مجله آموزش پرستاری
سال هشتم شماره 6 (پیاپی 38، بهمن و اسفند 1398)

Fatigue and decreased ability to perform daily activities are the most common complications of heart failure. Applying the Roy Adaptation Model for these cases requires careful consideration and implementation of a care plan according to this model. The aim of this study was to determine the effect of care plan based on Roy adaptation model on fatigue and daily activities in patients with heart failure.

The present study was an experimental study carried out in 2018 on 60 patients with heart failure in Shafa and Afzalipour Educational Hospitals in Kerman. Samples were simple [S1] randomly selected and assigned to two groups of control and test. Intervention was performed in 6 training sessions including two sessions of group training and four sessions of face to face training for each patient based on the "Roy" adaptation model. Fatigue level was calculated based on piper fatigue scale and daily activities were calculated by Barthle scale. Data were analyzed by SPSS 20 software using descriptive statistics including mean and standard deviation and analytical tests including Pearson correlation coefficient, chi square, independent t-test, paired t-test, ANOVA and Tukey at the significance level of 0.05.

Findings of the study showed that there was a statistically significant difference between the two groups in the amount of fatigue and the level of daily activities after intervention (P ≤ 0.05). The results showed that in the experimental group the mean and standard deviation of fatigue were significantly decreased before intervention (6.2 ± 2.2) compared to after intervention (3.5 ± 1.7) (p = 0.001). Also in the experimental group the mean daily and standard deviation of daily activities before intervention (45.3 ± 11.2) was significantly increased than after intervention (62.2 ± 12.8) (p = 0.001).

Using a program designed in the care program based on Roy Adaptation Model to reduce fatigue and increase the ability to perform daily activities of heart failure patients is suggested as a low cost, non-invasive and effective method of providing nursing care.

Nurses' caring behavior is one of the factors of patient satisfaction. Empathy, on the other hand, is an essential component of the quality of health care. Caring behavior and empathy can be influenced by spiritual intelligence. The purpose of this study was to determine the relationship between spiritual intelligence with caring behavior and empathy for nurses.

This is a descriptive correlational study conducted in 2019. The target population was nurses working in educational hospitals of Kashan that 185 were selected by stratified random sampling. Data were collected using Questionnaires of King's Spiritual Intelligence, Wolf's Caring Behavior and Jefferson's Empathy. The validity and reliability of the instruments have been determined in previous studies. Data were analyzed using descriptive statistics (mean and standard deviation, frequency distribution) and inferential (Pearson correlation test) by SPSS 16 software.

The mean spiritual intelligence of nurses was in the moderate range (97.35 26 26.12). The mean of nurses 'empathy (98.37±18 18.30) and nurses' caring behavior (198.5±41 41.60) were above average and acceptable. There was no statistically significant relationship between spiritual intelligence and caring behavior (P = 0.5), and also spiritual intelligence and empathy level (P = 0.621). However, the correlation matrix indicated a significant relationship between some of the components.

There was no relationship between spiritual intelligence with empathy and caring behavior of nurses, but by reinforcing some components of spiritual intelligence such as expanding consciousness and transcendent awareness, it can enhance nursing caring behavior and ultimately improve patient care.

Pathologic worry is one of the most important stressor factors affecting the symptoms of migraine headaches among nurses. Cognitive-behavioral therapy is one of the psychological treatments whose feasibility and application in improving the symptoms of the disease have recently attracted the attention of the researchers. Therefore, this study aimed to determine the effect of cognitive-behavioral therapy on migraine headache symptoms and pathologic worry among female nurses.

This research was a quasi-experimental (pre-test - post-test with the control group). The statistical population of this study included all female migraine nurses in Tabriz in the year of 2019 that 30 patients who received the diagnosis of disease based on ICHD-3 criteria and received higher than the standard deviation in the migraine headache symptom questionnaire were selected using purposeful sampling. They were randomly assigned to experimental and control groups (15 individuals in each group). The groups completed the survey of Najjarian Migraine Headache Symptoms (1997) and Penn State Worry Meyer et al. (1990) as a pre-test and post-test. Cognitive-behavioral group therapy was applied to the experimental group during eight sessions of 60 minutes (weekly two courses for four weeks), and the control group did not receive the intervention. Data were analyzed using multivariate and univariable covariance analysis in SPSS.23 software.

