مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و نهم شماره 1 (پیاپی 77، زمستان 1399)

Nurses face too much stressors as work-rest cycle problems, overload responsibility, lack of vacation time and painful experiences of patients; therefore, resiliency can help them to appropriate and efficient cope with these stressors. But, there is no brief and practical scale to assess psychological resiliency among nurses in Iran. So, the aim of the present study was to evaluate the psychometric properties of the multidimensional measure of nurses’ personal resilience.

In this methodological study, 120 nurses from Amol’s hospitals were studied using a convenience sampling method who filled the multidimensional measure of nurses’ personal resilience. The multidimensional measure of nurses’ personal resilience is composed of 40 items. The psychometric properties were examined through the Nominal validity, Content Validity, Concurrent validity, Construct validity. The data was analyzed by SPSS 22.

Nomianl and content validity were approved by five psychologists. The KMO index and Bartlettchr('39')s test of sphericity indicated that correlation matrices were suitable for factor analysis. Factor analysis with Principal Component Analysis extracted one factor with 55.21% total variance. Internal consistency was confirmed by a Cronbach’s alpha of 0.86 and there was no change in number of components or dimensions and questions.

This study showed that the multidimensional measure of nurses’ personal resilience had appropriate psychometric properties and is a valid and reliable screening index to measure psychological resiliency of nurses. This index could facilitate the assessing of Well-Being in brief and practical way among nurses.

Higher levels of emotional intelligence have been associated with better personal practice. Clinical decision-making, as the best solution for patientschr('39') problems, is a crucial factor in clinical practice. The aim of this study was to determine the relationship between nurseschr('39') emotional intelligence and clinical decision making.

This study is a correlation-descriptive study. A total of 269 nurses working in the hospitals affiliated with Shahrekord University of Medical Sciences were selected using a random stratified sampling in 2018. The data collection tools were standard questionnaires of Shearing emotional intelligence and Laurie clinical decision-making questionnaire. Statistical analysis was done using descriptive and analytical statistics, by SPSS 16

The results of this study showed that there was a significant positive correlation between emotional intelligence and clinical decision-making (r=0.273, P>0.001). Average total score of emotional intelligence in nurses was 110.56 that was good ang higher than the mean of the questionnaire. Average total score of clinical decision-making in nurses has been 67.18. According to the questionnaire interpretation, clinical decision-making of the units under study was intuitive.

 With regard to the relationship between emotional intelligence and clinical decision-making, the importance of emotional intelligence in nurses is determined. Therefore, hospital managers need to provide new ways to enhance nurseschr('39') emotional intelligence, thereby enhancing the ability of clinical decision-making as the vital point between theoretical and practical knowledge of the nursing profession.

Emergency medical staff who are at the forefront of health care delivery face many occupational stresses that have psychological, physical, behavioral, and organizational consequences for them, including musculoskeletal disorders. The purpose of this study was to investigate the correlation between musculoskeletal injuries and stress load tolerance among medical emergency staffs in Hamedan province.

In this descriptive-correlational study, conducted in 2019, 76 (40%) of urban and 114 (60%) of employees of road bases were selected from among emergency medical staff of Hamadan, Iran. Data were collected using Nordic Musculoskeletal Injury Questionnaire and Occupational Stress Questionnaire. Data were analyzed by SPSS 23 using descriptive statistics, t-test and Spearman correlation coefficient.

The mean age of the participants was 34.05 (± 8.11) years and the work experience was 123.42 (±84.22) months. The majority (77%) were married, 57.3% had undergraduate degrees and 46.9% had formal employment. Employee stress burden was 503.3 (161.23%) out of 1050 points. Persons who had musculoskeletal disorder due to their job had reported more stress than others; hoever, this difference was not significant (P<0.05). People with musculoskeletal disorders in neck reported higher stress load (P<0.05) than others which was not significant. There was a significant relationship between type of employment, work experience, and type of exercise with musculoskeletal disorders (P<0.05).

There was a significant relationship only between stress and musculoskeletal damage. By modifying and eliminating stressors in emergency personnel’s routines, by holding workshops on ergonomic principles as well as stress reduction principles, it is possible to reduce the physical disorders of emergency personnel.

Deprivation of social activities increases the feeling of loneliness among older adults. Reminiscence as the recall of past events, feelings, and thoughts, is one of the nursing interventions in nursing homes. This study aimed to determine the influence of group reminiscence on loneliness of older adults those living in hospitals affiliated with Guilan University of Medical Sciences in 2019.

In this quasi-experimental study, 32 older who met the inclusion criteria were randomly selected and entered in two groups, intervention and control group. Both groups completed a standard questionnaire as pre-test. After that, intervention group participated in a reminiscence protocol. The schedule was carried out twice a week, eight times and each season last 1 to 1.5 hours.

There was no significant difference in loneliness between the intervention and control groups before the intervention. Loneliness (P=0.0001) was significantly lower in the reminiscence group compared with the control group.

As a dynamic and interactive method, group-based memory recalling can reduce the feeling of loneliness in the elderly.

