مجله آموزش پرستاری
سال هشتم شماره 3 (پیاپی 35، امرداد و شهرویور 1398)

Identifying factors that can help to ensure and promote the spiritual well-being of the students may draw an outlook for educational system to train and nurture nurses who are optimistic, meaningful and purposeful in their upcoming career. The study purpose was designing the spiritual health relationship model with the educational and well-being components of the master nursing students in critical care.

A mixed research conducted in two phases of narrative review and three-step Delphi approach in the second-half of 1394 and the first-half of 1395. Through purposeful and snowball sampling 35 experts in spiritual health were selected and participated in the five stages of panel. To design the initial version of the study model, all available articles in “Iranian Journal of Medical Education” were reviewed. Quantitative and qualitative categorization, prioritizing and categorizing the variables into two groups of educational and well-being components were done in three stages of Delphi study.

The findings of this study showed that students' spiritual well-being is in a two-ways and mutual-relation between student's academic components including academic satisfaction, academic self-efficacy and academic-motivation and well-being components including psychological well-being, thoughtful practice and cultural intelligence.

Monitoring and enhancing the academic and well-being components of master students of critical care and their related variables, either in the form of initial screening or during the course of study, should be considered by educational system in order to maintain and enhance the spiritual well-being of students, which is one of the most important prerequisites for providing holistic care.

Nurses have an important role in organizational learning which this variable is one of the key pillars of organization for their effectiveness and performance improvement. Regarded to role of organizational commitment, knowledge management and job engagement in organizational learning, present study aimed to determine predictors of organizational learning based on organizational commitment, knowledge management and job engagement in nurses.

The method of this study was cross-sectional correlation type. The research population was nurses of Varamin city hospitals in 2018 year (295 people). Totally 190 people were recruited by stratified random sampling based on gender and completed the self-reported questionnaires of organizational learning, organizational commitment, knowledge management and job engagement. Data were analyzed by Pearson correlation coefficient and regression with stepwise model with using SPSS version 21.

The finding showed that the mean and standard deviation of organizational commitment 56.71±6.32, knowledge management 72.36±9.20, job engagement 53.48±5.83 and organizational learning 47.24±6.17. In addition, organizational commitment (r=0.493), knowledge management (r=0.406) and job engagement (r=0.321) had a positive and significant correlation with organizational learning in nurses. Also, the variables of organizational commitment, knowledge management and job engagement significantly predicted 45.5 percent of variance of organizational learning in nurses (P<0.001).

The results indicated the role of organizational commitment, knowledge management and job engagement in predicting organizational learning of nurses. Therefore, considering the importance of organizational learning in improving nurses’ performance, it is recommended that to improvement and promotion the organizational learning in nurses increase the rate of their organizational commitment, knowledge management and job engagement through organizational support, workshop and various facilities.

in order to survive in medical field, must learn new knowledge and skills. The aim of this study is Pattern design, codification and performance of training transfer in nurses in service training

More clearly, how to collect and analyze information and data in this study consists of two main parts: In the first section, the method of exploratory research and grounded analysis is theory. Regarding the data saturation level, a sample of 32 individuals from the experts in the field of education was studied through purposeful. An open and semi-structured interviews were used to collect information and simultaneous analyses of the interview were conducted using open, axial and selective coding. The obtained model was validated by all 32 people and the learning transfer model was developed. the sample investigated  was 274 from Morgan table. Cluster random sampling method. Data analysis was performed in quantitative part using factor analysis and exploratory analysis and structural equation modeling.

  In this model, the factors influencing the formation of learning transfer to the work environment were categorized into 4 categories, 34 component and 136 indicators. The main factor was organizational factors with 0/59 Path coefficient and sequencely educational factors with 0/53 Path coefficient , trans-organization factors with 0/46 Path coefficient , individual factors with 0/30 Path coefficient,were found. Therefore, organizational factors had the highest impact and individual factors had the least impact on the transfer of learning to the workplace.  This factors were meaningful effect on training transfer the transfer of training was favorable and in the medium level above 3. The findings also showed that the learning transfer status in hospitals affiliated to Tehran Social Security Organization is at a desirable level

The results show that in the process of training in hospitals and effectiveness of training in nurses' performance one should consider the factors that distinguish between the learning of designed training and their application in the occupation They are considered mediators of special interest and training was design with base on new model. Regarding the moderate transferring situation in these hospitals, focus on the factor that has the greatest impact on learning transfer (organizational factors).

Today, organizations for their growth and excellence have a special focus on effective in-service training, which requires the use of educational evaluation. One of the most important and applicable courses is holding a cardio-pulmonary resuscitation course for all staff at all levels.

This was a descriptive study that was performed on 80 newly nurses of Shahid Rahnoun Hospital in Yazd. To evaluate the effectiveness of the Kirkpatrick model, four levels of reaction, learning, behavior and results were performed. Data analysis was done by SPSS software version 21 using numerical and frequency indices.

Based on the results at the reaction level, the average level of the content of the course was 3.80, the teacher was 3.78 and the facilities were 3.81. Mean and standard deviation of the reaction surface (3.79 ± 0.48), learning (18.21 ± 0.84), behavior (4.31 ± 0.49) and results (4.48 ± 0.22) The overall effectiveness is 85.61%.

The results indicate the effectiveness of the course held for nurses and it seems that the Kirkpatrick model can be a suitable method for evaluating the effectiveness of in-service training in the health domain. It is recommended to use up-to-date and efficient models such as the Kirkpatrick model in the field of health sciences.