The results of covariance analysis showed that cognitive-behavioral therapy has a significant effect on reducing migraine headache symptoms and pathologic worry in nurses (P = 0.001).

Considering that cognitive-behavioral therapy is effective in relieving the symptoms of migraine headaches and reducing the pathological worry of nurses with migraine headaches; therefore, the training of this therapeutic approach is suggested as an effective interventional method in the nursing population.

Effective communication between nursing managers with nurses plays an important role in improving the quality of nursing care. The aim of this study was to investigate the effective factors on the relationship between nursing managers and nurses from the viewpoints of nurses.

In this descriptive-analytical study among nurses working in Birjand's Vali-e-Asr Hospital who met the inclusion criteria, 100 patients were selected by random sampling and entered the study. Data collection tools included a demographic form and a researcher-made questionnaire. Data were analyzed by SPSS software using independent t-test and one-way ANOVA. Structural equation modeling was used to determine the effective relationship between nursing managers and nurses by human, organizational and communication factors.

Human, organizational and communication factors are effective in explaining the effective relationship between nursing managers and nurses. Among the human factors components, the highest mean score related to the individual characteristics component and lowest mean was related to the social characteristics component. Also the mean score of organizational factors in the dimensions of organizational structure and organizational culture were[1] (3.58 ±0.64) and (3.42 ± 0.57) respectively and mean score of communication factors in communication channel dimensions and communication styles were (3.06 ± 0.60) and (3.39 ± 0.50) were obtained.

Effective factors in creating effective communication between nursing managers and nurses include human, organizational and ultimately communication factors. Therefore, holding workshops to familiarize and pay more attention to managers' effective communication is an effective step in improving communication interactions.

Life satisfaction is one of the components of mental health that is influenced by many factors, including self-efficacy, which is very important for nursing students to study and study this concept. The purpose of this study was to determine the relationship between self-efficacy and life satisfaction in nursing students.
 

 This study is a descriptive-analytical study that the research population includes all undergraduate nursing students studying in Hamadan University of Medical Sciences in 2018-2019. The sample consisted of 200 nursing students who were selected by available sampling method. Standard questionnaires, life satisfaction of Diner et al., And Sherrer et al. Self-efficacy were used for data collection. Data analysis was performed using spss16 software and statistical methods, including mean and standard deviation, Pearson correlation coefficient, one-way ANOVA and independent t-test.

 This study is a descriptive-analytical study that the research population includes all undergraduate nursing students studying in Hamadan University of Medical Sciences in 2018-2019. The sample consisted of 200 nursing students who were selected by available sampling method. Standard questionnaires, life satisfaction of Diner et al., And Sherrer et al. Self-efficacy were used for data collection. Data analysis was performed using spss16 software and statistical methods, including mean and standard deviation, Pearson correlation coefficient, one-way ANOVA and independent t-test.
  

51/5% of female students, 82/9% were single, 53% were non-native and their mean age was 23 years. The results showed that the mean and standard deviation of students' life satisfaction was 15/09±4/29, which was higher than the average value, and the mean self-efficacy score was 56/82 ±6/67 that was at a moderate level.  There was also a significant positive correlation between self-efficacy and life satisfaction (p<0.001، r=0.4).
 
Conclusion : Findings showed that self-efficacy was related to life satisfaction in nursing students. In other words, as self-efficacy increases, life satisfaction increases. Therefore, it is suggested that measures such as holding self-efficacy skills training workshops increase the level of life satisfaction among nursing students as one of the important and influential strata of society. One of the most important and influential segments of society has grown.

Clinical competence is one of the most important factors in maintaining standards of care, identifying educational needs, knowledge level and professional development of surgical technologists. Due to advances in surgical technology, there is a need to increase the clinical competence of operating room technologies. The aim of this study was to evaluate the clinical competence of surgical technologists in medical-educational hospitals of Mazandaran University of Medical Sciences.

In this analytical study, the clinical competence of 97 operating room technologists of Sari and Ghaemshahr medical-educational hospitals supervised by Mazandaran University of Medical Sciences was investigated. Data were collected using two sections: demographic characteristics and Arab Khazaee et al. (1997) clinical competence questionnaire in 45 questions and 6 dimensions. A questionnaire designed by Arab Khazaee et al. was used to assess clinical competence. Data analysis was performed by SPSS software version 22 based on descriptive statistics, percentage, mean and standard deviation and independent t-test and one-way ANOVA.

