مجله آموزش پرستاری
سال نهم شماره 3 (پیاپی 41، امرداد و شهریور 1399)

lack of qualified nurses is a global concern that endangers therapeutic quality. Studies show that in addition to attracting and selecting qualified nurses, their maintenance is another problem for hospitals. The objective of this study is to determine the effect of online career counseling based on guidance approach on career adaptability of nurses.

this quasi-experimental study includes pretest, posttest, and a control group. The statistical population of this study included all nurses working at hospitals in Tehran in 2019 and one of these hospitals was selected based on simple random sampling and 30 nurses were selected as the sample of this study using volunteer sampling method and assigned into experimental and control groups. After career counseling for 5 sessions, data were collected using Career and Work Adaptability Questionnaire (CAAS) and analyzed by SPSS 18 and repeated measures ANOVA.

a significant difference exists regarding career adaptability means between the experimental group (84.40±4.64) and the control group (72.73±4.26). Moreover, a significant difference exists between research groups regarding career adaptability dimensions including concern (p>0.001), curiosity (p>0.001), trust (p>0.001), and control (p>0.001).

according to the findings of this study, it can be concluded that online counseling based on guidance approach can be used in nursing career adaptability and health areas.

Research has found that perceived stress is associated with Problematic mobile use. However, the mechanisms underlying that relationship need further investigation. So, the current study aimed to investigate the mediating role of depression and anxiety symptoms in the relationship between perceived stress and problematic mobile phone use.

The research was descriptive – correlational. From the nursing students’ population of Islamic Azad University of Medical Sciences in academic year of 2019-2020, a total of 243 students were selected via convenience sampling method and were tested by Perceived Stress Scale (PSS), Beck Anxiety Inventory (BAI), Cell-phone Over Use Scale (COUS), and Beck Depression Inventory-II (BDI-II); and was analyzed using the pearson correlation and path analysis.

The results showed that direct significantly positive effects of perceived stress (β = 0.11, P<0.01), depression symptoms (β = 0.23, P<0.01), and anxiety symptoms (β = 0.17, P<0.01) on problematic mobile phone use. The results also showed a significant role of depression symptoms (β = 0.10, P<0.01) and anxiety symptoms (β = 0.06, P<0.05) in the relationship between perceived stress and problematic mobile phone use.

Based on the findings, it can be concluded that perceived stress through depression and anxiety symptoms has a negative effect on problematic mobile phone use. Therefore, paying attention to interventions and training to manage negative emotions can be a good way to prevent and reduce the Problematic use of mobile phone.

Despite the spread of the Ph.D. nursing program in the world, there are some differences in program presentation at different universities and analysis of these differences will lead to the development of the discipline. This study aimed to compare the Ph.D. nursing program in Iran with the University of British Columbia, Canada.

This descriptive-comparative study conducted in Semnan University of Medical Sciences in 2019. The latest Nursing Ph.D. curriculum was obtained by visiting the websites of the Ministry of Health of Iran and the University of British Columbia and reviewed the curriculum details of universities. The data were analyzed using the Bereday model in four stages of description, interpretation, juxtaposition, and comparison.

The University of British Columbia has nearly twice as much experience as Iran in the education of modern nursing. Admission to the University of British Columbia is without an exam and student education is at the international level, while in Iran it is centralized through national exams. The philosophy of Iranian Ph.D. nursing is based on Islamic standards. Optional courses at the University of British Columbia focus on the nursing process and in both universities are selected based on the supervisorchr('39')s opinion and the dissertation subject. At British Columbia, student obtains up to 15% of the thesis score in self-assessment, while in Iran; the student has no involvement in his assessment.

The Iranian Nursing Ph.D. program differs from the University of British Columbia in matters such as antiquity, adherence to Islamic standards, the implementation of the nursing process, self-assessment, and the number of optional courses. In order to improve the quality of Iranian Ph.D. nursing, it is suggested that while examining the curriculum content, nursing process courses added to the curriculum, and clinical experience considered as a necessary condition for entering the Ph.D. course.

Instruction:

 Identifying and modifying the factors affecting the quality of life of children with thalassemia is essential due to the increase in the life expectancy of these patients because of therapeutic advances and can create a more desirable level of health in these children. Therefore, the present study was conducted to determine the relationship between therapeutic indicators and quality of life in children aged 8-12 years with thalassemia major in Iranshahr, 2017.

 In the present descriptive and correlational study, 134 children with major thalassemia in the range of 8-12-year-old from Iranshahr thalassemia center in 2017 entered the study by census method. Data collection tools included a demographic characteristics form, a form of therapeutic indicators, including laboratory indicators (ferritin and hemoglobin levels), an iron chelator, blood transfusion intervals, age of the beginning blood transfusion, and a general questionnaire on the childchr('39')s quality of life. Data analysis performed using descriptive and analytical analysis using SPSS software version 19. The significance level was considered 0.05

 The results showed that a significant relationship between the total quality of life score and all subscales with the age of the beginning of treatment at younger years and lower blood transfusion intervals (p<0.05). Also, there was no statistically significant relationship between the total quality of life score and all subscales and laboratory indicators (ferritin and hemoglobin) (p>0.05).

