نشریه پرستاری و مامایی ارومیه
سال هجدهم شماره 4 (پیاپی 129، تیر 1399)

Clinical self-efficacy has a bearing on the future performance of nursing students for independent care of the patient. One of the most important needs of all students for proper functioning in learning environments is to improve the sense of belonging and moral intelligence as a guide to clever behavior and actions. Therefore, this study was conducted to determine the relationship between moral intelligence and clinical Belongingness with clinical self-efficacy of nursing students of Urmia Nursing and Midwifery Faculty in 2019.

A descriptive correlational study was conducted on 216 nursing students of Urmia Nursing and Midwifery Faculty in 2019. Data were collected using a 4-part questionnaire including demographic characteristics, ethical intelligence, clinical attachment, and clinical self-efficacy. The data were analyzed by SPSS software version 16 using descriptive - correlation tests.

The results showed that there was a positive and significant relationship between moral intelligence and clinical belongingness with self-efficacy. The relationship between self-efficacy with attachment and moral intelligence was equal to 52.22 and 46.95, respectively. In addition, based on Pearsonchr('39')s test, there was a direct linear relationship between attachment and moral intelligence (r= 0.580, P=0.001).

Authorities need to plan optimally by improving the quality of education and improving the level of clinical self-efficacy of nursing students. Therefore, the efforts to create conditions that students feel as part of a more affiliated care team can improve their clinical performance.

Maintaining and sustaining an effective marital relationship is the goal of many educational programs and therapeutic interventions in couples. By increasing the awareness of couples, many effective factors in their relationship, including intimacy and solidarity in families can be increased. The purpose of this study was to determine the effectiveness of marital enrichment on family solidarity, intimacy, and marital commitment in women of reproductive age.

The research method was semi-experimental with pretest-posttest design with control group. The statistical population consisted of all women of reproductive age referred to Foumanchr('39')s health centers in 2018. The study sample consisted of 30 participants (15 experimental and 15 control). The control group completed the Elson (1985) correlation questionnaire completed the relationship between Walker and Thompson (1983) and Adams and Jones (1997) marital commitment. Then, the experimental group received 8 sessions of marital relationship enrichment training and after performing a post-test for both experimental and control groups, the data were analyzed using analysis of covariance.

The findings indicated that marital enrichment training was effective on family correlation, intimacy, and marital commitment and its subscales in reproductive ages (p <0.01).

Enrichment training can provide family solidarity, intimacy, and marital commitment in women of childbearing age.

Extramarital relationships are the cause of many problems, conflicts, and marital breakdowns and can have devastating consequences for family members, friends, and subsequently community, so the purpose of the present study is to investigate the mediating role of sexual attitude in relation to romantic attachment styles and extramarital relationships among couples referred to divorce centers.

The research method was descriptive-correlation and in particular structural equation modeling. The statistical population of this study was all couples referred to divorce counseling centers in districts 1,2,3,4 in Tehran. To determine the sample size according to the number of observed variables and allocation of the coefficient of 20 for each observed variable (13 variables observed in the model), 270 subjects were selected as the sample size by purposive sampling. Data were collected using the standard Extramarital Relationship Questionnaire (JEIQ), Sexual Attitude Scale (Happiness and Sublime, 1), and Romance Attachment Styles (Behavioral Styles) (BSQ).

The results showed that there was a significant direct relationship between romantic attachment styles and sexual attitude with extramarital relationships. The research model was fitted and confirmed and 0.90 of the variance of the meta-marital relationships was explained by romantic attachment styles and sexual attitude and also sexual attitude had a mediating role in the relationship between romantic attachment styles and meta-relationship.

Paying attention to the relationship between attachment style and sexual attitude is one of the most important variables in creating adaptive attachment style in the area of improving family status and social support which is primarily aimed at enhancing the understanding of interpersonal relationships with regard to conditions and then lead to cohesion of families and lower divorce rates.

Globalization is accompanied by cultural diversity. Health care providers are witnessing the presence of different people with different cultures due to direct confrontation with patients and their clients and companions; therefore, it is necessary to try to reduce the misunderstandings between culture and destructive social interactions by creating appropriate intercultural contexts. Due to the fact that nurses have the most contact among all health care providers with individuals, this study was conducted with the aim of evaluating the effects of cultural intelligence in nursing.

The design of the study is based on the integrated review method of Whittemore and Knafl. Between 2000 and 2020, various databases including SID, Irandoc, Google Scholar, PubMed, Medline, Scopus, Cochrane Library, and ScienceDirect were searched with keywords of cultural intelligence and nursing. Finally, 9 articles in this study were analyzed.

Data analysis revealed three main areas related to this issue: the dimensions of cultural intelligence, the stages of cultural intelligence development, and the benefits of cultural intelligence in nursing.

Based on a review of the literatures, it can be said that nurses with higher cultural intelligence are more successful in establishing a cultural connection between themselves and their colleagues and clients. Therefore, they are at a higher level in all aspects of individual and organizational performance. So it can be said that one of the things that can help to achieve the growth and development of health systems is the cultural intelligence of nurses.