Operating room technologists reported their level of competence as average with a mean overall score of 2.99 ± 0.39. The highest and the lowest mean and standard deviation were related to evaluation of diagnosis and care of surgical patient (3.0 ±48.55) and legal ethical functioning (1.0± 95.32), respectively. There was a significant relationship between type of employment and gender with clinical competence of surgical technologists (P <0.05).

The level of clinical competence of surgical technologists in the medical-educational centers of Mazandaran University of Medical Sciences was average. The need to plan for research and applying its results in clinical practice and fostering the spirit of research and inquiry in technologists is recommended as well as the provision of continuing education. In addition, it seems that awareness of medical university education practitioners about the level of clinical competence of those working in medical-educational centers provides valuable information for designing effective education programs and ultimately, improving the quality of health-medical services.

Job involvement affects nurses' professional attitude and behavior and increases their productivity. Since spiritual intelligence and cultural intelligence are conducive to one's behavior, this study aimed to investigate the relationship between spiritual and cultural intelligence and job involvement in nurses working in Birjand teaching hospitals.

In this descriptive correlational study, 200 nurses working in Birjand teaching hospitals were selected by convenience sampling method. Data were collected using Kanungo's Job Involvement Questionnaire, King's Spiritual Intelligence Questionnaire, and the standardized and localized Cultural Intelligence Questionnaire. The collected data were analyzed in SPSS 22 software.

The results showed a positive, weak, and significant correlation between spiritual intelligence ( r = 0.16, p = 0.02) and cultural intelligence ( r = 0.20, p = 0.004). Moreover, there was a positive, weak, and significant correlation between job involvement and spiritual intelligence in its personal meaning production dimension (r = 0.17, p = 0.01) and cultural intelligence in its motivational ( r = 0.24, p = 0.001) and cognitive (r = 0.24 , p = 0.001) dimensions. However, job involvement was not associated significantly with the dimensions of critical existential thinking, transcendental awareness, and spiritual state development of spiritual intelligence, and strategic and knowledge dimensions of cultural intelligence (p > 0.05).

Given the results of the study and the relationship between occupational involvement and spiritual and cultural intelligence of nurses and considering the acquisitional nature of intellectual and cultural intelligence in nurses, it is suggested that organizational managers identify and eliminate the barriers to spiritual and cultural intelligence acquisition and pave the ground for the growth of these parameters. They can enhance staff capabilities and take steps to enhance their job engagement and performance by providing relevant educational classes in this regard and by training practical ways to enhance spiritual intelligence and cultural intelligence.

Managing managerial skills effectively guides and promotes employee performance in line with organizational goals. Nursing managers play an important role in enhancing nurses' empowerment, Efficiency, motivation, job satisfaction and job stress.
this study was conducted to evaluate the performance of nursing managers from nurses' viewpoints in the hospitals of Birjand University of Medical Sciences in 2017.

In this descriptive-analytical study, 140 nurses working in Imam Reza and Vali- Asr hospitals of Birjand who had the criteria for the study were randomly selected via quota sampling method. The questionnaire consisted of demographic characteristics (gender, age, marital status, educational level, service record, employment status) and manager performance completed by nurses. Data were analyzed using SPSS 15 software and descriptive statistics.

About half of the nurses assessed the performance of head nurses and matrons as desirable in general and its domains and evaluated the level of supervisors’ performance as average. The results also showed that head nurses and supervisors obtained the highest score in the performance evaluation (Respectively 18.78±4.34, 15.21±4.85) and lowest score in leadership and management (Respectively 17.76±5.47, 13.58±4.85). In assessing matrons’ performance from the viewpoint of nurses, the planning domain had the highest score (19.26±4.48) and leadership and management had the lowest score (18.13±5.23).

From the viewpoints of most of the nurses studied, the level of performance of head nurses and matrons was desirable and the level of performance of supervisors was moderate, and nursing managers received the lowest score in leadership and management. Given that nursing managers as educated leaders play a significant role in improving and empowering nurses, it is recommended to take effective steps by holding workshops for improving their performance especially in the domain of leadership and management.