilan University of Medical Sciences was (129.5± 7.17) and (128.1± 19), respectively. There was a significant difference between the two studied population in terms of health responsibility (p= 0.0001). Students of medical sciences had 3.2 times more favorable health promoting lifestyle (OR = 3.123, 95% CI = 1.57-6.3), married students 6.1 times (OR= 1.55, 95% CI = 1.05-2.32), students with mothers with under diploma degree 2.6 times (OR= 2.6 95% CI = 1.49-4.62), students with fathers with diploma 1.7 times (OR = 1.7, 95% CI = 1.2-2.56), and physical education and sports science students 5.8 times (OR = 8.5, 95% CI = 3.42- 20.95) had a more optimal health promoting lifestyle.
In the present study, student's health-promoting lifestyles are in an unfavorable condition. Since the students in the future will be responsible for managing different sectors of the country and will play a role in changing the other health-promoting behavior of other strata of the society, it is important to consider their health-promoting lifestyles by providing facilities and eliminating the shortcomings.

Improving the level of psychological well-being is one of the psychological concerns of the recent century. This study was conducted to compare the Olson's Circumplex Model with Emotional Focused Couple Therapy (EFCT) on psychological well-being in women with marital dissatisfaction.
the participants were sixty dissatisfied married women living in Gorgan, Iran, 2017. Having including criteria, they were randomly divided into two intervention groups. The interventions were performed for both groups through 15 sessions. The Ryff’s psychological well-being scale (with six dimensions) was completed before and one week after intervention by the participants.
Analysis of covariance showed that both circumplex model and EFCT cause an improvement in psychological well-being. However, EFCT was more effective in the dimensions of purpose in life and personal growth. There were no significant statistical differences between two intervention methods regarding other dimensions of Psychological Well-Being.
It is recommended to use these therapeutic approaches for couple and family therapy, preferably EFCT, to improve psychological well-being.