فصلنامه مدیریت پرستاری
سال نهم شماره 2 (پیاپی 32، تابستان 1399)

The violation of patients’ privacy in psychiatric hospitals by nurses can seriously harm them. Therefore, the present study aimed to examine the relationship between organizational justice and violation of patients’ privacy with regard to the deviant behavior of nurses in psychiatric hospitals in Isfahan, Iran.  

The present research is an applicable descriptive-correlational study. The study population was consisted of 448 nurses employed in the psychiatric hospitals of Isfahan city in 2018, out of which 234 subjects were enrolled in this study by stratified sampling method using Morgan Table. Data collection was carried out by the use of standard questionnaires for the organizational justice; privacy protection and deviant behavior. The reliability of the tools was assessed by Cronbachchr('39')s alpha coefficient, while their validity was calculated through formal, content and structural validity using SamrtPLS.

Our results showed that organizational justice had significant correlations with deviant behavior and privacy protection (P< 0.01), while no relationship was observed between deviant behavior and privacy protection.

The findings of this study imply that organizational justice should be considered for reducing deviant behaviour among nurses and improving privacy protection.

Uncivil behaviors of clients including verbal attacks, irrational demands, and questioning employee competence can negatively affect service employees and may subsequently lead to job burnout and emotional exhaustion. Thus in this study, we explored the effect of client incivility on the work related conditions among nurses.

This is an applied, descriptive-analytical study was carried out on a number of 256 nurses working at Shahid Mohammadi Hospital in Bandar Abbas. The samples were selected by stratified random sampling method using Morgan Table. The research tools for data collection were Torkelson (2012), Rhee et al. (2017), Rahim et al. (2016), Lim and Lee (2011) and Huang and Lin (2019) questionnaires. The content validity of the questionnaires was assessed using experts’ opinions, and their reliability was tested by Cronbachchr('39')s alpha coefficient. The data analysis was performed by Structural Equation Modeling (SEM methodology) and Amos Software.

Uncivil behaviors of clients showed a positive significant effect on the job burnout (B= 0/43, t= 0/180) and emotional exhaustion (B= 0/62, t= 4/464) among nurses. Furthermore, we found that job burnout is positively associated with the intention to abandon the work (B= 0/32, t= 3/789). Moreover, emotional exhaustion of nurses due to the clients incivility had a positive significant effect on job performance (B = 0.46 and t = 3.780).

According to these findings, nurses are faced with uncivil behaviors may potentially experience job burnout and emotional exhaustion, and ultimately intend to leave their jobs. Accordingly, hospital managers and decision makers should provide training courses for nurses to deal with the uncivil behaviors of clients. Such measures could influence their job satisfaction as well as commitment.

Humans always are at risk of disease from viral emeregence. The SARS-CoV2, the cause of COVID-19, has recently led to the worldwide outbreak. In this regard, numerous efforst have been dedicated to develop strategies to overcome this problem.

The major databases including, Scince Direct, Web of Science, Scopus, Cockrain, Pubmed and etc. were searched carfully using approparite kaywords to find the papars have been published on the topic of interest. A number of 11 articles were found eligble to be included in this review.

Due to the lack of standard and effective treatments or any prophilactic vaccines for the novle coronavirus, the best ways to avoid the infection spread in the current situation are the managament and controlling measures. Sufficient knowledge of the virus nature, as well as the correct decisions to take the personal protective and hygienic measures could be efficient in the management of this problem.

In spite of effects on physical health, COVID-19 has also resulted in major psychological illnesses, including stress and anxiety. Therefore, effective measure shuld be considered to mange the mental health issues arsied from this disease. It is also essential to prevent nosocomial infections of medical staff and patients by strengthening the management measures. Education of the medical staffs can also help them to edure the various problems in this situation.

Competencies-oriented management is the key to the success of any organizations, including health care systems. Thus, identifying the factors that influence the skills and competency required by managers of health care institutions could help to improve the organizational performance. Based on the mentioned notes, the present study aimed to identify the competencies required by managers of medical-educational centers in Kermanshah City.