In recent years, fatigue in the nursing population has been an interesting topic and has been a public complaint among them. Therefore, due to the problems and costs incurred in Efficiency and job performance of nurses, it is essential to use an effective and successful treatment to reduce fatigue. The purpose of this study was to investigate the effectiveness of cognitive behavioral Education based on fatigue on dimensions of fatigue among nurses of Intensive care units.

The design of this research was a semi-experimental and pre-test, post test with control group. The statistical population of this study consisted of all women nurses of Intensive care units in 1396. In this research, the sampling was done by convenience sampling method, and then, based on the student list, 40 nurses were selected among the nurses who were willing to participate in the research, and finally, they were randomly assigned into two control and experimental groups. The intervention group received 8 sessions of 90 minutes cognitive - behavioral education based on fatigue and the control group did not receive any intervention. To collect the research data, questionnaires of fatigue impact scale of Fisk was used. The collected data were analyzed by using covariance analysis in SPSS21 software

The results of covariance analysis showed that cognitive behavioral education based on fatigue decreased fatigue (physical, cognitive and social) of nurses in experimental group compared to control group (p<0.001).

Based on the results of this study, cognitive-behavioral education based on fatigue can be used to reduce the symptoms of fatigue (physical, cognitive and social) of nurses.

Playing game for children is an instinct need for keeping happiness, a language for communication and self-expression, and a school for learning the unknowing. Play is the most effective educational method in preschool. Training and educating the creativity to the preschool children has always been considered as one of the main goals in this course. Therefore, the present study aimed at evaluating the effectiveness of child-parent relationship therapy on preschool children’s creativity.

An experimental study with pretest-posttest design was conducted on 60 preschool children in kordkuy city, Golestan province, in 2017 by using simple random sampling method in both experimental and control groups. In the experimental group, based on the protocol, the play therapy was done in 10 sessions for 45 to 60 minutes and the routine preschool education was performed in the control group. Torrance creativity (Form B), which is a visual test, was the data gathering tool. The data were analyzed by SPSS 21 and descriptive statistics (table, mean, standard deviation) and inferential statistics (paired t-test and analysis of variance).

The level of creativity before intervention was 147/5 ± 40/68 in the parent-group group and 124/12 ± 34/29 in the experimental group and 145/55 ± 33/24 in the control group. The statistical analysis of variance was significant between the three groups Did not show (P = 0/8). The level of creativity after intervention was 151/55 ± 47/54 and 151/55 ± 47/54 in the control group and 130/6 ± 34/09 in the control group and 146/33 ± 36/2 in the control group. Also, ANOVA test did not show any significant difference between the three groups after intervention (P = 0/23)

The results of this study showed that parent-child play based on the parent-child model did not affect the creativity of preschool children compared to the other two groups. However, this low-cost and effective treatment with parental support can be used to grow and preschool children.Key word: Child-Parent Therapy , Creativity , Preschool

Undesirable behaviors are one of the challenges faced by nursing instructors and the coping strategies are also of great importance. The present study was conducted with the aim of investigating the frequency of nursing students’ undesirable behaviors and confrontation strategies in the view of instructors.

This cross sectional study was conducted in 2017-2018. The study population consisted of all instructors at the Faculty of Nursing and Midwifery, who entered the study census. To collect data, a demographic questionnaire and an undesirable behaviors questionnaire in the classroom including Undesirable behaviors and undesirable behaviors' management strategies were used. Data were analyzed using descriptive statistics using SPSS ver 16 software by descriptive statically tests (Distribution, mean and standard deviation).

Physical attack(66%), offensive comments(52%), and sending messages with bad content to instructors(46%) were considered serious. Undesirable behaviors such as using a cellphone(34%), sigh/yawning(18%) and sending short messages, mobile phone rings, out-of-the-clock conversations, and inappropriate clothing(12%) had the highest incidence. The most common strategies used by instructors to manage with students' undesirable behaviors include student-specific conversations(28%), waivers(16%), addressing the whole class(12%), and student displacement(12%).

Based on undesirable behaviors specified by instructors, legislating about using cell phone, class timing and uniforms of students in the first session can be helpful. Also, considering the undesirable behaviors and identified strategies, conducting classroom and thought management courses is recommended for familiarization with other strategies for managing undesirable behaviors in specific situations.

Elderly people face with many physical and psychological problems and acceptance and commitment treatment is one of the effective therapeutic methods in improving physical and psychological problems and features. Therefore, present study aimed to determine the effectiveness of acceptance and commitment group therapy on physical and psychological symptoms of elderly women.

In a one quasi-experimental research, 24 people of elderly women referred to two Yas Home and Shayan Armans’ rehabilitation centers of Tehran city in 2017 year were selected by available sampling method and randomly assigned into two equal groups (each group 12 people). The experimental group trained by acceptance and commitment group therapy method and the control group didn’t receive training. The research instruments were the questionnaires of multidimensional performance measures, geriatric depression and psychological well-being. Data were analyzed in the SPSS-22 software by multivariate analysis of covariance method.

The findings showed that the acceptance and commitment group therapy led to improve the activities of daily living, instrumental activities of daily living, depression and psychological well-being of elderly women (p<0/05), but there was no significant effect on their physical health (p<0/05).

According to the results, it is recommended that used from the acceptance and commitment group therapy method along with other therapeutic methods to interventions in the field of elderly women health, especially for improve their physical and psychological symptoms.