Palliative care is of great importance for improving the quality of life of chronic patients and providing palliative care education to nurses is one of the important ways in the development of such care. The purpose of this study was to determine the effect of spiritual counseling and hope therapy on self-efficacy of palliative care of nursing students.

This was an experimental study. The statistical population consisted of senior nursing students of Urmia Azad University, Urmia, Iran. The samples were selected from the complete list of students using census sampling and then divided into intervention and control groups. Data were collected using a two-part questionnaire including demographic information and clinical practice self-efficacy questionnaire. The intervention group received 9 sessions of training on hope and spiritual counseling but the intervention group did not receive training. The intervention results were re-gathered after 9 sessions using the same questionnaire.

Independent-sample t-test showed that the mean scores of overall clinical self-efficacy scores of nursing students before spiritual counseling and hope therapy were not significantly different (P>0.05), while the same test showed that there was a significant difference between the mean scores of clinical self-efficacy between intervention and control groups after spiritual counseling and hope therapy program (t=63.6, P=0.02).

The results of this study showed that spiritual counseling and hope therapy training is effective on self-efficacy of palliative care of nursing students and can be used in palliative care teaching and pattern-based nursing care for a variety of patients.

Infertility interferes with sexual and emotional relationships, fears of separation, feelings of isolation and depression in infertile people, and as a result has adverse effects on marital satisfaction and Quality of life. The aim of this study was to determine the effect of cognitive-behavioral counseling on marital satisfaction and Quality of life of infertile women through virtual education in Isfahan.

The present study is a Clinical trial study with the approach of an intervention group and a control that was conducted in 2018 with the participation of 60 infertile women in Isfahan. Samples were selected by available method. The intervention group received training and cognitive-behavioral counseling via WhatsApp. In this way, the samples received 30 minutes of training and counseling in 5 weeks, and their questions were answered via text message or call. The two variables of marital satisfaction and quality of life were assessed before and after the intervention. Data were analyzed by paired t-test and Covariance using SPSS 20.

Based on the results, the intervention did not cause a significant change in the marital satisfaction of infertile women compared with the control group (P=0.187). Based on the results, the intervention has caused a significant increase in the quality of life of infertile women compared with the control group (P<0.001).

Although virtual education did not significantly change the marital satisfaction of infertile women compared with the control group, the average score of marital satisfaction after the intervention increased compared to the previous intervention in the subjects of the intervention group. Also, intervention through virtual education has caused a significant change in the quality of life of infertile women compared with the control group, so it seems that virtual education and counseling is useful in promoting the health of infertile women.

Moral distress is one of the most complex ethical problems for nurses working in Intensive Care Units. Desired job performance of the nurse guarantees the quality of health care provided to patients and is an important factor in accelerating the process of treatment and recovery of patients. This study was conducted to investigate the predictive factors of job performance in nurseschr('39') moral distress.

This is a descriptive cross-sectional study, in which 256 nurses working in ICU wards of private and public hospitals of Qazvin province (from January to March 2019) were selected through convenience sampling method. Demographic characteristics questionnaire, Six Dimension Scale of Nursing Performance and Modified Moral Distress Scale-Revised were used for data collection. Statistical analysis was performed using linear regression model test in SPSS 22.

The results showed that the mean score of nurseschr('39') moral distress was 171.37±55.63. In the multivariate linear regression model, only educational dimension of job performance in both frequency (β=-26.37, P=0.001) and quality (β =-76.15, P=0.025) correlated significantly with moral distress.

Based on the results of the present study, the educational dimension of job performance is a predictive factor for moral distress. Therefore, steps can be taken to reduce moral distress in clinical settings, such as the use of nurses with specialized training in Intensive Care Units, paying special attention to teaching ethical issues in nursing centers and holding retraining courses for nurses.

Depression is the most common psychological consequences of spinal cord injury. The purpose of this study was to determine the effect of eye movement desensitization and reprocess (EMDR) on depression in patients with spinal cord injury.

In this clinical trial study, 40 patients with Spinal cord injury (SCI) who were treated at Hadith Rehabilitation Center of Qazvin in 2018-2019 were selected by random sampling and randomly divided into two groups. The methods of eye movements and reprocessing were performed for experimental group in five sessions of 90 minutes. The research instruments included demographic characteristics form and Beck’s depression inventories that were completed by patients in both groups. Depression was measured before, one, three and six months after the intervention. Data were analyzed using SPSS 23, by descriptive and inferential statistics proportional to the data. The data was analyzed with, Chi-square, independent t-test, Paired t-test and ANOVA.

The results of this study showed that before intervention the mean depression score was not significantly different between the control and experimental groups (31.4 ±10.4), (30.5 ±6.3((P=0.7, t=-0.3). After intervention, the experimental group had a significant increase in the mean score of depression compared with the control group (22.3±7.7), (30.3±6.6) (P<0.001, t=-4.1. (The mean depression score in the experimental group showed statistically significant differences three and six months after the intervention (P=0.001, t=-4.05).

Considering that EMDR, as a non- pharmacological intervention, reduced depression in patients with spinal cord injury.