نشریه توسعه پرستاری در سلامت
سال دوازدهم شماره 34 (بهار و تابستان 1400)

Nursing is the largest profession in the health system, which is influenced by the policy-making process of health managers. Nevertheless, nurses play a diminutive role in nursing profession policy. This study aimed to explain the challenges of nursing profession policy in the form of a qualitative study.

This qualitative research was content analysis. The research population consisted of managers, faculty members and nursing planners who were selected based on the goal. Semi-structured interviews were conducted with them to gather information and extract opinion from the participants. After the implementation of the interviews, their analysis was profession out using conventional content analysis method.

In this study, 14 interviews with senior decision-makers (10 women and 4 men) were conducted, with a mean of 4,3 ± 9,2 years. 11 of them were experts and the rest were senior experts. After analyzing the data, ultimately, the two main categories were "meta-Organizational Challenges and In-Organizational Challenges."

This study showed that major challenges in nursing policy-making in the two main meta-organization categories included defective upstream policies and the lack of understanding of profession requirements by legislators, and within the organization, including the lack of policymakers, the impact of other professions And a weakness in the implementation of policies that are necessary to address these challenges of proportional measures.

Happiness and happiness are among the basic and natural needs of human beings and I can consider it as one of the most important medical and community health. Since I spend most of my student time at university. There is a great need to create spiritual vitality in students. Therefore, this study is processed with the aim of influencing studentschr('39') spiritual students.

A review study of an anecdote in 1399 was conducted. To get selected articles to enter the information center database, comprehensive humanities portal and Noor magazines database with a combination of keywords of spiritual publishing, students and external sites Google Scholar, Pubmed, Scopus with Spritual keys Neshat, student from Searched from the beginning of 1990 to the end of 2020. Login in this research includes articles that paid to spiritual students, there are main research articles in Persian or English. Finally, 6 articles have been included in the study. Of these 6 articles, 4 Persian articles and 2 English budget articles.

The findings indicate the effect of 5 factors (cognitive factor, personal factors, academic factors, environmental factors, family factors) in creating spiritual vitality in students.

In order to create spiritual vitality, there is a need for families to try to teach and strengthen their religious beliefs and childrenchr('39')s role models. University officials should plan for educational and recreational activities, strengthen encouragement and cultural activities of the organization, and involve students in such activities to create spiritual students and the university atmosphere.

Sleep is one of the basic human needs. Diseases can have a negative effect on sleep or, conversely, poor sleep quality can lead to symptoms. Evaluate the study with the aim of determining the quality of sleep in patients admitted to the cardiac intensive care unit of educational and medical centers affiliated to Golestan University of Medical Sciences.

This is a cross-sectional study. Samples were selected according to the inclusion criteria. A valid and reliable questionnaire of sleep disorders in heart patients was used to collect data. Data were analyzed in SPSS software version 16 using descriptive and inferential statistical tests (p <0.05).

The results showed that the mean and standard deviation of the sleep disorder score in patients admitted to the ccu ward (50.46 ± 61.14 on the first day and 54.43 ± 14.29 on the second day) was moderate. Sleep disorders have a statistically significant relationship with age. There is a statistically significant relationship between sleep disorders and education. In illiterate patients, the severity of sleep disorders was higher.

Considering the moderate level of sleep disorders in coronary heart disease patients in this study, a comprehensive and complete examination of the patient and the development of care plan and nursing measures planned to improve the sleep status of hospitalized patients is necessary.

Marital satisfaction is a state in which a couple feels happy and satisfied with their marriage and being together. The aim of this study was to evaluate the level of marital satisfaction in women referring to Hamadan health centers.

The present study is a descriptive-analytical cross-sectional study that was performed on 380 women referring to health centers in Hamadan. The selection of health centers was clustered randomly so that from four geographical areas, four centers were selected from each region. Data collection tools were demographic and Enrich questionnaire. The linear regression model was used and the significance level was considered P <0.05.