This study was an applied-developmental research with a qualitative exploratory approach. The research was conducted in two stages. In the first stage, all the related documents were retrieved from institutional databases and studied to gather the data. Accordingly, 16 documents were selected by the convenience-purposive sampling method. In the second step, 12 senior managers, deputies and experts of health-medical centers were selected using the snowball sampling method and were studied by the semi-structured interviews. In both stages, the sampling continued up to the theoretical saturation. Data analysis was done by Glaserian grounded theory approach based on open, axial and selective coding. Content validity was performed for verification in both stages, and the data was reviewed by members and colleagues for the reliability assessment.

Our results showed that the competencies required by managers of medical-educational centers are divided into two general categories: job-promoting competencies (executive, communicative, developmental, team and knowledge competencies) and interactive competencies (attitudinal, personality, control, and general competencies).

Given to these findings, the aforementioned nine competencies can be a guide for the actions of the medical-educational centers managers, and those enjoying these competencies can readily assist the organization to achieve their goals.

Both clinical competence and communication skills of nursing staffs have been shown to play important roles in developing effective nurse/patient relationships. Here, we attempt to clarify whether the clinical comptenece and communication skills of nurses could improve the parents’ anxiety during the hospitalization of their neonate or child in pediatric centers in Booshehr province within the year of 2018.

In this cross-sectional, correlational study, the nurses were selected among those whom worked in pediatric, neonatal and pediatric emergency wards using the census sampling method and the parents were selected by convenience sampling method among those parents whose infant/child had been admitted to the pediatric centers in the Booshehr province within the year of 2018. The Nurse Competence Scale, Barton-J Communication Skills Scale, and STAI Anxiety Inventory tools were used to collect data and spss.V.19 software and Spearman correlation test were used in analysis.

The mean score of clinical competence, communication skills and parent anxiety were obtained 77.26 ± 12.81, 62.52 ± 8.42 and 86.74 ± 18.12, respectively. There was a significant inverse relationship between hospital rank of nurseschr('39') clinical competence and total anxiety score of parents (r = -0.363, p value <0.001). No significant relationship was observed between total communication skills of nurses and total anxiety score of parents (r = -0.102, p value = 0.223) but there was a significant inverse relationship between verbal skills category and total anxiety score (r = -0.217, p value = 0.010).

According to these findings, the higher the clinical competence and verbal communication skills of nurses, the lower the anxiety of parents of hospitalized children. By selecting qualified nurses with good verbal skills in the neonatal and pediatric wards, nursing managers can provide a basis to reduce the anxiety of parents which also helps nursing staffs to be more focused.

Nowadays, after human and social capital, psychological capital can be considered as the basis for competitive advantage because, emphasis on positive psychological variables such as hope, optimism, resilience, and self-efficacy leads to promotion the values of human and social capital. The main purpose of the current research is to study the effect of psychological capital on ethical behavior through consideration of job satisfaction and organizational commitment mediator variables.

In the research, data has been collected through questionnaire from 202 nurses employed in public hospitals of Shiraz City. Data have been analyzed with confirmatory factor analysis, and structural equations modeling in LISREL 8.54 and SPSS 24.

The results showed that there is significant relationship between psychological capital and job satisfaction, organizational commitment and ethical behavior of nurses (p<0.05). Also results confirmed positive and significant effect of psychological capital on organizational commitment, job satisfaction and nurses’ ethical behaviors(p<0.05).

Based on the study results reinforcement of psychological capital and its sub-component leads to nurses’ ethical behavior, satisfaction and commitments. So medical department managers should consider it on their personal management planning and strategies.

The Covid-19 virus pandemic has posed great challenges in all areas of education around the world, including nursing education in Iran. Today, most nursing schools around the world, including Iran, have excluded nursing students from clinical education in order to control disease and maintain health. But the need to train qualified nurses has not only not diminished, it has become more pronounced and the task of nursing schools is to resolve this contradiction and fill the gap. Due to the educational experience gained after several months of the spread of Covid- 19 virus on the one hand and the uncertainty of the end time of this crisis as well as the possibility of a pandemic or similar epidemics and changes in peoplechr(chr('39')39chr('39'))s health needs, On the other, revisions and incorporation of the teachings of the Covid -19 pandemic into the undergraduate nursing curriculum are inevitable.