 The results of the study showed that there is a relationship between starting treatment at a younger age and shorter blood transfusion intervals with the quality of life of children with major thalassemia. Therefore, by planning and implementing nursing interventions to improve the level of knowledge of parents for regular blood transfusion and proper intake of iron chelators, can help to maintain therapeutic indicators in the normal range and create a more appropriate level of quality of life in these patients.

Psychologists believe that paying attention to nurseschr('39') psychological health can increase their motivation for conducting their duties while are at work. Inattention to mental health is one of the most important factors in reduced productivity, be loosed human power, and develops physical and mental complications especially in professional services.The purpose of this study was to investigate the effect of emotional intelligence training on the mental health of nurses in the intensive care unit.

This was an experimental study with pretest, posttest design which was done in 1397 in Khorramabad. Fifty nurses were selected based on inclusion criteria and purposive sampling method and randomly divided into two groups of experimental and control by using a table of random numbers. The Goldberg Questionnaire was used to assess mental health. Experimental protocol included emotional intelligence training for seven sessions, 60 minutes each session. Data were analyzed using SPSS 22 software and Statistical tests.

The experimental and control groups were significantly different in posttest in terms mental health, Somatic Symptoms, Anxiety and Sleep Disorder, Disorder in Social Function, Depression Symptoms(p<0.05). The mental health score in the experimental and control groups were 22.32 ±3.86 and 30.84± 5.65, respectively, indicating an improvement in mental health in the experimental group.

According to the results, emotional intelligence training interventions for seven sessions could be effective to improve mental health among nurses in the intensive care unit hospital.

Concept mapping as a strategy facilitates thinking, teaching, learning and evaluation. The aim of this study was to investigate the effect of concept map training on learning preeclampsia management skills in midwifery students.

This experimental study was conducted with a two groups, pre-test post-test design, which was performed on 60 midwifery students  of Mashhad college of nursing and midwifery in in the second semester of 2016-2017. The participants were randomly divided in to two groups of training based on the concept mapping method and the traditional education) lecture method and powner point. (Clinical skill of preeclampsia control in both groups before and two week after the intervention was assessed using the clinical test of preeclampsia (six stations). Data were analyzed using SPSS software and descriptive and analytical statistical tests.

The results showed that the mean score of clinical skills of preeclampsia management in both groups was conceptual map (56.2± 2.3) and traditional method (42.9 ± 2.4) two weeks after the intervention had a statistically significant increase compared to before the intervention (P <0.05) and the mean score of clinical skills in the concept map training group was more than the traditional method group (P <0. 001).

Clinical skills training based on concept mapping method causes better performance of midwifery students the care process and can be used to improve the quality of midwifery studentschr('39') clinical skills.

 Nursing students, as future nurses, will be the largest health care group and will affect the productivity and progress of the organization more than any other group of hospital staff. One of the factors that can influence this is the attention to the physical and mental health of the nurses. Therefore, this study aimed to investigate the structural relations between physical-mental health and flourishing with respect to the mediating role of positive affection in nursing students.

This study was descriptive-correlational. To this end, a sample of 300 subjects (243 females and 57 males) was selected by stratified random sampling method among the nursing students of Fatemeh School of Nursing and Midwifery in Shiraz in 2019 and were evaluated using 36-Item Short-Form Health Survey (SF-36), positive and negative affection schedule (PANAS) and human flourishing questionnaire (HFQ). The data were evaluated using path analysis by statistical software SPSS-22 and AMOS-22.

Findings showed that flourishing subscales including positive affection and relationships both directly and indirectly affect the physical and mental health of nursing students through positive affection (p <0.05). Also, according to the findings, the variable of meaning in the final model, only indirectly through positive affection, causes a change in the level of physical and mental health of undergraduate nursing students. The pathway of positive affection to physical-mental health (β = 0.23) and the pathway of optimism to physical-mental health (β = 0.25) are statistically significant and indicate that they can have physical health. Explain the psychology of nursing students. In other words, 23% of physical-mental health is directly affected by positive affection and 25% of optimism.

According to the findings, since flourishing and positive affection had a positive effect on physical and mental health, it seems that flourishing and positive affection act as an effective mechanism to correct beliefs and with their growth and improvement can be used to prevent psychosomatic diseases as well as psychological problems of nursing students.

Patient dignity is a very important component in nursing care and it is considered very valuable by patients. This study aimed to determine the views of nurses and hospitalized elderly patients regard to respect for the human dignity of elderly patients.

This descriptive-analytical, cross-sectional study in 2019 was performed on 102 hospitalized elderly patients and 102 nurses in the teaching and medical centers of Golestan University of Medical Sciences non-random sampling. The data collected by the patient dignity questionnaire. Data were analyzed by SPSS v18 and independent t-test, Mann-Whitney, Kruskal-Wallis, and ANOVA tests.

The mean and standard deviation of nurses and patientschr('39') dignity scores were 102.06±13.22 and 71.15±20.42 respectively and this difference was statistically significant (P<0.05).

Nurseschr('39') views were more positive in comparison with elderly patients regarding their observance and dignity of the elderly patient. In all areas, nurses scored higher than patients. The results of this study can help managers and officials to adopt appropriate strategies and policies to respect them and the dignity of the hospitalized elderly.