The mean age of women in this study was 33.6± 3.4 and the mean age of their husbands was 38.8± 4.4. The mean duration of marriage was 8.9 ± 3.3. According to the results of linear regression model, the score of marital satisfaction had a direct and significant relationship with the duration of marriage, but there was no significant relationship between marital satisfaction and spouse age, wife age, occupation, infertility history, education, number of children.

The results of the present study showed that the rate of marital satisfaction in women in Hamadan is in the average range and the component of increasing the duration of marriage was one of the factors that played a role in improving marital satisfaction of women.

Trust is an important component in the relationship between patient and nurse. Factors affecting the trust between the patient and the nurse include communication factors, effective professional factors and nurseschr('39') expertise. Considering the various positive consequences that patient trust in the nurse can have, this study was conducted with the aim of the effect of trust in nurses in the process of patientschr('39') recovery.

This study was a narrative review. To select Persian studies in databases such as Magiran, Mags Noor, SID, IranMedex with the keywords trust, patient, nurse, between1389 to 1399 was searched and for studies in English from the keywords Patient, Nurse, Trust in the database direct science, Scopus, Pubmed were used between 2010 and 2020. Inclusion criteria included review of English and Persian articles and dissertations and exclusion criteria included lack of access to the full version of the article. Review articles were excluded from the study. After searching the databases, 68 articles were included in the study and finally 15 articles were reviewed.

The results showed that communication and professional factors are effective in creating patient trust in the nurse. Barriers to communication and care are barriers to building trust. The consequences of the patientchr('39')s trust in the nurse include psychological and therapeutic consequences.

By educating nurses and updating their professional knowledge, nursing managers pave the way for the development of trust in nurses and patients for optimal nursing care.

Nursing managers should pave the way for the development of trust in nurses and patients for optimal nursing care by educating nurses and updating their professional knowledge.

 ‏Given the importance of the mixed method research in the future of nursing research, it is ‎necessary to examine the challenges faced by nursing researchers and provide solutions to get to the bottom of ‎problems in this area. ‎The aim of this study is to provide  a brief overview of the mixed method research and its challenges in ‎nursing.‎

 This study was performed by reviewing and searching in reliable databases such as Google Scholar, ‎PubMed, Ovid, Magiran, SID, with the keywords mixed method research and nursing and its corresponding words in both Persian and English between ‎the years 2000-2019.‎

 In this paper, we tried to introduce the summary of mixed method ‎research, history, definition, reasons, advantages and disadvantages as well as assessing the most important typology presented in the ‎nursing and addressing challenges in the design and implementation of mixed method research. ‎

 The most important challenge in the field of mixed method research in nursing is the lack of a ‎comprehensive and effective guideline to designing and implementing these studies. Therefore, it is highly recommended ‎todesign the appropriate guidelines in order to guide young researchers in conducting mixed method ‎research.

 Nurses play the lead role in providing health care and face numerous challenges in their profession. Therefore, understanding and overcoming these challenges is necessary. The current study was carried out to show the concept of dimensions of nursing profession challenge using Rodgers' method.

 The study used Rodgers' evolutionary concept analysis to clarify the concept of nursing challenge. For this purpose, the available and valid scientific databases such as Medline, Proquest Cinahel, Science direct, Google Scholar, SID, Iranmedex were searched without considering the time frame with the keywords Nursing Challenge, Nursing Problems and their English equivalents. 46 papers were selected according to the main concept of the study which was nursing challenge. The selected papers were available in full text, and comprise both research and review articles. Then, we reviewed the papers carefully and data collection and analysis were conducted based on Rodgers' concept analysis model.

 The study identified the characteristics of the concept of nursing challenge in three education, clinical environment and socio-cultural dimensions. The antecedents consisted of organizational, individual, social and professional factors, and the consequences were either positive or negative.

 The results identified the concept of nursing challenge and reveled the importance of rising awareness and resolving challenges in nursing.