The purpose of this study was to compare dysfunctional beliefs, knowledge and attitude in women with and without sexual Interest/Arousal Disorder.

This is a descriptive causal-comparative study. The study participants were 65 women with sexual Interest/Arousal Disorder and 85 women without disorder who were selected from 344 women living in Rasht. Data were collected using the Sexual Interest and Desire Inventory-Female by Sills et al, Clinical Interview based on DSM-5 criteria, sexual dysfunctional beliefs questionnaire Nober et al, Sexual Knowledge and Attitude Scale Tulaiian et al and Goldberg General Health Questionnaire. Research data were also analyzed by multivariate analysis of variance (MANOVA).

The results showed that Women with disorders, sexual conservatism beliefs, Sexual desire and pleasure as a sin more likely to and have less sex knowledge than the non-disordered group. But there was no difference between the two groups in masturbation beliefs, age, body image, affection primacy and sexual attitude.

Based on these findings, difference between the type of beliefs and the lower level of sexual knowledge can play a role in causing sexual Interest/Arousal Disorder.these findings are likely to have important implications for the prevention and treatment of female sexual disorders.

Applying spiritual intelligence in the workplace can lead to improved communication skills and optimal clinical care. The aim of this study was to determine the effect of spiritual intelligence training on patient communication skills in nurses working in Imam Khomeini Hospital in Mahabad in 2019.

The present study is an experimental study with a control group of pre-test-post-test that was conducted in 2019. The statistical population of this study is all nurses working in Imam Khomeini Hospital of Mahabad. At first, nurses were included in the study based on the inclusion criteria and 70 of them were randomly selected from each ward. Then, the participants in the study were divided into control and intervention groups based on random allocation. Demographic characteristics form and King Spiritual Intelligence Questionnaire were used to collect information. For the intervention group, 7 sessions of spiritual intelligence training were held in a workshop for 2 months. Immediately two weeks and one month after the intervention, both groups completed the questionnaire. No training was given to the control group. Data analysis was performed using SPSS version 17 and descriptive and inferential statistics.

The results showed that the two groups were completely identical. Also, the results of Bonferroni multiple test showed that the mean scores of intelligence before the intervention in the two groups were not statistically significant (p = 0.162). The mean score of spiritual intelligence in the intervention group before training was 54.19±48.57 and it increased significantly (14.12±61.80) two weeks after training. Multiple Bonferroni comparisons showed that there was no statistically significant difference in the mean scores of spiritual intelligence before and two weeks after training and in the follow-up phase among the nurses in the control group (p = 1.000). However, in the intervention group, the mean scores of spiritual intelligence before and two weeks after training and in the follow-up stage were significantly different (p <0.001).

The findings of the study indicate the effect of education on nurseschr('39') spiritual intelligence. Since spiritual intelligence can affect all areas of nurseschr('39') work, it is better to use the findings to improve the quality of nursing care and increase patient satisfaction.

 Marital conflicts cause harm in the relationship between couples. The purpose of this study was to evaluate the effectiveness of treatment based on the theory of communication framework to increase differentiation and reduce marital conflicts.

 The research project was semi-experimental with pre-test-post-test design and follow-up with the control group. The statistical population of this study included all couples referring to counseling centers in Kerman in 2019. Eighteen couples from counseling centers were selected as available as a sample, and couple therapy sessions based on communication framework theory were conducted in 8 60-minute sessions. But the control group did not intervene. The research tools included a differentiation questionnaire (Scorn and Friedlander, 1998) and marital conflict scale (Sanaei-Zaker, 2008). SPSS 23 software and covariance analysis test with repeated measurements and Bonfroni test were used for data analysis.

 The results showed that communication-based therapy could increase discrimination and reduce marital conflict (P <0.0001).

 According to the obtained results, treatment based on communication framework theory can be used to increase differentiation and reduce marital conflicts. Therefore, therapists are recommended to use communication-based therapy to reduce coupleschr('39') problems and increase marital adjustment.

 The ability and performance of nurses as the largest professional group of health care organizations has a great impact on the productivity of health care organizations.

This study is a descriptive-correlational research and applied in terms of purpose. The study population was nurses working in social security medical centers of West Azerbaijan province. Data were selected as a random cluster of 250 people using standard questionnaires whose validity and reliability had already been confirmed. In the present study, to analyze the data in the descriptive statistics section, statistical indicators such as tables of mean, frequency, percentage of frequency, mean and standard deviation and in the inferential statistics section to test the conceptual model of the research, structural equation modeling method was used by Smart PLS 2 software.

According to the results,the relationship between organizational learning, transformational leadership style, personal motivation with positive and empowerment and also the relationship between training adequacy, organizational learning and motivation through individual performance with positive and empowerment is significant. The highest impact coefficients are related to the effect of organizational learning on empowerment (0.507) and individual motivation on individual performance (0.222). P >05

 According to the results of the present study, managers of the Social Security Organization in order to be more successful in designing nursing empowerment programs should focus on organizational learning components and individual motivation that are stronger predictors of empowerment.